Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease

BackgroundNonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of metabolic syndrome, which may lead to cirrhosis or even hepatoma. Regular exercise is an important non-drug intervention strategy for the prevention and treatment of NAFLD, but the optimal prescription for rehabilitat...

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Main Authors: Wenjie XU, Xudong XIE, Ruibo HE, Gang MA, Changxi FU, peng PENG
Format: Article
Language:English
Published: Editorial Committee of Journal of Environmental and Occupational Medicine 2023-12-01
Series:环境与职业医学
Subjects:
Online Access:http://www.jeom.org/article/cn/10.11836/JEOM23143
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author Wenjie XU
Xudong XIE
Ruibo HE
Gang MA
Changxi FU
peng PENG
author_facet Wenjie XU
Xudong XIE
Ruibo HE
Gang MA
Changxi FU
peng PENG
author_sort Wenjie XU
collection DOAJ
description BackgroundNonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of metabolic syndrome, which may lead to cirrhosis or even hepatoma. Regular exercise is an important non-drug intervention strategy for the prevention and treatment of NAFLD, but the optimal prescription for rehabilitation training has not yet been determined. ObjectiveTo compare the therapeutic effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on rats with NAFLD and explore the possible mechanisms. MethodsThirty-six 4-week-old male OLETF rats were raised to 20 weeks old and divided into three groups: a sedentary group, a MICT group, and a HIIT group (n=12 in each group) by random number table, at the same time, same strain 12 age- and sex-matched LETO rats were selected as normal control group. The rats in the normal control and the sedentary group were fed quietly in cages, while the rats in the MICT group (60% of maximal running speed, 60 min·d−1, 5 d·week−1) and the HIIT group (80% of maximal running speed for 1 min followed by 40% of maximal running speed for 1 min, alternately repeating 10 cycles, 5 d·week−1) followed the designed exercise protocols for eight weeks by treadmill running. Forty-eight hours after the last training session, hepatic histopathology was observed and hepatic triglyceride and glycogen content, mitochondrial content and function. and protein expressions of markers related to metabolic regulation (glycogen synthesis, fatty acid transport, de novo lipogenesis, triglyceride transport and secretion, and macrophage polarization) were measured. ResultsCompared with the sedentary group, the levels of plasma alanine aminotransferase (ALT) and aspartate aminotransferase (AST) and hepatic triglyceride decreased (P<0.05), the activities of citrate synthase (CS) and fatty acid oxidation (FAO) increased (P<0.05), the protein expression levels of Elovl fatty acid elongase 6 (Elovl6), CD11c, interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) decreased (P<0.05), the protein expression levels of peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α) and CD206 increased (P<0.05), while the differences of liver glycogen and glycogen synthase (GS) protein expression levels showed no statistical significance (P>0.05) in the MICT group and the HIIT gtoup; the protein expression of fatty acid translocase (FAT/CD36) decreased in the MICT group (P<0.05); the protein expression of apolipoprotein B100 (ApoB100) were up-regulated (P<0.05) in the HIIT group (P<0.05). ConclusionLong-term MICT (60 min·d−1, 5 d·week−1) and HIIT (20 min·d−1, 5 d·week−1) interventions have similar therapeutic effects on NAFLD in OLETF rats, and the mechanisms are related to the improvement of hepatic mitochondrial content and function, lipid metabolism, and macrophage polarization state. Because of its remarkable time efficiency, HIIT is expected to become an alternative mode of MICT, which is of great significance for optimizing exercise rehabilitation prescriptions for patients with NAFLD.
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spelling doaj.art-8f3ca546daf548408989b6ffb4db55792024-04-01T05:48:14ZengEditorial Committee of Journal of Environmental and Occupational Medicine环境与职业医学2095-99822023-12-0140121395140210.11836/JEOM2314323143Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver diseaseWenjie XU0Xudong XIE1Ruibo HE2Gang MA3Changxi FU4peng PENG5College of Sports and Health Management, Changzhou Vocational Institute of Engineering, Changzhou, Jiangsu 213164, ChinaCollege of Sports and Health Management, Changzhou Vocational Institute of Engineering, Changzhou, Jiangsu 213164, ChinaDepartment of Health Service, Logistics University of Chinese People's Armed Police Forces, Tianjin 300309, ChinaDepartment of Health Service, Logistics University of Chinese People's Armed Police Forces, Tianjin 300309, ChinaCollege of Physical Education, Xuzhou University of Technology, Xuzhou, Jiangsu 221008, ChinaDepartment of Health Service, Logistics University of Chinese People's Armed Police Forces, Tianjin 300309, ChinaBackgroundNonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of metabolic syndrome, which may lead to cirrhosis or even hepatoma. Regular exercise is an important non-drug intervention strategy for the prevention and treatment of NAFLD, but the optimal prescription for rehabilitation training has not yet been determined. ObjectiveTo compare the therapeutic effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on rats with NAFLD and explore the possible mechanisms. MethodsThirty-six 4-week-old male OLETF rats were raised to 20 weeks old and divided into three groups: a sedentary group, a MICT group, and a HIIT group (n=12 in each group) by random number table, at the same time, same strain 12 age- and sex-matched LETO rats were selected as normal control group. The rats in the normal control and the sedentary group were fed quietly in cages, while the rats in the MICT group (60% of maximal running speed, 60 min·d−1, 5 d·week−1) and the HIIT group (80% of maximal running speed for 1 min followed by 40% of maximal running speed for 1 min, alternately repeating 10 cycles, 5 d·week−1) followed the designed exercise protocols for eight weeks by treadmill running. Forty-eight hours after the last training session, hepatic histopathology was observed and hepatic triglyceride and glycogen content, mitochondrial content and function. and protein expressions of markers related to metabolic regulation (glycogen synthesis, fatty acid transport, de novo lipogenesis, triglyceride transport and secretion, and macrophage polarization) were measured. ResultsCompared with the sedentary group, the levels of plasma alanine aminotransferase (ALT) and aspartate aminotransferase (AST) and hepatic triglyceride decreased (P<0.05), the activities of citrate synthase (CS) and fatty acid oxidation (FAO) increased (P<0.05), the protein expression levels of Elovl fatty acid elongase 6 (Elovl6), CD11c, interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) decreased (P<0.05), the protein expression levels of peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α) and CD206 increased (P<0.05), while the differences of liver glycogen and glycogen synthase (GS) protein expression levels showed no statistical significance (P>0.05) in the MICT group and the HIIT gtoup; the protein expression of fatty acid translocase (FAT/CD36) decreased in the MICT group (P<0.05); the protein expression of apolipoprotein B100 (ApoB100) were up-regulated (P<0.05) in the HIIT group (P<0.05). ConclusionLong-term MICT (60 min·d−1, 5 d·week−1) and HIIT (20 min·d−1, 5 d·week−1) interventions have similar therapeutic effects on NAFLD in OLETF rats, and the mechanisms are related to the improvement of hepatic mitochondrial content and function, lipid metabolism, and macrophage polarization state. Because of its remarkable time efficiency, HIIT is expected to become an alternative mode of MICT, which is of great significance for optimizing exercise rehabilitation prescriptions for patients with NAFLD.http://www.jeom.org/article/cn/10.11836/JEOM23143high-intensity interval trainingmoderate-intensity continuous trainingnonalcoholic fatty liver diseasemetabolismmitochondriamacrophage polarization
spellingShingle Wenjie XU
Xudong XIE
Ruibo HE
Gang MA
Changxi FU
peng PENG
Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
环境与职业医学
high-intensity interval training
moderate-intensity continuous training
nonalcoholic fatty liver disease
metabolism
mitochondria
macrophage polarization
title Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
title_full Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
title_fullStr Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
title_full_unstemmed Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
title_short Therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
title_sort therapeutic effects and mechanisms of two exercise modes on rats with nonalcoholic fatty liver disease
topic high-intensity interval training
moderate-intensity continuous training
nonalcoholic fatty liver disease
metabolism
mitochondria
macrophage polarization
url http://www.jeom.org/article/cn/10.11836/JEOM23143
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