Only low intensity of aerobic exercise improves respiratory compliance in pulmonary hypertensive rats

Main Article Content

Katya Rigatto*
Denielli Da SG Bós
Renata Fernandes
Rodrigo B Jaenisch
Pedro Dal Lago

Abstract

Objective: To investigate in an animal model of Pulmonary Hypertension (PH) by monocrotaline whether a lower exercise intensity, which has lower potential to provoke dyspnea symptoms, could prevent the increase the right ventricle pressure and the decrease in respiratory compliance.


Setting: A research laboratory. ANIMALS: twenty-one Wistar rats were randomized to the groups: Control (CO; saline solution); PH-sedentary; PH-low and PH-moderate intensity of exercise training (ET).


Interventions: They received a single saline or monocrotaline subcutaneous injection (50 mg/kg). The exercise program was performed during 3-weeks.


Main Outcome Measures: Rats were evaluated by their morphometric and hemodynamic changes and by the respiratory mechanic responses induced by the exercise protocols.


Results: Both protocols of ET significantly (p < 0.05) attenuated the increase in the right ventricular systolic pressure. However, the lower intensity was more effective to prevent the impairment in the respiratory and quasi-static compliance.


Conclusion: Collectively, our results showed for the first time the benefits of ET to the respiratory system mechanics. We also demonstrated that intensity is crucial in PH, probably due to the difficulty to match VO2 capacity and O2 demand during exercise. The improvement in quasi-static compliance not only might improve the ability to breathe, and capture oxygen, but also welfare.

Article Details

Rigatto, K., SG Bós, D. D., Fernandes, R., Jaenisch, R. B., & Lago, P. D. (2019). Only low intensity of aerobic exercise improves respiratory compliance in pulmonary hypertensive rats. Journal of Cardiology and Cardiovascular Medicine, 4(3), 205–209. https://doi.org/10.29328/journal.jccm.1001069
Research Articles

Copyright (c) 2019 Rigatto K, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The Journal of Cardiology and Cardiovascular Medicine is committed in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. In order to use the Open Access paradigm to the maximum extent in true terms as free of charge online access along with usage right, we grant usage rights through the use of specific Creative Commons license.

License: Copyright © 2017 - 2025 | Creative Commons License Open Access by Journal of Cardiology and Cardiovascular Medicine is licensed under a Creative Commons Attribution 4.0 International License. Based on a work at Heighten Science Publications Inc.

With this license, the authors are allowed that after publishing with the journal, they can share their research by posting a free draft copy of their article to any repository or website.

Compliance 'CC BY' license helps in:

Permission to read and download
Permission to display in a repository
Permission to translate
Commercial uses of manuscript

'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.

Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license. 

McLaughlin VV, Archer SL, Badesch DB, Barst RJ, Farber HW, et al. ACCF/AHA 2009 Expert Consensus Document on Pulmonary Hypertension. A Report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association. J Am Coll Cardiol. 2009; 53: 1573–1619. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19389575

Thenappan T, Ormiston ML, Ryan JJ, Archer SL. Pulmonary arterial hypertension: Pathogenesis and clinical management. BMJ (Online). 2018. 360: j5492. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29540357

Dumitrescu D, Sitbon O, Weatherald J, Howard LS. Exertional dyspnoea in pulmonary arterial hypertension. Eur Respir Rev. 2017. 26: 170039. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28877974

Buys R, Avila A, Cornelissen VA. Exercise training improves physical fitness in patients with pulmonary arterial hypertension: A systematic review and meta-analysis of controlled trials. BMC Pulm Med. 2015. 15: 40. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25896259

Bolton CE, Blakey JD, Morgan MD. The British Thoracic Society guideline on pulmonary rehabilitation in adults: Your opinion is noted. Thorax. 2014; 69: 388-389. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24430178

McGregor G, Powell R, Finnegan S, Nichols S, Underwood M. Exercise rehabilitation programmes for pulmonary hypertension: A systematic review of intervention components and reporting quality. BMJ Open Sport and Exercise Medicine. 2018; 4: e000400. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30364456

Brooks G. Respiratory Physiology-The Essentials. Cardiopulm. Phys Ther J. 2018.

Allen G, Bates JH. Dynamic mechanical consequences of deep inflation in mice depend on type and degree of lung injury. J Appl Physiol. 2004; 96: 293–300. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12949024

Sanz J, Kariisa M, Dellegrottaglie S, Prat-González S, Garcia MJ, et al. Evaluation of Pulmonary Artery Stiffness in Pulmonary Hypertension With Cardiac Magnetic Resonance. JACC Cardiovasc Imaging. 2009; 2: 286-295. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19356573

Mereles D, Ehlken N, Kreuscher S, Ghofrani S, Hoeper MM, et al. Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation. 2006; 114: 1482-1489. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16982941

Grünig E, Ehlken N, Ghofrani A, Staehler G, Meyer FJ, et al. Effect of exercise and respiratory training on clinical progression and survival in patients with severe chronic pulmonary hypertension. Respiration. 2011; 81: 394–401. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21311162

Brown MB, Neves E, Long G, Graber J, Gladish B, et al. High-intensity interval training, but not continuous training, reverses right ventricular hypertrophy and dysfunction in a rat model of pulmonary hypertension. Am J Physiol. Regul Integr Comp Physiol. 2017; 312: R197–R210. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27784688

Enache I, Favret F, Doutreleau S, Goette Di Marco P, Charles AL, et al. Downhill exercise training in monocrotaline-injected rats: Effects on echocardiographic and haemodynamic variables and survival. Arch Cardiovasc Dis. 2017; 110: 106–115. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28117249

Handoko ML, de Man FS, Happé CM, Schalij I, Musters RJ, et al. Opposite effects of training in rats with stable and progressive pulmonary hypertension. Circulation. 2009; 120: 42–49. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19546388

Ehlken N, Lichtblau M, Klose H, Weidenhammer J, Fischer C, et al. Exercise training improves peak oxygen consumption and haemodynamics in patients with severe pulmonary arterial hypertension and inoperable chronic thrombo-embolic pulmonary hypertension: A prospective, randomized, controlled trial. Eur Heart J. 2016; 37: 35-44. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26231884

Fox BD, Kassirer M, Weiss I, Raviv Y, Peled N, et al. Ambulatory rehabilitation improves exercise capacity in patients with pulmonary hypertension. J Card Fail. 2011; 17: 196-200. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21362526

National Research Council. NRC and National Research Council. Guidance for the Description of Animal Research in Scientific Publications. 2011. PubMed: https://www.ncbi.nlm.nih.gov/books/NBK84205/

Pilis W, Zarzeczny R, Langfort J, Kaciuba-Uściłko H, Nazar K, et al. Anaerobic threshold in rats. Comp Biochem Physiol Comp Physiol. 1993; 106: 285–289. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7902799

Shepherd RE, Gollnick PD. Oxygen uptake of rats at different work intensities. Pflügers Arch. 1976; 362: 219–222. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/944429

Jaenisch RB, Hentschke VS, Quagliotto E, Cavinato PR, Schmeing LA, et al. Respiratory muscle training improves hemodynamics, autonomic function, baroreceptor sensitivity, and respiratory mechanics in rats with heart failure. J Appl Physiol. 2011; 111: 1664–1670. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21903877

Sanz J, Kariisa M, Dellegrottaglie S, Prat-González S, Garcia MJ, et al. Evaluation of Pulmonary Artery Stiffness in Pulmonary Hypertension With Cardiac Magnetic Resonance. JACC Cardiovasc Imaging. 2009; 2: 286-295. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19356573

Galiè N, Hoeper MM, Humbert M, Torbicki A, Vachiery JL, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J. 2009; 34: 1219–1263. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19749199

Prior BM, Yang HT, Terjung RL. What makes vessels grow with exercise training? J Appl Physiol. 2004; 97: 1119–1128. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15333630

Reis Gonçalves CT, Reis Gonçalves CG, de Almeida FM, Lopes FD, dos Santos Durão AC, et al. Protective effects of aerobic exercise on acute lung injury induced by LPS in mice. Crit Care. 2012; 16: R199. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23078757

Allen G, Bates JHT. Dynamic mechanical consequences of deep inflation in mice depend on type and degree of lung injury. J Appl Physiol. 2004; 96: 293-300. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12949024