Key result
Six months of voluntary aerobic exercise in spontaneously hypertensive rats induced cardioprotective adaptations but ultimately led to restrictive cardiomyopathy driven by lysyl oxidase and collagen III.
Why the study?
Does 6 months of voluntary aerobic exercise prevent maladaptive cardiac remodeling in female spontaneously hypertensive rats?
Does 6 months of voluntary aerobic exercise prevent maladaptive cardiac remodeling in female spontaneously hypertensive rats?
While voluntary exercise initially provides cardioprotective adaptations, sustained running in hypertensive rats induces lysyl oxidase and collagen III, leading to restrictive cardiomyopathy.
Suggests prolonged exercise may paradoxically worsen fibrosis in chronic hypertension; leaves open whether these.
Purpose: According to the current therapeutic guidelines of the WHO physical activity and exercise are recommended as first-line therapy of arterial hypertension. Previous results lead to the conclusion, however, that hearts of spontaneously hypertensive rats (SHR) with established hypertension cannot compensate for the haemodynamic stresses caused by long-term exercise. The current study was initiated to investigate the effects of aerobic exercise on the cardiac remodeling as the sole therapeutic measure before and during hypertension became established. Methods: Beginning at their 6th week of life, six SHR were provided with a running wheel over a period of six months. Normotensive Wistar rats served as non-hypertensive controls. Results: In Wistar rats and SHR, voluntary exercise led to cardioprotective adaptation reactions that were reflected in increased mitochondrial respiration, reduced heart rate and improved systolic function. Exercise also had antioxidant effects and reduced the expression of maladaptive genes (TGF-β1, CTGF, FGF2). However, at the end of the 6-months’ training, the echocardiograms revealed that SHR runners developed a restrictive cardiomyopathy. The induction of lysyl oxidase (LOX), which led to an increased network of matrix proteins and a massive elevation in collagen III expression, was identified as the underlying cause. Conclusions: Running-induced adaptive mechanisms effectively counteract the classic remodeling of hearts subject to chronic pressure loads. However, with sustained running stress, signaling pathways are activated that have a negative effect on left ventricular relaxation. Our data suggest that the induction of LOX may play a causative role in the diagnosed filling disorder in trained SHR.
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Schreckenberg et al. (2017) studied Arterial hypertension (n=24). Voluntary wheel running (aerobic exercise) vs. Non-running controls was evaluated on Cardiac remodeling and function (echocardiography, gene expression, and histology). Six months of voluntary aerobic exercise in spontaneously hypertensive rats induced cardioprotective adaptations but ultimately led to restrictive cardiomyopathy driven by lysyl oxidase and collagen III.
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