Anti-inflammatory response of an aerobic rehabilitation session with electrical stimulation in rats induced with myocardial infarction

Document Type : Research Paper I Open Access I Released under (CC BY-NC 4.0) license

Authors

Assistant Professor, Department of Exercise Physiology, Arak Branch, Islamic Azad University, Arak, Iran

Abstract

Aim: Pentraxin-3 and E-selectin glycoproteins are synthesized by endothelium cells, macrophages and myeloid cells during inflammation and play an essential role in heart attack patients. Considering the positive effects of aerobic rehabilitation on heart patients, the present research has investigated the anti-inflammatory response of an aerobic rehabilitation session accompanied by electrical stimulation in rats induced to myocardial infarction. Methods: In this controlled experimental study with a control group, 50 rats (200±30 gram) were randomly divided into 5 groups: healthy, infarcted, infarcted-aerobic rehabilitation, infarcted-electrical stimulation, and infarcted-aerobic rehabilitation-electrical stimulation. Then infarction was induced by subcutaneous injection of Isoproterenol. The intervention groups underwent aerobic rehabilitation (treadmill at a speed of 20 m/min for 1 hour) and electrical stimulation (with foot shock for 0.5 mA and 20 minutes) for one session. Then, immediately after the intervention, the serum levels of the variables were checked by ELISA method. Data analysis was done with one-way ANOVA test and P<0.05 significance. Results: The results showed that infarct induction led to a significant increase in pentraxin-3 and E-Selectin serum levels in the present study (P=0.0001). Performing rehabilitation and a combination of rehabilitation and electrical stimulation had no significant effect on pentraxin-3 values (P=0.943). But E-selectin concentration was decreased in all groups compared to infarction, and this change was significant in rehabilitation and electrical stimulation group (P=0.044). Conclusion: It seems that aerobic rehabilitation, electrical stimulation, and a combination of them by reducing E-selectin levels can be effective in improving the condition of myocardial infarction samples by reducing inflammation.

Keywords


  1. WHO. Cardiovascular Diseases (CVD) Fact Sheet. Available online: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) 2021.
  2. Ramezani A KF, Djazayeri A, Nematipour E, Keshavarz SA, Saboor- Yaraghi A-A, et al. . Effects of administration of omega-3 fatty acids with or without vitamin E supplementation on adiponectin gene expression in PBMCs and serum adiponectin and adipocyte fatty acid-binding protein levels in male patients with CAD. . Anatolian journal of cardiology. 2016;15(12):981. [Persion].
  3. Ross R. Atherosclerosis an inflammatory disease, . N Engl J Med.340(2):115–26.
  4. Miyaki A MS, Choi Y, Akazawa N, Tanabe Y, Ajisaka R. . Habitual aerobic exercise increases plasma pentraxin 3 levels in middle-aged and elderly women. . Appl Physiol, Nutr, Metab. 2012;37(5):907-11.
  5. Zhao ZQ, Velez, D. A.,Wang, N. P., Hewan-Lowe, K. O., Nakamura, M., Guyton, R. A., et al. . Progressively developed myocardial apoptotic cell death during late phase of reperfusion. Apoptosis. 2001; 6:279–90.
  6. Ridker PM LT. Anti-inflammatory therapies for cardiovascular disease, Eur. Heart J. 2014;35 (27): 1782–91.
  7. Vilahur G BL. Biological actions of pentraxins, Vasc. . Pharmacol 2015;73 38–44.
  8. Yang HS WJ LS, Park SH, Woo JM. . Elevated plasma pentraxin 3 levels are associated with development and progression of diabetic retinopathy inorean patients with type 2 diabetes mellitus elevated PTX3 in diabetic retinopathy. Invest Ophthalmol Visual Sci. 2014;55(9):5989-97.
  9. Buttner P MS, Lechtermann A, Funke H, Mooren FC Exercise affects the gene expression profiles of human white blood cells. . J Appl Physiol 2007;102:26–36.
  10. Castell LM PJ, Leclercq R, Brasseur M, Duchateau J, Newsholme EA . Some aspects of the acute phase response after a marathon race, and the effects of glutamine supplementation. Eur J Appl Physiol Occup Physiol 1997;75:47–53.
  11. Allain CC, Poon, L.S., Chan, C.S., Richmond, W., and Fu, P.C. 1974. Enzymatic determination of total serum cholesterol. . Clin Chem 20(4):470–5.
  12. Chan YC, Suzuki, M., and Yamamoto, S. .. A comparison of anthropometry, biochemical variables and plasma amino acids among centenarians, elderly and young subjects. J Am Coll Nutr 1999;18(4):358–65.
  13. P. L. History of Discovery: Inflammation in Atherosclerosis. . Arterioscler Thromb Vasc Biol. 2012;32(9): 2045–51.
  14. GS. K. Selectins and their ligands: current concepts and controversies. . Blood. 1996;88(9):3259-87.
  15. Nagarajan DL KM, Ponnusamy K, Perumal R. . Quantitative Determination of Serum Soluble E-Selectin in Periodontal Health and Disease. . Journal of International Medicine and Dentistry. 2018;5(1):01-10.
  16. Toshiaki Nakajima; Miwa Kurano; Takaaki Hasegawa; Haruhito Takano; Haruko Iida; Tomohiro Yasuda; Taira Fukuda; Haruhiko Madarame; Kansei Uno; Kentaro Meguro; Taro Shiga; Mina Sagara; Taiji Nagata; Koji Maemura; Yasunobu Hirata; Tatsuya Yamasoba; Ryozo Nagai (2010). Pentraxin3 and high-sensitive C-reactive protein are independent inflammatory markers released during high-intensity exercise. , 110(5), 905–913.
  17. Basati F SM GA, Moshtaghi M. . Effects of 8 Weeks Aerobic Exercise Training on Plasma Levels of Pentraxin3 and C-Reactive Protein in Diabetic and Non-Diabetic Coronary Artery Disease Patients after Revascularization Interventions. Sport Physiol. 2018;10(38):163-80.
  18. Abrishami LH HS, Malmir AR. . Changes of serum E-selectin and P-selectin in men with heart failure after eight weeks of continuous and intermittent aerobic exercise. Journal of Sabzevar University of Medical Sciences. 2016;27:727—73. [Persion].
  19. Palmefors H DS, Rundqvist B, Börjesson M. The Effect of Physical Activity or Exercise on Key Biomarkers in Atherosclerosis-a Systematic review. Atherosclerosis. 2014; 235(1):150-61. The Effect of Physical Activity or Exercise on Key Biomarkers in Atherosclerosis-a Systematic review. Atherosclerosis. 2014;235(1):150-61.
  20. Hejazi SM HAL, Ashkanifar M. . The Impact of Aerobic Selected Exercises on some of the Inflammatory Cardiovascular Factors in Type II Diabetics. . Adv Environ Biol. 2014;8(9):357-62. [Persion].
  21. Patterson CaR, M. S. Therapeutic angiogenesis: the new electrophysiology? Circulation. 1999;99(20):2614-6.
  22. Dobsk P NM, Siegelov J, et al. Low-frequency electrical stimulation increases muscle strength and improves blood supply in patients with chronic heart failure. . Circ J. 2006;70(1):75-82.
  23. Bertinchant J RE, Polge A, Marty-Double C, Fabbro-Peray P, Poirey S, et al. . Comparison of the diagnostic value of cardiac troponin I and T determinations for detecting early myocardial damage and the relationship with histological findings after isoprenaline-induced cardiac injury in rats. Clin Chim Acta. 2000;298((1-2).):13-28.
  24. Lobo Filho HG FN, Sousa RBd, Carvalho ERd, Lobo PLD, Lobo Filho JG. . Experimental model of myocardial infarction induced by isoproterenol in rats. Brazilian Journal of Cardiovascular Surgery 2011;26(3):469-76.
  25. MalekiPooya M, Khansooz M, Moradi M, Sayyah M. Acute response of exercise rehabilitation with electrical stimulation on serum levels antigen, carbohydrate 125 (CA-125) and cystatin (Cys-C) in myocardial infarction rats. Feyz 2022; 26(2): 147-55.
  26. Uysal N, Sisman, A. R., Dayi, A., Ozbal, S., Cetin, F., Baykara, B., et al. Acute footshock-stress increases spatial learning–memory and correlates to increased hippocampal BDNF and VEGF and cell numbers in adolescent male and female rats. Neuroscience Letters 2012;514(2):141– 6.
  27. Sayyah M, MalekiPooya  M, Khansooz  M, Pourabbasi M.S, Irandoust K, Taheri M.’mida, J. Halouani C.H, Trabelsi K, Chtourou H, Bragazzi N.L, Clark C.C.T. Responses of Some Matrix Metalloproteinases Activities to an Acute Session of Endurance Exercise and Electrical Stimulation in Induced Myocardial Infarction in Wistar Rats. European Review for Medical and Pharmacological Sciences. 2022; 26: 4755-4761
  28. Zheng Z-t DX-l, Li Y-d, et al, . Electrical stimulation improved cognitive deficits associated with traumatic brain injury in rats. . Brain Behav. 2017: 00:e00667.
  29. Malekipooya M, Khansooz M, Palizvan MR, Saremi A, Abedi B. Changes in Serum Troponin-I and

Corticosterone Levels after a Period of Endurance Training and Electrical Stimulation in Infarcted Rats. Razi J Med Sci. 2021;28(12):271-280.

  1. LK. N. Inflammation as a treatment target after acute myocardial infarction. N Engl J Med 2019;381(26):2562-3. [doi: 10.1056/NEJMe1914378][PMID].
  2. Pokorný J SV, Vrána M. . Sudden cardiac death thirty years ago and at present. The role of autonomic disturbances in acute myocardial infarction revisited. Physiol Res. 2011;60(5): 715-28. [doi: 10.33549/physiolres.932110][PMID].
  3. Yang HS WJ, Lee SJ, Park SH, Woo JM. . Elevated plasma pentraxin 3 levels are associated with development and progression of diabetic retinopathy inorean patients with type 2 diabetes mellitus elevated PTX3 in diabetic retinopathy. . Invest Ophthalmol Visual Sci. 2014;55(9):5989-97. [doi.org/10.1167/iovs.14-14864][PMID].
  4. Kruzliak P BA, Kremzer A, Samura T, Benacka R, et al. Global longitudinal strain and strain rate in type two diabetes patients with chronic heart failure: relevance to osteoprotegerin. Folia Med 2016;58(3):164-73. [doi: 10.1515/folmed-2016-0021][PMID].
  5. Ruberti OM SA, Viana LR. . Aerobic training prevents cardiometabolic changes triggered by myocardial infarction in ovariectomized rats. J Cell Physiol. 2021;236(2):1105-15. [doi: 10.002/jcp.29919.][PMID].
  6. Tunc-Ata M TG, Mergen-Dalyanoglu M, Turgut S. . Examination of levels pentraxin-3, interleukin-6, and C-reactive protein in rat model acute and chronic exercise. . J of Exercise Rehab. 2017;13(3):279-83. [doi: 10.12965/jer.1734920.490][PMID].
  7. Nakajima T KM, Hasegawa T, Takano H, Iida H, Yasuda T, et al. . Pentraxin3 and high sensitive C-reactive protein are independent inflammatory markers released during high-intensity exercise. . Eur J Appl Physiol 2010;110(5):905–13. [DOI:10.1007/s00421-010-1572-x][ PubMed].
  8. Madsen SM TA, Bjerre M, Jeppesen PB. . Does 8 weeks of strenuous bicycle exercise improve diabetes-related inflammatory cytokines and free fatty acids in type 2 diabetes patients and individuals at high-risk of metabolic syndrome? Arch. Physiol. . Biochem. 2015;121(4):129-38.
  9. Fukuda T KM, Iida H, Takano H, Tanaka T, Yamamoto Y, et al. Cardiac rehabilitation decreases plasma pentraxin 3 in patients with cardiovascular diseases. . Eur J Prev Cardiol. 2012;19(6):1393-400. [DOI:10.177/1741826711422990][PMID].
  10. Basati F SM, Golabchi A, Moshtaghi M. . Effects of 8 Weeks Aerobic Exercise Training on Plasma Levels of Pentraxin3 and C-Reactive Protein in Diabetic and Non-Diabetic Coronary Artery Disease Patients after Revascularization Interventions. . Sport Physiol. 2018;10(38):163-80. [DOI: 10.22089/spj.2018.4161.1562][PMID].
  11. Bottazzi B IA MM, Barbagallo M, Magrini E, Garlanda C, et al. . . The pentraxins PTX3 and SAP in innate immunity, regulation of inflammation and tissue remodelling. J Hepatol. 2016;64(6):1416–27.
  12. Nielsen S PB. Skeletal muscle as an immunogenic organ. . Curr Opin Pharmacol. 2008;8:346-51.
  13. Isanejad A SZ, Mahdavi M, Gharakhanlou R, Shamsi MM, Paulsen G. The effect of endurance training and downhill running on the expression of IL-1β, IL-6, and TNF-α and HSP72 in rat skeletal muscle. Cytokine 2015;73:302-8.
  14. Kılıç M UÖ, Cırrık S, Hindistan IE, Ozkaya YG. . Effect of exercise intensity on cerebrospinal fluid interleukin-6 concentration during recovery from exhaustive exercise in rats. . Acta Physiol Hung 2014;101:21-31.
  15. Ferratini M RV, Masson S, Grati P, Racca V, Cuccovillo I, et al. Pentraxin-3 predicts functional recovery and 1-year major adverse cardiovascular events after rehabilitation of cardiac surgery patients. J Cardiopulm Rehabil Prev. 2012;32(1):17-24.
  16. kasapis C TP. The effects of physical activity on serum C-Reactive Protein and inflammatory markers. . J Am Coll Cardiol. 2005;45:1563–9.
  17. Jalaly L, Sharifi, G., Faramarzi, M., Nematollahi, A., Rafieian-kopaei, M., Amiri, M., & Moattar, F. . Comparison of the effects of Crataegus oxyacantha extract, aerobic exercise and their combination on the serum levels of ICAM-1 and E-Selectin in patients with stable angina pectoris. . DARU Journal of Pharmaceutical Sciences. 2015;23(1):s40199-015-0137-2.
  18. Jafari H YZ, Marhamati M, Reyhani M, Karimi H. . Acute effects of aerobic and anaerobic activity on blood adipokines and adhesive molecules Vascular in young women. Applied health studies in exercise physiology 2019;7(1):65-72.
  19. Mohammad.Shirazi R GF, Soori R, Abed.Natanzi H, Gholami M. Reduction of plasma levels of E-selectin and P-selectin induced-intensity training in obese boys. . Journal of Rehabilitation Medicine 2022;11.
  20. Nikbakht H GA, Mohammadzadeh Salemt K. . The effect of endurance training on serum adhesion molecules of overweight men. . Scientific Journal of Kurdistan University of Medical Sciences. 2018;21.
  21. Byrkjeland R NI, Arnesen H, Seljeflot I, Solheim S. . Reduced Endothelial Activation after Exercise is Associated with Improved HbA1c in Patients with type 2 Diabetes and Coronary Artery Disease. . Diab Vasc Dis Res. 2017;14(2):94-103.
  22. van Buul JD HP. Endothelial adapter proteins in leukocyte transmigration. . Thromb Haemost. 2009;101:649–55.
  23. Xu Y LS. Blockade of ICAM-1: a novel way of vasculitis treatment. . Biochem Biophys Res Commun. 2009;381:459–61.
  24. Dobsák P NM, Fiser B, Siegelová J, Balcárková P, Spinarová L, et al. Electrical stimulation of skeletal muscles. An alternative to aerobic exercise training in patients with chronic heart failure? J Int Heart 2006;47(3):441–53.
  25. Dobšák P TJ, Spinarova L, Vitovec J, Dusek L, Novakova M, Jarkovsky J, Krejci J, Hude P, Honek T, Siegelova J, Homolka P. Effects of Neuromuscular Electrical Stimulation and Aerobic Exercise Training on Arterial Stiffness and Autonomic Functions in Patients With Chronic Heart Failure,‖ Artif. Organs. 2012;36:920–30.
  26. Karavidas A. I RKG, Parissis J. T, Tsekoura D.K, Adamopoulos S, Korres D.A, Farmakis D, Zacharoulis A, Fotiadis I, Matsakas E, Zacharoulis A. Functional electrical stimulation improves endothelial function and reduces peripheral immune responses in patients with chronic heart failure. Eur J Cardiovasc Prev Rehabil 2006;13:592–7.
  27. Song XM WX, Li JG, Le LL, Liang H, Xu Y, et al. . The effect of electroacupuncture at ST36 on severe thermal injury-induced remote acute lung injury in rats. Burns. 2015;41:1449–58. .
  28. Sun X LM, Shen D, Hu L, Cai RL, Wu ZJ, et al. . Effects of Acupuncture Neiguan (PC 6) and Xinshu (BL 15)on the expression of MMP-9 with coronary heart disease rats. J Tradit Chin Med. 2013;036:5–9.
  29. Kim MS LS, Kim JH, Kin OK, Yu AR, Baik HH. . Anti-inflammatory effects of step electrical stimulation on complete freund’s adjuvant (CFA) induced rheumatoid arthritis rats. J Nanosci Nanotechnol 2019;19:6546– 53.