PMID- 17259438 OWN - NLM STAT- MEDLINE DCOM- 20070627 LR - 20200930 IS - 0363-6135 (Print) IS - 0363-6135 (Linking) VI - 292 IP - 5 DP - 2007 May TI - Exercise-induced activation of cardiac sympathetic nerve triggers cardioprotection via redox-sensitive activation of eNOS and upregulation of iNOS. PG - H2051-9 AB - We investigated the mechanism of exercise-induced late cardioprotection against ischemia-reperfusion (I/R) injury. C57BL/6 mice received treadmill exercise (60 min/day) for 7 days at a work rate of 60-70% maximal oxygen uptake. Exercise transiently increased oxidative stress and activated endothelial isoform of nitric oxide synthase (eNOS) during exercise and increased expression of inducible isoform of NOS (iNOS) in the heart after 7 days of exercise. The mice were subjected to regional ischemia by 30 min of occlusion of the left coronary artery, followed by 2 h of reperfusion. Infarct size was significantly smaller in the exercised mice. Ablation of cardiac sympathetic nerve by topical application of phenol abolished oxidative stress, activation of eNOS, upregulation of iNOS, and cardioprotection mediated by exercise. Treatment with the antioxidant N-(2-mercaptopropionyl)-glycine during exercise also inhibited activation of eNOS, upregulation of iNOS, and cardioprotection. In eNOS(-/-) mice, exercise-induced oxidative stress was conserved, but upregulation of iNOS and cardioprotection was lost. Exercise did not confer cardioprotection when the iNOS selective inhibitor 1400W was administered just before coronary artery occlusion or when iNOS(-/-) mice were employed. These results suggest that exercise stimulates cardiac sympathetic nerves that provoke redox-sensitive activation of eNOS, leading to upregulation of iNOS, which acts as a mediator of late cardioprotection against I/R injury. FAU - Akita, Yuzo AU - Akita Y AD - 2nd Department of Internal Medicine, Division of Cardiology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi City, 570-8507, Japan. FAU - Otani, Hajime AU - Otani H FAU - Matsuhisa, Seiji AU - Matsuhisa S FAU - Kyoi, Shiori AU - Kyoi S FAU - Enoki, Chiharu AU - Enoki C FAU - Hattori, Reiji AU - Hattori R FAU - Imamura, Hiroji AU - Imamura H FAU - Kamihata, Hiroshi AU - Kamihata H FAU - Kimura, Yutaka AU - Kimura Y FAU - Iwasaka, Toshiji AU - Iwasaka T LA - eng PT - Journal Article DEP - 20070126 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) RN - EC 1.14.13.39 (Nos2 protein, mouse) RN - EC 1.14.13.39 (Nos3 protein, mouse) SB - IM MH - Animals MH - Enzyme Activation MH - Exercise Therapy/*methods MH - Male MH - Mice MH - Mice, Knockout MH - Nitric Oxide Synthase Type II/*metabolism MH - Nitric Oxide Synthase Type III MH - Oxidation-Reduction MH - Physical Conditioning, Animal/*methods MH - Physical Exertion MH - Reperfusion Injury/*physiopathology/*prevention & control MH - Sympathetic Nervous System/*physiopathology MH - Treatment Outcome MH - Up-Regulation/physiology EDAT- 2007/01/30 09:00 MHDA- 2007/06/28 09:00 CRDT- 2007/01/30 09:00 PHST- 2007/01/30 09:00 [pubmed] PHST- 2007/06/28 09:00 [medline] PHST- 2007/01/30 09:00 [entrez] AID - 01102.2006 [pii] AID - 10.1152/ajpheart.01102.2006 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2007 May;292(5):H2051-9. doi: 10.1152/ajpheart.01102.2006. Epub 2007 Jan 26.