تأثیر تمرینات هوازی و اینتروال همراه با مصرف مکمل آستاگزانتین بر بیومارکرهای قلبی و مقاومت انسولینی در موش صحرایی نر دیابتی نوع 2

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه فیزیولوژی ورزشی, دانشکده تربیت بدنی, دانشگاه ارومیه, ارومیه, ایران

2 گروه فیزیولوژی, دانشکده پزشکی, دانشگاه علوم پزشکی ارومیه, ارومیه, ایران

چکیده

مقدمه و هدف: با توسعه چشمگیر دیابت محصولات طبیعی همانند آنتی‌اکسیدان‌ها بطور گسترده‌ای برای کاهش پیشرفت عوارض دیابت به ‌کار برده می شوند. مطالعه حاضر با هدف بررسی اثر همزمان دو شیوه تمرین هوازی و اینتروال همراه با مکمل استاگزانتین بر سطوح بیومارکرهای قلبی و مقاومت انسولینی رت های دیابتی نوع 2 انجام شد.
مواد و روش ها: 35 سر موش صحرایی نر نژاد ویستار پس از القای دیابت بطور تصادفی در 7 گروه شامل دیابتی کنترل, دیابتی شم, دیابت+هوازی+مکمل, دیابت+اینتروال+مکمل, دیابت+اینتروال, دیابت+هوازی, دیابت+مکمل قرار گرفتند. تمرینات اینتروال به مدت 8 هفته با 5 جلسه در هفته با شدت 80 درصد Vo2max و تمرینات هوازی با شدت 65 تا 75 درصد Vo2max روی تردمیل اجرا شد. گروه های مکمل بعد از هر جلسه تمرینی روزانه 3 میلی‌گرم آستاگزانتین بصورت گاواژ دریافت کردند. سطوح سرمی پپتید ناتریورتیک نوع پرو B آمینوترمینال و تروپونین قلبی نوع T با الایزا و مقاومت انسولینی با HOMA-IR اندازه گیری شد و برای تجزیه وتحلیل داده ها آزمون آنالیز واریانس یک راهه بکاربرده شد.
نتایج: سطوح NTproBNP و CTnT بعد از هشت هفته ترکیب تمرین هوازی و اینتروال همراه با مصرف مکمل در مقایسه با گروه کنترل اختلاف معنی‌داری نشان داد (05/0>P) اما تفاوت ها نسبت به گروه مکمل و هردو شیوه تمرینی معنی‌دار نبود (05/0<P). مقاومت انسولینی نیز در همه گروه‌ها به غیر از گروه شم تفاوت معنی داری را نسبت به گروه کنترل نشان داد (05/0>P).
نتیجه‌گیری: نتایج نشان داد ترکیب هر دو مداخله تمرین و مکمل ممکن است بواسطه اثرات آنتی‌اکسیدانی خود با کاهش آسیب استرس اکسیداتیو از آسیب کاردیومیوپاتی دیابتی پیشگیری کنند اما با اثر تقویتی مضاعف همراه نبود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of aerobic and interval training with the astaxanthin supplementation on cardiac biomarkers and insulin resistance in type 2 diabetic rats

نویسندگان [English]

  • Nasrin Ebadi 1
  • Mohammad Reza Zolfaghari 1
  • Firouz Ghaderi Pakdel 2
1 Department of Exercise Physiology, Faculty of Sport Sciences, Urmia University, Urmia, Iran
2 Department of Physiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
چکیده [English]

Background and Objective: With the development of diabetes, natural products such as antioxidants are widely used to reduce the progression of diabetes. Therefore, the present study aimed to investigate the simultaneous effect of two exercise methods with astaxanthin supplement on the levels of cardiac biomarkers and insulin resistance of type 2 diabetic rats.
Materials and Methods: 35 Wistar male rats were randomly divided into seven groups after induction of diabetes, including diabetic control, diabetes sham, diabetes+aerobic exercise+supplement, diabetes+ interval exercise+supplement, diabetes+interval, diabetes+aerobic, diabetes+supplement were included. Interval training for eight weeks with five sessions per week with an intensity of 80% vo2max and aerobic training with an intensity of about 65 to 75% Vo2max was performed on the treadmill. Supplementary groups received 3 mg of astaxanthin daily by gavage after each training session. Serum levels of NtproBNP and CTnT were measured with ELISA and insulin resistance was measured with HOMA-IR. One-way analysis of variance was used to analyze of the data.
Results: Levels of NtproBNP and CTnT showed significant difference after eight weeks of combination of aerobic and interval training with supplementation as compared to the control group (P <0.05), but the differences compared to the supplementary group and both training methods were not significant (P >0.05). Insulin resistance in all groups except sham group showed a significant difference as compared to the control group (P <0.05).
Conclusion: The results showed that the combination of both exercise and supplement interventions may prevent diabetic cardiomyopathy due to their antioxidant effects by reducing oxidative stress damage, but was not associated with a dual strengthening effect.

کلیدواژه‌ها [English]

  • Exercise
  • Rat
  • Diabetes
  • Astaxanthin
  • NTproBNP
  • CTnT
  1. Lorenzo-Almoros A, Tunon J, Orejas M, Cortés M, Egido J, Lorenzo Ó. Diagnostic approaches for diabetic cardiomyopathy. Cardiovascular Diabetology 2017;16(1):28.
  2. Dai B, Li H, Fan J, Zhao Y, Yin Z, Nie X, et al. MiR-21 protected against diabetic cardiomyopathy induced diastolic dysfunction by targeting gelsolin. Cardiovascular Diabetology 2018;17(1):123.
  3. Lee W-S, Kim J. Diabetic cardiomyopathy: where we are and where we are going. The Korean Journal of Internal Medicine 2017;32(3):404.
  4. Oláh A. Cardiac effects of long-term exercise training and acute exhaustive exercise in rat models: International Journal of Cardiology 2015;182:258-66.
  5. Hamasaki H. The effects of exercise on natriuretic peptides in individuals without heart failure. Sports 2016;4(2):32.
  6. Adela R, Banerjee SK. Novel biomarkers to understand cardiovascular complications in diabetes. Role of Biomarkers in Medicine. London: InTech 2016; 93-117.
  7. Zhang X, Sha M, Yao Y, Da J, Jing D. Increased B-type-natriuretic peptide promotes myocardial cell apoptosis via the B-type-natriuretic peptide/long non-coding RNA LSINCT5/caspase-1/interleukin 1β signaling pathway. Molecular Medicine Reports 2015;12(5):6761-7.
  8. Ilbeigi S, Saeedi H, Afzalpour ME, Haghighi A, Heidarian M, Haghighi M, et al. The effect of an exhausting aerobic exercise session on plasma NT-proBNP and galectine-3 levels in male runners. Journal of Physical Activity and Hormones 2017;1(3):65-74.
  9. Wolsk E, Claggett B, Pfeffer MA, Diaz R, Dickstein K, Gerstein HC, et al. Role of B‐Type Natriuretic Peptide and N‐Terminal Prohormone BNP as Predictors of Cardiovascular Morbidity and Mortality in Patients With a Recent Coronary Event and Type 2 Diabetes Mellitus. Journal of the American Heart Association 2017;6(6):e004743.
  10. Liquori ME, Christenson RH, Collinson PO. Cardiac biomarkers in heart failure. Clinical Biochemistry 2014;47(6):327-37.
  11. Haji Sadeghi Y, Fartashvand M. Evaluation Of Cardiac Injury Biomarkers Of Serum In Alloxan Induced Diabetic Rats. Veterinary Clinical Pathology 2017;11(43):243-9.
  12. Fu S, Jin R, Luo L, Ye P. Baseline type 2 diabetes had a significant association with elevated high sensitivity cardiac troponin T levels in Chinese community-dwelling population: a 5-year prospective analysis. Nutrition & Metabolism 2017;14(1):73.
  13. Wackerhage H. Molecular exercise physiology: an introduction: Routledge 2014, 1st Edition.
  14. De Sousa RAL. Brief report of the effects of the aerobic, resistance, and high-intensity interval training in type 2 diabetes mellitus individuals. International Journal of Diabetes in Developing Countries 2018;38(2):138-45.
  15. Hussein A. Cardioprotective effects of astaxanthin against isoproterenol-induced cardiotoxicity in rats. Journal of Nutrition & Food Sciences 2015; 5:1.
  16. Al-Bulish MSM, Xue C, Waly MI, Xu J, Wang Y, Tang Q. The Defensive Role of Antioxidants Astaxanthin against Oxidative Damage in Diabetic Rats Injected with Streptozotocin. Journal of Food and Nutrition Research 2017;5(3):191-6.
  17. Kim B, Farruggia C, Ku CS, PhamTX, Yang Y, Bae M, et al. Astaxanthin inhibits inflammation and fibrosis in the liver and adipose tissue of mouse models of diet-induced obesity and nonalcoholic steatohepatitis. The Journal of Nutritional Biochemistry 2017;43:27-35.
  18. Eizadi M, Ravasi A, Soori R, Baesi K, Choubineh S. Effect of three months aerobic training on TCF7L2 expression in pancreatic tissue in type 2 diabetes rats induced by streptozotocin-nicotinamide. Feyz Journal of Kashan University of Medical Sciences 2017; (21)1:1-8.
  19. Akbarzadeh A, Fattahi bafghi A. The effect of high intencity interval training combined with curcumin supplementation on Plasma glucose concentration and insulin resistance in diabetic rats. Journal of Shahid Sadoughi University of Medical Sciences 2018;25(12):961-9.
  20. Kazemi F, Zahedi Asl S. Atni-inflammation effect of 8-week aerobic training on apelin plasma concentration in diabetic male rats. Iranian Journal of Diabetes and Metabolism 2017;16(2):85-93.
  21. Moreno V, Hernández-Romero D, Vilchez JA, García-Honrubia A, Cambronero F, Casas T, et al. Serum levels of high-sensitivity troponin T: a novel marker for cardiac remodeling in hypertrophic cardiomyopathy. Journal of Cardiac Failure 2010;16(12):950-6.
  22. Kubo T, Kitaoka H, Okawa M, Yamanaka S, Hirota T, Hoshikawa E, et al. Serum cardiac troponin I is related to increased left ventricular wall thickness, left ventricular dysfunction, and male gender in hypertrophic cardiomyopathy. Clinical Cardiology 2010;33(2):E1-E7.
  23. Li F, Nie J, Zhang H, Fu F, Yi L, Hopkins W, et al. Effects of Matched Intermittent and Continuous Exercise on Changes of Cardiac Biomarkers in Endurance Runners. Frontiers in Physiology 2020;11:30.
  24. Barari A, Shirali S, Amini S, Abbassi Daloii A, Golizade Gangraj P. Effect of Saffron Extract and Aerobic Exercises on Troponin T and Heart-Type Fatty Acid Binding Protein in Type 2 Diabetes Patients. Iranian Journal of Diabetes and Obesity 2017;9(1):45-53.
  25. Daryanoosh F, Shadmehri S, Shabani M, Sherafati Moghadam M. The effect of eight weeks aerobic exercise on troponin T and metallothionein levels of cardiac tissue in healthy male rats. Journal of Physical Activity and Hormones 2018;2(1):47-60.
  26. Francois ME, Little JP. The impact of acute high-intensity interval exercise on biomarkers of cardiovascular health in type 2 diabetes. European Journal of Applied Physiology 2017;117(8):1607-16.
  27. Benda NM, Eijsvogels TM, Van Dijk AP, Hopman MT, Thijssen DH. Changes in BNP and cardiac troponin I after high-intensity interval and endurance exercise in heart failure patients and healthy controls. International Journal of Cardiology 2015;184:426-7.
  28. Wedin JO, Nyberg NS, Henriksson AE. Impact of training specificity on exercise-induced cardiac troponin elevation in professional athletes: A pilot study. World Journal of Cardiology 2020;12(1):35.
  29. Mishra A, SanghamitraBhanja S. An Interrelationship Between Nt Pro-Bnp Level, Glycemic Control And Myocardial Ischemia in Type 2 Diabetes Without Overt Cardiac Disease IOSR Journal of Biotechnology and Biochemistry (IOSR-JBB) 2018;4(1):12-6.
  30. Berent R, Duvillard SPv, Crouse SF, Auer J, Green JS, Sinzinger H, et al. Short-term residential cardiac rehabilitation reduces B-type natriuretic peptide. European Journal of Cardiovascular Prevention & Rehabilitation 2009;16(5):603-8.
  31. Passino C, Severino S, Poletti R, Piepoli MF, Mammini C, Clerico A, et al. Aerobic training decreases B-type natriuretic peptide expression and adrenergic activation in patients with heart failure. Journal of the American College of Cardiology 2006;47(9):1835-9.
  32. Marshall L, Lee KK, Stewart SD, Wild A, Fujisawa T, Ferry AV, et al. Effect of Exercise Intensity and Duration on Cardiac Troponin Release. Circulation 2020;141(1):83-5.
  33. Kociol RD, Pang PS, Gheorghiade M, Fonarow GC, O'Connor CM, Felker GM. Troponin elevation in heart failure: prevalence, mechanisms, and clinical implications. Journal of the American College of Cardiology 2010;56(14):1071-8.
  34. Serrano‐Ostáriz E, Terreros‐Blanco J, Legaz‐Arrese A, George K, Shave R, Bocos‐Terraz P, et al. The impact of exercise duration and intensity on the release of cardiac biomarkers. Scandinavian Journal of Medicine & Science in Sports 2011;21(2):244-9.
  35. Pianca EV, Krause Neto W, Silva ASd, Gama EF, Souza RRd. Acute effect of different types of exercise on natriuretic peptides of wistar rats. Revista Brasileira de Medicina do Esporte 2019;25(4):310-5.
  36. Ghahramani M, Karbalaeifar S. The Effect of Six Weeks of Intensive Periodic Training on NT- pro BNP, ANP, and BNP Gene Expression Levels after Myocardial Infarction. Sadra Medical Journal 2018;7(1):1-10.
  37. Mahmoodi Z, Shabani R, Hojjati-ZiDashti Z, Gholipour M. The effect of concurrent aerobic-resistance training on NT-proBNP levels, blood pressure and body composition of patients with chronic heart failure. Feyz, Journal of Kashan University of Medical Sciences 2019;23(3):269-79.
  38. Tanoorsaz S, Behpoor N, Tadibi V. Changes in Cardiac Levels of Caspase-8, Bcl-2 and NT-proBNP Following 4 Weeks of Aerobic Exercise in Diabetic Rats. International Journal of Basic Science in Medicine 2017 2017/12/31;2(4):172-7.
  39. Ishiki M, Nishida Y, Ishibashi H, Wada T, Fujisaka S, Takikawa A, et al. Impact of divergent effects of astaxanthin on insulin signaling in L6 cells. Endocrinology 2013;154(8):2600-12.
  40. Uysal KT, Wiesbrock SM, Marino MW, Hotamisligil GS. Protection from obesity-induced insulin resistance in mice lacking TNF-α function. Nature 1997;389(6651):610-4.
  41. Mashhadi NS, Zakerkish M, Mohammadiasl J, Zarei M, Mohammadshahi M, Haghighizadeh MH. Astaxanthin improves glucose metabolism and reduces blood pressure in patients with type 2 diabetes mellitus. Asia Pacific Journal of Clinical Nutrition 2018;27(2):341.
  42. Klinkenberg LJ, Res PT, Haenen GR, Bast A, van Loon LJ, van Dieijen-Visser MP, et al. Effect of antioxidant supplementation on exercise-induced cardiac troponin release in cyclists: a randomized trial. PLoS One 2013;8(11).
  43. Kato T, Kasai T, Yatsu S, Matsumoto H, Murata A, Suda S, et al. Effects of Astaxanthin in Heart Failure Patients with Left Ventricular Systolic Dysfunction. Journal of Cardiac Failure 2016;22(9):S197.
  44. Zhang J, Wang Q-z, Zhao S-h, Ji X, Qiu J, Wang J, et al. Astaxanthin attenuated pressure overload-induced cardiac dysfunction and myocardial fibrosis: partially by activating SIRT1. Biochimica et Biophysica Acta (BBA)-General Subjects 2017;1861(7):1715-28.
  45. Nishida Y, Nawaz A, Kado T, Takikawa A, Igarashi Y, Onogi Y, et al. Astaxanthin stimulates mitochondrial biogenesis in insulin resistant muscle via activation of AMPK pathway. Journal of Cachexia, Sarcopenia and Muscle 2020;11(1):241-58.
  46. Cui G, Li L, Xu W, Wang M, Jiao D, Yao B, et al. Astaxanthin Protects Ochratoxin A-Induced Oxidative Stress and Apoptosis in the Heart via the Nrf2 Pathway. Oxidative Medicine and Cellular Longevity 2020.
  47. Shanmugam G, Challa AK, Athmanathan B, Litovsky SH, Davidson C, Devarajan A, et al. Exercise Mediated Nrf2 Signaling Protects the Myocardium From Isoproterenol-Induced Pathological Remodeling. Frontiers in Cardiovascular Medicine 2019;6:68.
  48. Walford GA, Ma Y, Christophi CA, Goldberg RB, Jarolim P, Horton E, et al. Circulating natriuretic peptide concentrations reflect changes in insulin sensitivity over time in the Diabetes Prevention Program. Diabetologia 2014;57(5):935-9.
  49. Wang J-S, Lee C-L, Lee W-J, Lee I-T, Lin S-Y, Lee W-L, et al. Statin treatment is associated with a negative correlation between NT-proBNP and insulin resistance in patients without history of heart failure. Clinica Chimica Acta 2016;459:84-8.