Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (34): 5508-5515.doi: 10.12307/2024.841

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Aerobic exercise upregulates the thioredoxin system and inhibits cardiomyocyte apoptosis in aging rats

Xu Zheng1, Zhao Xiaoqin1, Chen Xiaodan1, Wang Jiapu2, Bao Fenmiao1, Yu Liang3, Li Junping3, Wei Yan2   

  1. 1School of Physical Education, 2School of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, Shanxi Province, China; 3School of Sports Human Science, Beijing Sport University, Beijing 100084, China
  • Received:2023-11-20 Accepted:2024-01-16 Online:2024-12-08 Published:2024-03-14
  • Contact: Zhao Xiaoqin, Associate professor, School of Physical Education, Taiyuan University of Technology, Taiyuan 030024, Shanxi Province, China
  • About author:Xu Zheng, Master candidate, School of Physical Education, Taiyuan University of Technology, Taiyuan 030024, Shanxi Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 32071168 (to YL [project participant]); the Fundamental Research Funds for the Central Universities, No. 2022YB019 (to YL); the Natural Science Foundation of Shanxi Province (General Program), No. 201901D111079 (to ZXQ)

Abstract: BACKGROUND: Studies have shown that cardiomyocyte apoptosis is closely related to cardiac decompensation and the cardiac aging process. Appropriate exercise can alter heart pump function in patients with heart failure as well as attenuate aging-induced cardiomyocyte apoptosis, hypertrophy, and fibrotic damage.
OBJECTIVE: To investigate the effects of long-term aerobic exercise on cardiomyocyte apoptosis and the thioredoxin system in aging rats.
METHODS: Thirty-six male Sprague-Dawley rats were selected and divided into three age groups: 3-month-old young group, 9-month-old middle-aged group, and 18-month-old elderly group, with 12 rats in each group. Within each age group, rats were randomly assigned to sedentary and exercise subgroups (n=6 per group). The sedentary groups did not undergo any exercise intervention. The exercise groups were acclimated to a treadmill environment and subsequently subjected to treadmill exercise for 45 minutes per day, at a speed of 15 m/min, 5 days per week for 10 weeks in total. At 24 hours after the final intervention, ELISA was employed to measure serum levels of cardiac troponin I and creatine kinase-MB in rats. TUNEL assay was utilized to detect cardiomyocyte apoptosis, while western blot assay was employed to assess the protein expression of Bax, Bcl-2, Caspase 3, thioredoxin-1, thioredoxin-2, thioredoxin reductase-1, thioredoxin reductase-2, thioredoxin-interacting protein, apoptosis signal-regulating kinase 1, and P38 mitogen-activated protein kinase in rat myocardial tissue.
RESULTS AND CONCLUSION: Serum levels of cardiac troponin I and creatine kinase-MB in the elderly sedentary group were significantly higher than those in the young and middle-aged sedentary groups and elderly exercise group (P < 0.01). Serum levels of cardiac troponin I and creatine kinase-MB in the elderly sedentary group were significantly higher than those in the young and middle-aged exercise groups and elderly exercise group (P < 0.01). Positive apoptotic cells in rat myocardial tissue, along with increased protein expression of Bax and Caspase 3, exhibited an age-related upward trend, while Bcl-2 protein expression showed a declining trend. In comparison with the sedentary groups within each age category, the number of apoptotic cardiomyocytes and the expression of Bax and Caspase 3 proteins were reduced to different degrees, and the expression of Bcl-2 protein was increased to different degrees in the corresponding exercise groups. Compared with the young sedentary group, middle-aged sedentary group and elderly exercise group, elderly sedentary rats showed a significant decrease in the expression of myocardial thioredoxin 1, thioredoxin 2, thioredoxin reductase 1, and thioredoxin reductase 2 proteins (P < 0.05, P < 0.01). The expression of myocardial thioredoxin 1, thioredoxin 2, and thioredoxin reductase 2 proteins was lower in the elderly exercise group than in the young exercise group (P < 0.05, P < 0.01), while the expression of thioredoxin reductase 1 and thioredoxin reductase 2 proteins was lower in the elderly exercise group than in the middle-aged exercise group (P < 0.01). The protein expression of thioredoxin-interacting protein, apoptosis signal-regulating kinase 1, and P38 mitogen-activated protein kinase in rat myocardium was significantly higher in the elderly sedentary group than the young sedentary group, middle-aged sedentary group and elderly exercise group (P < 0.01). The protein expression of thioredoxin-interacting protein, apoptosis signal-regulating kinase 1, and P38 mitogen-activated protein kinase in rat myocardium was significantly higher in the elderly exercise group than the young exercise group and middle-aged exercise group (P < 0.01). To conclude, aerobic exercise may enhance the anti-apoptotic effects of thioredoxin by down-regulating the expression of thioredoxin-interacting protein in aging rat hearts, leading to the downregulation of apoptosis signal-regulated kinase 1 and P38 mitogen-activated kinase protein, thereby alleviating myocardial cell apoptosis in aging rat hearts.

Key words: aerobic exercise, aging rat, cardiomyocyte, apoptosis, thioredoxin

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