PMID- 36911543 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230314 IS - 1011-6842 (Print) IS - 1011-6842 (Linking) VI - 39 IP - 2 DP - 2023 Mar TI - The Roles of Aerobic Exercise and Folate Supplementation in Hyperhomocysteinemia-Accelerated Atherosclerosis. PG - 309-318 LID - 10.6515/ACS.202303_39(2).20221027A [doi] AB - BACKGROUND: Hyperhomocysteinemia (HHcy) is an independent risk factor for atherosclerosis. Effective interventions to reduce HHcy-accelerated atherosclerosis are required. OBJECTIVES: This study aimed to investigate the effects of aerobic exercise (AE) and folate (FA) supplementation on plasma homocysteine (Hcy) level and atherosclerosis development in a mouse model. METHODS: Six-week-old female apoE-/- mice were grouped into five groups (N = 6-8): HHcy (1.8 g/L DL-homocysteine (DL-Hcy) in drinking water), HHcy + AE (1.8 g/L DL-Hcy and aerobic exercise training on a treadmill), HHcy + FA (1.8 g/L DL-Hcy and 0.006% folate in diet), HHcy + AE + FA (1.8 g/L DL-Hcy, 0.006% folate, and aerobic exercise training on a treadmill), and a control group (regular water and diet). All treatment was sustained for 8 weeks. Triglyceride, cholesterol, lipoprotein, and Hcy levels were determined enzymatically. Plaque and monocyte chemoattractant protein-1 (MCP-1) expression levels in mouse aortic roots were evaluated by immunohistochemistry. RESULTS: Compared to the HHcy group (18.88 +/- 6.13 mumol/L), plasma Hcy concentration was significantly reduced in the HHcy + AE (14.79 +/- 3.05 mumol/L, p = 0.04), HHcy + FA (9.4 +/- 3.85 mumol/L, p < 0.001), and HHcy + AE + FA (9.33 +/- 2.21 mumol/L, p < 0.001) groups. Significantly decreased aortic root plaque area and plaque burden were found in the HHcy + AE and HHcy + AE + FA groups compared to those in the HHcy group (both p < 0.05). Plasma MCP-1 level and MCP-1 expression in atherosclerotic lesions were significantly decreased in the HHcy + AE and HHcy + AE + FA groups compared to the HHcy group (all p < 0.05). CONCLUSIONS: AE reduced atherosclerosis development in HHcy apoE-/- mice independently of reducing Hcy levels. FA supplementation decreased plasma Hcy levels without attenuating HHcy-accelerated atherosclerosis. AE and FA supplementation have distinct mechanisms in benefiting atherosclerosis. FAU - Zhong, Xingming AU - Zhong X AD - School of Kinesiology and Health, Capital University of Physical Education and Sports. FAU - He, Rong AU - He R AD - Department of Cardiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University. FAU - You, Shaohua AU - You S AD - School of Kinesiology and Health, Capital University of Physical Education and Sports. FAU - Liu, Bo AU - Liu B AD - Department of Physiology, Peking University Health Center. FAU - Wang, Xiujie AU - Wang X AD - School of Kinesiology and Health, Capital University of Physical Education and Sports. FAU - Mao, Jieming AU - Mao J AD - Department of Cardiology, Peking University Third Hospital, Beijing, China. LA - eng PT - Journal Article PL - China (Republic : 1949- ) TA - Acta Cardiol Sin JT - Acta Cardiologica Sinica JID - 101687085 PMC - PMC9999187 OTO - NOTNLM OT - Aerobic exercise OT - Atherosclerosis OT - Folate OT - Homocysteine OT - Hyperhomocysteinemia EDAT- 2023/03/14 06:00 MHDA- 2023/03/14 06:01 PMCR- 2023/03/01 CRDT- 2023/03/13 04:27 PHST- 2022/04/20 00:00 [received] PHST- 2022/10/27 00:00 [accepted] PHST- 2023/03/13 04:27 [entrez] PHST- 2023/03/14 06:00 [pubmed] PHST- 2023/03/14 06:01 [medline] PHST- 2023/03/01 00:00 [pmc-release] AID - 10.6515/ACS.202303_39(2).20221027A [doi] PST - ppublish SO - Acta Cardiol Sin. 2023 Mar;39(2):309-318. doi: 10.6515/ACS.202303_39(2).20221027A.