Exercise Prevents Glucocorticoid-Induced Myocardial 4-Hydroxynonenal Production

Cardiovasc Drugs Ther. 2025 Feb;39(1):165-169. doi: 10.1007/s10557-023-07506-4. Epub 2023 Aug 25.

Abstract

Purpose: Long-term administration of glucocorticoids (GCs) increases myocardial oxidative stress. 4-Hydroxynonenal (4-HNE) protein adducts, a marker of oxidative damage, have been associated with several cardiovascular diseases, including atherosclerosis, cardiac hypertrophy, cardiomyopathy, and ischemia-reperfusion injury. Exercise training has been shown to have a protective effect on the heart by lowering the level of oxidative stress in cardiomyocytes. Therefore, we aimed to investigate the effect of long-term dexamethasone treatment and exercise training on myocardial 4-HNE levels.

Methods: Twenty-four female Wistar albino rats were assigned to sedentary control-saline treated (C, n = 8), sedentary-dexamethasone treated (D, n = 8), and exercise training-dexamethasone treated (DE, n = 8) groups. Daily dexamethasone was injected for 28 days at a 1 mg kg-1 dose, while C animals were injected with the same volume of saline subcutaneously. DE animals underwent an exercise training protocol of 60 min/day, 5 days a week, at 25 m/min-1 (0% grade) for 28 days. Left ventricular 4-HNE, Hsp72 levels, and pHsp25/Hsp25 ratio were determined by Western blot.

Results: The administration of dexamethasone led to a significant elevation in 4-HNE levels in the myocardium of adult rats (p < 0.05; D vs. C). The concurrent implementation of exercise training impeded this increase (p > 0.05; DE vs. C). Exercise training induced a threefold increase in myocardial Hsp72 expression (p < 0.001; DE vs. C and D) and attenuated the dexamethasone-induced increase in Hsp25 phosphorylation (p < 0.05; C vs. D) (p < 0.001; DE vs. D).

Conclusion: Our results indicate that long-term administration of dexamethasone is associated with an increase in cardiac 4-HNE levels, which is hindered by the addition of exercise training.

Keywords: Cardiomyocyte; Dexamethasone; Exercise training; Hsp25; Hsp72; Oxidative stress.

MeSH terms

  • Aldehydes* / metabolism
  • Animals
  • Dexamethasone* / pharmacology
  • Female
  • Glucocorticoids* / pharmacology
  • HSP72 Heat-Shock Proteins / metabolism
  • Myocardium* / metabolism
  • Oxidative Stress / drug effects
  • Physical Conditioning, Animal* / physiology
  • Rats
  • Rats, Wistar

Substances

  • 4-hydroxy-2-nonenal
  • Aldehydes
  • Dexamethasone
  • Glucocorticoids
  • HSP72 Heat-Shock Proteins