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游泳运动对小鼠心肌梗死的保护作用:基于AMPK/PGC-1α通路

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目的:阐明游泳运动(SW)激活AMPK/PGC-1α通路减轻小鼠心肌梗死(MI)损伤的作用.方法:选取60只雄性C57BL/6小鼠,随机分为假手术组(Sham)、心肌梗死组(MI)、心肌梗死联合游泳运动组(MI+SW)和心肌梗死联合游泳运动及AMPK抑制剂Compound c组(MI+SW+CC),建立冠状动脉左前降支结扎心肌梗死模型.运动组无负重游泳运动9周.检测左室压力和最大上升与下降速率(±dp/dtmax),观察心脏结构、纤维化、细胞凋亡率以及血清中乳酸脱氢酶(LDH)、肌酸激酶同工酶(CK-MB)活性和肌钙蛋白Ⅰ(cTnⅠ)含量,检测活性氧(ROS)水平、超氧化物歧化酶(SOD)活性、丙二醛(MDA)含量和线粒体ATP含量,Western Blot检测Cleaved caspase-3、Cytochrome c、p-AMPK、p-ACC和PGC-1α的蛋白表达.结果:与Sham组比较,MI组左室压力和±dp/dtmax降低(P<0.05),心脏结构紊乱,并出现明显纤维化,血清LDH、CK-MB活性和cTnⅠ含量、细胞凋亡率、ROS 和 MDA 含量增加(P<0.05),ATP 含量和 SOD 活性降低(P<0.05),Cleaved caspase-3 和 Cytochrome c 表达增加而p-AMPK、p-ACC和PGC-1α的表达降低(P<0.05);与MI组比较,MI+SW组左室压力和±dp/dtmax增加,心肌结构改善,纤维化减轻,血清LDH、CK-MB活性和cTnⅠ含量、细胞凋亡率、ROS和MDA含量降低(P<0.05),ATP 含量和 SOD 活性增加(P<0.05),Cleaved caspase-3 和 Cytochrome c表达降低而 p-AMPK、p-ACC 和 PGC-1α的表达增加(P<0.05);与MI+SW组比较,Compound c可以阻断游泳运动对小鼠心肌梗死后氧化应激和能量代谢的改善以及对AMPK/PGC-1α通路的调控.结论:游泳运动通过调控AMPK/PGC-1α通路抑制氧化应激和改善线粒体能量代谢,减轻小鼠心肌梗死后心肌损伤.
Protective effect of swimming on myocardial infarction:Role of AMPK/PGC-1alpha pathway
Objective:To investigate the effect of swimming(SW)on myocardial infarction(MI)injury by regulating the AMPK/PGC-1α pathway in mice.Methods:A myocardial infarction model was in-duced in mice by ligation of the left anterior descending coronary artery.The mice were randomly di-vided into four groups(n=15):Sham group(Sham),MI group,MI+SW group(MI+SW),and MI+SW+AMPK inhibitor Compound c group(MI+SW+CC).The swimming exercise groups were given none-load swimming training for 9 weeks.The left ventricular pressure,the rate of maxi-mal left ventricular pressure increase(+dp/dtmax),and the rate of maximal left ventricular pressure de-crease(-dp/dtmax)were measured.Myocardial structure and fibrosis were observed by HE and Mas-son's staining.The apoptosis rate,lactate dehydrogenase(LDH)creatine kinase isoenzyme(CK-MB)activities,and troponin Ⅰ(cTnⅠ)content were observed.The reactive oxygen species(ROS)level,su-peroxide dismutase(SOD)activity,malondialdehyde(MDA)content,and mitochondrial ATP con-tent were assayed too.Western Blot was used to detect the expression of Cleaved caspase-3,Cyto-chrome c,p-AMPK,p-ACC,and PGC-1α.Results:Compared with that in the Sham group,the left ventricular pressure and ±dp/dtmax in the MI group was significantly decreased.Myocardial fiber ar-rangement was disordered and ruptured.Myocardial fibrosis,the apoptosis rate,LDH and CK-MB activities,and cTnⅠ content were also increased.The ROS level,MDA content,and mitochondrial ATP content were increased as well as SOD activity was decreased.In addition,the expression of p-AMPK,p-ACC,and PGC-1α was decreased,while the expression of cleaved caspase-3 and cyto-chrome c was increased.Compared with that in the MI group,the left ventricular pressure and ±dp/dtmax in the MI+SW group was significantly increased.Myocardial fiber arrangement,fibrosis,apoptosis rate,LDH and CK-MB activities,and cTnⅠ content were alleviated.The ROS level,MDA content,and mitochondrial ATP content were decreased as well as SOD activity was in-creased.The expression of p-AMPK,p-ACC,and PGC-1α was increased.Compound c could block the effect of swimming on MI-induced myocardial injury and the AMPK/PGC-1α pathway after myo-cardial infarction.Conclusion:Swimming could alleviate cardiac injury after myocardial infarction by inhibiting oxidative stress and improving mitochondrial energy metabolism via the AMPK/PGC-1αpathway in mice.

SwimmingMyocardial InfarctionAMPK/PGC-1αOxidative StressEnergy Metabolism

路富林、闫亚新、余琦、郑永才、孔令恒

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西安医学院体育部 陕西 西安 710021

西安医学院基础与转化医学研究所 陕西 西安 710021

西安医学院基础医学部 陕西 西安 710021

游泳运动 心肌梗死 AMPK/PGC-1α 氧化应激 能量代谢

国家自然科学基金面上项目西安医学院科研能力提升计划榆林市科技局产学研项目

817737952022NLTS015CXY-2020-093

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(5)
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