PMID- 28722106 OWN - NLM STAT- MEDLINE DCOM- 20180619 LR - 20220409 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 47 IP - 8 DP - 2017 Aug TI - Anti-inflammatory effects of exercise: role in diabetes and cardiovascular disease. PG - 600-611 LID - 10.1111/eci.12781 [doi] AB - BACKGROUND: Persistent inflammation is involved in the pathogenesis of chronic diseases such as type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). AIMS: The aim of this review was to provide the reader with an update of the mechanisms whereby exercise-induced cytokines may impact cardiometabolic diseases. RESULTS: Evidence exists that interleukin (IL)-1beta is involved in pancreatic beta-cell damage, whereas TNF-alpha is a key molecule in peripheral insulin resistance. In addition, TNF-alpha appears to be involved in the pathogenesis of atherosclerosis and heart failure. A marked increase in IL-6 and IL-10 is provoked by exercise and exerts direct anti-inflammatory effects by an inhibition of TNF-alpha and by stimulating IL-1ra, thereby limiting IL-1beta signalling. Moreover, muscle-derived IL-6 appears to have direct anti-inflammatory effects and serves as a mechanism to improve glucose tolerance. In addition, indirect anti-inflammatory effects of long-term exercise are mediated via improvements in body composition. CONCLUSION: Physical activity represents a natural, strong anti-inflammatory strategy with minor side effects and should be integrated in the management of patients with cardiometabolic diseases. CI - (c) 2017 Stichting European Society for Clinical Investigation Journal Foundation. FAU - Pedersen, Bente Klarlund AU - Pedersen BK AUID- ORCID: 0000-0001-6508-6288 AD - Centre of Inflammation and Metabolism/Centre for Physical Activity Research (CIM/CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. LA - eng PT - Journal Article PT - Review DEP - 20170719 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 RN - 0 (Cytokines) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Abdominal Fat/metabolism MH - Adaptation, Physiological/physiology MH - C-Reactive Protein/metabolism MH - Cytokines/metabolism MH - Diabetes Mellitus, Type 2/metabolism/*prevention & control MH - Exercise/*physiology MH - *Exercise Therapy MH - Heart Failure/metabolism/*prevention & control MH - Humans MH - Inflammation/physiopathology/prevention & control MH - Insulin-Secreting Cells/physiology MH - Interleukin-1beta/metabolism/physiology MH - Interleukin-6/physiology MH - Myocardial Ischemia/metabolism/*prevention & control MH - Tumor Necrosis Factor-alpha/physiology MH - Yin-Yang OTO - NOTNLM OT - Cardiovascular disease OT - cytokines OT - diabetes OT - exercise OT - heart failure OT - inflammation EDAT- 2017/07/20 06:00 MHDA- 2018/06/20 06:00 CRDT- 2017/07/20 06:00 PHST- 2017/02/20 00:00 [received] PHST- 2017/06/26 00:00 [accepted] PHST- 2017/07/20 06:00 [pubmed] PHST- 2018/06/20 06:00 [medline] PHST- 2017/07/20 06:00 [entrez] AID - 10.1111/eci.12781 [doi] PST - ppublish SO - Eur J Clin Invest. 2017 Aug;47(8):600-611. doi: 10.1111/eci.12781. Epub 2017 Jul 19.