PMID- 35296975 OWN - NLM STAT- MEDLINE DCOM- 20230203 LR - 20230203 IS - 1863-4362 (Electronic) IS - 0021-1265 (Linking) VI - 192 IP - 1 DP - 2023 Feb TI - Effects of acute aerobic exercise on cytokines, klotho, irisin, and vascular endothelial growth factor responses in rheumatoid arthritis patients. PG - 491-497 LID - 10.1007/s11845-022-02970-7 [doi] AB - BACKGROUND: Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that causes cartilage and bone damage as well as disability. AIMS : The aim of this study was to examine the effects of acute aerobic exercise on cytokines such as serum interleukin-6 (IL-6), interleukin-1beta (IL-1beta), Tumor Necrosis Factor-alpha (TNF-alpha) and irisin, vascular endothelial growth factor(VEGF) and klotho in RA patients. METHODS: Forty RA patient and 40 healthy volunteers of the same age participated in this study. All participants walked on the treadmill for 30 minutes at 60-80% of maximal heart rate. Blood samples were taken before and immediately after the exercise. Serum levels of IL-6, IL1beta, TNF-alpha and irisin, VEGF and klotho were measured by enzyme-linked immunosorbent analysis. RESULTS: Baseline levels of inflammatory cytokines, irisin, VEGF and klotho were found to be higher in RA patients compared to the control group. In both groups, there was an increase in serum klotho levels after exercise compared to baseline (p<0.05), while a decrease in IL1beta, TNF-alpha levels were observed. While serum VEGF level decreased in RA group, it increased in the control group(p<0.05). Irisin levels decreased in both groups. IL-6 level did not change in the control group, while it increased in RA group. A single exercise session had an acute anti-inflammatory effect in RA patients. CONCLUSION: It can be concluded that acute aerobic exercise can be beneficial for patients with RA through cytokine, irisin, klotho and VEGF levels, and also it can be safely implemented to the RA rehabilitation program for additional anti-inflammatory effects. Trial registration ClinicalTrials.gov: NCT04439682. CI - (c) 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland. FAU - Ercan, Zubeyde AU - Ercan Z AD - Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Firat University, Elazig, Turkey. zubeydeercan@firat.edu.tr. FAU - Deniz, Gulnihal AU - Deniz G AD - Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey. FAU - Yentur, Songul Baglan AU - Yentur SB AD - Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Firat University, Elazig, Turkey. FAU - Arikan, Funda Bulut AU - Arikan FB AD - Department of Physiology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey. FAU - Karatas, Ahmet AU - Karatas A AD - Department of Rheumatology, Faculty of Medicine, Firat University, Elazig, Turkey. FAU - Alkan, Gokhan AU - Alkan G AD - Department of Physical Therapy and Rehabilitation, Faculty of Medicine, Firat University, Elazig, Turkey. FAU - Koca, Suleyman Serdar AU - Koca SS AD - Department of Rheumatology, Faculty of Medicine, Firat University, Elazig, Turkey. LA - eng SI - ClinicalTrials.gov/NCT04439682 GR - SYO.20.01/Firat University Scientific Research Projects Foundation/ PT - Journal Article DEP - 20220316 PL - Ireland TA - Ir J Med Sci JT - Irish journal of medical science JID - 7806864 RN - 0 (Cytokines) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Fibronectins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Interleukin-6) RN - 0 (Vascular Endothelial Growth Factors) RN - 0 (Anti-Inflammatory Agents) SB - IM MH - Humans MH - *Cytokines/therapeutic use MH - Vascular Endothelial Growth Factor A MH - Fibronectins MH - Tumor Necrosis Factor-alpha/metabolism MH - Interleukin-6 MH - *Arthritis, Rheumatoid MH - Vascular Endothelial Growth Factors/therapeutic use MH - Exercise MH - Anti-Inflammatory Agents/therapeutic use OTO - NOTNLM OT - Acute aerobic exercise OT - Cytokine OT - Irisin OT - Klotho OT - Rheumatoid arthritis OT - VEGF EDAT- 2022/03/18 06:00 MHDA- 2023/02/04 06:00 CRDT- 2022/03/17 05:34 PHST- 2022/02/02 00:00 [received] PHST- 2022/03/09 00:00 [accepted] PHST- 2022/03/18 06:00 [pubmed] PHST- 2023/02/04 06:00 [medline] PHST- 2022/03/17 05:34 [entrez] AID - 10.1007/s11845-022-02970-7 [pii] AID - 10.1007/s11845-022-02970-7 [doi] PST - ppublish SO - Ir J Med Sci. 2023 Feb;192(1):491-497. doi: 10.1007/s11845-022-02970-7. Epub 2022 Mar 16.