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1 University of São Paulo
2 Physical Education and Sport School
3 Heart Institute (InCor), University of Sao Paulo Medical School and School of Physical Education and Sport, University of Sao Paulo
4 Federal University of São Paulo
5 University of Sao Paulo
* To whom correspondence should be addressed. E-mail: pcbrum{at}usp.br.
Sympathetic hyperactivity (SH) is a hallmark of heart failure (HF) and several lines of evidence suggest that SH contributes to HF induced skeletal myopathy. However, little is known about the influence of SH on skeletal muscle morphology and metabolism in a setting of developing HF taking into consideration muscles with different fiber compositions. The contribution of SH on exercise tolerance and skeletal muscle morphology and biochemistry was investigated in 3 and 7 mo-old mice lacking both
2A/
2C AR subtypes (
2A/
2C ARKO) that present SH with evidence of HF by 7 months. To verify whether exercise training (ET) would prevent skeletal muscle myopathy in advanced-stage HF,
2A/
2C ARKO were exercised from 5 to 7 months of age. At 3 months,
2A/
2C ARKO showed no signs of HF and preserved exercise tolerance and muscular noradrenaline with no changes in soleus morphology. In contrast, plantaris muscle of
2A/
2C ARKO displayed hypertrophy and fiber type shift (IIA
IIX) paralleled by capillary rarefaction, increased hexokinase activity and oxidative stress. At 7 months,
2A/
2C ARKO displayed exercise intolerance and increased muscular noradrenaline, muscular atrophy, capillary rarefaction and increased oxidative stress. ET reestablished
2A/
2C ARKO exercise tolerance to 7 month-old WT levels, and it prevented muscular atrophy and capillary rarefaction associated with reduced oxidative stress. Collectively, these data provide direct evidence that SH is a major factor contributing to skeletal muscle morphological changes in a setting of developing HF. ET prevented skeletal muscle myopathy in
2A/
2C ARKO, which highlights its importance as a therapeutic tool for HF.
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