Exercise for Cardiovascular Disease Prevention and Treatment From Molecular to Clinical, Part 1

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Nevertheless results related to the increase of cardiomyocytes length is contro-

versial as these authors observed no differences in cardiomyocytes length whatever


was the regional origin (endo- or epicardium) or sedentary or trained rats [ 8 ].


In this paper and others [ 7 , 14 , 15 ] the main observed effect of training is focused

on the width (and by implication on depth) of cardiomyocytes with a greatest hyper-


trophy effect in endocardium wall region [ 8 ]. To further complicate the situation,


other data [ 6 ] indicated a slight reduction of the cardiomyocytes width (−2%) under


training.


1.1.4 Effects Dependence on Training Intensity


Clinical and epidemiological studies suggest that beneficial effects of regular


exercise depends on intensity or amount of work performed (see for example


[ 16 ]). So the group of Wisloff [ 15 ] have compared the effects of moderate versus


high intensity exercise on different parameters in rats running on treadmill. In


these experiments only high intensity type of chronic exercise was able to


increase (4%) the left ventricle weight. Regarding the cardiomyocytes length the


two types of intensity of training was able to enlarge the cells length but with a


prominent effect obtained with the high intensity type (14%) compared to the


moderate intensity training (5%). The same trend was observed for the cardio-


myocytes width (as well as by implication for volume). By contrast, Wang and


colleagues [ 17 ] also reported effects of both moderate and high intensity train-


ings on length and width of cardiomyocytes but without significant differences


between the two modes.


1.1.5 T-Tubules: A Minimal Change


One another morphologic parameter that could be addressed was the degree of


development and shape of T-Tubules network. Transverse tubules, which are invagi-


nations of the plasma membrane in close relation with the sarcoplasmic reticulum


membrane, allows the membrane depolarization and calcium entry uniformly across


to the whole cell and initiate coordinate contraction of the cardiomyocyte (see [ 18 ]).


Alteration or changes of these structures involved in such an important mechanism


would have certainly drastic impact on the physiological function of these cells.


Kemi and colleagues [ 14 ] studied, through Di-8-ANEPPS labelling, two param-

eters related to T-tubules membrane system: T-tubules density and T-tubules spac-


ing. Except a slight increase of the T-tubules density at the center (x-axis) of


cardiomyocytes, no difference in T-tubules density or spacing could be detected


between sedentary and trained animals.


5 Structural, Contractile and Electrophysiological Adaptations of Cardiomyocytes...

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