Dong Gengfu, Ryan Terence E, Esser Karyn A
Department of Applied Physiology and Kinesiology (G.D., T.E.R.), University of Florida, Gainesville.
Center for Exercise Science (T.E.R.), University of Florida, Gainesville.
Circ Res. 2025 Jul 7;137(2):139-162. doi: 10.1161/CIRCRESAHA.124.325704. Epub 2025 Jul 3.
Cardiometabolic diseases, encompassing cardiovascular and metabolic disorders, represent a significant global health challenge, driven in part by the rising prevalence of obesity and type 2 diabetes. Exercise offers profound benefits in mitigating the progression and impact of cardiometabolic diseases by improving glucose homeostasis, body composition, and cardiovascular function. However, gaps remain in our understanding of the molecular mechanisms underlying these benefits and how to optimize exercise prescriptions for cardiometabolic disease. Animal models are indispensable tools for unraveling these mechanisms and translating findings to human health for improved management of these conditions. Rodent exercise models (eg, treadmill running and wheel running) dominate preclinical research, while resistance training models and high-intensity interval training models have gained in popularity in recent years. This review provides a comprehensive evaluation of existing animal models for cardiometabolic disease and exercise, highlighting their strengths, limitations, and translational relevance. We emphasize the critical need for research to support our mechanistic understanding of the multiorgan health benefits for the prevention of cardiometabolic diseases. In addition, we also highlight the need for research applying well-defined exercise interventions with preclinical disease models to provide translational data to guide future clinical applications for patients with cardiometabolic diseases.
心血管代谢疾病,包括心血管疾病和代谢紊乱,是一项重大的全球健康挑战,部分原因是肥胖症和2型糖尿病的患病率不断上升。运动通过改善葡萄糖稳态、身体成分和心血管功能,对减轻心血管代谢疾病的进展和影响具有深远益处。然而,我们对这些益处背后的分子机制以及如何优化心血管代谢疾病的运动处方仍存在认识上的差距。动物模型是揭示这些机制并将研究结果转化为人类健康以改善这些疾病管理的不可或缺的工具。啮齿动物运动模型(如跑步机跑步和转轮跑步)主导着临床前研究,而阻力训练模型和高强度间歇训练模型近年来也越来越受欢迎。本综述对现有的心血管代谢疾病和运动动物模型进行了全面评估,突出了它们的优势、局限性和转化相关性。我们强调开展研究以支持我们对预防心血管代谢疾病的多器官健康益处的机制理解的迫切需求。此外,我们还强调需要开展研究,将明确的运动干预应用于临床前疾病模型,以提供转化数据,指导未来对心血管代谢疾病患者的临床应用。