مجله دیابت و متابولیسم ایران
سال بیست و دوم شماره 2 (پیاپی 105، خرداد و تیر 1401)

Type 1 diabetes is associated with decreased skeletal muscle capillary and improper regulation of angiogenesis pathways in skeletal muscle. This research intended to study the effect of resistance training and endothelial stem cell injection on βeta-actin, phosphorylated and total AKT of skeletal muscle in type 1 diabetic rats.

In this experimental study, 36 male Wistar rats (age 6 weeks) were divided into six groups of control (healthy), basal diabetic control, diabetic control, diabetes + stem cell injection, diabetes + resistance training and diabetes + stem cell injection + resistance training. In this study, rats became diabetic intraperitoneally using streptozotocin as a single dose of 40 mg/kg. Resistance exercises including climbing a one-meter ladder with weights hanging from the tail were performed for 17 sessions. 500,000 bone-derived stem cells were injected by a cell counter. The levels of βeta-actin, phosphorylated and total AKT in skeletal muscle tissue of rat were measured by using the Western blotting method.

The results showed that resistance training led to significant increase in Pho-AKT, β-actin and Pho-AKT/AKT ratio and significant decrease in AKT of muscle tissue in type 1 diabetic rats (P<0.001). Injection of stem cells leads to significant increase in Pho-AKT and Pho-AKT/AKT ratio and resistance training with simultaneous injection of stem cells leads to significant increase in Pho-AKT, β-actin and significant decrease in Akt of muscle tissue in type 1 diabetic rats (P<0.001).

According to the results, it is possible that the intervention of resistance training with injection of stem cells can help regulate the pathways of skeletal muscle angiogenesis in type 1 diabetes.

Fat mass and obesity-associated gene (FTO) is directly associated with increased risk of obesity and type 2 diabetes mellitus (T2DM). The purpose of this study was to investigate the effect of 12 weeks of high intensity interval training (HIIT) on FTO expression of subcutaneous fat tissue in T2DM rats.

In this experimental study, twelve males Wistar rats (220±10 g) with T2DM induced by streptozotocin-nicotinamide injection were randomly divided into exercise (n=6) and control (n=6) groups. The training group performed the HIIT protocol on a treadmill for 12 weeks and 5 days per week. FTO expression in subcutaneous fatty tissue, blood glucose level, insulin and insulin resistance were measured 48 hours after the last training session. Data were analyzed by independent T test at P< 0.05.

Blood glucose level, insulin resistance and FTO expression in fat tissue decreased significantly in training groups compared to control group after the exercise intervention (P˂0.05). Serum insulin increased significantly in training groups compared to control group (P˂0.05).

It seems that HIIT can decrease glucose, insulin resistance and FTO expression of fat tissue of T2DM rats. Improved glycemic control in diabetic rats might be attributed to reduced FTO expression in response to HIIT.

Irisin is a myokine that is released from FNDC5 membrane protein and has positive effects on carbohydrate metabolism. The aim of this study was to evaluate the effect of 8 weeks of aerobic exercise on irisin levels and insulin resistance in middle-aged women with type 2 diabetes.

In this quasi-experimental study, 24 women with type 2 diabetes were purposefully selected and randomly divided into two groups of aerobic exercise (n = 12) and control (n = 12). The training group performed aerobic exercises for 8 minutes (3 sessions per week) for 50 minutes with an intensity of 45-85% of the maximum heart rate on the treadmill. The control group did not engage in any physical activity during exercise. Blood samples were collected 24 hours before and 48 hours after the last training session and the serum was used to measure the levels of irzin, insulin resistance index (HOMA-IR), fasting glucose and insulin. Correlated t-test and independent t-test were used to examine intra-group changes and differences between groups. Data analysis was performed using SPSS software (version 22) at a significant level (P≥0.05).

Intragroup changes showed that 8 weeks of aerobic exercise increased serum levels of irizin (P = 0.000), significantly decreased insulin resistance index (HOMA-IR) (P = 0.000), fasting glucose and insulin ratio (P = 0.001) ratio He became diabetic in the control group. Also, in comparison between groups, aerobic exercise caused a significant increase in levels of irizin (P = 0.001) and a decrease in insulin resistance index (HOMA-IR), fasting glucose (P = 0.001) and insulin (P = 0.001) compared to the control group. He became diabetic.

Aerobic exercise, through its beneficial effect on increasing irisin levels and decreasing insulin resistance index, is an effective factor in improving glucose metabolism in type 2 diabetic patients.

Diabetes, as a progressive disease, can lead to decreased immune function. therefore, the aim of this study was to determine the simultaneous effect of resistance training and endothelial progenitor cell injection on immunoglobulins (IgA, IgM, IgG) of streptozotocin-induced diabetic rats.

 30 rats (aged 6 weeks with a mean weight of 200±20 g) were randomly divided into groups including Diabetes + stem cell injection + resistance training (n = 6), diabetes + resistance training (n = 6), diabetes + stem cell injection (n = 6), control diabetes (n = 6) and healthy basal (n = 6) Were divided. Western blotting was used to evaluate the changes in immunoglobulins. Also, two-way analysis of variance was used for comparison between and within the group, and for better understanding of the results, the effect size, and the amount of 95% confidence interval were given.

The results showed that IgA (P = 0.022), IgM (P = 0.017), IgG (P = 0.045) had significant changes between groups. Also, there was a significant difference in all three variables between the control diabetes group and the diabetes + resistance training + injection group (P≤0.05).

Summarizing the results of the present study, it can probably be said that resistance training and simultaneous injection of endothelial progenitor cells improve the status of immunoglobulins by training and injection. These findings suggest that resistance training and injections can be used as a treatment to improve the function of the immune system due to diabetes.

Damage to the heart tissue in diabetics causes inflammation and destruction of heart cells, which in turn leads to apoptosis or cell death. The aim of this study was to investigate compare the effect of six weeks of aerobic and resistance training on apoptotic indice of caspase-8 and catalase in the heart tissue of male diabetic rats.

In this experimental study, 24 male Wistar rats were divided into six groups: aerobic training, resistance training, aerobic sham, resistance sham, control and healthy. Diabetes was induced by intraperitoneal injection of a single dose of streptozotocin in the amount of 30 mg per kg. The aerobic and resistance training program was performed for six weeks. Western blotting was used to measure caspase-8 and catalase. Data were analyzed by one-way analysis of variance and Tukey post hoc test at the P<0.05.

The results showed that the mean difference of caspase-8 between aerobic training group and healthy group (P=0.752), resistance training group with healthy group (P=0.723) and resistance training with aerobic training group (P=1.00) were significant. Caspase 8 was lower in the aerobic exercise group than in the resistance exercise group. The difference between the mean catalase between the aerobic training group with the healthy group (P=0.024) and the aerobic training group with the resistance training group (P=0.023) was significant and the amount of catalase in the resistance training group was higher than aerobic training.

Aerobic and resistance training can reduce the apoptotic index of caspase-8 and increase catalase in the heart tissue of diabetic rats.

Over the years type 2 diabetes, in addition to causing irreversible effects on various parts of the body, also causes liver dysfunction and increases the risk of heart failure, but due to the lack of physical symptoms, less attention has been paid. So, the aim of this study was to determine the effect of 8 weeks of endurance training on diabetic indexes and myocardial GLUT4 and liver enzymes of type 2 diabetic rats.

A total number of 24 rats (220±20) were divided randomly into three groups; 1-Non-diabetic Control group (NC, n=8). 2-Diabetic Control group (D, n=8) To induce type 2 diabetes, high-fat diets were given to rats for two weeks, then streptozotocin (Aldrich company) at a dose of 37 mg / kg in citrate buffer M0.1 (PH4.5) after 6 hours of intraperitoneal fasting was injected, For the healthy control group, the same amount of buffer was injected. Also, aerobic exercise groups ran 5 times a week and 8 weeks on a motorized treadmill. Diabetic index’s, myocardial GLUT4 (Western blotting) and liver enzymes (ELISA) of rats were measured.

Endurance training significantly decreased fasting blood glucose, insulin resistance index (both P= 0.00). It also caused a significant increase in insulin (P= 0.01) and insulin sensitivity index (P= 0.00) compared to the diabetic control group. On the other hand, the amount of GLUT4 in the training group increased significantly (P= 0.01). The results also showed that in comparison with the diabetic control group, ALT and AST did not increase significantly in diabetics with endurance training (P= 0.30, P= 0.5, respectively).

Based on the results, it seems that endurance training significantly increases the level of GLUT4 in the heart and significantly decreased diabetic parameters such as fasting glucose, HOMA-IR index and liver enzymes.