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有氧运动通过降低孤独症小鼠心肌损伤提高心功能

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目的:探讨有氧运动对丙戊酸(valproic acid,VPA)诱导的孤独症(autism spectrum disorder,ASD)小鼠心脏功能的改善作用.方法:42只4周龄C57/BL6雌性和雄性小鼠分别随机分为对照组(Control,CTL),VPA 诱导孤独症组(valproic acid,VPA),VPA+有氧运动组(VPA+Exercise,VPE),每组 7 只.采用VPA对胚胎第(E)12.5怀孕小鼠进行单次腹腔注射制备孤独症小鼠模型,VPE组雌雄小鼠进行为期8周的有氧运动干预.运动结束后进行空旷场实验、高架十字迷宫实验和新物体识别实验的行为学检测;采用心动超声检测心功能.Elisa试剂盒检测心肌和血清总抗氧化能力(T-AOC)、超氧化物歧化酶(SOD)和丙二醛(MDA)活性,评价心脏抗氧化能力;乳酸脱氢酶(LDH)、脑钠肽(BNP)、肌酸激酶(CK)和肌酸激酶同工酶(CKMB)活性,评价心脏损伤;采用TUNEL染色检测心肌细胞凋亡.结果:孤独症雌雄小鼠自由活动度显著降低,焦虑情绪显著增加并存在显著认知功能缺陷;8周有氧运动干预后雌雄小鼠自由活动度显著增加,焦虑情绪和认知功能缺陷显著改善(P<0.01,P<0.05),表明孤独症造模成功.与CTL组比较,VPA组雌雄小鼠 FS%和 EF%显著降低(P<0.01),LVEDV、LVESV、LVIDd、LVIDs 和 E/e'显著增大(P<0.01),心肌局部和血清T-AOC和SOD均显著下降(P<0.01,P<0.05),MDA、LDH、BNP、CK和CKMB均显著上升(P<0.01,P<0.05),TUNEL染色阳性颗粒显著增加(P<0.01);与VPA组比较,VPE组雌雄小鼠EF%和FS%均显著升高(P<0.01),LVEDV、LVESV、LVIDd、LVIDs 和 E/e'显著降低(P<0.01,P<0.05),心肌局部和血清T-AOC 和 SOD 均显著上调(P<0.01,P<0.05),MDA、LDH、BNP、CK 和 CKMB 均显著下降(P<0.01,P<0.05),TUNEL染色阳性颗粒显著下降(P<0.01).结论:孤独症谱系障碍可严重损害雌雄小鼠自由活动量和认知功能,增加焦虑情绪,损害心肌抗氧化能力,增加心肌损伤,降低心功能.有氧运动干预可改善孤独症雌雄小鼠心肌抗氧化能力,减轻心肌损伤,抑制心肌细胞凋亡,提高心功能,改善孤独症行为.推测,缓解心肌氧化应激损伤和抑制心肌细胞凋亡可能是有氧运动改善孤独症心功能的重要靶点.
Study on the Improvement of Cardiac Function Through Reducing Myocardial Damage in Autistic Mice by Aerobic Exercise
Objective:To investigate the effect of aerobic exercise on improving the cardiac function of Valproic acid(VPA)-induced Autism spectrum disorder(ASD)mice.Methods:A total of 42 4-week-old C57/BL6 female and male mice were randomly divided into Control group(CTL),VPA-induced autism group(VPA)and VPA+aerobic Exercise group(VPE),with 7 mice in each group.A single intraperitoneal injection of VPA was performed on pregnant mice at embryo(E)12.5 to establish an autism mouse model.The male and female mice in the VPE group were subjected to aerobic exercise intervention for 8 weeks.After the exercise,behavioral tests including the open field experiment,the elevated cross maze experiment and the new object recognition experiment were conduc-ted.Cardiac function was measured by echocardiography.The activities of total antioxidant capacity(T-AOC),su-peroxide dismutase(SOD)and malondialdehyde(MDA)in myocardium and serum were detected by Elisa,which evaluated the antioxidant capacity of heart.Lactate dehydrogenase(LDH),brain natriuretic peptide(BNP),crea-tine kinase(CK)and creatine kinase isoenzyme(CKMB)activities were measured to evaluate cardiac injury.Car-diomyocyte apoptosis was detected of using TUNEL staining.Results:ASD mice of both genders showed significantly reduced free activity,increased anxiety,and significant cognitive deficits.After 8 weeks of aerobic ex-ercise intervention,the free activity of male and female mice increased significantly,anxiety and cognitive defects improved markedly(P<0.01,P<0.05),indicating that the model of autism was successfully created.Compared with the CTL group,the VPA group exhibited significantly decreased FS%and EF%(P<0.01),significantly in-creased LVEDV,LVESV,LVIDd,LVIDs,and E/e'(P<0.01),significantly decreased myocardial local and ser-um T-AOC and SOD(P<0.01,P<0.05),significantly increased MDA,LDH,BNP,CK,and CKMB(P<0.01,P<0.05),and significantly increased TUNEL-stained positive particles(P<0.01).Compared with the VPA group,the VPE group showed significantly increased EF%and FS%(P<0.01),significantly decreased LVEDV,LVESV,LVIDd,LVIDs,and E/e'(P<0.01,P<0.05),significantly upregulated myocardial local and serum T-AOC and SOD(P<0.01,P<0.05),significantly decreased MDA,LDH,BNP,CK,and CKMB(P<0.01,P<0.05),and significantly decreased TUNEL-stained positive particles(P<0.01).Conclusion:ASD can seriously impair free activity and cognitive function,increase anxiety,impair myocardial antioxidant capacity,increase myo-cardial injury,and decrease cardiac function in male and female mice.Aerobic exercise intervention can improve myocardial antioxidant capacity,reduce myocardial injury,inhibit myocardial cell apoptosis,enhance cardiac func-tion,and improve ASD behaviors.It is speculated that alleviating myocardial oxidative stress injury and inhibiting cardiomyocyte apoptosis may be important targets for aerobic exercise to improve cardiac function in ASD.

aerobic exerciseautism spectrum disordermyocardial injurycardiac function

刘纽、薛亚奇、王世娇、甄志平

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北京师范大学体育与运动学院,北京 100875

渭南师范学院体育学院,陕西渭南 714099

有氧运动 孤独症 心肌损伤 心功能

北京市自然科学基金项目

7232239

2024

北京体育大学学报
北京体育大学

北京体育大学学报

CSTPCDCSSCICHSSCD北大核心
影响因子:1.798
ISSN:1007-3612
年,卷(期):2024.47(8)