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Cardiovascular Division, Osaka Rosai Hospital, Sakai, Osaka 591-8025, Japan
Epidemiologic investigations have shown that exercise reduces morbidity and mortality from coronary artery disease. In this study, using a rat model, we attempted to determine whether exercise can reduce ischemic injury to the heart and elucidate a mechanism for the cardioprotective effect of exercise. Results showed that exercise significantly reduced the magnitude of a myocardial infarction in biphasic manner. The time course for cardioprotection resembled that of the change in manganese superoxide dismutase (Mn-SOD) activity. The administration of the antisense oligodeoxyribonucleotide to Mn-SOD abolished the expected decrease in infarct size. We showed that the level of tumor necrosis factor
(TNF-
) and interleukin 1β (IL-1β) increased after exercise. The simultaneous administration of the neutralizing antibodies to the cytokines abolished the exercise-induced cardioprotection and the activation of Mn-SOD. Furthermore, TNF-
can mimic the biphasic pattern of cardioprotection and activation of Mn-SOD. An antioxidant completely abolished cardioprotection and the activation of Mn-SOD by exercise or the injection of TNF-
as well as exercise-induced increase in TNF-
and IL-1β. The production of reactive oxygen species and endogenous TNF-
and IL-1β induced by exercise leads to the activation of Mn-SOD, which plays major roles in the acquisition of biphasic cardioprotection against ischemia/reperfusion injury in rats.
Key Words: free radical tumor necrosis factor interleukin 1 infarct size N-2-mercaptopropionyl glycine
Abbreviations used: ANOVA, analysis of variance; ASODN, antisense oligodeoxyribonucleotide; CAD, coronary artery disease; LCA, left coronary artery; MPG, N-2-mercaptopropionyl glycine; TTC, triphenyltetrazolium chloride; Mn-SOD, manganese superoxide dismutase; SODN, sense oligodeoxyribonucleotide.
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