PMID- 24278863 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131126 LR - 20211021 IS - 2288-176X (Print) IS - 2288-1778 (Electronic) IS - 2288-176X (Linking) VI - 9 IP - 2 DP - 2013 Apr TI - Effects of aging and exercise training on apoptosis in the heart. PG - 212-9 LID - 10.12965/jer.130002 [doi] AB - Aging is characterized by a progressive decline in cardiac function. A critical contributor to the age-related impairment in cardiac function is the loss of cardiac myocytes through "apoptosis", or programmed cell death. Structural remodeling in the heart with advancing age includes (a) loss of cardiomyocytes, (b) reactive hypertrophy of the remaining cardiomyocytes, and (c) increased connective tissue and altered geometry. The loss of cardiomyocytes with aging occurs through apoptosis. Particularly, mitochondrial-mediated apoptotic pathway is the best characterized and believed critical in regulating apoptosis with aging, suggesting that mitochondria are very important sites of programmed cell death. It has been also reported that mitochondrial dysfunction, oxidative stress, and impaired stress response contribute to age-induced mechanical remodeling as well as apoptosis. In contrast, exercise training not only improves cardiac function, but also reduces the risk of heart disease. We recently found that aging increased mitochondrial-mediated apoptotic signaling and apoptosis in the left ventricle, while chronic exercise training was effective in diminishing mitochondrial-mediated apoptotic signaling pathways in the aging heart, as indicated by lower DNA fragmentation, terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL)-positive staining, and caspase-3 cleavage, when compared with left ventricles from the age-matched sedentary group. In this review, we will provide a comprehensive update regarding the effects of aging and exercise training on apoptosis in the heart. FAU - Kwak, Hyo-Bum AU - Kwak HB AD - Department of Kinesiology, Inha University, Incheon, Korea. LA - eng PT - Journal Article PT - Review DEP - 20130425 PL - Korea (South) TA - J Exerc Rehabil JT - Journal of exercise rehabilitation JID - 101615171 EIN - J Exerc Rehabil. 2013 Dec;9(6):549 PMC - PMC3836520 OTO - NOTNLM OT - Aging OT - Apoptosis OT - Heart OT - Mitochondria OT - Myocytes EDAT- 2013/11/28 06:00 MHDA- 2013/11/28 06:01 PMCR- 2013/04/25 CRDT- 2013/11/27 06:00 PHST- 2013/02/03 00:00 [received] PHST- 2013/03/04 00:00 [revised] PHST- 2013/04/02 00:00 [accepted] PHST- 2013/11/27 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2013/11/28 06:01 [medline] PHST- 2013/04/25 00:00 [pmc-release] AID - jer-9-2-2-212_219 [pii] AID - 10.12965/jer.130002 [doi] PST - ppublish SO - J Exerc Rehabil. 2013 Apr;9(2):212-9. doi: 10.12965/jer.130002. Epub 2013 Apr 25.