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

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type of exercise training, temperature, cell isolation protocol, regional cardiac


differences or stimulation frequency. However, differences seem to be lesser in


studies using aerobic treadmill controlled-training. Thereby, series of experi-


ments using mouse and rat models highlighted that endurance exercise training


improves cardiomyocytes shortening, time to peak of contraction and time to half


relaxation [ 6 , 7 , 10 , 15 , 34 , 35 ]. Interestingly, the groups of Kemi [ 7 ] and of


Carneiro-Junior [ 36 ] demonstrated in rat ventricular myocytes that improvement


of cardiomyocytes contractility induced by 10 or 8 weeks of endurance exercise


training respectively reversed after 4 weeks of detraining. This demonstrates that


aerobic exercise training induces adaptations of cardiomyocytes including their


contractile characteristics.


At each cardiac cycle, a transient rise in intracellular Ca2+ occurs that will trigger

contraction (systole). Immediately thereafter, the decay of intracellular Ca2+ will


cause relaxation (diastole) of cardiomyocytes. Several studies have examined the


effects of exercise training on both cardiomyocytes shortening, and intracellular


Ca2+ transients. Some authors reported a decrease in both systolic and diastolic


intracellular Ca2+ in cardiomyocytes of exercise trained rats [ 10 , 13 , 37 ]. These


results show that improvement of cardiomyocytes shortening by exercise training is


not necessarily associated with an increase in systolic intracellular Ca2+. It can be


also explained by a greater Ca2+ sensibility of myofilaments [ 10 ]. Moreover, if other


studies showed no effect of physical training on both systolic and diastolic intracel-


lular Ca2+, reductions of time to peak and half-time of decay of intracellular Ca2+


transients [ 7 , 15 ] reported in these works confirm the beneficial effect of training.


Indeed, improvement of intracellular Ca2+ transients kinetics, also observed associ-


ated with increase in systolic intracellular Ca2+ in studies by the groups of Kemi [ 34 ]


and Carneiro-Junior [ 6 ], reflect the improvement of Ca2+ cycling induced by exer-


cise training.


2.2 Calcium Homeostasis


2.2.1 Ca2+ Cycling


Cardiomyocytes contraction results from massive Ca2+ release from sarcoplasmic


reticulum (SR), actin-myosin-Ca2+ binding interactions and eventually sarcomere


shortening. The signal for actin-myosin interaction is the binding of intracellular


free Ca2+ on troponin C. Intracellular free Ca2+ is increased due to the known pro-


cess Ca2+ − induced Ca2+ release. The latter takes place as follow: 1/depolarization


of both sarcolemma and T-tubules membrane activates L-type Ca2+ channels current


which allows entry of a small quantity of Ca2+ by L-type Ca2+ channel and by Na+/


Ca2+ exchanger (NCX) which works in the so-called reverse mode. 2/Free Ca2+


stimulates the ryanodine receptor (RyR2) localized on membrane of SR. 3/A rapid


transient of Ca2+- release via RyR2 produces the trigger signal for cardiomyocytes


contraction. During the relaxation, Ca2+ is removed from the cytosol by both the


A. Krzesiak et al.
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