نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری فیزیولوژی ورزشی، دانشکده علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران.
2 استاد گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران.
3 استادیار گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران.
4 استاد گروه گردش خون و تصویربرداری پزشکی، دانشکده پزشکی و علوم بهداشت، دانشگاه علم و صنعت نروژ (NTNU)، تروندهایم، نروژ
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسندگان [English]
Extended Abstract
Background and Aim: Aging is a significant risk factor for the development of cardiac conduction disorders like arrhythmia. It impairs cardiac conduction by disrupting the electrical conduction channels in the heart. Among the most evident physiological changes associated with aging are the morphological alterations in the cardiovascular system. Unfortunately, these changes diminish the overall function of the cardiovascular system, particularly affecting the cardiac conduction system in elderly individuals.
Numerous studies have shown that the function of these channels and connexins is regulated by various genes, including GATA transcription factor 4 (GATA4), protein kinase B (AKT), myocytes enhancer factor type 2C (MEF2C), and T-box transcription factor 5 (Tbx5). Additionally, research suggests that physical activity and exercise can mitigate the progression of cardiac conduction disorders in aging individuals.. The aim of this study was to investigate the effect of different acute exercises on the expression of genes responsible for cardiac conduction in elderly rats.
Materials and Methods: Twenty-four old male Wister rats (23 months, weigh 465±45 g) were recruited and divided into four groups (each group consist of six elderly rats), include of control, moderate intensity continuous exercise (MICE), high intensity interval exercise-low volume (HIIE-LV), and high intensity interval exercise-high volume (HIIE-HV) groups. Rats were maintained under controlled conditions with 75–85% humidity, 23±2°C temperature, and a 12-h light–dark cycle.
Prior to the commencement of the study, ethical approval was obtained from the Ethics Committee for Biological Research at Shahid Beheshti University. All rats underwent a familiarization protocol to acclimate them to the pool and the exercise regimen. This protocol involved placing the rats in shallow water at 32°C for three consecutive days, with each session lasting 10 minutes.
Following the familiarization phase, the maximum exercise load for each rat was individually determined to establish exercise intensity and workload. To assess the maximum exercise load, a metal weight equivalent to 5% of the rat’s body weight was attached to the end of their tails using leucoplast tape. After a warm-up period, the workload was increased by 1 g every five minutes of swimming until the rats reached exhaustion. The maximum exercise load was defined as the highest load the rats could carry until exhaustion.
The MICE protocol consisted of 35 min swimming at 65% of maximal workload. The HIIE-HV consisted of 35 min interval swimming encompassed five sets of four min swimming at 85% of maximal workload and three min of passive recovery. The HIIE-LV consisted of seven min interval swimming encompassed 14 sets of 30 s swimming at 110 % of maximal workload interspersed by 30 s of passive recovery. After exercise sessions, all rats were anesthetized and sacrificed. SA and AV node tissue was used to examine the expression of GATA4, AKT, MEF2C, and Tbx5. Real-Time Quantitative PCR was used to analyses gene expression. For data analysis, One-way ANOVA and Tukey post hoc tests were utilized at p<0.05 level.
Results: Analysis of the data revealed that the expression of AKT1 (p=0.001 in the SA node and p=0.001 in the AV node), GATA4 (p=0.001 in both nodes), MEF2C (p=0.01 in the SA node and p=0.001 in the AV node), and Tbx5 (p=0.001 in both nodes) genes increased significantly after HIIE-HV compared to the control group.
In the SA node, the expression of AKT1 (p=0.01), GATA4 (p=0.005), and Tbx5 (p=0.009) genes also increased significantly after HIIE-LV compared to the control group. However, the expression of AKT1 (p=0.43), GATA4 (p=0.21), Tbx5 (p=0.19), and MEF2C (p=0.44) genes in the AV node did not change significantly.
In response to MICE, the expression of AKT1 (p=0.29 in the SA node and p=0.11 in the AV node), GATA4 (p=0.15 in the SA node and p=0.72 in the AV node), MEF2C (p=0.31 in the SA node and p=0.85 in the AV node), and Tbx5 (p=0.98 in the SA node and p=0.84 in the AV node) did not change significantly in either the SA or AV nodes (Table 1).
Conclusion: The HIIE-LV and HIIE-HV significantly increase the expression of genes related to cardiac conduction in elderly rats compared to MICE. This increase may enhance the function of the cardiac electrical conduction system, improve arrhythmias, and reduce mortality in elderly individuals by activating various molecular and cellular signaling pathways. Despite the limited information available on the signals associated with cardiac conduction and exercise, it appears that calcium-related mechanisms (such as calcium calmodulin and protein kinase C), mechanisms related to the tension-stretch of the atrial and ventricular walls during diastolic filling (increased preload and activation of focal adhesion kinase, FAK), and mechanisms related to cellular metabolism (protein kinase A and cyclic AMP, cAMP) are likely candidates for mediating the expression of cardiac conduction genes in response to exercise. Additionally, this study found that the expression of genes related to cardiac conduction in the SA node increased significantly even with intense exercise of short duration (seven minutes). In contrast, in the AV node, the expression of these genes increased significantly only with prolonged intense exercise. Although a specific mechanism explaining the differential expression of these genes in the SA and AV nodes has not yet been proposed, it is suggested that the varying degrees of stimulation from the autonomic nervous system (including parasympathetic inhibition and sympathetic activation) may contribute to these differences.
Ethical Considerations: This study was conducted based on the ethical guidelines for animal studies. The study protocol was approved by the Ethics Committee of Shahid Beheshti University Ethics Code: IR.SBU.REC.1403.134.
Compliance with Ethical Guidelines: Throughout all stages of the present study, all ethical principles for working with laboratory animals were observed following the NIH, IASP, and ARRIVE guidelines for the care and use of laboratory animals.
Funding: This study received no funding from public, commercial, or nonprofit organizations.
Conflicts of Interest: The authors declare no conflict of interest.
کلیدواژهها [English]