Palasz Ewelina, Gasiorowska-Bien Anna, Drapich Patrycja, Niewiadomski Wiktor, Niewiadomska Grazyna
Department of Cellular Signalling, Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland.
Clinical and Research Department of Applied Physiology, Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland.
Int J Mol Sci. 2025 Jan 28;26(3):1146. doi: 10.3390/ijms26031146.
Intensive aerobic exercise slows the progression of movement disorders in Parkinson's disease (PD) and is therefore recommended as an important component of treatment for PD patients. Studies in animal models of PD have shown that vigorous exercise has neuroprotective effects, and emerging evidence suggests that it may be a disease-modifying treatment in humans. However, many people with PD may not be able to participate in vigorous exercise because of multiple medical conditions that severely limit their physical activity. In this study, we have shown that chronic MPTP treatment in sedentary mice resulted in loss of dopaminergic neurons in the SNpc, decreased levels of neurotrophins, BDNF and GDNF, and increased levels of inflammatory markers and pro-inflammatory changes in immunocompetent cells. Moderate exercise, initiated both before and after chronic MPTP treatment, significantly attenuated the loss of dopaminergic neurons and increased BDNF and GDNF levels even above those in sedentary control mice. No signs of inflammation were observed in MPTP-treated mice, either when training began before or after MPTP treatment. Training induced beneficial changes in the dopaminergic system, increased levels of neurotrophins and suppression of inflammation were similar for both steady moderate (present data) and intense training (our previously published data). This suggests that there is a kind of saturation when the percentage of rescued dopaminergic neurons reaches the highest possible value, and therefore further increases in exercise intensity do not enhance neuroprotection. In conclusion, our present results compared with the previous data show that increasing exercise intensity beyond the level used in this study does not increase the neuroprotective effect of aerobic training in a mouse model of Parkinson's disease.
高强度有氧运动可减缓帕金森病(PD)患者运动障碍的进展,因此被推荐为PD患者治疗的重要组成部分。对PD动物模型的研究表明,剧烈运动具有神经保护作用,新出现的证据表明,它可能是一种对人类疾病有改善作用的治疗方法。然而,许多PD患者可能由于多种严重限制其身体活动的健康问题而无法参与剧烈运动。在本研究中,我们发现久坐小鼠经慢性MPTP处理后,黑质致密部多巴胺能神经元丢失,神经营养因子BDNF和GDNF水平降低,免疫活性细胞中炎症标志物水平升高且出现促炎变化。在慢性MPTP处理之前和之后开始的适度运动,显著减轻了多巴胺能神经元的丢失,并使BDNF和GDNF水平升高,甚至高于久坐对照小鼠。在MPTP处理的小鼠中,无论训练在MPTP处理之前还是之后开始,均未观察到炎症迹象。训练对多巴胺能系统产生有益变化,神经营养因子水平升高以及炎症抑制,对于稳定适度运动(当前数据)和高强度训练(我们之前发表的数据)而言是相似的。这表明当挽救的多巴胺能神经元百分比达到最高可能值时存在一种饱和状态,因此运动强度的进一步增加并不会增强神经保护作用。总之,与之前的数据相比,我们目前的结果表明,在帕金森病小鼠模型中,将运动强度增加到超过本研究中使用的水平并不会增加有氧训练的神经保护作用。