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Published ahead of print on December 21, 2006, doi:10.1164/rccm.200608-1086OC

Am. J. Respir. Crit. Care Med., Volume 175, Number 5, March 2007, 442-449

A more recent version of this article appeared on March 1, 2007
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Submitted on August 3, 2006
Accepted on December 21, 2006

Endurance Training Damages Small Airway Epithelium in Mice

Laura Chimenti1*, Giuseppe Morici1, Alessandra Paterno2, Anna Bonanno3, Liboria Siena3, Attilio Licciardi4, Mario Veca4, Walter Guccione4, Filippo Macaluso4, Giovanni Bonsignore3, and Maria R Bonsignore5

1 Department of Experimental Medicine, University of Palermo, Palermo, Italy; National Research Council, Institute of Biomedicine and Molecular Immunology, Palermo, Italy, 2 Department of Medicine, Pneumology, Physiology and Nutrition, University of Palermo, Palermo, Italy, 3 National Research Council, Institute of Biomedicine and Molecular Immunology, Palermo, Italy, 4 Department of Experimental Medicine, University of Palermo, Palermo, Italy, 5 Department of Medicine, Pneumology, Physiology and Nutrition, University of Palermo, Palermo, Italy; National Research Council, Institute of Biomedicine and Molecular Immunology, Palermo, Italy

* To whom correspondence should be addressed. E-mail: chimenti{at}ibim.cnr.it.

Rationale: In human athletes, airway inflammatory cells were found to be increased in induced sputum or bronchial biopsies. Most data were obtained after exposure to cold and dry air at rest or during exercise. Whether training affects epithelial and inflammatory cells in small airways is unknown. Objectives: To test whether endurance training under standard environmental conditions causes epithelial damage and inflammation in the small airways of mice. Methods and Measurements: Formalin-fixed, paraffin embedded lung sections were obtained in sedentary (total n=14) and endurance-trained (total n=16) Swiss mice at baseline and after 15, 30 and 45 days of training. The following variables were assessed (morphometry and immunohistochemistry) in small airways (basement membrane length <1 mm): a) integrity, proliferation and apoptosis of bronchiolar epithelium; b) infiltration, activation, and apoptosis of inflammatory cells. Main Results: Compared to sedentary mice, bronchiolar epithelium of trained mice showed progressive loss of ciliated cells, slightly increased thickness, unchanged goblet cell number and appearance, increased apoptosis and proliferation (PCNA) (p<0.001 for all variables). Leukocytes (CD45+ cells) infiltrated airway walls (p<0.0001) and accumulated within the lumen (p<0.001); however, apoptosis of CD45+ cells did not differ between trained and sedentary mice. NF-{kappa}B nuclear translocation and I{kappa}B{alpha} phosphorylation were not increased in trained compared to sedentary mice. Conclusions: Bronchiolar epithelium showed damage and repair associated with endurance training. Training increased inflammatory cells in small airways but inflammatory activation was not increased. These changes may represent an adaptive response to increased ventilation during exercise.


Key words: exercise, airways damage, remodeling, inflammation, apoptosis




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