Voluntary running counteracts right ventricular adverse remodeling and myocyte contraction impairment in pulmonary arterial hypertension model.

Research paper by Leôncio Lopes LL Soares, Filipe Rios FR Drummond, Leonardo Mateus Teixeira LMT Rezende, Alexandre Jaime AJ Lopes Dantas Costa, Tiago Ferreira TF Leal, Meilene Ribeiro MR Fidelis, Mariana Machado MM Neves, Thales Nicolau TN Prímola-Gomes, Miguel Araujo MA Carneiro-Junior, Emily Correna EC Carlo Reis, Antônio José AJ Natali

Indexed on: 27 Mar '21Published on: 23 Oct '19Published in: Life Sciences


Analyze the effects of voluntary running during the development of pulmonary arterial hypertension (PAH) induced by monocrotaline (MCT) on the right ventricle (RV) structure, RV myocyte contractility and intracellular Ca transient in rats with MCT-induced PAH. Male Wistar rats were housed sedentary or with free access to a running wheel after MCT or saline injection for until HF or median end-point day of HF in sedentary animals (24 days). Echocardiographic examination and exercise tolerance test were carried out at specific time points of the experimental period. After euthanasia, the heart was dissected, weighed and processed for either histological or single myocyte contractility and intracellular Ca transient analyzes. Voluntary running delayed the onset of HF (29 days) and the increase in pulmonary artery resistance, and improved exercise tolerance. In the median end-point day of HF, exercise retarded RV adverse remodeling (i.e. increase in extracellular matrix and collagen content). At this stage, exercise also delayed impairments in cell contractile function (i.e. amplitude and times to peak and to half relaxation) and intracellular calcium cycling (i.e. amplitude and times to peak and to half decay) in RV single myocytes. Along with HF onset delay and physical effort tolerance enhancement, voluntary running during the development of PAH postpones pulmonary artery resistance increases, RV adverse remodeling and myocyte contractility and intracellular calcium cycling deterioration in rats. Therefore, self-paced intermittent exercise of high intensity may contribute positively to the health and survival of individuals with PAH. Copyright © 2019. Published by Elsevier Inc.

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