Abstract
During acute sympathetic stress, the overactivation of β-adrenergic receptors (β-ARs) causes cardiac fibrosis by triggering inflammation and cytokine expression. It is unknown whether exercise training inhibits acute β-AR overactivation–induced cytokine expression and cardiac injury. Here, we report that running exercise inhibited cardiac fibrosis and improved cardiac function in mice treated with isoproterenol (ISO), a β-AR agonist. A cytokine antibody array revealed that running exercise prevented most of the changes in cytokine expression induced by ISO. Specifically, ISO-induced upregulation of 18 cytokines was prevented by running exercise. A Kyoto encyclopedia of genes and genomes analysis of these cytokines revealed that Hedgehog and RAP1 signaling pathways were involved in the regulation of cytokine expression by exercise. The changes in the expression of some cytokines that were prevented by exercise were verified by an enzyme-linked immunosorbent assay and real-time PCR. In conclusion, running exercise prevented the cytokine expression changes after acute β-AR overactivation and therefore attenuated cardiac fibrosis. Acute sympathetic stress is an important risk factor for the patients with cardiovascular diseases, and the present study revealed that exercise training can prevent against the upregulation of cytokines and the subsequent cardiac injury induced by acute sympathetic stress, suggesting that exercise training may be beneficial for cardiovascular patients who are in risk of acute sympathetic stress. This finding provides a theoretical basis for the application of exercise training in patients who may suffer from acute sympathetic stress.
Similar content being viewed by others
Abbreviations
- ELISA:
-
Enzyme-linked immunosorbent assay
- GO:
-
Gene ontology
- IL-1RN:
-
Interleukin-1 receptor antagonist
- ISO:
-
Isoproterenol
- KEGG:
-
Kyoto encyclopedia of genes and genomes
- MMP2:
-
Matrix metalloprotein 2
- MOK:
-
MAPK/MAK/MRK overlapping kinase
- PCA:
-
Principal component analysis
- RAP1:
-
Ras-related protein 1
- Sed:
-
Sedentary
- SPP1:
-
Osteopontin
- TNFRSF1B:
-
Tumor necrosis factor receptor superfamily member 1B
- β-AR:
-
β-Adrenergic receptor
References
Kivimaki, M., & Steptoe, A. (2018). Effects of stress on the development and progression of cardiovascular disease. Nature Reviews. Cardiology, 15(4), 215–229. https://doi.org/10.1038/nrcardio.2017.189.
Manolis, A. J., Poulimenos, L. E., Kallistratos, M. S., Gavras, I., & Gavras, H. (2014). Sympathetic overactivity in hypertension and cardiovascular disease. Current Vascular Pharmacology, 12(1), 4–15.
Cao, N., Chen, H., Bai, Y., Yang, X., Xu, W., Hao, W., et al. (2018). Beta2-adrenergic receptor autoantibodies alleviated myocardial damage induced by beta1-adrenergic receptor autoantibodies in heart failure. Cardiovascular Research, 114(11), 1487–1498. https://doi.org/10.1093/cvr/cvy105.
Chida, Y., & Steptoe, A. (2009). The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence. Journal of the American College of Cardiology, 53(11), 936–946. https://doi.org/10.1016/j.jacc.2008.11.044.
Xiao, H., Li, H., Wang, J. J., Zhang, J. S., Shen, J., An, X. B., et al. (2018). IL-18 cleavage triggers cardiac inflammation and fibrosis upon beta-adrenergic insult. European Heart Journal, 39(1), 60–69. https://doi.org/10.1093/eurheartj/ehx261.
Chow, C. K., Redfern, J., Hillis, G. S., Thakkar, J., Santo, K., Hackett, M. L., et al. (2015). Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: a randomized clinical trial. JAMA, 314(12), 1255–1263. https://doi.org/10.1001/jama.2015.10945.
Hegde, S. M., & Solomon, S. D. (2015). Influence of physical activity on hypertension and cardiac structure and function. Current Hypertension Reports, 17(10), 77. https://doi.org/10.1007/s11906-015-0588-3.
O'Connor, C. M., Whellan, D. J., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., et al. (2009). Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA, 301(14), 1439–1450. https://doi.org/10.1001/jama.2009.454.
Ma, X., Fu, Y., Xiao, H., Song, Y., Chen, R., Shen, J., et al. (2015). Cardiac fibrosis alleviated by exercise training is AMPK-dependent. PLoS One, 10(6), e0129971. https://doi.org/10.1371/journal.pone.0129971.
An, X., Wang, J., Li, H., Lu, Z., Bai, Y., Xiao, H., et al. (2016). Speckle tracking based strain analysis is sensitive for early detection of pathological cardiac hypertrophy. PLoS One, 11(2), e0149155. https://doi.org/10.1371/journal.pone.0149155.
Metsalu, T., & Vilo, J. (2015). ClustVis: a web tool for visualizing clustering of multivariate data using principal component analysis and heatmap. Nucleic Acids Research, 43(W1), W566–W570. https://doi.org/10.1093/nar/gkv468.
Huang da, W., Sherman, B. T., & Lempicki, R. A. (2009). Systematic and integrative analysis of large gene lists using DAVID bioinformatics resources. Nature Protocols, 4(1), 44–57, doi:https://doi.org/10.1038/nprot.2008.211.
Agassandian, M., Tedrow, J. R., Sembrat, J., Kass, D. J., Zhang, Y., Goncharova, E. A., et al. (2015). VCAM-1 is a TGF-beta1 inducible gene upregulated in idiopathic pulmonary fibrosis. Cellular Signalling, 27(12), 2467–2473. https://doi.org/10.1016/j.cellsig.2015.09.003.
Chen, L. P., Liu, H., Huang, Y., Zhang, X. Y., Alexander, R. E., & Cheng, L. (2013). Expression of NFkappaB, ICAM1, and VCAM1 in rheumatic heart disease with atrial fibrillation. Anal Quant Cytopathol Histpathol, 35(5), 249–252.
Gogiraju, R., Schroeter, M. R., Bochenek, M. L., Hubert, A., Munzel, T., Hasenfuss, G., et al. (2016). Endothelial deletion of protein tyrosine phosphatase-1B protects against pressure overload-induced heart failure in mice. Cardiovascular Research, 111(3), 204–216. https://doi.org/10.1093/cvr/cvw101.
Erdmann, R., Ozden, C., Weidmann, J., & Schultze, A. (2015). Targeting the Gremlin-VEGFR2 axis - a promising strategy for multiple diseases? The Journal of Pathology, 236(4), 403–406. https://doi.org/10.1002/path.4544.
Kleinbongard, P., Schulz, R., & Heusch, G. (2011). TNFalpha in myocardial ischemia/reperfusion, remodeling and heart failure. Heart Failure Reviews, 16(1), 49–69. https://doi.org/10.1007/s10741-010-9180-8.
Johnston, C. J., Williams, J. P., Okunieff, P., & Finkelstein, J. N. (2002). Radiation-induced pulmonary fibrosis: examination of chemokine and chemokine receptor families. Radiation Research, 157(3), 256–265.
Wang, Y., Li, Y., Wu, Y., Jia, L., Wang, J., Xie, B., et al. (2014). 5TNF-alpha and IL-1beta neutralization ameliorates angiotensin II-induced cardiac damage in male mice. Endocrinology, 155(7), 2677–2687. https://doi.org/10.1210/en.2013-2065.
Koh, Y., & Park, J. (2018). Cell adhesion molecules and exercise. Journal of Inflammation Research, 11, 297–306. https://doi.org/10.2147/JIR.S170262.
Keller, C., Keller, P., Giralt, M., Hidalgo, J., & Pedersen, B. K. (2004). Exercise normalises overexpression of TNF-alpha in knockout mice. Biochemical and Biophysical Research Communications, 321(1), 179–182. https://doi.org/10.1016/j.bbrc.2004.06.129.
Mardare, C., Kruger, K., Liebisch, G., Seimetz, M., Couturier, A., Ringseis, R., et al. (2016). Endurance and resistance training affect high fat diet-induced increase of ceramides, inflammasome expression, and systemic inflammation in mice. Journal Diabetes Research, 2016, 4536470. https://doi.org/10.1155/2016/4536470.
Chennaoui, M., Drogou, C., & Gomez-Merino, D. (2008). Effects of physical training on IL-1beta, IL-6 and IL-1ra concentrations in various brain areas of the rat. European Cytokine Network, 19(1), 8–14. https://doi.org/10.1684/ecn.2008.0115.
Boettner, B., & Van Aelst, L. (2009). Control of cell adhesion dynamics by Rap1 signaling. Current Opinion in Cell Biology, 21(5), 684–693. https://doi.org/10.1016/j.ceb.2009.06.004.
Miller, C. L., Cai, Y., Oikawa, M., Thomas, T., Dostmann, W. R., Zaccolo, M., et al. (2011). Cyclic nucleotide phosphodiesterase 1A: a key regulator of cardiac fibroblast activation and extracellular matrix remodeling in the heart. Basic Research in Cardiology, 106(6), 1023–1039. https://doi.org/10.1007/s00395-011-0228-2.
Zhang, X., Szeto, C., Gao, E., Tang, M., Jin, J., Fu, Q., et al. (2013). Cardiotoxic and cardioprotective features of chronic beta-adrenergic signaling. Circulation Research, 112(3), 498–509. https://doi.org/10.1161/CIRCRESAHA.112.273896.
Kramann, R. (2016). Hedgehog Gli signalling in kidney fibrosis. Nephrology, Dialysis, Transplantation, 31(12), 1989–1995. https://doi.org/10.1093/ndt/gfw102.
Laughlin, M. H., Padilla, J., Jenkins, N. T., Thorne, P. K., Martin, J. S., Rector, R. S., et al. (2015). Exercise-induced differential changes in gene expression among arterioles of skeletal muscles of obese rats. Journal of Applied Physiology (Bethesda, MD: 1985), 119(6), 583–603. https://doi.org/10.1152/japplphysiol.00316.2015.
Kovarik, P., Ebner, F., & Sedlyarov, V. (2017). Posttranscriptional regulation of cytokine expression. Cytokine, 89, 21–26. https://doi.org/10.1016/j.cyto.2015.11.007.
Lim, W., Jeong, W., Kim, J., Ka, H., Bazer, F. W., Han, J. Y., et al. (2012). Differential expression of secreted phosphoprotein 1 in response to estradiol-17beta and in ovarian tumors in chickens. Biochemical and Biophysical Research Communications, 422(3), 494–500. https://doi.org/10.1016/j.bbrc.2012.05.026.
Funding
This work was supported by the Beijing Natural Science Foundation (grant No. 7182176 to Wei Gao), the National Natural Science Foundation of China (grant No. 81670205 to Han Xiao, grant No. 81530009 to Youyi Zhang, and grant No. 81871850 to Haiyi Yu), the Open Foundation from Beijing Key Laboratory of Hypertension Research (grant No. 2017GXY-KFKT-05), and the Fund for Fostering Young Scholars of Peking University Health Science Center (grant No. BMU2017PY016).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
The animal experiment was approved by the Committee of Peking University on Ethics of Animal Experiments (Approval number: LA 2010–036). The procedures were conducted according to the US National Institutes of Health Guide for the Care and Use of Laboratory Animals (NIH Publication No. 85-23, revised 1996) and the Guidelines for Animal Experiments, Peking University Health Science Center.
Human Subjects/Informed Consent Statement
No experiments on human subjects were carried out.
Ethical Approval of Animal Studies
All institutional and national guidelines for the care and use of laboratory animals were followed and approved by the appropriate institutional committees.
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Associate Editor Junjie Xiao oversaw the review of this article
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Alemasi, A., Cao, N., An, X. et al. Exercise Attenuates Acute β-Adrenergic Overactivation–Induced Cardiac Fibrosis by Modulating Cytokines. J. of Cardiovasc. Trans. Res. 12, 528–538 (2019). https://doi.org/10.1007/s12265-019-09894-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12265-019-09894-1