Late‐In‐Life Treadmill‐Training Improves Autophagy, Protein Clearance, and Contractile Function in Mouse Hearts

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Evidence exists that a progressive decline of the cellular quality control mechanism called macroautophagy occurs during the process of primary aging. This leads to the accumulation of protein aggregates (i.e., proteotoxicity) that would otherwise be transported to and degraded in the lysosome. Post‐mitotic cells like cardiomyocytes rely heavily on macroautophagy because of their inability to clear defective proteins via cell division. While voluntary wheel running improves cardiac autophagy, lessens cardiac proteotoxicity, and attenuates myocardial dysfunction in mice with desmin‐related cardiomyopathy ( Bhuiyan et al., JCI, 2013 ), the ability for a physiological intervention to improve these indexes in aged mice is unknown. We hypothesized that late‐in‐life exercise training improves autophagy, protein aggregate clearance, and function that is otherwise dysregulated in hearts from old vs adult mice. As expected, 24‐month old male C57Bl6 mice (old) exhibited repressed autophagosome formation in the heart, myocardial protein aggregate accumulation, systolic and diastolic dysfunction, and reduced exercise capacity vs. 6‐month old (adult) mice (all p< 0.05; n=10 per group) Separate cohorts of 21 month old mice completed a 10‐week progressive resistance / duration treadmill‐running program (old‐ETR) that improved (all p<0.05): (i) body composition; (ii) maximal workload capacity; and (iii) soleus muscle citrate synthase activity vs. age‐matched sedentary mice (old‐SED). Of note, (iv) mRNA and protein expression of autophagy markers indicated trafficking of the autophagosome to the lysosome increased, (v) protein aggregate clearance improved, and (vi) contractile function was enhanced (all p<0.05), in hearts from old‐ETR vs. old‐SED mice. Dietary maneuvers (e.g., caloric restriction, nutraceutical supplementation) and pharmacological interventions (e.g., rapamycin) are reported to elevate myocardial autophagy and mitigate / reverse age‐associated cardiac dysfunction. Here we show the first evidence that a physiological intervention i.e., late‐in‐life exercise training, improves autophagic flux, protein aggregate clearance, and contractile function in hearts from aged mice. Support or Funding Information KL [APS STRIDE, UU Undergraduate Research Program (UROP)], JMC (UU Research Fellowship), SKP (AHA 17POST33670663), CR (APS UGRF, UROP), LT (UROP), SB (NIDDK R01‐DK‐098646‐01A1, R01‐DK‐099110, AHA 16GRNT30990018), JDS (AHA16GRNT31050004, NIH RO3AGO52848, NIHRO1HL141540).

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