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European Journal of Heart Failure 2008 10(6):534-539; doi:10.1016/j.ejheart.2008.03.016
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© 2008 European Society of Cardiology

Exercise training prevents β-adrenergic hyperactivity-induced myocardial hypertrophy and lesions

Andrey J. Serraa, Maria L. Higuchib, Silvia S.M. Iharac, Ednei L. Antôniod, Marília H.H. Santosb, Maria T.N.M. Bombiga and Paulo J.F. Tuccia,d,*

a Department of Medicine, Cardiology Division, Federal University of São Paulo, (UNIFESP) Brazil
b Heart Institute (INCOR), University of São Paulo Brazil
c Department of Pathology, Federal University of São Paulo (UNIFESP) Brazil
d Department of Physiology, Cardiovascular Division, Federal University of São Paulo (UNIFESP) Brazil

* Corresponding author. R. Estado de Israel 181 / 94 CEP:04022-000, São Paulo, Brazil. Tel./fax: +55 11 5573 7820. E-mail address: tucci{at}fcr.epm.br


   Abstract

Background: Sustained β-adrenoreceptor activation promotes cardiac hypertrophy and cellular injury.

Aims: To evaluate the cardioprotective effect of exercise on damage induced by β-adrenergic hyperactivity.

Methods: Male Wistar rats were randomised into four groups (n=8 per group): sedentary non-treated control (C), sedentary treated with isoproterenol 0.3 mg/kg/day administered subcutaneously for 8 days (I), exercised non-treated (E) and exercised plus isoproterenol administered during the last eight days of exercise (IE). Exercised animals ran on a treadmill for 1 h daily 6 times a week for 13 weeks.

Results: Isoproterenol caused increases in left ventricle (LV) wet and dry weight/body weight ratio, LV water content and cardiomyocyte transverse diameter. Additionally, isoproterenol induced severe cellular lesions, necrosis, and apoptosis, increased collagen content and reduced capillary and fibre fractional areas. Notably, all of these abnormalities were completely prevented by exercise.

Conclusion: Our data have demonstrated that complete cardioprotection is possible through exercise training; by preventing β-adrenergic hyperactivity-induced cardiac hypertrophy and structural injury.

Key Words: Myocardial hypertrophy • Isoproterenol • Exercise training • Cardioprotection

Received September 30, 2007; Revised February 5, 2008; Accepted March 25, 2008


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