PMID- 32174990 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 1735-1995 (Print) IS - 1735-7136 (Electronic) IS - 1735-1995 (Linking) VI - 25 DP - 2020 TI - A cardiac rehabilitation exercise program potentially inhibits progressive inflammation in patients with severe Chagas cardiomyopathy: A pilot single-arm clinical trial. PG - 18 LID - 10.4103/jrms.JRMS_175_18 [doi] LID - 18 AB - BACKGROUND: Cardiac rehabilitation exerts anti-inflammatory effect on several cardiovascular diseases; however, these effects were not described for Chagas cardiomyopathy, which is associated with pro-inflammatory imbalance. MATERIALS AND METHODS: Ten patients with severe Chagas cardiomyopathy performed 8 months of exercise training in a cardiac rehabilitation program. Interleukin-1 beta (IL-1beta), IL-8, IL-10, interferon gamma (IF-gamma), tumor necrosis factor alpha (TNF-alpha), and monocyte chemoattractant protein-1 (MCP-1) serum levels were measured using enzyme-linked immunosorbent assay at baseline, 4, and 8 months. The influence of exercise on cytokine levels was evaluated using the one-way analysis of variance for repeated measurements, with Bonferroni posttest for multiple comparisons. RESULTS: Levels of pro-inflammatory (TNF-alpha, IL-1beta, IL-8, IF-gamma, and (MCP-1) and anti-inflammatory (IL-10) cytokines did not vary significantly during the observation period. CONCLUSION: Exercise may benefit patients with severe Chagas cardiomyopathy by curbing the production of pro-inflammatory cytokines in this disease characterized by a continuous state of inflammation. CI - Copyright: (c) 2020 Journal of Research in Medical Sciences. FAU - Rodrigues Junior, Luiz Fernando AU - Rodrigues Junior LF AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. AD - Care Support Division, Physical Therapy Service, National Institute of Cardiology, Rio de Janeiro, RJ, Brazil. FAU - Mendes, Fernanda de Souza Nogueira Sardinha AU - Mendes FSNS AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - Pinto, Vivian Liane Mattos AU - Pinto VLM AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - da Silva, Paula Simplicio AU - da Silva PS AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - Sperandio da Silva, Gilberto Marcelo AU - Sperandio da Silva GM AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - Pinheiro, Roberta Olmo AU - Pinheiro RO AD - Leprosy Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - de Sousa, Andrea Silvestre AU - de Sousa AS AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. FAU - Mediano, Mauro Felippe Felix AU - Mediano MFF AD - Laboratory of Clinical Research on Chagas Disease, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil. LA - eng PT - Journal Article DEP - 20200220 PL - India TA - J Res Med Sci JT - Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences JID - 101235599 PMC - PMC7053160 OTO - NOTNLM OT - Cardiac rehabilitation OT - Chagas cardiomyopathy OT - cytokines OT - heart failure COIS- There are no conflicts of interest. EDAT- 2020/03/17 06:00 MHDA- 2020/03/17 06:01 PMCR- 2020/02/20 CRDT- 2020/03/17 06:00 PHST- 2019/07/23 00:00 [received] PHST- 2019/10/24 00:00 [revised] PHST- 2019/12/05 00:00 [accepted] PHST- 2020/03/17 06:00 [entrez] PHST- 2020/03/17 06:00 [pubmed] PHST- 2020/03/17 06:01 [medline] PHST- 2020/02/20 00:00 [pmc-release] AID - JRMS-25-18 [pii] AID - 10.4103/jrms.JRMS_175_18 [doi] PST - epublish SO - J Res Med Sci. 2020 Feb 20;25:18. doi: 10.4103/jrms.JRMS_175_18. eCollection 2020.