Treadmill exercise alleviates aging-induced apoptosis in rat cardiac myocytes

Background: The incidence and prevalence of heart failure increases with age. Cardiomyocyte apoptosis contributes to the pathogenesis of heart failure. In the end-stage of human heart failure, increased cardiomyocyte apoptosis is observed. Exercise training is one of the nonpharmacological treatments for chronic heart failure. Methods: In the present study, we investigated the effect of treadmill exercise on the aging-induced apoptosis within cardiac myocytes in relation to the expression of heat shock protein 70 (HSP70) using rats. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining and Western blotting for the expression of Bcl-2, Bax, HSP70, and phosphorylated p38 (p-p38) in the cardiac myocardium were conducted. Results: Aging induced apoptosis in the myocardium, which was confirmed by increased TUNEL-positive cells and the enhancement of Bax. Expression of HSP70 was suppressed and p-p38 expression was enhanced by aging. Treadmill exercise alleviated aging-induced apoptosis with enhancing HSP70 expression and suppressing p-p38 expression in the cardiac myocytes. Conclusion: Based on the present results, it can be inferred that treadmill exercise can provide a cardioprotective effect on aging-induced apoptosis through the enhancement of HSP70 expression in the heart. Thus, regular exercise may be a useful strategy for preventing heart problems in the elderly.