학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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Long-term Exercise Training Prevents Age-related Diastolic Dysfunction by Altering Myocardial Collagen Cross-linking
서울대학교 의과대학 내과학 교실,¹ 진단방사선과학 교실,² 서울대학교병원 순환기 내과³
최수연¹,³, 장혁재,¹,³ 최상일,² 김광일,¹,³ 조영석,¹,³ 연태진,¹,³ 정우영,¹,³ 채인호,¹,³ 최동주,¹,³ 김효수,¹,³ 김철호,¹,³ 오병희¹,³
Some studies have suggested that cross-linking of glycated collagen is a major mechanism that governs aging and diabetes-associated loss of cardiac and vascular compliance. We investigated the impact of long-term exercise training (ET) on age-related myocardial stiffness caused by advanced glycation end products (AGEs) cross-linking. Young (6-month-old) and old (25-month-old) male Fischer 344 rats were studied after 12 weeks treadmill ET or sedentary cage life. We compared cardiac performances using the pressure-volume conductance catheter system and amounts of myocardial total and AGEs cross-linked collagen between groups. The maximal slope of systolic pressure increment (P<0.05) increased, and end-diastolic volume (P<0.005) and slope of end-diastolic pressure-volume relation (P<0.05) were lower in old trained group (OT) than in old control group (OC). The maximal slope of diastolic pressure decrement (P=0.07) and time constant of LV pressure decay (Τ) (P=0.1) showed a tendency to improve by ET. Amounts of total and AGEs cross-linked collagen were increased with senescence. However, amount of AGEs cross-linked collagen was only reduced by ET (P<0.05). The activities and expressions of matrix metalloproteinase (MMP) 2 and MMP9 were higher in OC than in young control group (YC), but were lower in OT than in OC. Furthermore, the expressions of tissue inhibitor of metalloproteinase (TIMP) 1 and TIMP2 in OC and OT were antithetically regulated. In conclusion, long-term ET appears to prevent age-related deteriorations in LV geometry and function. The improvements in myocardial passive stiffness could be attributed to reductions in pathologic collagen cross-linking resulting from augmented collagen turnover.

Hemodynamic parameter

OC

OT

P-value

LVEDP, mmHg

13.2±3.1

11.8±2.2

0.711

-dP/dt, mmHg/s

4,899±709

6,892±654

0.070

Τ (Weiss), ms

17.3±2.6

12.2±0.61

0.107

EDPVR slope, mmHg/μ l

0.073±0.015

0.033±0.010

0.041

Values are means ± SE



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