Role of endothelium damage factors in the pathogenesis of cardiomyopathy surge in athletes sports

Cover Page

Cite item

Full Text

Abstract

The cardiovascular system experiences the greatest stress when exercising. This leads to exhaustion and dysfunction of compensatory-adaptive mechanisms, forms a state of acute physical overstrain, increases the risk of cardiovascular disease. Endothelial dysfunction in athletes due to oxidative stress under high training loads. Risk factors include endothelial da­mage hypercholesterolemia, hyperhomocysteinemia, elevated levels of cytokines. To clarify the Ethio-features overvoltage held definition of cardiomyopathy endothelium damage factors of sports athletes. Surveyed 112 people aged 17-25 years, boys 1 level and candidates for master of sports. ECG signs of cardiomyopathy overvoltage on change trailing portion of ventricular complex alone and disrupt heart rhythm found in 36 (32%) athletes who entered the primary group. Group of comparison comprised 38 athletes without electrocardiographic signs of cardiomyopathy. Conducted definition damaging endothelium factors: homocysteine, cytokines IL-8, IL-4, TNF-α, lipid spectrum, including modified (oxidized) lipoproteins. Revealed in athletes with electrocardiographic signs of cardiomyopathy overexertion, an increase in low-density lipoprotein along with an increase in the level of homocysteon and anti-inflammatory cytokines, causing endothelial dysfunction, can play a significant role in the pathogenesis of cardiomyopathy overexertion. Accordingly, prevention and drug therapy of cardiomyopathy overexertion in athletes should be aimed at reducing the factors that cause endothelial dysfunction, namely, hyperhomocysteinemia, increase in the level of cytokines (TNF-α and IL-8) and modified oxidized lipoproteins.

About the authors

Zakhar V. Lopatin

St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: zakhar.vadimovich@gmail.com

Postgraduate Student, Department of Hospital Therapy with Endocrinology Courses

Russian Federation, Saint Petersburg

Vladimir S. Vasilenko

St. Petersburg State Pediatric Medical University

Email: zakhar.vadimovich@gmail.com

MD, PhD, Dr Med Sci, Professor, Head, Department of Hospital Therapy with Endocrinology Courses

Russian Federation, Saint Petersburg

Ekaterina B. Karpovskaya

St. Petersburg State Pediatric Medical University

Email: zakhar.vadimovich@gmail.com

MD, PhD, Associate Professor, Department of Hospital Therapy with Endocrinology Courses

Russian Federation, Saint Petersburg

References

  1. Антонова И.Н., Левин М.Я., Косова Е.В., и др. Регулирующая роль цитокинов в развитии воспалительного процесса при острой фазе хронического катарального гингивита у спортсменок // Цитокины и воспаление. - 2014. - Т. 13. - № 4. - С. 56-60. [Antonova IN, Levin MY, Kosova EV. Regulatory role of cytokines in inflammation development in the acute phase of chronic catarrhal gingivitis in athletes. Cytokines & inflammation. 2014;13(4):56-60. (In Russ.)]
  2. Бершова Т.В., Баканов М.И., Смирнов И.Е., и др. Изменения функционального состояния сосудистого эндотелия у юных спортсменов различной квалификации // Российский педиатрический журнал. - 2016. - Т. 19. - № 1. - С. 14-19. [Bershova TV, Bakanov MI, Smirnov IE, et al. Changes in the functional state of the vascular endothelium in young athletes of varying skill levels. Cytokines and inflammation. 2016;19(1):14-19. (In Russ.)]. doi: 10.18821/1560-9561-2016-19(1)-14-19.
  3. Гордеева М.А., Бабаева А.Р., Емельянова А.Л., Давыдов С.И. Оценка цитокинового профиля у пациентов с различными вариантами острого коронарного синдрома и хроническими формами ишемической болезни сердца // Цитокины и воспаление. - 2014. - Т. 13. - № 2. - С. 27-33. [Gordeeva MA, Babaeva AR, Emel’yanova AL, Davydov SI. Otsenka tsitokinovogo profilya u patsientov s razlichnymi variantami ostrogo koronarnogo sindroma i khronicheskimi formami ishemicheskoy bolezni serdtsa. Cytokines and inflammation. 2014;13(2):27-33. (In Russ.)]
  4. Груздева О.В., Барбараш О.Л., Дылева Ю.А., и др. Определение окислительно-модифицированных липопротеинов и антител к ним при осложненном течении инфаркта миокарда с подъемом сегмента ST // Клиническая лабораторная диагностика. - 2011. - № 7. - С. 14-17. [Gruzdeva OV, Barbarash OL, Palicheva EI, et al. The detection of oxidation-modified lipoproteins and their antibodies in case of complicated course of myocardial infarction with segment ST boost. Klin Lab Diagn. 2011;(7):14-17. (In Russ.)]
  5. Джанаева Э.Ф., Шеметова Г.Н., Ширшова С.А. Патогенетические основы и современные подходы к ранней диагностике атеросклероза // Фундаментальные исследования. - 2012. - № 4-2. - С. 264-269. [Dzhanaeva EF, Shemetova GN, Shirshova SA. Patogeneticheskie osnovy i sovremennye podkhody k ranney diagnostike ateroskleroza. Fundamental research. 2012;(4-2):264-269. (In Russ.)]
  6. Дидур М.Д., Чередниченко Д.В., Лебедев В.Н. Эндотелиальная дисфункция у спортсменов высокого класса // Спортивная медицина. - 2012. - № 2. - С. 26-30. [Didur MD, Cherednichenko DV, Lebedev VN. Endothelial dysfunction of the high-class athletes. Sportivnaya meditsina. 2012;(2):26-30. (In Russ.)]
  7. Жданова О.И. Факторы риска и подходы к протекции повреждения миокарда у детей и подростков, занятых в спорте высоких достижений: Автореф. дис. … канд. мед. наук. - М., 2010. [Zhdanova OI. Faktory riska i podkhody k protektsii povrezhdeniya miokarda u detey i podrostkov, zanyatykh v sporte vysokikh dostizheniy. [dissertation] Moscow; 2010. (In Russ.)]
  8. Смирнов И.Е., Кучеренко А.Г., Поляков С.Д., и др. Медиаторы эндотелиальной дисфункции при физическом перенапряжении миокарда у юных спортсменов // Российский педиатрический журнал. - 2015. - Т. 18. - № 5. - С. 21-25. [Smirnov IE, Kucherenko AG, Polyakov SD, et al. Mediators of endothelial dysfunction in physical myocardial overexertion in young athletes. Russian journal of pediatrics. 2015;18(5):21-25. (In Russ.)]
  9. Чередниченко Д.В., Дидур М.Д., Лебедев В.Н. Проатерогенные и антиатерогенные липопротеины у спортсменов высокого класса // Спортивная медицина. - 2013. - № 2. - С. 23-26. [Cherednichenko DV, Didur MD, Lebedev VN. Proaterogennye i antiaterogennye lipoproteiny u sportsmenov vysokogo klassa. Sportivnaya meditsina. 2013;(2):23-26. (In Russ.)]
  10. Bachi AL, Sierra AP, Rios FJ, et al. Athletes with higher VO2max present reduced oxLDL after a marathon race. BMJ Open Sport Exerc Med. 2015;1(1). doi: 10.1136/bmjsem-2015-000014.
  11. Di Pietro N, Formoso G, Pandolfi A. Physiology and pathophysiology of oxLDL uptake by vascular wall cells in atherosclerosis. Vascul Pharmacol. 2016;84:1-7. doi: 10.1016/j.vph.2016.05.013.
  12. Inoue T, Komoda H, Nonaka M, et al. Interleukin-8 as an independent predictor of long-term clinical outcome in patients with coronary artery disease. Int J Cardiol. 2008;124(3):319-325. doi: 10.1016/j.ijcard.2007.02.012.
  13. Lannergard A, Fohlman J, Wesslen L, et al. Immune function in Swedish elite orienteers. Scand J Med Sci Sports. 2001;11(5):274-279. doi: 10.1034/j.1600-0838.2001.110504.x.
  14. Sun H, Zhu X, Zhou Y, et al. C1q/TNF-Related Protein-9 Ameliorates Ox-LDL-Induced Endothelial Dysfunction via PGC-1alpha/AMPK-Mediated Antioxidant Enzyme Induction. Int J Mol Sci. 2017;18(6). doi: 10.3390/ijms18061097.
  15. Podgorska K, Derkacz A, Szahidewicz-Krupska E, et al. Effect of Regular Aerobic Activity in Young Healthy Athletes on Profile of Endothelial Function and Platelet Activity. Biomed Res Int. 2017;2017:8715909. doi: 10.1155/2017/8715909.

Copyright (c) 2018 Lopatin Z.V., Vasilenko V.S., Karpovskaya E.B.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies