Exercise training can induce cardiac autophagy at end-stage chronic conditions: insights from a

Carmen Fiuza-Luces1, Aitor Delmiro2, Luisa Soares-Miranda3

  • 1European University and Hospital Universitario 12 de Octubre Research Institute (i+12), Madrid, Spain.

Insights

Exercise training improved cardiac function in a mouse model of chronic graft-versus-host disease (cGVHD) by enhancing autophagy. This cellular process may preserve heart function in debilitating conditions.

Area of Science:

  • Cardiovascular Physiology
  • Exercise Science
  • Cellular Biology

Background:

  • Chronic graft-versus-host disease (cGVHD) significantly impairs physical capacity post-allogeneic hematopoietic stem cell transplantation (allo-HSCT).
  • Aerobic exercise training shows potential to improve survival and functional parameters in cGVHD patients.
  • Autophagy, a cellular quality-control mechanism, is being investigated for its role in disease adaptation and recovery.

Purpose of the Study:

  • To investigate the role of autophagy in exercise-induced cardiac function improvement in a cGVHD murine model.
  • To analyze molecular mechanisms underlying cardiac benefits of exercise in cGVHD.

Main Methods:

  • BALB/C mice with cGVHD underwent 11 weeks of moderate-intensity treadmill training.
  • Cardiac tissue was analyzed for markers of macroautophagy, protein preservation, oxidative capacity, oxidative stress, antioxidant defense, and mitochondrial dynamics.
  • Key molecular markers were quantified in surviving mice.

Main Results:

  • Exercise training significantly increased myocardial macroautophagy markers (LC3BII, Atg12, SQSTM1/p62, phospho-ULK1).
  • Exercise also enhanced levels of contractile proteins (α-tubulin) and antioxidant enzymes (catalase, glutathione reductase).
  • These molecular adaptations suggest improved cellular maintenance and reduced oxidative stress.

Conclusions:

  • Exercise training induces beneficial autophagic adaptation in the heart during cGVHD.
  • This autophagic response may contribute to preserving cardiac function in advanced stages of cGVHD.
  • Findings suggest exercise may offer therapeutic benefits for cardiac dysfunction in chronic and debilitating diseases.
Abstract

Related Concept Videos