Abstract
Ischemic heart disease presents with significant differences between sexes.
Endurance exercise protects the heart against ischemic disease and also
distinctly impacts male and female patients through unidentified mechanisms,
though some evidence implicates 5′-AMP-activated protein kinase (AMPK).
The purpose of this investigation was to assess the impact of training and sex
on cardiac AMPK activation following exhaustive exercise. AMPK activation was
measured in trained and sedentary mice of both sexes. Trained mice ran on a
treadmill at progressively increasing speeds and duration for 12 weeks. Trained
and sedentary mice of both sexes were euthanized immediately following
exhaustive exercise and compared to sedentary controls. Endurance training
elicited adaptations indicative of aerobic adaptation including higher max
running velocities and cardiac hypertrophy with no differences between males and
females. AMPK activity was higher in male compared to females, and trained
exhibited higher AMPK activity compared to sedentary mice. In response to
training, male mice activated AMPK more robustly than female mice. Chronic
exercise training increases the ability to activate cardiac AMPK in response to
exhaustive exercise in a sex-specific manner. Understanding the interaction
between exercise and sex is vital for use of exercise as medicine for heart
disease in both men and women.
Keywords
sex differences - cardiac - exercise - AMPK