Aerobic Training-induced Increase In Follistatin-like 1 Secretion Is Associated With eNOS Phosphorylation In Diabetic Rats.

Abstract

INTRODUCTIN: Aerobic exercise training reduces arterial stiffness via elevation of nitric oxide (NO) production in type 2 diabetes. Follistatin-like 1 (FSTL1) is a muscle-derived myokine and stimulates protein kinase B (Akt)/endothelial nitric oxide synthase (eNOS) signaling via binding to receptor (DIP2A) in endothelial cells. However, it is unclear whether FSTL1 secretion induced by aerobic exercise training is related to a reduction of arterial stiffness in type 2 diabetic rats. PURPOSE: This study aimed to investigate whether FSTL1 secretion induced by aerobic exercise training is related to a reduction of arterial stiffness with activation of aortic eNOS phosphorylation in type 2 diabetic rats. METHODS: Twenty-week-old male type 2 diabetic (OLETF) rats were randomly divided into sedentary control (OLETF-Con: n=7) and aerobic exercise training (OLETF-Ex: treadmill running for 60min at 25m/min, 5days/week: n=7) groups. In addition, 7 male LETO rats were used as healthy sedentary control. After 8-week experiment, we measured carotid-femoral pulse wave velocity (cfPWV: as an index of arterial stiffness), and thoracic aorta was isolated after collection of blood. RESULTS: Fasting blood glucose and cfPWV significantly increased (p<0.05) and aortic Akt and eNOS phosphorylation levels, plasma nitrate/nitrite (NOx) level, and serum FSTL1 protein level significantly decreased (p<0.05) in OLETF-Con as compared to LETO. OLETF-Ex showed significant decrease in fasting blood glucose and cfPWV (p<0.05), and significant increase in aortic Akt and eNOS phosphorylation, plasma NOx, and serum FSTL1 protein levels (p<0.05) as compared to OLETF-Con. However, no significant difference in aortic DIP2A protein level among three groups was seen. Serum FSTL1 protein level was positively correlated with aortic eNOS phosphorylation level (p<0.05, r=0.630), and plasma NOx level was negatively correlated with cfPWV (p<0.05, r=-0.546). CONCLUSION: The results suggest that the increase in FSTL1 secretion induced by aerobic exercise training is associated with the reduction of arterial stiffness via activation of arterial NO production-related signaling pathway in type 2 diabetic rats. Supported by Grants-in-Aid for Scientific Research (#17H02182, #16K13059, M. Iemitsu)