Abstract

The benefits of acute exercise on distant organs (including the neurocognitive system) have been recognized, suggesting existence of biomarkers that mediate exercise benefits in target organs. Extracellular RNAs (ex-RNAs) are RNA molecules stable in circulation, capable of regulating gene expression across multiple target organs at a distance. In 26 individuals without clinical cardiovascular disease (myocardial infarction or heart failure), we performed small non-coding RNA sequencing (RNA-seq) from plasma before and after symptom-limited treadmill exercise, with validation of selected microRNAs (miRNAs) in pulmonary arterial blood from 59 individuals referred for cardiopulmonary exercise testing. Acute exercise produced widespread shifts in the plasma ex-RNA transcriptome, with a host of novel ex-RNA subtypes with unknown function (e.g., yRNAs). miR-181b (involved in silencing of NFkB-mediated inflammation in obesity and vascular disease) was significantly increased at peak exercise (relative to rest) in both our discovery (2.3-fold increase after exercise, P=8.46x10 -11 ) and validation cohort (P=0.02). In a mouse model of acute exercise, we found that skeletal muscle miR-181b expression increased in young but not old mice after exercise, with a corresponding reduction in miR-181b mRNA targets. These results provide the first unbiased demonstration of diversity in ex-RNA release after acute exercise in humans, and suggest anti-inflammatory benefits of acute exercise may be mediated in part by circulating non-coding RNAs.

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