Maik Sossdorf1, Jacqueline Fischer, Stefan Meyer, Katja Dahlke, Bianka Wissuwa, Carolin Seidel, Andrea Schrepper, Clemens L Bockmeyer, Amelie Lupp, Sophie Neugebauer, Diana Schmerler, Jürgen Rödel, Ralf A Claus, Gordon P Otto. 1. 1Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany. 2Department of Anesthesiology and Intensive Care, Jena University Hospital, Jena, Germany. 3Department of Experimental Radiology, Institute for Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany. 4Department of Cardiothoracic Surgery, Jena University Hospital, Jena, Germany. 5Institute of Pathology, Hannover Medical School, Hannover, Germany. 6Department of Pharmacology and Toxicology, Jena University Hospital, Jena, Germany. 7Institute of Clinical Chemistry and Laboratory Diagnostics, Centralized Diagnostic Laboratory Services, Jena University Hospital, Jena, Germany. 8Institute of Medical Microbiology, Jena University Hospital, Jena, Germany. 9Department of Internal Medicine III, Jena University Hospital, Jena, Germany.
Abstract
OBJECTIVES: High physical activity levels are associated with wide-ranging health benefits, disease prevention, and longevity. In the present study, we examined the impact of regular physical exercise on the severity of organ injury and survival probability, as well as characteristics of the systemic immune and metabolic response during severe polymicrobial sepsis. DESIGN: Animal study. SETTING: University laboratory. SUBJECTS: Male C57BL/6N mice. INTERVENTIONS: Mice were trained for 6 weeks by treadmill and voluntary wheel running or housed normally. Polymicrobial sepsis in mice was induced by injection of fecal slurry. Subsequently, mice were randomized into the following groups: healthy controls, 6 hours postsepsis, and 24 hours postsepsis. MEASUREMENTS AND MAIN RESULTS: Blood and organ samples were collected and investigated by measuring clinical chemistry variables, cytokines, plasma metabolites, and bacterial clearance. Organ morphology and damage were characterized by histological staining. Physical exercise improved survival and the ability of bacterial clearance in blood and organs. The release of pro- and anti-inflammatory cytokines, including interleukin-6 and interleukin-10, was diminished in trained compared to untrained mice during sepsis. The sepsis-associated acute kidney tubular damage was less pronounced in pretrained animals. By metabolic profiling and regression analysis, we detected lysophosphatidylcholine 14:0, tryptophan, as well as pimelylcarnitine linked with levels of neutrophil gelatinase-associated lipocalin representing acute tubular injury (corrected R=0.910; p<0.001). We identified plasma lysophosphatidylcholine 16:0, lysophosphatidylcholine 17:0, and lysophosphatidylcholine 18:0 as significant metabolites discriminating between trained and untrained mice during sepsis. CONCLUSIONS: Regular physical exercise reduces sepsis-associated acute kidney injury and death. As a specific mechanism of exercise-induced adaptation, we identified various lysophosphatidylcholines that might function as surrogate for improved outcome in sepsis.
OBJECTIVES: High physical activity levels are associated with wide-ranging health benefits, disease prevention, and longevity. In the present study, we examined the impact of regular physical exercise on the severity of organ injury and survival probability, as well as characteristics of the systemic immune and metabolic response during severe polymicrobial sepsis. DESIGN: Animal study. SETTING: University laboratory. SUBJECTS: Male C57BL/6N mice. INTERVENTIONS:Mice were trained for 6 weeks by treadmill and voluntary wheel running or housed normally. Polymicrobial sepsis in mice was induced by injection of fecal slurry. Subsequently, mice were randomized into the following groups: healthy controls, 6 hours postsepsis, and 24 hours postsepsis. MEASUREMENTS AND MAIN RESULTS: Blood and organ samples were collected and investigated by measuring clinical chemistry variables, cytokines, plasma metabolites, and bacterial clearance. Organ morphology and damage were characterized by histological staining. Physical exercise improved survival and the ability of bacterial clearance in blood and organs. The release of pro- and anti-inflammatory cytokines, including interleukin-6 and interleukin-10, was diminished in trained compared to untrained mice during sepsis. The sepsis-associated acute kidney tubular damage was less pronounced in pretrained animals. By metabolic profiling and regression analysis, we detected lysophosphatidylcholine 14:0, tryptophan, as well as pimelylcarnitine linked with levels of neutrophil gelatinase-associated lipocalin representing acute tubular injury (corrected R=0.910; p<0.001). We identified plasma lysophosphatidylcholine 16:0, lysophosphatidylcholine 17:0, and lysophosphatidylcholine 18:0 as significant metabolites discriminating between trained and untrained mice during sepsis. CONCLUSIONS: Regular physical exercise reduces sepsis-associated acute kidney injury and death. As a specific mechanism of exercise-induced adaptation, we identified various lysophosphatidylcholines that might function as surrogate for improved outcome in sepsis.
Authors: Karel Tyml; Scott Swarbreck; Cynthia Pape; Dan Secor; James Koropatnick; Qingping Feng; Ruud A W Veldhuizen; Sean E Gill Journal: Crit Care Date: 2017-08-08 Impact factor: 9.097
Authors: Jin Young Ahn; Je Eun Song; Hea Won Ann; Yongduk Jeon; Mi Young Ahn; In Young Jung; Moo Hyun Kim; Wooyoung Jeong; Su Jin Jeong; Nam Su Ku; June Myung Kim; Sungwon Na; Sung Rae Cho; Jun Yong Choi Journal: Yonsei Med J Date: 2018-09 Impact factor: 2.759
Authors: Orlando Laitano; Gerard P Robinson; Kevin O Murray; Christian K Garcia; Alex J Mattingly; Deborah Morse; Michelle A King; John D Iwaniec; Jamal M Alzahrani; Thomas L Clanton Journal: Sci Rep Date: 2021-04-01 Impact factor: 4.379
Authors: Anam Asad; Amal Thomas; Maurice Dungey; Katherine L Hull; Daniel S March; James O Burton Journal: BMC Nephrol Date: 2022-04-11 Impact factor: 2.388