DOI QR코드

DOI QR Code

The Effect of Treadmill Exercise on Ischemic Neuronal Injury in the Stroke Animal Model: Potentiation of Cerebral Vascular Integrity

중풍 동물 모델에서의 트레드밀 운동이 허혈성 신경손상에 미치는 효과: 뇌혈관 통합성 강화

  • Kang, Kyoung-Ah (Department of Nursing, Mokpo Catholic University) ;
  • Seong, Ho-Hyun (College of Nursing Science, Kyung Hee University) ;
  • Jin, Han-Byeol (College of Nursing Science, Kyung Hee University) ;
  • Park, Jong-Min (College of Nursing Science, Kyung Hee University) ;
  • Lee, Jong-Min (Department of Rehabilitation, College of Medicine, Konkuk University) ;
  • Jeon, Jae-Yong (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Youn-Jung (College of Nursing Science, East West Nursing Institute, Kyung Hee University)
  • 강경아 (목포가톨릭 대학교 간호학과) ;
  • 성호현 (경희대학교 간호과학대학) ;
  • 진한별 (경희대학교 간호과학대학) ;
  • 박종민 (경희대학교 간호과학대학 대학원) ;
  • 이종민 (건국대학교 의과대학 재활의학과) ;
  • 전재용 (울산대학교 의과대학 서울아산병원 재활의학교실) ;
  • 김연정 (경희대학교 간호과학대학·동서간호학연구소)
  • Received : 2010.06.26
  • Accepted : 2011.04.15
  • Published : 2011.04.30

Abstract

Purpose: This study was done to identify whether pre-conditioning exercise has neuroprotective effects against cerebral ischemia, through enhance brain microvascular integrity. Methods: Adult male Sprague-Dawley rats were randomly divided into four groups: 1) Normal (n=10); 2) Exercise (n=10); 3) Middle cerebral artery occlusion (MCAo), n=10); 4) Exercise+MCAo (n= 10). Both exercise groups ran on a treadmill at a speed of 15 m/min, 30 min/day for 4 weeks, then, MCAo was performed for 90 min. Brain infarction was measured by Nissl staining. Examination of the remaining neuronal cell after MCAo, and microvascular protein expression on the motor cortex, showed the expression of Neuronal Nuclei (NeuN), Vascular endothelial growth factor (VEGF) & laminin. Results: After 48 hr of MCAo, the infarct volume was significantly reduced in the Ex+MCAo group ($15.6{\pm}2.7%$) compared to the MCAo group ($44.9{\pm}3.8%$) (p<.05), and many neuronal cells were detected in the Ex+ MCAo group ($70.8{\pm}3.9%$) compared to the MCAo group ($43.4{\pm}5.1%$) (p<.05). The immunoreactivity of laminin, as a marker of microvessels and Vascular endothelial growth factor (VEGF) were intensively increased in the Ex+MCAo group compared to the MCAo group. Conclusion: These findings suggest that the neuroprotective effects of exercise pre-conditioning reduce ischemic brain injury through strengthening the microvascular integrity after cerebral ischemia.

Keywords

References

  1. Ang, E. T., Wong, P. T., Moochhala, S., & Ng, Y. K. (2003). Neuroprotection associated with running: Is it a result of increased endogenous neurotrophic factors? Neuroscience, 118, 335-345. https://doi.org/10.1016/S0306-4522(02)00989-2
  2. Carroll, S., & Dudfield, M. (2004). What is the relationship between exercise and metabolic abnormalities? A review of the metabolic syndrome. Sports Medicine, 34, 371-418. https://doi.org/10.2165/00007256-200434060-00004
  3. Chrysohoou, C., Pitsavos, C., Kokkinos, P., Panagiotakos, D. B., Singh, S. N., Stefanadis, C. (2005). The role of physical activity in the prevention of stroke. Central European Journal of Public Health, 13, 132-136.
  4. Cobbs, C. S., Chen, J., Greenberg, D. A., & Graham, S. H. (1998). Vascular endothelial growth factor expression in transient focal cerebral ischemia in the rat. Neuroscience Letter, 249, 79-82. https://doi.org/10.1016/S0304-3940(98)00377-2
  5. Croll, S. D., & Weigand, S. J. (2001). Vascular growth factors in cerebral ischemia. Molecular Neurobiology, 23, 121-135. https://doi.org/10.1385/MN:23:2-3:121
  6. del Zoppo, G. J., & Mabuchi, T. (2003). Cerebral microvessel responses to focal ischemia. Journal of Cerebral Blood Flow & Metabolism, 23, 879-894.
  7. Ding, Y., Li, J., Luan, X., Ding, Y. H., Lai, Q., Rafols, J. A., et al. (2004). Exercise pre-conditioning reduces brain damage in ischemic rats that may be associated with regional angiogenesis and cellular overexpression of neurotrophin. Neuroscience, 124, 583-591. https://doi.org/10.1016/j.neuroscience.2003.12.029
  8. Endres, M., Gertz, K., Lindauer, U., Katchanov, J., Schultze, J., Schrock, H., et al. (2003). Mechanisms of stroke protection by physical activity. Annal Neurology, 54, 582-590. https://doi.org/10.1002/ana.10722
  9. Greenlund, K. J., Giles, W. H., Keenan, N. L., Croft, J. B., & Mensah, G. A. (2002). Physician advice, patient actions, and health-related quality of life in secondary prevention of stroke through diet and exercise. Stroke, 33, 565-571. https://doi.org/10.1161/hs0202.102882
  10. Hamann, G. F., Okada, Y., Fitridge, R., & del Zoppo, G. J. (1995). Microvascular basal lamina antigens disappear during cerebral ischemia and reperfusion. Stroke, 26, 2120-2126. https://doi.org/10.1161/01.STR.26.11.2120
  11. Heiss, W. D., Sobesky, J., & Hesselmann, V. (2004). Identifying thresholds for penumbra and irreversible tissue damage. Stroke, 35, 2671-2674. https://doi.org/10.1161/01.STR.0000143329.81997.8a
  12. Kaya, D., Gürsoy-Ozdemir, Y., Yemisci, M., Tuncer, N., Aktan, S., & Dalkara, T. (2005). VEGF protects brain against focal ischemia without increasing blood-brain permeability when administered intracerebroventricularly. Journal of Cerebral Blood Flow & Metabolism, 25, 1111-1118. https://doi.org/10.1038/sj.jcbfm.9600109
  13. Kim, I. H. (2002). The effects of exercise therapy and exercise-behavior modification therapy on obesity, blood lipids, and self-esteem of the obese middle-aged women. Journal of Korean Academy of Nursing, 32, 844-854.
  14. Kleim, J. A., Cooper, N. R., & VandenBerg, P. M. (2002). Exercise induces angiogenesis but does not alter movement representations within rat motor cortex. Brain Research, 934, 1-6. https://doi.org/10.1016/S0006-8993(02)02239-4
  15. Lee, J. I. (2006). Effects of walking exercise intensities on fatigue, serum lipids and immune function among middle-aged women. Journal of Korean Academy of Nursing, 36, 94-102.
  16. Lennmyr, F., Terént, A., Syvänen, A. C., & Barbany, G. (2005). Vascular endothelial growth factor gene expression in middle cerebral artery occlusion in the rat. Acta Anaesthesiologica Scandinavia, 49, 488-493. https://doi.org/10.1111/j.1399-6576.2005.00646.x
  17. Li, J., Ding, Y. H., Rafols, J. A., Lai, Q., McAllister, J. P. II, & Ding, Y. (2005). Increased astrocyte proliferation in rats after running exercise. Neuroscience Letter, 386, 160-164. https://doi.org/10.1016/j.neulet.2005.06.009
  18. Lo, E. H., Moskowitz, M. A., & Jacobs, T. P. (2005). Exciting, radical, suicidal: How brain cells die after stroke. Stroke, 36, 189-192. https://doi.org/10.1161/01.STR.0000153069.96296.fd
  19. Masabumi, S. (2009). Brain angiogenesis in developmental and pathological processes: Therapeutic aspects of vascular endothelial growth factor. Federation of European Biochemical Societies Journal, 276, 4636-4643.
  20. Mattson, M. P., Duan, W., Wan, R., Guo, Z. (2004). Prophylactic activation of neuroprotective stress response pathways by dietary and behavioral manipulations. NeuroRx, 1(1), 111-116. https://doi.org/10.1602/neurorx.1.1.111
  21. Simard, M., Arcuino, G., Takano, T., Liu, Q. S., & Nedergaard, M. (2003). Signaling at the gliovascular interface. Journal of Neuroscience, 23, 9254-9262.
  22. Statistics Korea (2009, August 31). Annual report of causes of death in Korea. Retrieved August 31, 2009, from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&bSeq=&aSeq=66244&pageNo=2&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt
  23. Trendelenburg, G., & Dirnagl, U. (2005). The neuroprotective role of astrocytes in cerebral ischemia: Focus on ischemic preconditioning. Glia, 50, 307-320. https://doi.org/10.1002/glia.20204
  24. Weis, S. M., & Cheresh, D. A. (2005). Pathophysiological consequences of VEGF-induced vascular permeability. Nature, 437, 497-504. https://doi.org/10.1038/nature03987
  25. Yurchenco, P. D., & Schittny, J. C. (1990). Molecular architecture of basement membranes. The FASEB Journal, 4, 1577-1590.
  26. Zhang, Z. G., Zhang, L., Jiang, Q., Zhang, R., Davies, K., Powers, C., et al. (2000). VEGF enhances angiogenesis and promotes blood-brain barrier leakage in the ischemic brain. Journal of Clinical Investigation, 106, 829-838. https://doi.org/10.1172/JCI9369

Cited by

  1. 동물 실험을 적용한 국내 간호 연구 동향 분석 vol.17, pp.4, 2011, https://doi.org/10.7586/jkbns.2015.17.4.324
  2. 허혈성 뇌손상 모델 당뇨쥐의 복합운동프로그램의 효과 vol.6, pp.1, 2011, https://doi.org/10.18598/kcbot.2016.06.01.05
  3. 환경적용이 수면장애 모델 쥐의 혈중 멜라토닌 농도에 미치는 영향 vol.7, pp.1, 2011, https://doi.org/10.18598/kcbot.2017.07.01.02
  4. Modulating effects of preconditioning exercise in the expression of ET-1 and BNP via HIF-1α in ischemically injured brain vol.34, pp.5, 2011, https://doi.org/10.1007/s11011-019-00450-z