Nifedipine Treatment Reduces Resting Calcium Concentration, Oxidative and Apoptotic Gene Expression, and Improves Muscle Function in Dystrophic mdx Mice

Duchenne Muscular Dystrophy (DMD) is a recessive X-linked genetic disease, caused by mutations in the gene encoding dystrophin. DMD is characterized in humans and in mdx mice by a severe and progressive destruction of muscle fibers, inflammation, oxidative/nitrosative stress, and cell death. In mdx muscle fibers, we have shown that basal ATP release is increased and that extracellular ATP stimulation is pro-apoptotic. In normal fibers, depolarization-induced ATP release is blocked by nifedipine, leading us to study the potential therapeutic effect of nifedipine in mdx muscles and its relation with extracellular ATP signaling. Acute exposure to nifedipine (10 µM) decreased [Ca2+]r, NF-κB activity and iNOS expression in mdx myotubes. In addition, 6-week-old mdx mice were treated with daily intraperitoneal injections of nifedipine, 1 mg/Kg for 1 week. This treatment lowered the [Ca2+]r measured in vivo in the mdx vastus lateralis. We demonstrated that extracellular ATP levels were higher in adult mdx flexor digitorum brevis (FDB) fibers and can be significantly reduced after 1 week of treatment with nifedipine. Interestingly, acute treatment of mdx FDB fibers with apyrase, an enzyme that completely degrades extracellular ATP to AMP, reduced [Ca2+]r to a similar extent as was seen in FDB fibers after 1-week of nifedipine treatment. Moreover, we demonstrated that nifedipine treatment reduced mRNA levels of pro-oxidative/nitrosative (iNOS and gp91phox/p47phox NOX2 subunits) and pro-apoptotic (Bax) genes in mdx diaphragm muscles and lowered serum creatine kinase (CK) levels. In addition, nifedipine treatment increased muscle strength assessed by the inverted grip-hanging test and exercise tolerance measured with forced swimming test in mdx mice. We hypothesize that nifedipine reduces basal ATP release, thereby decreasing purinergic receptor activation, which in turn reduces [Ca2+]r in mdx skeletal muscle cells. The results in this work open new perspectives towards possible targets for pharmacological approaches to treat DMD

Effects of Exercise Training under Hyperbaric Oxygen on Oxidative Stress Markers and Endurance Performance in Young Soccer Players: A Pilot Study

The aim of the present study was to determine the effects of three weeks of hyperbaric oxygen (HBO2) training on oxidative stress markers and endurance performance in young soccer players. Participants (18.6±1.6 years) were randomized into hyperbaric-hyperoxic (HH) training (n=6) and normobaric normoxic (NN) training (n=6) groups. Immediately before and after the 5th, 10th, and 15th training sessions, plasma oxidative stress markers (lipid hydroperoxides and uric acid), plasma antioxidant capacity (6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid [TROLOX]), arterial blood gases, acid-base balance, bases excess (BE), and blood lactate analyses were performed. Before and after intervention, maximal oxygen uptake (VO2max) and peak power output (PPO) were determined. Neither HH nor NN experienced significant changes on oxidative stress markers or antioxidant capacity during intervention. VO2max and PPO were improved (moderate effect size) after HH training. The results suggest that HBO2 endurance training does not increase oxidative stress markers and improves endurance performance in young soccer players. Our findings warrant future investigation to corroborate that HBO2 endurance training could be a potential training approach for highly competitive young soccer players

The effects of interset rest on adaptation to 7 weeks of explosive training in young soccer players

The aim of the study was to compare the effects of plyometric training using 30, 60, or 120 s of rest between sets on explosive adaptations in young soccer players. Four groups of athletes (age 10.4 ± 2.3 y; soccer experience 3.3 ± 1.5 y) were randomly formed: control (CG; n = 15), plyometric training with 30 s (G30; n = 13), 60 s (G60; n = 14), and 120 s (G120; n = 12) of rest between training sets. Before and after intervention players were measured in jump ability, 20-m sprint time, change of direction speed (CODS), and kicking performance. The training program was applied during 7 weeks, 2 sessions per week, for a total of 840 jumps. After intervention the G30, G60 and G120 groups showed a significant (p = 0.0001 – 0.04) and small to moderate effect size (ES) improvement in the countermovement jump (ES = 0.49; 0.58; 0.55), 20 cm drop jump reactive strength index (ES = 0.81; 0.89; 0.86), CODS (ES = -1.03; -0.87; -1.04), and kicking performance (ES = 0.39; 0.49; 0.43), with no differences between treatments. The study shows that 30, 60, and 120 s of rest between sets ensure similar significant and small to moderate ES improvement in jump, CODS, and kicking performance during high-intensity short-term explosive training in young male soccer players

The Gut Microbiome on a Periodized Low-Protein Diet Is Associated With Improved Metabolic Health

A periodized (14 days on/14 days off) 5% low protein-high carbohydrate (pLPHC) diet protects against weight gain, improves glucose tolerance in mice and interacts with concurrent voluntary activity wheel training on several parameters including weight maintenance and liver FGF21 secretion. The gut microbiome (GM) responds to both diet and exercise and may influence host metabolism. This study compared the cecal GM after a 13.5-week intervention study in mice on a variety of dietary interventions ± concurrent voluntary exercise training in activity wheels. The diets included chronic chow diet, LPHC diet, 40 E% high protein-low carbohydrate (HPLC) diet, an obesigenic chronic high-fat diet (HFD) and the pLPHC diet. Our hypothesis was that the GM changes with pLPHC diet would generally reflect the improved metabolic health of the host and interact with concurrent exercise training. The GM analyses revealed greater abundance phylum Bacteroidetes and the genus Akkermansia on chronic and periodized LPHC and higher abundance of Oscillospira and Oscillibacter on HFD. The differences in diet-induced GM correlated strongly with the differences in a range of host metabolic health-measures. In contrast, no significant effect of concurrent exercise training was observed. In conclusion, pLPHC diet elicits substantial changes in the GM. In contrast, only subtle and non-significant effects of concurrent activity wheel exercise were observed. The pLPHC-associated microbiome may contribute to the healthier host phenotype observed in these mice

Promoción de la salud y entornos saludables

A forestar forestalAplicación de un programa educativo participativo en salud  bucal a una comunidad de adultos mayoresBiblioteca móvil y su implementación en el hospital Padre HurtadoConsumo de riesgo de alcohol en Chile: una propuesta innovadora de intervenciónDiseño de un programa interactivo de promoción de la salud vocal para NB1Encuentro formativo en promoción de salud y gestión de entornos saludables para TenoExperiencia docente: programa intersectorial de promoción/prevención en preescolares de comunas vulnerables, Región MetropolitanaFiltrado glomerular, método preventivo aparición de fibrosis sistémica nefrogénica por gadolinio en examen de RMImplementación de consejerías en vida sana en APS, Región de los RíosMedicina preventiva en feria libre de la población San Gregorio: Cecof San Gregorio, Contagiando SaludMetodología innovadora en la enseñanza de una ectoparasitosisPrevención de accidentes por monóxido de carbono en edificios, Providencia 2002-2009Programa de promoción y prevención en salud bucal para preescolaresPromoviendo hábitos saludables en los vecinos de Reñaca Alto, Viña del Mar, 2009Rol de la capacitación en la implementación de acciones para la prevención de la obesidadSatisfacción usuaria en el Cesfam Natales a un año de su funcionamientoTres estrategias publicitarias y de comunicación aplicadas al consumo de alcohol de bajo riesgoTropa de la salud: uso de los medios como forma de promover la salu

NADPH Oxidase 2-A novel regulator of molecular responses to exercise

Doctor en ciencias BiomédicasPhysical activity plays a protective role in the development of chronic non-communicable diseases. Molecular adaptations explain the beneficial effects of exercise in diverse tissues such as skeletal muscle, adipose tissue, and heart. One of the multiple signals involved in the benefits of exercise are the oxidation-reduction reactions called redox signaling. Reversible and non-reversible posttranslational modifications of cysteine residues are capable of changing the function, localization, or stability of diverse proteins. In skeletal muscle, reactive oxygen species (ROS) are continuously produced and cleared during resting and contracting conditions. There is substantial evidence indicating that redox signaling plays a role in some of the health-benefits elicited by endurance training, however, the precise mechanism has been long unknown. The aim of the current Ph.D. thesis was therefore to study the involvement of NOX2 and redox signals in the regulation of exercise-stimulated glucose transport and adaptive gene expression in mature skeletal muscle. A combination of pharmacological inhibitors and murine NOX2-deficient models were used to address the necessity of NOX2 for glucose transport and adaptive signals induced by acute exercise. The current Ph.D. thesis demonstrated for the first time that NOX2 is activated during moderateintensity endurance exercise in skeletal muscle and it is a major source of ROS under those conditions. Furthermore, the analyses of genetic mouse models lacking the regulatory NOX2 subunits p47phox and Rac1 revealed striking phenotypic similarities, including severely impaired exercise-stimulated glucose uptake and GLUT4 translocation, indicating that NOX2 is a requirement for this classic acute myocellular adaptation to exercise. Overall, NOX2 is thus a major ROS source regulating adaptive responses to exercise in skeletal muscle.La actividad física juega un papel protector en el desarrollo de enfermedades crónicas no transmisibles. Las respuestas moleculares explican los efectos beneficiosos del ejercicio en diversos tejidos como el músculo esquelético, el tejido adiposo y el corazón. Una de las múltiples señales involucradas en los beneficios del ejercicio son las reacciones de oxidación-reducción llamadas señalización redox. Las modificaciones postraduccionales reversibles e irreversibles de residuos de cisteína son capaces de cambiar la función, localización o estabilidad de diversas proteínas. En el músculo esquelético, las especies de oxígeno reactivo (ROS) se producen y eliminan continuamente durante las condiciones de reposo y contracción. Existe evidencia sustancial que indica que la señalización redox juega un papel en algunos de los beneficios para la salud provocados por el entrenamiento de resistencia, sin embargo, el mecanismo preciso ha sido desconocido durante mucho tiempo. El objetivo de la presente la tesis fue estudiar la participación de NOX2 en la regulación del transporte de glucosa durante el ejercicio y la expresión de genes adaptativos en el músculo esquelético adulto. Se utilizó una combinación de inhibidores farmacológicos y modelos deficientes en NOX2 ratón para abordar la necesidad de NOX2 para el transporte de glucosa y las señales adaptativas inducidas por el ejercicio agudo. Esta tesis demostró por primera vez que el NOX2 se activa durante el ejercicio de resistencia de intensidad moderada en el músculo esquelético y es una fuente importante de ROS en esa condición. Además, los análisis de modelos de ratones genéticos que carecen de las subunidades reguladoras NOX2 p47phox y Rac1 revelaron sorprendentes similitudes fenotípicas, incluida la captación de glucosa estimulada por el ejercicio y la translocación de GLUT4, lo que indica que NOX2 necesaria para esta respuesta fisiológica durante el ejercicio. En resumen, NOX2 es, por lo tanto, una importante fuente de ROS que regula las respuestas de adaptación al ejercicio en el músculo esquelético.22/03/202

NOX2 inhibition impairs early muscle gene expression induced by a single exercise bout

Reactive oxygen species (ROS) participate as signaling molecules in response to exercise in skeletal muscle. However, the source of ROS and the molecular mechanisms involved in these phenomena are still not completely understood. The aim of this work was to study the role of skeletal muscle NADPH oxidase isoform 2 (NOX2) in the molecular response to physical exercise in skeletal muscle. BALB/c mice, pre-treated with a NOX2 inhibitor, apocynin, (3 mg/kg) or vehicle for 3 days, were swim-exercised for 60 min. Phospho-p47phox levels were significantly upregulated by exercise in flexor digitorum brevis (FDB). Moreover, exercise significantly increased NOX2 complex assembly (p47phox-gp91phox interaction) demonstrated by both proximity ligation assay and co-immunoprecipitation. Exercise-induced NOX2 activation was completely inhibited by apocynin treatment. As expected, exercise increased the mRNA levels of manganese superoxide dismutase (MnSOD), glutathione peroxidase (GPx), citrate synthase (CS), mitochondrial transcription factor A (tfam) and interleukin-6 (IL-6) in FDB muscles. Moreover, the apocynin treatment was associated to a reduced activation of p38 MAP kinase, ERK 1/2, and NF-κB signaling pathways after a single bout of exercise. Additionally, the increase in plasma IL-6 elicited by exercise was decreased in apocynin-treated mice compared with the exercised vehicle-group (p<0.001). These results were corroborated using gp91-dstat in an in-vitro exercise model. In conclusion, NOX2 inhibition by both apocynin and gp91dstat, alters the intracellular signaling to exercise and electrical stimuli in skeletal muscle, suggesting that NOX2 plays a critical role in molecular response to an acute exercise