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. 2024 Sep 18;13(19):e036555. doi: 10.1161/JAHA.124.036555

Table 1.

Exercise Regulates Cytokines in Cardiovascular Diseases

Cytokines Subjects Exercise intervention program Main mechanism Main biological action Cardiovascular diseases Reference
Model Sample size Type Intensity Duration
UCP2 Mice ND Treadmill running Exhausted ND UCP2/AMPK/Akt/FoxO1 Autophagy↑ and oxidation resistance↑ Atherosclerosis 71
FUNDC1 Mice ND Endurance swim training 70% maximal power 5 d/wk; 90 min/d; 4 wk PPARγ/FUNDC1/LC3 Mitophagy↑ and IRI↓ Atherosclerosis 72
PGC‐1α Rats ND Swimming training 3 h/session, 2 times, separated by 45 min 1 d P38γMAPK/ATF2/PGC‐1α/VEGF Mitochondrial biogenesis↑ and angiogenesis↑ Atherosclerosis 41
Irisin Mice 45 Treadmill running HIIT and MICT 3 times/wk; 23 min/set; 6 wk PGC‐1a/FNDC5/irisin Mitochondrial oxidative damage↓ and blood lipid ↓ Atherosclerosis 77
FGF21 Mice 40 Treadmill running and ladder‐climbing 76% of VO2max and 75% of the maximum load 5 d/wk; 4 wk and 3 times/set, 9 sets/d, 4 wk FGF21/TGF‐β1/Smad2/3/MMP2/9 Mitochondrial biogenesis↑, oxidative stress↓, cell apoptosis↓ and cardiac fibrosis↓ Ischemic heart disease 83
Musclin Mice 40 Treadmill running 15 m/min at 5° inclination, 45 min 5 d/wk, 3 wk cGMP/PKGI/CREB/PGC‐1α Mitochondrial biogenesis↑ Ischemic heart disease 82
SIRT1 Human; rats 70 Treadmill running 10m/min, 5 min (40%–50% VO2max); 13 m/min, 5 min; 16 m/min, 50 min(60%–70% VO2max) 5d/wk, 3wk SIRT1/PGC‐1α/PI3K/Akt Mitochondrial integrity and biogenesis↑ Ischemic heart disease 78
HSP70 Healthy mAu: ale 11 Cycling 30 min at 55% VO2max, 20 min at 70% VO2max and until exhaustion (10 min) at 80% of VO2max 60 min, 1 session HSP70/TLR4/ERK/p38MAPK/HSP27 Mitochondrial protein folding↑, cell proliferation and angiogenesis↑ Ischemic heart disease 92, 93
FGF21 Mice 20 Treadmill running 9 m/min 5 d/wk, 1 h/d, 6 wk AMPK/FOXO3/SIRT3 Toxic lipid‐induced mitochondrial dysfunction↓ and oxidative stress↓ Diabetic cardiomyopathy 99
Mhrt779 mice 72 Swimming training 15 min/session, 2 times/d, +15min/2 d → 90 min/session, 90 min/session, 2 times/d, 7 d 21 d Mhrt779/Brg1/Hdac2/Akt/p‐GSK3β Mitochondrial protein posttranslation modification↑ and antihypertrophic effects↑ Hypertrophic cardiomyopathy 97
c‐Ddx Mice 72 Swimming training 15 min/session, 2 times/d, +15 min/2 d → 90 min/session, 90 min/session, 2 times/day, 7 d 21 d c‐Ddx/AMPK/eEF2 Mitochondrial protein degradation↑ and antihypertrophic memory pretreatment↑ Hypertrophic cardiomyopathy 98
IL‐6 healthy male 6 One‐legged knee extensor exercise 40% W max, ke 5 h IL‐6/SERCA2a Cardiotoxicity of doxorubicin and mitochondrial oxidative stress↓ Dilated cardiomyopathy 108

“↑” indicates improve; “↓”, decrease; +15 min/2 d → 90 min/session, increased by 15 min every 2 d until 90 min/session; 38MAPK: p38 mitogen‐activated protein kinase; Akt, protein kinase B; AMPK, adenosine5′‐monophosphate‐activated protein kinase; ATF2, activating transcription factor 2; Brg1, brahma‐related gene 1; c‐Ddx, circ‐Ddx60; cGMP, cyclic guanosine monophosphate; CREB, cyclic adenosine monophosphate response element binding; d, day(s); eEF2, eukaryotic translation elongation factor 2; ERK, extracellular signal‐regulated protein kinases; FGF21, fibroblast growth factor 21; FNDC5, fibronectin type III domain‐containing protein 5; FoxO1, forkhead box O1; FUNDC1, FUN14 domain containing 1; Hdac2, histone deacetylase 2; HIIT, high‐intensity interval training; HSP, heat shock protein; IL‐6, interleukin‐6; IRI, ischemia–reperfusion injury; ke, knee extensor peak power output; LC3, light chain 3; Mhrt779, long noncoding myosin heavy chain‐associated RNA transcript; MICT, moderate‐intensity continuous training; MMP, matrix metalloproteinase; ND, not determined; PGC‐1α, peroxisome proliferator‐activated receptor‐gamma coactivator 1alpha; p‐GSK3β, phosphorylated glycogen synthase kinase 3β; PI3K, phosphatidylinositol‐3‐hydroxykinase; PKGI, type I cGMP‐dependent protein kinases; PPARγ; peroxisome proliferator‐activated receptor γ; SERCA2a, sarcoplasmic reticulum calcium ATPase 2a; SIRT, sirtuin; Smad2/3, phospho Thr8; TGF‐β, transforming growth factor‐beta; TLR4: toll‐like receptor 4; VEGF, vascular endothelial growth factor; and W max: maximal watts.