期刊论文详细信息
BMC Pulmonary Medicine
Effect of physical training on airway inflammation in animal models of asthma: a systematic review
Smita Pakhale1  Lucy Turner2  Andrew Burkett3  Vanessa Luks3 
[1] Divison of Respirology, The Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada;The Ottawa Hospital Research Institute, Ottawa, Canada;Division of Respirology, The Ottawa Hospital, University of Ottawa, Ottawa, Canada
关键词: Systematic review;    Asthma therapy;    Physical exercise;    Chronic airway inflammation;   
Others  :  1122353
DOI  :  10.1186/1471-2466-13-24
 received in 2012-11-26, accepted in 2013-03-27,  发布年份 2013
PDF
【 摘 要 】

Background

There is little data on the effect of exercise on markers of airway inflammation in human asthmatics. The main objective of this review is to determine the effects of physical training on markers of airway inflammation in animal models of asthma.

Methods

A peer reviewed search was applied to Medline, Embase, Web of Science, Cochrane, and DARE databases. Data extraction was performed in a blinded fashion.

Results

From the initial 2336 studies, a total of 10 studies were selected for the final analysis. All were randomized controlled trials with low to moderate intensity training on ovalbumin-sensitized mice. In the exercised group of mice, there was a reduction in BAL eosinophils and Th-2 cytokines, no change in Th-1 cytokines, an increase in IL-10, and a reversal of airway remodeling. The data was not pooled owing to significant heterogeneity between studies, and a funnel plot test for publication bias was not performed because there were few studies reporting on any one outcome measure. The asthma models differed between studies in age and gender of mice, as well as in timing of physical training after sensitization. The risk of bias was unclear for some studies though this may not influence outcome measures. The accuracy of data extracted from graphics is unknown.

Conclusions

Physical training improves airway inflammation in animal asthma models.

【 授权许可】

   
2013 Luks et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150213031626809.pdf 1249KB PDF download
Figure 2. 81KB Image download
Figure 1. 41KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Huovinen E, Kaprio J, Laitinen LA, Koskenvuo M: Social predictors of adult asthma: a co-twin case–control study. Thorax 2001, 56:234-236.
  • [2]Rasmussen F, Lambrechtsen J, Siersted HC, Hansen HS, Hansen NC: Low physical fitness in childhood is associated with the development of asthma in young childhood: the Odense schoolchild study. Eur Respir J 2000, 16(5):866-870.
  • [3]Emtner M, Finne M, Stalenheim G: High-intensity physical training in adults with asthma. A comparison between training on land and in water. Scan J Rehab Med 1998, 30(4):201-209.
  • [4]Mendes FAR, Almeida FM, Cukier A, Stelmach R, Jacob-Filho W, Martins MA, Carvalho CRF: Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc 2011, 43(2):197-203.
  • [5]Silva PL, Mello MT, Cheik NC, Sanches PL, Correia FA, Pian A, Corgosinho FC, Silveira-Campos RM, Nascimento CMO, Oyama LM, Tock L, Tufik S, Damaso AR: Interdisciplinary therapy improves biomarkers profile and lung function in asthmatic obese adolescents. Pediatr Pulmonol 2011, 47(1):8-17.
  • [6]Engstrom I, Fallstrom K, Karlberg E, Sten G, Bjure J: Psychological and respiratory physiological effects of a physical exercise programme on boys with severe asthma. Acta Paediatr Scan 1991, 80:1058-1065.
  • [7]Neder JA, Nery LE, Silva AC, Cabral ALB, Fernandes ALG: Short term effects of aerobic training in the clinical management of moderate to severe asthma in children. Thorax 1999, 54:202-206.
  • [8]Fanelli A, Cabral ALB, Neder JA, Martins MA, Carvalho CRF: Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Exerc 2007, 39(9):1474-1480.
  • [9]Emtner M, Herala M, Stalenheim G: High intensity physical training in adults with asthma: a 10 week rehabilitation program. Chest 1996, 109:323-330.
  • [10]Chandratilleke MG, Carson KV, Picot J, Brinn MP, Esterman AJ, Smith BJ: Physical training for asthma. Cochrane Database Syst Rev 2012,  (5): . Art.No: CD001116.doi:10.1002/14651858.CD001116.pub3
  • [11]Ram FSF, Robinson A, Black PN, Picot J: Physical training for asthma. Cochrane Database Syst Rev 2009,  (4): . Art.No. CD001116.doi:10.1002/14651858.CD001116.pub2
  • [12]Clark CJ: Asthma and exercise: a suitable case for rehabilitation? Thorax 1992, 47:765-767.
  • [13]Bonsignore M, RGrutta SL, Cibella F, Scichilone N, Cuttitta G, Interrante A, Marchese M, Veca M, Virzi M, Bonanno A, Profita M, Morici G: Effects of exercise training and montelukast in children with mild asthma. Med Sci Sports Exerc 2008, 40(3):405-412.
  • [14]Moreira A, Delgado L, Haahtela T, Fonseca J, Moreira P, Lopes C, Mota J, Santos P, Rytila P, Bastel-Branco MG: Physical training does not increase allergic inflammation in asthmatic children. Eur Respir J 2008, 32(6):1570-1575.
  • [15]Emtner M, Finne J, Stalenheim G: A 3 -year follow-up of asthmatic patients participating in a 10-week rehabilitation program with emphasis on physical training. Arch Phys Med Rehabil 1998, 79:539-544.
  • [16]Matsumoto I, Araki H, Tsuda K, Odajima H, Nishima S, Higaki Y, Tanaka H, Tanaka M, Shindo M: Effects of swimming training on aerobic capacity and exercise induced bronchoconstriction in children with bronchial asthma. Thorax 1999, 54(3):196-201.
  • [17]Cochrane LM, Clark CJ: Benefits and problems of a physical training programme for asthmatic patients. Thorax 1990, 45:345-351.
  • [18]Pakhale S, Luks V, Burkett A, Turner L: Effects of physical training on airway inflammation in bronchial asthma: a systematic review. BMC Pul Med 2013, 13(38):1-21.
  • [19]Higgins JPT, Altman DG, Sterne JAC: Chapter 8: Assessing risk of bias in included studies. In Cochrane Handbook for Systematic Review of Interventions. In Cochrane handbook for systematic review of interventions. Version 5.0.0 [updated February 2008]. Edited by Higgins JPT, Green S. The Cochrane Collaboration; 2008. Available from http://www.cochrane-handbook.org webcite
  • [20]Sterne JAC, Sutton AJ, Ioannidis JPA, Terrin N, Jones DR, Lau J, Carpenter J, Rucker G, Harbord RM, Schmid C, Tetzlaff J, Deeks J, J Peters J, Macaskill P, Schwarzer G, Duval S, Altman D, J Moher D, Higgins JPT: Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ 2012, 343:d4002.
  • [21]Kim CH, Kwak YS: Swim training increases ovalbumin induced active systemic anaphylaxis in mice. Immunol Invest 2004, 33(4):469-480.
  • [22]Durigan JLQ, Peviani SM, Russo TL, Duarte AC, Vieira RP, Martins MA, Carvalho CRF, Salvini TF: Physical training leads to remodeling of diaphragm muscle in asthma model. Int J Sports Med 2009, 30(6):430-434.
  • [23]Durigan JLQ, Peviani SM, Russo TL, Silva ACD, Vieira RP, Martins MA, Carvalho CRF, Salvini TF: Effects of exercise training on atrophy gene expression in skeletal muscle of mice with chronic allergic lung inflammation. Braz J Med Bio Res 2009, 42(4):339-345.
  • [24]Matsui E: Aerobic exercise attenuates airway inflammatory responses in a mouse model of atopic asthma. Pediatrics 2005, 116(2):555.
  • [25]Schwiebert LM, Dugger K, Lowder TW, Estell K: Moderate intensity aerobic exercise training increases CD4+CD25+ Foxp3+ regulatory T cell responses in asthmatic mice. J Allergy Clin Immunol 2010, 125:AB44. Annual Meeting of the American Academy of Allergy, Asthma and Immunology (February)
  • [26]Schwiebert LM, Estell K, Lowder T, Dugger K: Moderate intensity aerobic exercise attenuates asthmatic responses in obese mice. J Allergy Clin Immunol 2009, 123:S258. Conference: 2009 American Academy of Allergy, Asthma and Immunology
  • [27]Pastva A, Estell K, Schoeb TR, Schwiebert LM: RU486 blocks the anti-inflammatory effects of exercise in a murine model of allergen-induced inflammation. Brain Behav Immun 2005, 19:413-422.
  • [28]Vieira RP, Claudino RC, Duarte ACS, dos S, Angela Batista G, Perini A, Neto HCCF, Mauad T, Martins MA, Dolhnikoff M, Carvalho CRF: Aerobic exercise decreases chronic allergic lung inflammation and airway remodelling in mice. Am J Respir Crit Care Med 2007, 176:871-877.
  • [29]Vieira RP, de Toledo AC, Ferreira SC, dos S, Angela Batista G, Medeiros MCR, Hage M, Mauad T, de Arruda Martins M, Dolhnikoff M, de C, Celso Ricardo F: Airway epithelium mediates the anti-inflammatory effects of exercise on asthma. Respir Physiol Neurobiol 2011, 175:383-389.
  • [30]Vieira RP, Duarte AC, Santos ABG MCRM, Mauad T, Martins MA, Carvalho CRF, Dolhnikoff M: Exercise reduces effects of creatine on lung. Int J Sports Med 2009, 30:684-690.
  • [31]Vieira RP, Andrade VF, Duarte ACS, dos S, Angela Batista G, Mauad T, Martins MA, Dolhnikoff M, Carvalho CRF: Aerobic conditioning and allergic pulmonary inflammation in mice II. Effect on lung vascular and parenchymal inflammation and remodeling. Am J Physiol Lung Cell Mol Physiol 2008, 295:670-679.
  • [32]Silva RA, Vieira RP, Duarte ACS, Lopes FDTQS, Perini A, Mauad T, Martins MA, Carvalho CRF: Aerobic training reverses airway inflammation and remodelling in an asthma murine model. Eur Respir J 2010, 35:994-1002.
  • [33]Pastva A, Estell K, Schoeb TR, Prescott Atkinson T, Schwiebert LM: Aerobic exercise attenuates airway inflammatory responses in a mouse model of atopic asthma. J Immunol 2004, 172:4520-4526.
  • [34]Lowder T, Dugger K, Deshane J, Estell K, Schwiebert LM: Repeated bouts of aerobic exercise enhance regulatory T cell responses in a murine asthma model. Brain Behav Immun 2010, 24(1):153-159.
  • [35]Hewitt M, Estell K, Davis IC, Schwiebert LM: Repeated bouts of moderate intensity aerobic exercise reduce airway reactivity in a murine asthma model. Am J Respir Cell Mol Biol 2010, 42(2):243-249.
  • [36]Nakagome K, Dohi M, Okunishi K, Komagata Y, Nagatani K, Tanaka R, Miyazaki J, Yamamoto K: In vivo Il-10 gene delivery suppresses airway eosinophilia and hyperreactivity by downregulating APC functions and migration without impairing the antigen-specific systemic immune response in a mouse model of allergic airway inflammation. J Immunol 2005, 174:6955-6966.
  • [37]Arend WP, Malyak M, Guthridge CJ, Gabay C: Interleukin-1 receptor antagonist: role in biology. Annu Rev Immunol 1998, 16:27-65.
  • [38]Nakae S, Komiyama Y, Yokoyama H, Nambu A, Umeda M, Iwase M, Homma I, Sudo K, Horai R, Asano M, Iwakura Y: Il-1 is required for specific Th2 cell activation and the development of airway hypersensitivity response. Int Immunol 2003, 15:483-490.
  • [39]Chung KF, Barnes PJ: Cytokines in asthma. Thorax 1999, 54:825-857.
  • [40]Kumar A, Takada Y, Boriek AM, Aggarwal BB: Nuclear factor kB: its role in health and disease. J Mol Med 2004, 82:434-448.
  • [41]Barnes PJ: The cytokine network in asthma and chronic obstructive pulmonary disease. Clin Investig 2008, 118:3546-3556.
  • [42]Finkelman FD, Hogan SP, Khurana Hershey GK, Rothenberg ME, Wills-Karp M: Importance of cytokines in murine allergic airway disease and human asthma. J Immunol 2010, 184:1663-1674.
  • [43]van Oosterhout AJM, Bloksma N: Regulatory T-lymphocytes in asthma. Eur Respir J 2005, 26(5):918-932.
  • [44]Wenzel S, Holgate ST: The mouse trap: it still yields few answers in asthma. Am J Respir Crit Care Med 2006, 176:1173-1176.
  • [45]Zosky GR, Sly PD: Animal models of asthma. Clin Exp Allergy 2007, 37:973-988.
  • [46]Bates JHT, Rincon M, Irvin CG: Animal models of asthma. Am J Physiol Lung Cell Mol Physiol 2009, 297:401-410.
  • [47]Kariyawasam HH, Robinson DS: Airway remodelling in asthma: models and supermodels? Clin Exp Allergy 2005, 35:117-121.
  • [48]Kips JC, Anderson GP, Fredberg JJ, Herz U, Inman MD, Jordana M, Kemeny DM, Lotvall J, Pauwels RA, Plopper CG, Schmidt D, Stork PJ, van Oosterhout AJM, Vargaftig BB, Chung KF: Murine models of asthma. Eur Resp J 2003, 22:374-382.
  • [49]Kumar RK, Foster PS: Modelling allergic asthma in mice. Am J Resp Cell Mol Biol 2002, 27:267-272.
  • [50]Temelkovski J, Hogan SP, Shepherd DP, Foster PS, Kumar RK: An improved murine model of asthma: selective airway inflammation, epithelial lesions, and increased methacholine responsiveness following chronic exposure to aerosolized antigen. Thorax 1998, 53:849-856.
  • [51]Stevenson CS, Birrell MA: Moving towards a new generation of animal models for asthma and COPD with improved clinical relevance. Pharmacol Ther 2011, 130:93-105.
  • [52]Olivo CR, Vieira RP, Arantes-Costa FM, Perini A, Martins MA, Carvalho CRF: Effects of aerobic exercise on chronic allergic airway inflammation and remodeling in guinea pigs. Respir Physiol Neurobiol 2012, 182:81-87.
  文献评价指标  
  下载次数:13次 浏览次数:3次