PMID- 24030807 OWN - NLM STAT- MEDLINE DCOM- 20140905 LR - 20171116 IS - 2567-689X (Electronic) IS - 0340-6245 (Linking) VI - 110 IP - 6 DP - 2013 Dec TI - Effects of high-amount-high-intensity exercise on in vivo platelet activation: modulation by lipid peroxidation and AGE/RAGE axis. PG - 1232-40 LID - 10.1160/TH13-04-0295 [doi] AB - Physical activity is associated with cardiovascular risk reduction, but the effects of exercise on platelet activation remain controversial. We investigated the effects of regular high-amount, high intensity aerobic exercise on in vivo thromboxane (TX)-dependent platelet activation and plasma levels of platelet-derived proteins, CD40L and P-selectin, and whether platelet variables changes may be related to changes in high-density lipoprotein (HDL) and in the extent of oxidative stress and oxidative stress-related inflammation, as reflected by urinary isoprostane excretion and endogenous soluble receptor for advanced glycation end-products (esRAGE), respectively. Urinary excretion of 11-dehydro-TXB(2) and 8-iso-prostaglandin (PG)F(2alpha) and plasma levels of P-selectin, CD40L and esRAGE were measured before and after a eight-week standardised aerobic high-amount-high-intensity training program in 22 sedentary subjects with low-to-intermediate risk. Exercise training had a clear beneficial effect on HDL cholesterol (+10%, p=0.027) and triglyceride (-27%, p=0.008) concentration. In addition, a significant (p<0.0001) decrease in urinary 11-dehydro-TXB(2) (26%), 8-iso-PGF(2alpha) (21%), plasma P-selectin (27%), CD40L (35%) and a 61% increase in esRAGE were observed. Multiple regression analysis revealed that urinary 8-iso-PGF(2alpha) [beta=0.33, SEM=0.116, p=0.027] and esRAGE (beta=-0.30, SEM=31.3, p=0.046) were the only significant predictors of urinary 11-dehydro-TXB(2) excretion rate over the training period. In conclusion, regular high-amount-high-intensity exercise training has broad beneficial effects on platelet activation markers, paralleled and possibly associated with changes in the lipoprotein profile and in markers of lipid peroxidation and AGE/RAGE axis. Our findings may help explaining why a similar amount of exercise exerts significant benefits in preventing cardiovascular events. FAU - Santilli, Francesca AU - Santilli F AD - Giovanni Davi, Center of Excellence on Aging, "G. D'Annunzio" University Foundation, Via Colle dell'Ara, 66013 Chieti, Italy, Tel.: +39 0871 541312, Fax: +39 0871 541261, E-mail: gdavi@unich.it. FAU - Vazzana, Natale AU - Vazzana N FAU - Iodice, Pierpaolo AU - Iodice P FAU - Lattanzio, Stefano AU - Lattanzio S FAU - Liani, Rossella AU - Liani R FAU - Bellomo, Rosa Grazia AU - Bellomo RG FAU - Lessiani, Gianfranco AU - Lessiani G FAU - Perego, Francesca AU - Perego F FAU - Saggini, Raoul AU - Saggini R FAU - Davi, Giovanni AU - Davi G LA - eng PT - Journal Article DEP - 20130912 PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (Glycation End Products, Advanced) RN - 0 (Isoprostanes) RN - 0 (Lipoproteins, HDL) RN - 0 (P-Selectin) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 0 (Thromboxanes) RN - 147205-72-9 (CD40 Ligand) RN - 54397-85-2 (Thromboxane B2) RN - 67910-12-7 (11-dehydro-thromboxane B2) SB - IM MH - Aged MH - Blood Platelets/*metabolism MH - CD40 Ligand/blood MH - *Exercise/physiology MH - Female MH - Glycation End Products, Advanced MH - Humans MH - Isoprostanes/*urine MH - Lipid Peroxidation/physiology MH - Lipoproteins, HDL/metabolism MH - Male MH - Middle Aged MH - Oxidative Stress MH - P-Selectin/blood MH - Platelet Activation/physiology MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*blood MH - Thromboxane B2/*analogs & derivatives/urine MH - Thromboxanes/metabolism OTO - NOTNLM OT - Aerobic exercise OT - esRAGE OT - oxidative stress OT - platelet activation EDAT- 2013/09/14 06:00 MHDA- 2014/09/06 06:00 CRDT- 2013/09/14 06:00 PHST- 2013/04/11 00:00 [received] PHST- 2013/08/09 00:00 [accepted] PHST- 2013/09/14 06:00 [entrez] PHST- 2013/09/14 06:00 [pubmed] PHST- 2014/09/06 06:00 [medline] AID - 13-04-0295 [pii] AID - 10.1160/TH13-04-0295 [doi] PST - ppublish SO - Thromb Haemost. 2013 Dec;110(6):1232-40. doi: 10.1160/TH13-04-0295. Epub 2013 Sep 12.