Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma

Redox dysregulation and oxidative stress have been implicated in asthma pathogenesis. Exercise interventions improve symptoms and reduce inflammation in asthma patients, but the underlying mechanisms remain unclear. We hypothesized that a personalised exercise intervention would improve asthma contr...

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Main Authors: Anna Freeman, Doriana Cellura, Magdalena Minnion, Bernadette O. Fernandez, Cosma Mirella Spalluto, Denny Levett, Andrew Bates, Timothy Wallis, Alastair Watson, Sandy Jack, Karl J. Staples, Michael P. W. Grocott, Martin Feelisch, Tom M. A. Wilkinson
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Antioxidants
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Online Access:https://www.mdpi.com/2076-3921/10/12/1926
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author Anna Freeman
Doriana Cellura
Magdalena Minnion
Bernadette O. Fernandez
Cosma Mirella Spalluto
Denny Levett
Andrew Bates
Timothy Wallis
Alastair Watson
Sandy Jack
Karl J. Staples
Michael P. W. Grocott
Martin Feelisch
Tom M. A. Wilkinson
author_facet Anna Freeman
Doriana Cellura
Magdalena Minnion
Bernadette O. Fernandez
Cosma Mirella Spalluto
Denny Levett
Andrew Bates
Timothy Wallis
Alastair Watson
Sandy Jack
Karl J. Staples
Michael P. W. Grocott
Martin Feelisch
Tom M. A. Wilkinson
author_sort Anna Freeman
collection DOAJ
description Redox dysregulation and oxidative stress have been implicated in asthma pathogenesis. Exercise interventions improve symptoms and reduce inflammation in asthma patients, but the underlying mechanisms remain unclear. We hypothesized that a personalised exercise intervention would improve asthma control by reducing lung inflammation through modulation of local and systemic reactive species interactions, thereby increasing antioxidant capacity. We combined deep redox metabolomic profiling with clinical assessment in an exploratory cohort of six female patients with symptomatic asthma and studied their responses to a metabolically targeted exercise intervention over 12 weeks. Plasma antioxidant capacity and circulating nitrite levels increased following the intervention (<i>p</i> = 0.028) and lowered the ratio of reduced to oxidised glutathione (<i>p</i> = 0.029); this was accompanied by improvements in physical fitness (<i>p</i> = 0.046), symptoms scores (<i>p</i> = 0.020), quality of life (<i>p</i> = 0.046), lung function (<i>p</i> = 0.028), airway hyperreactivity (<i>p</i> = 0.043), and eosinophilic inflammation (<i>p</i> = 0.007). Increased physical fitness correlated with improved plasma antioxidant capacity (<i>p</i> = 0.019), peak oxygen uptake and nitrite changes (<i>p</i> = 0.005), the latter also associated with reductions in peripheral blood eosinophil counts (<i>p</i> = 0.038). Thus, increases in “redox resilience” may underpin the clinical benefits of exercise in asthma. An improved understanding of exercise-induced alterations in redox regulation offers opportunities for greater treatment personalisation and identification of new treatment targets.
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spelling doaj.art-6966a5e69d804666a0b1f3956220dc2a2023-11-23T03:33:00ZengMDPI AGAntioxidants2076-39212021-11-011012192610.3390/antiox10121926Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in AsthmaAnna Freeman0Doriana Cellura1Magdalena Minnion2Bernadette O. Fernandez3Cosma Mirella Spalluto4Denny Levett5Andrew Bates6Timothy Wallis7Alastair Watson8Sandy Jack9Karl J. Staples10Michael P. W. Grocott11Martin Feelisch12Tom M. A. Wilkinson13Clinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKClinical and Experimental Sciences and Southampton Centre for Biomedical Research, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKRedox dysregulation and oxidative stress have been implicated in asthma pathogenesis. Exercise interventions improve symptoms and reduce inflammation in asthma patients, but the underlying mechanisms remain unclear. We hypothesized that a personalised exercise intervention would improve asthma control by reducing lung inflammation through modulation of local and systemic reactive species interactions, thereby increasing antioxidant capacity. We combined deep redox metabolomic profiling with clinical assessment in an exploratory cohort of six female patients with symptomatic asthma and studied their responses to a metabolically targeted exercise intervention over 12 weeks. Plasma antioxidant capacity and circulating nitrite levels increased following the intervention (<i>p</i> = 0.028) and lowered the ratio of reduced to oxidised glutathione (<i>p</i> = 0.029); this was accompanied by improvements in physical fitness (<i>p</i> = 0.046), symptoms scores (<i>p</i> = 0.020), quality of life (<i>p</i> = 0.046), lung function (<i>p</i> = 0.028), airway hyperreactivity (<i>p</i> = 0.043), and eosinophilic inflammation (<i>p</i> = 0.007). Increased physical fitness correlated with improved plasma antioxidant capacity (<i>p</i> = 0.019), peak oxygen uptake and nitrite changes (<i>p</i> = 0.005), the latter also associated with reductions in peripheral blood eosinophil counts (<i>p</i> = 0.038). Thus, increases in “redox resilience” may underpin the clinical benefits of exercise in asthma. An improved understanding of exercise-induced alterations in redox regulation offers opportunities for greater treatment personalisation and identification of new treatment targets.https://www.mdpi.com/2076-3921/10/12/1926asthmaexerciseoxidative stressreactive species interactomeinflammation
spellingShingle Anna Freeman
Doriana Cellura
Magdalena Minnion
Bernadette O. Fernandez
Cosma Mirella Spalluto
Denny Levett
Andrew Bates
Timothy Wallis
Alastair Watson
Sandy Jack
Karl J. Staples
Michael P. W. Grocott
Martin Feelisch
Tom M. A. Wilkinson
Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
Antioxidants
asthma
exercise
oxidative stress
reactive species interactome
inflammation
title Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
title_full Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
title_fullStr Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
title_full_unstemmed Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
title_short Exercise Training Induces a Shift in Extracellular Redox Status with Alterations in the Pulmonary and Systemic Redox Landscape in Asthma
title_sort exercise training induces a shift in extracellular redox status with alterations in the pulmonary and systemic redox landscape in asthma
topic asthma
exercise
oxidative stress
reactive species interactome
inflammation
url https://www.mdpi.com/2076-3921/10/12/1926
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