DOI QR코드

DOI QR Code

Exercise Training Improves Age-Related Myocardial Metabolic Derangement: Proton Magnetic Resonance Spectroscopy Study in the Rat Model

  • Choi, Sang-Il (Department of Radiology, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Chang, Hyuk-Jae (Department of Internal Medicine, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Chun, Eun-Ju (Department of Radiology, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Cho, Seong-Bong (Department of Radiology, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Kim, Sang-Tae (NMR Laboratory, Asan Institute for Life Science, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Yeon-Yee E. (Department of Internal Medicine, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Chang, Sung-A (Department of Internal Medicine, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Kim, Jae-Hyoung (Department of Radiology, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Kim, Cheol-Ho (Department of Internal Medicine, Division of Cardiology, Seoul National University Bundang Hospital) ;
  • Lim, Tae-Hwan (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2008.11.04
  • Accepted : 2010.01.05
  • Published : 2010.09.30

Abstract

Background and Objectives: The objective of this study was to determine whether long-term exercise training will improve age-related cardiac metabolic derangement using proton magnetic resonance (MR) spectroscopy. Materials and Methods: Young and old male Fischer 344 rats were assigned to sedentary controls groups {young control (YC) group-3 months of age: YC, n=10; old control (OC) group-22 months of age: OC, n=10}, and an exercise training group (OT, n=5). After 12-week of treadmill exercise training, MR spectroscopy at 4.7 T was performed to assess myocardial energy metabolism: measurements of myocardial creatine-to-water ratio (Scr/Sw) were performed using the XWIN-NMR software. Results: Exercise capacity was 14.7 minutes greater in OT than that in OC (20.1${\pm}$1.9 minutes in OT, 5.4${\pm}$2.3 minutes in OC; p<0.001). The 12-week exercise training rendered the old rats a maximum exercise capacity matching that of untrained YC rats (17.9${\pm}$1.5 minutes in YC, 20.1${\pm}$1.9 minutes in OT; p>0.05). The creatine-to-water ratios in the interventricular septa of YC did not differ significantly from that of OT (0.00131${\pm}$0.00025 vs. 0.00127${\pm}$0.00031; p=0.37). However, OC showed significant reduction in creatine-to-water ratio compared to OT (0.00096${\pm}$0.00025 vs. 0.00127${\pm}$0.00031; p<0.001). Mean total creatine concentrations in the myocardium were similar between YC and OT (13.3 ${\pm}$3.6 vs. 11.5${\pm}$4.1 mmol/kg wet weight; p=0.29). In contrast, the mean total creatine concentration of OC was significantly reduced compared to OT (6.8${\pm}$3.2 vs. 11.5${\pm}$4.1 mmol/kg wet weight; p=0.03). Conclusion: Our findings suggest that long-term exercise training in old rats induced prevention of age-related deterioration in myocardial metabolism.

Keywords

References

  1. Thom T, Haase N, Rosamond W, et al. Heart disease and stroke statistics- 2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2006;113:e85-151. https://doi.org/10.1161/CIRCULATIONAHA.105.171600
  2. Chang HJ, Choi SI. Era of multimodality imaging: where do we stand? Korean Circ J 2006;36:717-22. https://doi.org/10.4070/kcj.2006.36.11.717
  3. Park YH, Kim JH, Jeong JH, et al. The meaning of pathologic Q wave in myocardial infarction assessed by magnetic resonance imaging. Korean Circ J 2004;34:945-52. https://doi.org/10.4070/kcj.2004.34.10.945
  4. Choi EY, Ko YG, Jang Y, et al. Etiologic evaluation of ischemic mitral regurgitation using cardiac MRI. Korean Circ J 2004;34:627-35. https://doi.org/10.4070/kcj.2004.34.6.627
  5. Bottomley PA, Weiss RG. Noninvasive localized MR quantification of creatine kinase metabolites in normal and infarcted canine myocardium. Radiology 2001;219:411-8. https://doi.org/10.1148/radiology.219.2.r01ma39411
  6. Bache RJ, Zhang J, Murakami Y, et al. Myocardial oxygenation at high workstates in hearts with left ventricular hypertrophy. Cardiovasc Res 1999;42:616-26. https://doi.org/10.1016/S0008-6363(98)00332-0
  7. Schneider JE, Tyler DJ, ten Hove M, et al. In vivo cardiac $^1H$-MRS in the mouse. Magn Reson Med 2004;52:1029-35. https://doi.org/10.1002/mrm.20257
  8. den Hollander JA, Evanochko WT, Pohost GM. Observation of cardiac lipids in humans by localized 1H magnetic resonance spectroscopic imaging. Magn Reson Med 1994;32:175-80. https://doi.org/10.1002/mrm.1910320205
  9. Bottomley PA, Weiss RG. Non-invasive magnetic-resonance detection of creatine depletion in non-viable infarcted myocardium. Lancet 1998;351:714-8. https://doi.org/10.1016/S0140-6736(97)06402-7
  10. Felblinger J, Jung B, Slotboom J, Boesch C, Kreis R. Methods and reproducibility of cardiac/respiratory double-triggered (1)H-MR spectroscopy of the human heart. Magn Reson Med 1999;42:903-10. https://doi.org/10.1002/(SICI)1522-2594(199911)42:5<903::AID-MRM10>3.0.CO;2-N
  11. Kreis R, Felblinger J, Jung B, Boesch C. In vivo 1H-MR spectroscopy of the human heart. MAGMA 1998;6:164-7. https://doi.org/10.1007/BF02660947
  12. Nakae I, Mitsunami K, Omura T, et al. Proton magnetic resonance spectroscopy can detect creatine depletion associated with the progression of heart failure in cardiomyopathy. J Am Coll Cardiol 2003;42:1587-93. https://doi.org/10.1016/j.jacc.2003.05.005
  13. Lloyd-Williams F, Mair FS, Leitner M. Exercise training and heart failure: a systematic review of current evidence. Br J Gen Pract 2002;52:47-55.
  14. Thomas DP, Zimmerman SD, Hansen TR, Martin DT, McCormick RJ. Collagen gene expression in rat left ventricle: interactive effect of age and exercise training. J Appl Physiol 2000;89:1462-8. https://doi.org/10.1152/jappl.2000.89.4.1462
  15. Thomas DP, Cotter TA, Li X, McCormick RJ, Gosselin LE. Exercise training attenuates aging-associated increases in collagen and collagen cross-linking of the left but not the right ventricle in the rat. Eur J Appl Physiol 2001;85:164-9. https://doi.org/10.1007/s004210100447
  16. Brenner DA, Apstein CS, Saupe KW. Exercise training attenuates age-associated diastolic dysfunction in rats. Circulation 2001;104:221-6. https://doi.org/10.1161/01.CIR.104.2.221
  17. Cassidy PJ, Schneider JE, Grieve SM, Lygate C, Neubauer S, Clarke K. Assessment of motion gating strategies for mouse magnetic resonance at high magnetic fields. J Magn Reson Imaging 2004;19:229-37. https://doi.org/10.1002/jmri.10454
  18. Osbakken M, Douglas PS, Ivanics T, Zhang DN, Van Winkle T. Creatinine kinase kinetics studied by phosphorus-31 nuclear magnetic resonance in a canine model of chronic hypertension-induced cardiac hypertrophy. J Am Coll Cardiol 1992;19:223-8. https://doi.org/10.1016/0735-1097(92)90076-Y
  19. Spindler M, Saupe KW, Christe ME, et al. Diastolic dysfunction and altered energetics in the alphaMHC403/+ mouse model of familial hypertrophic cardiomyopathy. J Clin Invest 1998;101:1775-83. https://doi.org/10.1172/JCI1940
  20. Paelinck BP, Lamb HJ, Bax JJ, Van der Wall EE, de Roos A. Assessment of diastolic function by cardiovascular magnetic resonance. Am Heart J 2002;144:198-205. https://doi.org/10.1067/mhj.2002.123316
  21. Evanochko WT, Pohost GM. Structural studies of NMR detected lipids in myocardial ischemia. NMR Biomed 1994;7:269-77. https://doi.org/10.1002/nbm.1940070604
  22. Balschi JA, Hai JO, Wolkowicz PE, et al. 1H NMR measurement of tr-iacylglycerol accumulation in the post-ischemic canine heart after tr-ansient increase of plasma lipids. J Mol Cell Cardiol 1997;29:471-80. https://doi.org/10.1016/S0735-1097(97)87640-1
  23. Straeter-Knowlen IM, Evanochko WT, den Hollander JA, et al. 1H NMR spectroscopic imaging of myocardial triglycerides in excised dog hearts subjected to 24 hours of coronary occlusion. Circulation 1996;93:1464-70. https://doi.org/10.1161/01.CIR.93.7.1464
  24. Neubauer S, Horn M, Naumann A, et al. Impairment of energy metabolism in intact residual myocardium of rat hearts with chronic myocardial infarction. J Clin Invest 1995;95:1092-100. https://doi.org/10.1172/JCI117756
  25. Nascimben L, Ingwall JS, Pauletto P, et al. Creatine kinase system in failing and nonfailing human myocardium. Circulation 1996;94:1894-901. https://doi.org/10.1161/01.CIR.94.8.1894
  26. Singhal A, Shivkumar K, Huda A, Thomas MA. Current status of cardiac MR spectroscopy. Prog Nucl Magn Reson Spectrosc 2009;54:255-77. https://doi.org/10.1016/j.pnmrs.2008.10.004
  27. Spurgeon HA, Steinbach MF, Lakatta EG. Chronic exercise prevents characteristic age-related changes in rat cardiac contraction. Am J Physiol 1983;244:H513-8.
  28. Tate CA, Taffet GE, Hudson EK, Blaylock SL, McBride RP, Michael LH. Enhanced calcium uptake of cardiac sarcoplasmic reticulum in exercise- trained old rats. Am J Physiol 1990;258:H431-5.
  29. Bottomley PA. MR spectroscopy of the human heart: the status and the challenges. Radiology 1994;191:593-612. https://doi.org/10.1148/radiology.191.3.8184033