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Updated: Apr 15, 2026

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
Published on: September 9, 2020
HSF1 and NF-κB p65 participate in the process of exercise preconditioning attenuating pressure overload-induced
Tongyi Xu1, Ben Zhang2, Fan Yang3
1Department of Cardiothoracic Surgery, No. 401 Hospital of PLA, Qingdao, China; Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Insights
Exercise preconditioning (EP) effectively reduces cardiac hypertrophy in rats by upregulating heat shock proteins and inhibiting inflammatory pathways. This study demonstrates EP
Area of Science:
- Cardiovascular Physiology
- Exercise Science
- Molecular Cardiology
Background:
- Pathological cardiac hypertrophy, a common complication of hypertension and valve defects, leads to myocyte remodeling and cardiac dysfunction.
- Exercise preconditioning (EP) is known to protect the heart against ischemia-reperfusion injury, but its role in pathological cardiac hypertrophy is understudied.
Purpose of the Study:
- To investigate the effects of exercise preconditioning (EP) on pathological cardiac hypertrophy induced by transverse aortic constriction (TAC) in rats.
- To elucidate the molecular mechanisms underlying the protective effects of EP in cardiac hypertrophy.
Main Methods:
- Male Sprague-Dawley rats were divided into sham, TAC, EP + sham, and EP + TAC groups.
- EP groups underwent 4 weeks of treadmill training before TAC surgery.
- Cardiac function, morphology, histology, and protein expression (HSF1, HSP70, NF-κB p65, IL2) were assessed 8 weeks post-surgery.
Main Results:
- TAC significantly increased hypertrophy indicators, which were effectively inhibited by EP treatment.
- EP upregulated heat shock factor 1 (HSF1) and heat shock protein 70 (HSP70) expression, increasing nuclear HSF1.
- EP inhibited nuclear translocation of the NF-κB p65 subunit and reduced myocardial IL2 levels.
Conclusions:
- Exercise preconditioning (EP) significantly attenuates cardiac hypertrophic responses induced by TAC.
- EP exerts a protective role by upregulating HSF1 and HSP70, activating HSF1, and subsequently inhibiting NF-κB p65 activation and IL2 expression.
Abstract:
Pathological cardiac hypertrophy, often accompanied by hypertension, aortic stenosis and valvular defects, is typically associated with myocyte remodeling and cardiac dysfunction. Exercise preconditioning (EP) has been proven to enhance the tolerance of the myocardium to cardiac ischemia-reperfusion injury. However, the effects of EP in pathological cardiac hypertrophy are rarely reported. 10-wk-old male Sprague-Dawley rats (n = 80) were randomly divided into four groups: sham, TAC, EP + sham and EP + TAC. Two EP groups were subjected to 4 weeks of treadmill training, and the EP + TAC and TAC groups were followed by TAC operations. The sham and EP + sham groups underwent the same operation without aortic constriction. Eight weeks after the surgery, we evaluated the effects of EP by echocardiography, morphology, and histology and observed the expressions of the associated proteins. Compared with the respective control groups, hypertrophy-related indicators were significantly increased in the TAC and EP + TAC groups (p < 0.05). However, between the TAC and EP + TAC groups, all of these changes were effectively inhibited by EP treatment (p < 0.05). Furthermore, EP treatment upregulated the expression of HSF1 and HSP70, increased the HSF1 levels in the nuclear fraction, inhibited the expression of the NF-κB p65 subunit, decreased the NF-κB p65 subunit levels in the nuclear fraction, and reduced the IL2 levels in the myocardia of rats. EP could effectively reduce the cardiac hypertrophic responses induced by TAC and may play a protective role by upregulating the expressions of HSF1 and HSP70, activating HSF1 and then inhibiting the expression of NF-κB p65 and nuclear translocation.
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