Anabolic steroids impair the exercise-induced growth of the cardiac capillary bed

C V Tagarakis1, W Bloch, G Hartmann

  • 1Institute I of Anatomy, University of Cologne, Germany.

Abstract

Insights

Anabolic steroids with exercise cause mild cardiac myocyte growth but impair blood vessel adaptation. This combination may reduce oxygen supply to the heart during exercise.

Area of Science:

  • Cardiovascular Physiology
  • Exercise Science
  • Pharmacology

Background:

  • Anabolic-androgenic steroids (AAS) and exercise can cause cardiac hypertrophy.
  • The effects of combined AAS and exercise on cardiac myocytes and capillaries are not fully understood.

Purpose of the Study:

  • To investigate the cardiac myocyte and capillary response to combined AAS and exercise.
  • To evaluate the impact of specific AAS (Dianabol, Oral-Turinabol) with exercise on cardiac morphology.

Main Methods:

  • Female mice were divided into control, exercise, AAS-only, and AAS + exercise groups.
  • Treadmill exercise and oral administration of Dianabol or Oral-Turinabol were used.
  • Cardiac left ventricular papillary muscles were morphometrically analyzed after 3 and 6 weeks.

Main Results:

  • Mild myocyte hypertrophy occurred only in AAS + exercise groups.
  • Exercise alone significantly increased capillary density and reduced intercapillary distance.
  • Exercise alone maximized capillary proliferation around myocytes.

Conclusions:

  • Combined AAS and exercise induce mild cardiac myocyte hypertrophy.
  • AAS with exercise impair cardiac microvascular adaptation to physical training.
  • This impairment may compromise myocardial oxygen supply during exertion.

Related Concept Videos

Exercise and Cardiovascular Response01:20

Exercise and Cardiovascular Response

Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
Cellular Adaptation II: Hypertrophy01:26

Cellular Adaptation II: Hypertrophy

Hypertrophy is the increase in the size of individual cells, resulting in the enlargement of a tissue or organ. Unlike hyperplasia, which involves an increase in cell number, hypertrophy is characterized by an increase in cell volume. This process often occurs in response to higher functional demand or hormonal stimulation, leading to the production of more structural proteins and organelles, thereby enhancing the cells' work capacity.There are two primary types of hypertrophy: physiological...
Exercise and Muscle Performance01:27

Exercise and Muscle Performance

Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...