1. Introduction
Coronary heart disease is one of the most important causes of death. After coronary artery bypass grafting, exercise increases the capillary density of the myocardium, called angiogenesis, and improves cardiovascular function. The aim of this study was to evaluate the effect of training (aerobic-resistance) on plasma levels of bFGF in coronary patients after CABG.
2. Materials and Methods
The samples of this study consisted of 30 men in the age range of 45-60 years who underwent bypass surgery, and were randomly divided into two groups of “experimental” (15 people) and “control” (15 people). The experimental group performed training (resistance-aerobic) for eight weeks (3 sessions per week) and the control group was untrained during this period. Blood samples were taken 24 hours before the start of the first training session and also 48 hours after the last training session while all subjects were fasting. ELISA laboratory technique was used to measure bFGF. Independent and correlated Student’s t-test were used to analyze the data, and the Shapiro–Wilk test was used to normalize the data at a significance level of 0.05 in SPSS V. 21.
3. Results
Eight weeks of aerobic-resistance training caused a significant increase in BFGF levels in the training group compared to the control group (P=0.002). Also, the subjects in the training group showed a significant increase in BFGF plasma levels (P=0.002) which was not significant in the control group (P=0.758) (Table 1).
4. Discussion
Based on the results of the present study, it can be concluded that combined (resistance-aerobic) training can increase the serum level of BFGF and be effective in initiating angiogenesis processes and increasing capillary density.
5. Conclusion
This exercise can be used for different people (especially for cardiovascular patients).
Ethical ConsiderationsCompliance with ethical guidelines
This study was registered (Ethics Code: IR.IAU.NEYSHABUR.REC.1398.01) in the Ethics Committee of Islamic Azad University, Neyshabur Branch, and with Clinical Trial Code: IRCTID:IRCT20191228045919N1.
Funding
The present paper was extracted from the PhD. thesis of the first author Department of Exercise Physiology, Neyshabur Branch, Islamic Azad University,
Authors' contributions
Conceptualization: Rambod Khajei; Methodology, validation: Mehdi Zarei; Analysis, research: Ahmad Zendedel; Resources, writing – original draft: Azar Hamidi; Visualization, supervision, project administration, funding acquisition writing – review & editing: Amir Rashidlamir, Azar Hamidi.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgements
The authors would like to express their gratitude to the Cardiac Rehabilitation Department of Javad Al-Aemeh Hospital in Mashhad city.
References
1.Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: Heart disease and stroke statistics - update 2016: Report from the American Heart Association. current. 2016; 133(4):447-54. [DOI:10.1161/CIR.0000000000000366]
2.Lawler PR, Filion KB, Eisenberg MJ. Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction: A systematic review and meta-analysis of randomized controlled trials. Am Heart J. 2011; 162(4):571-84.e2. [DOI:10.1016/j.ahj.2011.07.017] [PMID]
3.Pearson MJ, King N, Smart NA. Effect of exercise therapy on established and emerging circulating biomarkers in patients with heart failure: A systematic review and meta-analysis. Open Heart. 2018; 5(2):e000819. [DOI:10.1136/openhrt-2018-000819] [PMID] [PMCID]
4.Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald's heart disease: A textbook of cardiovascular medicine, 2-volume set. Philadelphia: Elsevier Health Sciences; 2007. https://books.google.com/books?id=6gJ1Mt_vrx4C&dq
5.Ghroubi S, Elleuch W, Abid L, Abdenadher M, Kammoun S, Elleuch MH. Effects of a low-intensity dynamic-resistance training protocol using an isokinetic dynamometer on muscular strength and aerobic capacity after coronary artery bypass grafting. Ann Phys Rehabil Med. 2013; 56(2):85-101. [DOI:10.1016/j.rehab.2012.10.006] [PMID]
6.Ostman C, Jewiss D, Smart NA. The effect of exercise training intensity on quality of life in heart failure patients: A systematic review and meta-analysis. Cardiology. 2017; 136(2):79-89. [DOI:10.1159/000448088] [PMID]
7.Turner CA, Watson SJ, Akil H. The fibroblast growth factor family: Neuromodulation of affective behavior. Neuron; 2012; 76(1):160-74. [DOI:10.1016/j.neuron.2012.08.037] [PMID] [PMCID]
8.Nemet D, Eliakim A, Zaldivar F, Cooper DM. Effect of rhIL-6 infusion on GH-->IGF-I axis mediators in humans. Am J Physiol Regul Integr Comp Physiol. 2006; 291(6):R1663-R8. [DOI:10.1152/ajpregu.00053.2006] [PMID]
9.Cao R, Brakenhielm E, Wahlestedt C, Thyberg J, Cao Y. Leptin induces vascular permeability and synergistically stimulates angiogenesis with FGF-2 and VEGF. Proc Natl Acad Sci U S A. 2001; 98(11):6390-5. [DOI:10.1073/pnas.101564798] [PMID] [PMCID]
10.Powers CJ, McLeskey SW, Wellstein A. Fibroblast growth factors, their receptors and signaling. Endocr Relat Cancer. 2000; 7(3):165-97. [DOI:10.1677/erc.0.0070165] [PMID]
11.Hudlicka O, Brown MD. Adaptation of skeletal muscle microvasculature to increased or decreased blood flow: Role of shear stress, nitric oxide and vascular endothelial growth factor. J Vasc Res. 2009; 46(5):504-12. [DOI:10.1159/000226127] [PMID]
12.White CR, Frangos JA. The shear stress of it all: The cell membrane and mechanochemical transduction. Philos Trans R Soc Lond B Biol Sci. 2007; 362(1484):1459-67. [DOI:10.1098/rstb.2007.2128] [PMID] [PMCID]
13.Prior BM, Yang HT, Terjung RL. What makes vessels grow with exercise training? J Appl Physiol (1985). 2004; 97(3):1119-28. [DOI:10.1152/japplphysiol.00035.2004] [PMID]
14.van Royen N, Piek JJ, Buschmann I, Hoefer I, Voskuil M, Schaper W. Stimulation of arteriogenesis; a new concept for the treatment of arterial occlusive disease. Cardiovasc Res. 2001; 49(3):543-53. [DOI:10.1016/S0008-6363(00)00206-6]
15.Egginton S, Zhou AL, Brown MD, Hudlická O. Unorthodox angiogenesis in skeletal muscle. Cardiovasc Res. 2001; 49(3):634-46. [DOI:10.1016/S0008-6363(00)00282-0]
16.Loufrani L, Henrion D. Role of the cytoskeleton in flow (shear stress)-induced dilation and remodeling in resistance arteries. Med Biol Eng Comput. 2008; 46(5):451-60. [DOI:10.1007/s11517-008-0306-2] [PMID] [PMCID]
17.Lee HJ, Koh GY. Shear stress activates Tie2 receptor tyrosine kinase in human endothelial cells. Biochem Biophys Res Commun. 2003; 304(2):399-404. [DOI:10.1016/S0006-291X(03)00592-8]
18.Jalali S, del Pozo MA, Chen KD, Miao H, Li YS, Schwartz MA, et al. Integrin-mediated mechanotransduction requires its dynamic interaction with specific Extracellular Matrix (ECM) ligands. Proc Natl Acad Sci. 2001 ;98(3):1042-6. [DOI:10.1073/pnas.98.3.1042]
19.Laughlin MH, Roseguini B. Mechanisms for exercise training-induced increases in skeletal muscle blood flow capacity: Differences with interval sprint training versus aerobic endurance training. J Physiol Pharmacol. 2008; 59 Suppl 7(Suppl 7):71-88. [PMID] [PMCID]
20.Volianitis S, Yoshiga CC, Nissen P, Secher NH. Effect of fitness on arm vascular and metabolic responses to upper body exercise. Am J Physiol Heart Circ Physiol. 2004; 286(5):H1736-H41. [DOI:10.1152/ajpheart.01001.2003] [PMID]
21.Walther G, Nottin S, Karpoff L, Pérez-Martin A, Dauzat M, Obert P. Flow-mediated dilation and exercise-induced hyperaemia in highly trained athletes: Comparison of the upper and lower limb vasculature. Acta Physiol. 2008; 193(2):139-50. [DOI:10.1111/j.1748-1716.2008.01834.x] [PMID]
22.Goto C, Higashi Y, Kimura M, Noma K, Hara K, Nakagawa K, et al. Effect of different intensities of exercise on endothelium-dependent vasodilation in humans: Role of endothelium-dependent nitric oxide and oxidative stress. Circulation. 2003; 108(5):530-5.[DOI:10.1161/01.CIR.0000080893.55729.28] [PMID]
23.Langston W, Chidlow JH Jr, Booth BA, Barlow SC, Lefer DJ, Patel RP, et al. Regulation of endothelial glutathione by ICAM-1 governs VEGF-A-mediated eNOS activity and angiogenesis. Free Radic Biol Med. 2007; 42(5):720-9. [DOI:10.1016/j.freeradbiomed.2006.12.010] [PMID] [PMCID]
24.Chen G, Gulbranson DR, Yu P, Hou Z, Thomson JA. Thermal stability of fibroblast growth factor protein is a determinant factor in regulating self-renewal, differentiation, and reprogramming in human pluripotent stem cells. Stem Cells. 2012; 30(4):623-30. [DOI:10.1002/stem.1021] [PMID] [PMCID]
25.Karnoub AE, Weinberg RA. Ras oncogenes: Split personalities. Nat Rev Mol Cell Biol. 2008; 9(7):517-31.[DOI:10.1038/nrm2438] [PMID] [PMCID]
26.Friedmann B, Frese F, Menold E, Bärtsch P. Effects of acute moderate hypoxia on anaerobic capacity in endurance-trained runners. Eur J Appl Physiol. 2007; 101(1):67-73. [DOI:10.1007/s00421-007-0473-0] [PMID]
27.Silva R, D'Amico G, Hodivala-Dilke KM, Reynolds LE. Integrins: the keys to unlocking angiogenesis. Arterioscler Thromb Vasc Biol. 2008; 28(10):1703-13. [DOI:10.1161/ATVBAHA.108.172015] [PMID]
28.Fathollahi Shoorabeh F, Faramarzi M, Hemmati R. [The effect of 10 weeks of high-intensity exercise training on resting levels of some angiogenesis and pulmonary function of men with prostate cancer (Persian)]. J Fasa Univ Med Sci. 2019; 8(4):1097-105. http://journal.fums.ac.ir/article-1-1671-en.html
29.Krenc Z, Mazurowski W, Wosik-Erenbek M. Changes in VEGF and bFGF serum concentration after long-term sports training in young athletes - The significance of adaptive angiogenesis in arterial blood pressure adjustment. Pediatr Pol. 2016; 91(6):552-8. [DOI:10.1016/j.pepo.2016.09.009]
Rights and permissions | |
![]() |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |