ǥ : ǥ
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ȣ - 500404 101 |
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.
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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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