Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (20): 3136-3142.doi: 10.12307/2023.471

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Mechanisms by which swimming exercise and diet control improve hypothalamic lesions in APOE-/- mice with high-fat diet

Ding Linlin1, Lu Taotao1, Wei Wei2, 3, Li Yongxu1, Lin Libin1, Lin Zhicheng2, 3, Xue Xiehua2, 3   

  1. 1College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, Fujian Province, China; 2The Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian Province, China; 3Fujian Provincial Key Laboratory of Cognitive Rehabilitation, Fuzhou 350003, Fujian Province, China
  • Received:2022-05-21 Accepted:2022-07-14 Online:2023-07-18 Published:2022-11-19
  • Contact: Xue Xiehua, MD, Chief physician, Doctoral supervisor, The Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian Province, China; Fujian Provincial Key Laboratory of Cognitive Rehabilitation, Fuzhou 350003, Fujian Province, China
  • About author:Ding Linlin, Master candidate, College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, Fujian Province, China
  • Supported by:
    Fujian Natural Science Foundation, No. 2020J01759 (to LZC)

Abstract: BACKGROUND: Swimming exercise and diet control are currently recognized as important interventions to improve metabolic abnormalities. Hypothalamic sirtuin 3 (SIRT3) and peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) are important factors regulating energy metabolism, but the correlation between the effects of swimming exercise and diet control on hypothalamic lesions in apolipoprotein E knockout (APOE-/-) mice with high-fat diet and the PGC-1α-SIRT3 pathway is still unclear.
OBJECTIVE: To investigate the possible mechanism of swimming exercise and diet control in regulating hypothalamic lesions of APOE-/- mice with high-fat diet.
METHODS: Fifty 20-week-old APOE-/- mice were randomly divided into normal diet group, high-fat diet group, diet control group, swimming exercise group and diet control+swimming exercise group, with 10 mice in each group. Except for the control group (normal diet), the other groups were fed with high-fat diet (21% fat, 0.15% cholesterol) for 8 weeks. After 8 weeks of feeding, the diet control group and the diet control+swimming exercise group were normally fed, and there were no changes in the other groups. The swimming exercise group and the diet control+swimming exercise group were given no weight-bearing swimming for 8 weeks in total. Mice were weighed at the same time each week, and changes in hypothalamic metabolites, including N-acetyl aspartate (NAA), choline complex (Cho), creatine (Cr), and myo inositol (MI) were detected by magnetic resonance spectrum of the hypothalamus. Morphological changes of mitochondria and myelin sheath in the hypothalamus were detected by electron microscopy. SIRT3 and PGC-1α protein expression was detected by western blot.
RESULTS AND CONCLUSION: The body mass of the control group was significantly lower than that of the other four groups after high-fat diet feeding. After 8 weeks of intervention, the body mass of swimming exercise group, diet control group, diet control+swimming exercise group was significantly lower than that of high-fat diet group (P < 0.05), and the decreasing trend of diet control+swimming exercise group was the most obvious. Compared with the control group, the NAA/Cr and Cho/Cr of the high-fat diet group decreased significantly, and the MI/Cr increased significantly (P < 0.05). Compared with the high-fat diet group, the NAA/Cr and Cho/Cr of the diet control group, the swimming exercise group and the diet control+swimming exercise group increased significantly, while the MI/Cr decreased significantly (P < 0.05). The improvement effect on NAA/Cr and Cho/Cr of diet control+swimming exercise group was better than that of diet control group and swimming exercise group. The protein levels of SIRT3 and PGC-1α in the hypothalamus of diet control group, swimming exercise group and diet control+swimming exercise group were significantly higher than those of high-fat diet group (P < 0.05). The results of electron microscopy showed that in the high-fat diet group the mitochondria of mice were swollen, the crists were broken, disappeared or vacuolated, the myelin mechanism was blurred, most of the myelin was separated from the middle and edge, and the vacuolated degeneration was observed. The morphology and structure of mitochondria and myelin were improved after diet control and swimming exercise intervention. These findings indicate that both swimming exercise and diet control can effectively improve high-fat-induced hypothalamic lesions, and the combination of the two achieves better outcomes. The underlying mechanism is related to up-regulating the expression of mitochondria-related proteins PGC-1α and SIRT3, improving hypothalamic neurometabolism, and alleviating mitochondrial dysfunction.

Key words: swimming exercise, diet control, high-fat diet, hypothalamus, magnetic resonance spectrum

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