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Updated: Nov 6, 2025

Flow Cytometry Analysis of Immune Cells Within Murine Aortas
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Regular physical exercise mediates the immune response in atherosclerosis.

André F do Brito Valente1, Richard T Jaspers1, Rob Ci Wüst1

  • 1Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Exercise Immunology Review
|May 9, 2021
PubMed
Summary

Regular exercise reduces atherosclerosis by lowering inflammation through immune system modulation and altered myokine levels. This review explores how exercise impacts cardiovascular disease pathophysiology.

Keywords:
FGF21IL-6adiponectinatherosclerosiscytokinesexercisemyokines

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Area of Science:

  • Cardiovascular Disease Research
  • Immunology
  • Exercise Physiology

Background:

  • Atherosclerosis is a chronic inflammatory disease characterized by plaque buildup in blood vessels, potentially leading to restricted blood flow.
  • The immune system significantly influences plaque rupture in atherosclerosis.
  • The precise mechanisms by which regular exercise combats atherosclerosis pathophysiology remain unclear.

Purpose of the Study:

  • To review the mechanisms through which regular exercise modulates atherosclerosis.
  • To discuss how exercise lowers systemic inflammation via immune system and myokine alterations.
  • To examine exercise-induced responses of myokines and innate immune cell function.

Main Methods:

  • Literature review focusing on exercise, inflammation, and atherosclerosis.
  • Analysis of immune system modulation by exercise.
  • Examination of myokine (IL-6, adiponectin, FGF21) responses to exercise.

Main Results:

  • Regular exercise can decrease systemic inflammation through direct immune system modulation.
  • Exercise influences atherosclerosis indirectly via changes in myokine concentrations and metabolites.
  • Specific myokines like IL-6, adiponectin, and FGF21 show altered responses to exercise.

Conclusions:

  • Regular exercise offers anti-inflammatory benefits relevant to atherosclerosis.
  • Exercise modulates innate immune cell function, impacting plaque formation.
  • Understanding these mechanisms can lead to novel therapeutic strategies for cardiovascular disease.