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Updated: May 18, 2026

Induction and Assessment of Exertional Skeletal Muscle Damage in Humans
Published on: December 11, 2016
Cytokines and cellular inflammatory sequence in non-athletes after prolonged exercise.
J Ostapiuk-Karolczuk1, A Zembron-Lacny, M Naczk
1Department of Sport Medicine and Biochemistry, Faculty of Physical Culture Gorzow Wlkp, University of Physical Education, Poznan, Poland. joanna.ostapiuk@gmail.com.
Intense running exercise initially boosts anti-inflammatory cytokines and white blood cells, followed by a prolonged pro-inflammatory response linked to muscle damage in non-athletes.
Area of Science:
- Exercise immunology
- Sports science
- Inflammation research
Background:
- Understanding the immune response to acute exercise is crucial for sports science.
- Cytokine profiles and inflammatory cell dynamics following intense physical exertion require further elucidation.
Purpose of the Study:
- To investigate the temporal sequence of cytokine and inflammatory cell changes in non-athletes after intense running.
- To explore the relationship between inflammatory markers and muscle damage indicators post-exercise.
Main Methods:
- Sixteen healthy young men underwent a 90-minute running exercise at 65% VO2max.
- Plasma cytokine levels (IL-4, IL-6, IL-10, IL-1β, TNFα) and white blood cell counts were measured.
- Creatine kinase (CK) activity was assessed to indicate muscle damage.
Main Results:
- Anti-inflammatory cytokines (IL-4, IL-6, IL-10) and white blood cells increased immediately post-exercise, with correlations noted between IL-6/IL-10 and neutrophils.
- Pro-inflammatory cytokines (IL-1β, TNFα) and monocytes appeared at 6 hours post-exercise.
- Elevated pro-inflammatory cytokines, monocytes, and creatine kinase persisted for 48 hours, correlating with muscle damage.
Conclusions:
- Exercise elicits a biphasic inflammatory response: initial anti-inflammatory cytokine production followed by a delayed pro-inflammatory phase.
- The sustained pro-inflammatory response is associated with exercise-induced muscle damage.
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