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Journal of Applied Physiology
Article . 2012 . Peer-reviewed
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Endurance exercise attenuates ventilator-induced diaphragm dysfunction

Authors: Ashley J, Smuder; Kisuk, Min; Matthew B, Hudson; Andreas N, Kavazis; Oh-Sung, Kwon; W Bradley, Nelson; Scott K, Powers;

Endurance exercise attenuates ventilator-induced diaphragm dysfunction

Abstract

Controlled mechanical ventilation (MV) is a life-saving measure for patients in respiratory failure. However, MV renders the diaphragm inactive leading to diaphragm weakness due to both atrophy and contractile dysfunction. It is now established that oxidative stress is a requirement for MV-induced diaphragmatic proteolysis, atrophy, and contractile dysfunction to occur. Given that endurance exercise can elevate diaphragmatic antioxidant capacity and the levels of the cellular stress protein heat shock protein 72 (HSP72), we hypothesized that endurance exercise training before MV would protect the diaphragm against MV-induced oxidative stress, atrophy, and contractile dysfunction in female Sprague-Dawley rats. Our results confirm that endurance exercise training before MV increased both HSP72 and the antioxidant capacity in the diaphragm. Importantly, compared with sedentary animals, exercise training before MV protected the diaphragm against MV-induced oxidative damage, protease activation, myofiber atrophy, and contractile dysfunction. Further, exercise protected diaphragm mitochondria against MV-induced oxidative damage and uncoupling of oxidative phosphorylation. These results provide the first evidence that exercise can provide protection against MV-induced diaphragm weakness. These findings are important and establish the need for future experiments to determine the mechanism(s) responsible for exercise-induced diaphragm protection.

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Keywords

Body Weight, Cell Respiration, Diaphragm, RNA-Binding Proteins, HSP72 Heat-Shock Proteins, Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha, Antioxidants, Oxidative Phosphorylation, Mitochondria, Muscular Atrophy, Oxidative Stress, Myofibrils, Physical Conditioning, Animal, Proteolysis, Physical Endurance, Animals, Female, Muscle, Skeletal, Muscle Contraction, Peptide Hydrolases

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
66
Top 10%
Top 10%
Top 10%
bronze