Abstract

Strenuous exercise triggers deleterious effects on the intestinal epithelium, but their mechanisms are still uncertain. Here, we investigated whether a prolonged training and an additional exhaustive training protocol alter intestinal permeability and the putative effect of alanyl-glutamine (AG) pretreatment in this condition. Rats were allocated into 5 different groups: 1) sedentary; 2 and 3) trained (50 min per day, 5 days per week for 12 weeks) with or without 6 weeks oral (1.5 g/kg) AG supplementation; 4 and 5) trained and subjected to an additional exhaustive test protocol with or without oral AG supplementation. Venous blood samples were collected to determine gasometrical indices at the end of the 12-week protocol or after exhaustive test. Lactate and glucose levels were determined before, during, and after the exhaustive test. Ileum tissue collected after all experimental procedures was used for gene expression analysis of Zonula occludens 1 (ZO-1), occludin, claudin-2, and oligopeptide transporter 1 (PepT-1). Intestinal permeability was assessed by urinary lactulose/mannitol test collected after the 12-week protocol or the exhaustive test. The exhaustive test decreased pH and base excess and increased pCO2. Training sessions delayed exhaustion time and reduced the changes in blood glucose and lactate levels. Trained rats exhibited upregulation of PEPT-1, ZO-1, and occludin mRNA, which were partially protected by AG. Exhaustive exercise induced intestinal paracellular leakage associated with the upregulation of claudin-2, a phenomenon protected by AG treatment. Thus, AG partially prevented intestinal training adaptations but also blocked paracellular leakage during exhaustive exercise involving claudin-2 and occludin gene expression.

Highlights

  • Physical activity has been prescribed for patients with gut dysmotility to improve their health [1]

  • The present study evaluated whether periodized training and exhaustive exercise would alter intestinal permeability in a rat model and the putative effects of AG pretreatment in the gut function

  • One-way analysis of variance (ANOVA) followed by Bonferroni’s post hoc Parameters of exercise intensity Figure 1 shows the serum glucose and lactate levels of rats subjected to the exhaustive test

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Summary

Introduction

Physical activity has been prescribed for patients with gut dysmotility to improve their health [1]. There is conflicting evidence concerning its effects on gastric emptying rate (GER) [3]. Such discrepancies may be explained by different experimental conditions including exercise protocols, nature of the test meal, and duration of the post-prandial interval for GER analysis. We previously observed that alanyl-glutamine (AG) is stable, highly soluble, well tolerated, effective for sodium transport, and a key component for repairing intestinal injury both in laboratory animals and human subjects [12]. The present study evaluated whether periodized training and exhaustive exercise would alter intestinal permeability in a rat model and the putative effects of AG pretreatment in the gut function. We hypothesized that AG would be able to protect intestinal cells against leakage, presumably caused by strenuous exercise

Material and Methods
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