Published ahead of print on August 9, 2007, doi:10.1164/rccm.200610-1567OC Am. J. Respir. Crit. Care Med., Volume 176, Number 9, November 2007, 871-877 A more recent version of this article appeared on November 1, 2007
Submitted on October 31, 2006 Aerobic Exercise Decreases Chronic Allergic Lung Inflammation and Airway Remodeling in MiceRodolfo P Vieira1,1 Department of Pathology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil, 2 Department of Physical Therapy, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil, 3 Department of Medicine, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil, 4 Departments of Physiology and Pharmacodynamics, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil * To whom correspondence should be addressed. E-mail: cscarval{at}usp.br.
Rationale: Aerobic conditioning improves exercise capacity and decreases symptoms in asthmatic patients. However, its benefits on allergic airway inflammation are poorly understood. Objectives: To evaluate the effects of two intensities of aerobic exercise on airway inflammation and remodeling in a model of chronic allergic lung inflammation. Methods: Mice were submitted to a chronic ovalbumin (OVA) sensitization and to 4-weeks low (OVA+Low) or moderate (OVA+Mod) exercise training in treadmill. Airway inflammation and remodeling and expression of Th1 and Th2 cytokines were evaluated. Results: OVA-induced allergic airway inflammation and remodeling characterized by an increase in collagen (288%), elastic (56%), smooth muscle (380%) and epithelial (402%) contents (p<0.001) when compared with the Control group. OVA+Low and OVA+Mod groups presented a decrease of BALF eosinophils (respectively, 84% and 75%, p<0.01) and airway walls (respectively, 94% and 58%, p<0.001) when compared with the OVA group. OVA+Low and OVA+Mod groups also presented a reduction in the number of peribronchial inflammatory cells expressing interleukin 4 (IL-4) (respectively, 85% and 75%; p<0.01) and IL-5 (respectively, 88% and 89%; p<0.01) when compared with the OVA group. Aerobic conditioning did not change either the expression of interferon-gamma and IL-2 by inflammatory cells or plasma levels of IgE or IgG1. OVA+Low and OVA+Mod presented an increase in the expression of IL-10 (p<0.001). Low and moderate aerobic conditioning also reduced airway remodeling in OVA-sensitized mice when compared with the OVA group. Conclusions: We concluded that low and moderate aerobic exercises decrease airway inflammation and remodeling in a murine model of asthma. Key words: asthma, aerobic exercise, lung inflammation, airway remodeling
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