Articles producció científica> Medicina i Cirurgia

Cardiovascular Benefits of Moderate Exercise Training in Marfan Syndrome: Insights From an Animal Model

  • Identification data

    Identifier: imarina:9141536
    Authors:
    Mas-Stachurska, AleksandraSiegert, Anna-MariaBatlle, MonsterratGorbenko del Blanco, DaryaMeirelles, ThaynaRubies, CiraBonorino, FabioSerra-Peinado, CarlaBijnens, BartBaudin, JulioSitges, MartaMont, LluisGuasch, EduardEgea, Gustavo
    Abstract:
    BackgroundMarfan syndrome (MF) leads to aortic root dilatation and a predisposition to aortic dissection, mitral valve prolapse, and primary and secondary cardiomyopathy. Overall, regular physical exercise is recommended for a healthy lifestyle, but dynamic sports are strongly discouraged in MF patients. Nonetheless, evidence supporting this recommendation is lacking. Therefore, we studied the role of long-term dynamic exercise of moderate intensity on the MF cardiovascular phenotype.Methods and resultsIn a transgenic mouse model of MF (Fbn1C1039G/+), 4-month-old wild-type and MF mice were subjected to training on a treadmill for 5 months; sedentary littermates served as controls for each group. Aortic and cardiac remodeling was assessed by echocardiography and histology. The 4-month-old MF mice showed aortic root dilatation, elastic lamina rupture, and tunica media fibrosis, as well as cardiac hypertrophy, left ventricular fibrosis, and intramyocardial vessel remodeling. Over the 5-month experimental period, aortic root dilation rate was significantly greater in the sedentary MF group, compared with the wild-type group (∆mm, 0.27±0.07 versus 0.13±0.02, respectively). Exercise significantly blunted the aortic root dilation rate in MF mice compared with sedentary MF littermates (∆mm, 0.10±0.04 versus 0.27±0.07, respectively). However, these 2 groups were indistinguishable by aortic root stiffness, tunica media fibrosis, and elastic lamina ruptures. In MF mice, exercise also produced cardiac hypertrophy regression without changes in left ventricular fibrosis.ConclusionsOur results in a transgenic mouse model of MF indicate that moderate dynamic exercise mitigates the progression of the MF cardiovascular phenotype.
  • Others:

    Author, as appears in the article.: Mas-Stachurska, Aleksandra; Siegert, Anna-Maria; Batlle, Monsterrat; Gorbenko del Blanco, Darya; Meirelles, Thayna; Rubies, Cira; Bonorino, Fabio; Serra-Peinado, Carla; Bijnens, Bart; Baudin, Julio; Sitges, Marta; Mont, Lluis; Guasch, Eduard; Egea, Gustavo
    Department: Medicina i Cirurgia
    URV's Author/s: Baudin Luque, Julio Carlos
    Keywords: Ventricular remodeling Ventricular function, left Vascular remodeling Time factors Sex factors Physical conditioning, animal Phenotype Myocardiopathy Mice, transgenic Mice, inbred c57bl Marfan syndrome Male Genetic predisposition to disease Fibrosis Fibrillin-1 Female Exercise therapy Endurance exercise Disease progression Disease models, animal Dilatation, pathologic Cardiomyopathies Aortic dissection Aortic disease Aortic aneurysm Aorta Animals
    Abstract: BackgroundMarfan syndrome (MF) leads to aortic root dilatation and a predisposition to aortic dissection, mitral valve prolapse, and primary and secondary cardiomyopathy. Overall, regular physical exercise is recommended for a healthy lifestyle, but dynamic sports are strongly discouraged in MF patients. Nonetheless, evidence supporting this recommendation is lacking. Therefore, we studied the role of long-term dynamic exercise of moderate intensity on the MF cardiovascular phenotype.Methods and resultsIn a transgenic mouse model of MF (<i>Fbn1</i><sup>C1039G/+</sup>), 4-month-old wild-type and MF mice were subjected to training on a treadmill for 5 months; sedentary littermates served as controls for each group. Aortic and cardiac remodeling was assessed by echocardiography and histology. The 4-month-old MF mice showed aortic root dilatation, elastic lamina rupture, and tunica media fibrosis, as well as cardiac hypertrophy, left ventricular fibrosis, and intramyocardial vessel remodeling. Over the 5-month experimental period, aortic root dilation rate was significantly greater in the sedentary MF group, compared with the wild-type group (∆mm, 0.27±0.07 versus 0.13±0.02, respectively). Exercise significantly blunted the aortic root dilation rate in MF mice compared with sedentary MF littermates (∆mm, 0.10±0.04 versus 0.27±0.07, respectively). However, these 2 groups were indistinguishable by aortic root stiffness, tunica media fibrosis, and elastic lamina ruptures. In MF mice, exercise also produced cardiac hypertrophy regression without changes in left ventricular fibrosis.ConclusionsOur results in a transgenic mouse model of MF indicate that moderate dynamic exercise mitigates the progression of the MF cardiovascular phenotype.
    Thematic Areas: Saúde coletiva Nutrição Medicina ii Medicina i Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Cardiology and cardiovascular medicine Cardiac & cardiovascular systems Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: juliocarlos.baudin@estudiants.urv.cat
    Author identifier: 0000-0002-1016-4688
    Record's date: 2025-02-08
    Paper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Paper original source: Journal Of The American Heart Association. 6 (9): e006438-
    APA: Mas-Stachurska, Aleksandra; Siegert, Anna-Maria; Batlle, Monsterrat; Gorbenko del Blanco, Darya; Meirelles, Thayna; Rubies, Cira; Bonorino, Fabio; Ser (2017). Cardiovascular Benefits of Moderate Exercise Training in Marfan Syndrome: Insights From an Animal Model. Journal Of The American Heart Association, 6(9), e006438-. DOI: 10.1161/JAHA.117.006438
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2017
    Publication Type: Journal Publications
  • Keywords:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine
    Ventricular remodeling
    Ventricular function, left
    Vascular remodeling
    Time factors
    Sex factors
    Physical conditioning, animal
    Phenotype
    Myocardiopathy
    Mice, transgenic
    Mice, inbred c57bl
    Marfan syndrome
    Male
    Genetic predisposition to disease
    Fibrosis
    Fibrillin-1
    Female
    Exercise therapy
    Endurance exercise
    Disease progression
    Disease models, animal
    Dilatation, pathologic
    Cardiomyopathies
    Aortic dissection
    Aortic disease
    Aortic aneurysm
    Aorta
    Animals
    Saúde coletiva
    Nutrição
    Medicina ii
    Medicina i
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Cardiology and cardiovascular medicine
    Cardiac & cardiovascular systems
    Biotecnología
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