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Resistance Training Improves the Immune Response, Mainly Associated with CD8+ T Lymphocytes and B Lymphocytes, in Mice

Abstract

Studies investigating the effects of different modalities of exercises on the immune system are scarce. Therefore, the aim of this study was to compare the effects of eight weeks of resistance and aerobic training on the proliferation of T and B lymphocytes from mice. Eighteen male C56BL6/J mice were divided into groups (n=6), sedentary, aerobic, and resistance training. After 8 weeks, animals were euthanized, and their splenocytes were labeled and cultured with and without stimulation. Lymphocyte proliferation (CD4+, CD8+ and CD21/CD35+) was evaluated by flow cytometry. The mice subjected to resistance exercise exhibited greater proliferation for total, CD8+ and B lymphocytes (p<0.05), but not CD4+ cells (p>0.05), compared with their sedentary counterparts. We found significant correlations between maximum load and total, CD8+ and B lymphocytes proliferation rates (p<0.05). In conclusion, our results showed that resistance training promoted an improvement in the immune response associated with CD8+ and B lymphocytes.

Keywords:
mouse; immunology; lymphocyte proliferation; resistance training; aerobic exercises

GRAPHICAL ABSTRACT

HIGHLIGHTS

• Mice under aerobic training showed significantly higher workload after 4 and 8 weeks.

• Resistance exercises generate greater rates of total lymphocytes, CD8+ and B lymphocytes.

• Maximum load of resistance training correlates with proliferation of total lymphocytes, CD8+ and B cells.

• Resistance training promoted improvement to immune response associated with CD8+ and B lymphocytes.

INTRODUCTION

The mammalian immune system is composed of several substances and cells that act in the defense of the organism, and which constitute the innate and adaptive phases of the immune response [11 Simpson RJ, Kunz H, Agha N, Graff R. Chapter Fifteen - Exercise and the Regulation of Immune Functions. In: Bouchard, C., editor. Prog Mol Biol Transl Sci 2015; 1:355-80. doi: 10.1016/bs.pmbts.2015.08.001.
https://doi.org/10.1016/bs.pmbts.2015.08...
]. Physical exercise has been identified as a protective factor for health and well-being by increasing the immunological response [22 Kurowski M, Seys S, Bonini M, Del Giacco S, Delgado L, Diamante Z, et al. Physical exercise, immune response, and susceptibility to infections-current knowledge and growing research areas. Allergy. 2022; 77:2653-64. doi:10.1111/all.15328.
https://doi.org/10.1111/all.15328....
], due to its anti-inflammatory activity [33 McFarlin BK, Flynn MG, Campbell WW, Craig BA, Robinson JP, Stewart LK, et al. Physical activity status, but not age, influences inflammatory biomarkers and toll-like receptor 4. J. Gerontol A Biol Sci Med Sci 2006; 61:388-93. doi: 10.1093/gerona/61.4.388.
https://doi.org/10.1093/gerona/61.4.388....
,44 Scheffer DDL, Latini A. Exercise-induced immune system response: Anti-inflammatory status on peripheral and central organs. Biochim Biophys Acta Mol Basis Dis. 2020; 1866:10:165823. doi: 10.1016/j.bbadis.2020.165823.
https://doi.org/10.1016/j.bbadis.2020.16...
]. Physical exercise of moderate intensity [55 Bortolini MJ, Silva MV, Alonso FM, Medeiros LA, Carvalho FR, Costa LF et al. Strength and Aerobic Physical Exercises Are Able to Increase Survival of Toxoplasma gondii-Infected C57BL/6 Mice by Interfering in the IFN-γ Expression. Front Physiol 2016; 7:641. doi: 10.3389/fphys.2016.00641.
https://doi.org/10.3389/fphys.2016.00641...
] induces a discharge of catecholamines (adrenaline and norepinephrine), leading to an increase in the concentration of T lymphocytes in the vascular compartment [66 Kan NW, Lee MC, Tung YT, Chiu CC, Huang CC, Huang WC. The Synergistic Effects of Resveratrol combined with Resistant Training on Exercise Performance and Physiological Adaption. Nutrients 2018; 10:1360. doi: 10.3390/nu10101360.
https://doi.org/10.3390/nu10101360....
].

The classification of the level of effort (intensity) can be established using physiological and metabolic parameters [77 Ahtiainen JP, Lensu S, Ruotsalainen I, Schumann M, Ihalainen JK, Fachada V, et al. Physiological adaptations to resistance training in rats selectively bred for low and high response to aerobic exercise training. Exp Physiol 2018; 103:1513-23. doi: 10.1113/EP087144.
https://doi.org/10.1113/EP087144....
]. In fact, regular physical activity improves resistance to infection and decrease in the risk of mortality in community-acquired infectious disease in the general population [88 Chastin SFM, Abaraogu U, Bourgois JG, Dall PM, Darnborough J, Duncan E, et al. Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community-Acquired Infectious Disease in the General Population: Systematic Review and Meta-Analysis. Sports Med. 2021; 51:8:1673-86. doi: 10.1007/s40279-021-01466-1.
https://doi.org/10.1007/s40279-021-01466...
]. In addition, the skeletal muscles can be considered an endocrine organ as result of producing significant quantities of cytokines during exercise. These cytokines include IL-6 [99 Pedersen BK, Hoffman-Goetz L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev. 2000; 80:1055-81. doi: 10.1152/physrev.2000.80.3.1055.
https://doi.org/10.1152/physrev.2000.80....
] and IL-7, which play important roles in signaling to naïve and memory CD8+ lymphocytes, and IL-15, which is crucial to the proliferation of the same immunological cells [1010 Ma A, Koka R, Burkett P. Diverse functions of IL-2, IL-15, and IL-7 in lymphoid homeostasis. Annu. Rev. Immunol. 2006; 24:657-79. doi: 10.1146/annurev.immunol.24.021605.090727.
https://doi.org/10.1146/annurev.immunol....
]. Exercise of moderate intensity tends to polarize the immune response to the Th1 pattern [1111 Terra R, Alves PJF, Gonçalves da Silva SA, Salerno VP, Dutra PML. Exercise Improves the Th1 Response by Modulating Cytokine and NO Production in BALB/c Mice. Immunology 2013; 34:661-6. doi: 10.1146/annurev.immunol.24.021605.090727.
https://doi.org/10.1146/annurev.immunol....
], whereas exhaustive exercise may cause immunosuppression, thereby favoring infections or inflammation in athletes [1212 Abbasi A, Hauth M, Walter M, Hudemann J, Wank V, Niess AM, et al. Exhaustive exercise modifies different gene expression profiles and pathways in LPS-stimulated and un-stimulated whole blood cultures. Brain Behav Immun 2014; 39:130-41. doi: 10.1016/j.bbi.2013.10.023.
https://doi.org/10.1016/j.bbi.2013.10.02...
].

Although studies investigating the effects of different intensities of exercise on the immune system are extensive, comparisons of different modalities are scarce. Thus, this study aimed to evaluate the effects of different modalities of physical exercise (resistance and aerobic training) on the proliferation of lymphocyte subsets in C56BL6/J mice.

MATERIAL AND METHODS

The research project was approved by the Laboratory Animal Use Ethics Committee of the Federal University of Minas Gerais (UFMG) (registry number 292/18). Eighteen male C56BL6/J mice, aged 4 weeks and weighing approximately 15 g, were used. They were maintained at 22 ± 2o C, in 45% ± 15% humidity, and 12 h light and 12 h dark cycle. The three groups were sedentary, aerobic training on a treadmill, and resistance training on a ladder (climbing with loads) [1313 Pereira LJ, Macari S, Coimbra CC, Pereira TSF, Barrioni BR, Gomez RS. Aerobic and resistance training improve alveolar bone quality and interferes with bone-remodeling during orthodontic tooth movement in mice’, Bone 2020; 138:115496. doi: 10.1016/j.bone.2020.115496.
https://doi.org/10.1016/j.bone.2020.1154...
]. Briefly, after five days of acclimation, animals were subjected to two types of fatigue tests: maximum incremental load/speed test and endurance test using 80% of maximum load/speed in order to evaluate each animal’s performance. According to their initial performance, the mice were distributed into three groups composed of animals with similar physical capacity.

Animals were trained for 8 weeks, while sedentary animals were only exposed to the same laboratory conditions without any additional exercise. In the aerobic training, a motor-powered treadmill with electrical resistance at the end of the lane was used. For the resistance training, the animals were subjected to climbing sessions on a ladder with the following dimensions: 90 × 14 cm (grid between 1 cm steps), 80° angle, with a resting area on the upper part, adapted from previous research [1414 Hornberger-Jr TA, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol 2004; 29:16-31. doi: 10.1139/h04-002.
https://doi.org/10.1139/h04-002....
]. Fatigue tests were also performed by adapting the same models from the treadmill [1313 Pereira LJ, Macari S, Coimbra CC, Pereira TSF, Barrioni BR, Gomez RS. Aerobic and resistance training improve alveolar bone quality and interferes with bone-remodeling during orthodontic tooth movement in mice’, Bone 2020; 138:115496. doi: 10.1016/j.bone.2020.115496.
https://doi.org/10.1016/j.bone.2020.1154...
]. Both fatigue tests were conducted after four and eight weeks of training to indicate performance gains over time.

After 8 weeks of training, the mice were euthanized, and their spleens were collected to evaluate the cellular immune response. Splenocytes were obtained as previously described [1212 Abbasi A, Hauth M, Walter M, Hudemann J, Wank V, Niess AM, et al. Exhaustive exercise modifies different gene expression profiles and pathways in LPS-stimulated and un-stimulated whole blood cultures. Brain Behav Immun 2014; 39:130-41. doi: 10.1016/j.bbi.2013.10.023.
https://doi.org/10.1016/j.bbi.2013.10.02...
]. The tubes containing the splenocytes were centrifuged at 200 × g for 10 min at 4° C and the pellets (containing the cells) were resuspended in RPMI 1640 (Sigma Aldrich, USA) supplemented with 10% fetal bovine serum (Sigma Aldrich, USA). Then, the splenocytes were labeled with CFSE [55 Bortolini MJ, Silva MV, Alonso FM, Medeiros LA, Carvalho FR, Costa LF et al. Strength and Aerobic Physical Exercises Are Able to Increase Survival of Toxoplasma gondii-Infected C57BL/6 Mice by Interfering in the IFN-γ Expression. Front Physiol 2016; 7:641. doi: 10.3389/fphys.2016.00641.
https://doi.org/10.3389/fphys.2016.00641...
(66 Kan NW, Lee MC, Tung YT, Chiu CC, Huang CC, Huang WC. The Synergistic Effects of Resveratrol combined with Resistant Training on Exercise Performance and Physiological Adaption. Nutrients 2018; 10:1360. doi: 10.3390/nu10101360.
https://doi.org/10.3390/nu10101360....
)-carboxyfluorescein diacetate N-succinimidyl ester] (Life Technologies, USA), according to the manufacturer's instructions. An aliquot of each cell suspension was diluted in trypan blue to assess cell viability using light microscopy. The cells were cultured in 48-well culture plates for 3 days (72 h) (1 × 106 cells/well) at 37 °C and 5% CO2. Cultures were stimulated with phytohemagglutinin-L (PHA-L) (Medicago, Sweden) (5 μg/mL) (positive control) or RPMI 1640 (Sigma Aldrich, USA) only (negative control). After incubation, cells were labeled with previously standardized amounts of monoclonal antibodies (mAbs), including anti-mouse CD4 (clone RM4-5), anti-mouse CD8 (clone 53-6.7), and anti-mouse CD21 / CD35 (clone 7G6), conjugated with peridinin chlorophyll protein complex (PerCP), phycoerythrin (PE), and allophycocyanin (APC), respectively (all purchased from Becton Dickinson, USA). A minimum of 30,000 cells per sample were analyzed using a FACSCalibur flow cytometer (Becton Dickinson, USA). FlowJo 7.6.1 software (Tree Star, USA) was used for all analyses of flow cytometry data. Lymphocytes were identified based on their size and granularity. Specific lymphocyte proliferation was determined by considering the percentage of lymphocytes that express CD4, CD8, or CD21/CD35 that proliferated divided by the total lymphocytes of that subpopulation.

The data were first tested for normality and variance of the data sets using the Shapiro-Wilk test. The Kruskal-Wallis test followed by Dunn´s test was used to analyze all flow cytometry data, considering its non-parametric nature. The two-way ANOVA followed by the Bonferroni test was used to compare the exercise modalities for the analysis of Work (J) performed in the tests with constant load, and one-way ANOVA followed by the Tukey test to analyze the maximum load and speed among the groups. Pearson correlation coefficients were calculated for the maximum speed/load and cell proliferation rates. All analyses were performed using GraphPad Prism 8.0.1 software (GraphPad Software, USA). Statistical significance was defined as P < 0.05.

RESULTS

After eight weeks of training, animals in both the aerobic and resistance trained groups showed significant improvement in physical performance (Figure 1). Aerobic trained animals showed significantly superior performance in the incremental test of maximum speed after four and eight weeks of training in relation to the initial test (Figure 1 A). Similarly, the animals in the group subjected to resistance training also improved their performance, supporting a greater maximum load after four and eight weeks of training, with a significant difference between the evaluation points (4 and 8 weeks) and their initial condition (Figure 1 B). In the analysis of the workload (J) performed, when comparing the three groups we observed that the group subjected to aerobic training performed at a significantly higher workload (J) than the other groups (resistance training and control groups) after 4 and 8 weeks of training (Figure 1 C).

Figure 1
Bar graphs demonstrating the fatigue tests (A and B) and the workload (C) of C56BL6/J mice divided in three experimental groups, sedentary, aerobic trained and resistance trained, at day 0, and after 4 and 8 weeks of training. Error bars represent the standard error of the mean. Same letter indicates no statistical differences (P < 0.05).

After PHA-L in vitro stimulation, splenocytes recovered from mice subjected to resistance exercise exhibited greater proliferation rates for total lymphocytes and CD8+ and B lymphocytes (p<0.05), but not CD4+ cells (p>0.05), compared to splenocytes from their sedentary counterparts. Proliferation of splenocytes from animals subjected to aerobic training did not differ significantly from those of either sedentary or resistance-trained animals (Figure 2).

Figure 2
Bar graphs comparing the proliferation of total immune cells (A), CD4+ T cells (B), CD8+ T cells (C) and B cells (D) of C56BL6/J mice from the sedentary, aerobic and resistance groups. Sed: sedentary group; Aer: aerobic trained group; Res: resistance trained group. Error bars represent the standard error of the mean. Same letter indicates no statistical differences (P < 0.05).

In contrast to resistance training, aerobic training did not improve the lymphocyte proliferation rate compared to that of cells from sedentary mice (P = 0.07) (Fig. 2 B). We found significant correlations between maximum load (in the resistance training group) and total lymphocyte, CD8+ T lymphocyte, and B lymphocyte proliferation rates (Fig.3). Correlations regarding workload (both training modalities) and maximum speed (aerobic group) were not significant.

Figure 3
Correlation analysis of maximum load on resistance training with the proliferation rates for total lymphocytes, B lymphocytes, CD8+ and CD4+ cells of C56BL6/J mice.

DISCUSSION

Studies comparing resistance to aerobic training in immune responses are increasing over the years. A previous study in humans demonstrated that a 3-month aerobic exercise program (60% of heart rate reserve) did not significantly increase natural killer cell cytotoxicity, T lymphocyte mitogenesis, natural killer cells, or T cell subsets in previously sedentary women [1515 Nieman DC, Henson DA, Gusewitch G, Warren BJ, Dotson RC, Butterworth DE, et al. Physical activity and immune function in elderly women. Med Sci Sports Exerc 1993; 25:823-31. doi: 10.1249/00005768-199307000-00011.
https://doi.org/10.1249/00005768-1993070...
]. This lack of an effect was attributed to the short period of evaluation and corroborates our findings for aerobic training. In contrast, more recent study shows that aerobic training improves endothelial activation immunological markers and inflammatory cytokines in elderly people [1616 Abd El-Kader SM, Al-Shreef FM, Al-Jiffri OH. Impact of aerobic exercise versus resisted exercise on endothelial activation markers and inflammatory cytokines among elderly. Afr Health Sci. 2019; 19:4:2874-80. doi: 10.4314/ahs.v19i4.9.
https://doi.org/10.4314/ahs.v19i4.9....
].

In contrast, the animals in the resistance training group showed enhanced performance at the three assessment points, exhibiting a progressive improvement and a better physical performance compared with that of the aerobic group. Indeed, as shown in Fig.3, we found significant correlations between maximum load and total lymphocyte, CD8+ T lymphocyte, and B lymphocyte proliferation rates (P<0.05). This improvement was coincident with an increase in the blastogenic capacity of the total, CD8+ T-, and B lymphocytes, which are important cells in the defense of the organism against pathogens and in the damage repair response [1616 Abd El-Kader SM, Al-Shreef FM, Al-Jiffri OH. Impact of aerobic exercise versus resisted exercise on endothelial activation markers and inflammatory cytokines among elderly. Afr Health Sci. 2019; 19:4:2874-80. doi: 10.4314/ahs.v19i4.9.
https://doi.org/10.4314/ahs.v19i4.9....
]. In this context, it is tempting to speculate that physical activity practitioners who undertake resistance training would be more likely to respond to infections or environmental challenges than those who perform aerobic sports. Indeed, the lymphocyte subsets (CD8+ and B) that showed significant proliferation against an unspecific stimulus (PHA-L) are critically involved in the cellular and humoral immune responses that are triggered by pathogens and damage [1818 Laidlaw BJ, Craft JE, Kaech SM. The multifaceted role of CD4(+) T cells in CD8(+) T cell memory, Nat Rev Immunol 2016; 16:102-11. doi: 10.1038/nri.2015.10.
https://doi.org/10.1038/nri.2015.10....
]. Furthermore, it is important to highlight that our results showed a different response capacity (blastogenic) of the immunological cells of the animals (B and T CD8+ lymphocytes) depending on the type of physical exercise practiced, which is at variance with the transient changes observed in the number of peripheral lymphocytes which occur as result of exercise-induced cell redistribution observed elsewhere [1919 Pedersen BK, Febbraio MA. Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiol Rev 2008; 88:1379-406. doi: 10.1152/physrev.90100.2007.
https://doi.org/10.1152/physrev.90100.20...
].

The differences in lymphocyte proliferation according to exercise modality (resistance vs. aerobic) may be associated with changes in circulating levels of stress hormones, since it was previously demonstrated that acute/intense muscular exercise increases the plasma concentrations of cortisol [2020 Beserra AHN, Kameda P, Deslandes AC, Schuch FB, Laks J, Moraes HS. Can physical exercise modulate cortisol level in subjects with depression? A systematic review and meta-analysis. Trends Psychiatry Psychother 2018; 40:360-8. doi: 10.1590/2237-6089-2017-0155.
https://doi.org/10.1590/2237-6089-2017-0...
]. Cortisol produced during acute/intense exercise contributes to apoptosis, lymphocytopenia, and reduced immunity post-exercise [2121 Mars M, Govender S, Weston A, Naicker V, Chuturgoon. A High intensity exercise: a cause of lymphocyte apoptosis? Biochem Biophys Res Commun 1998; 249:366-70. doi: 10.1006/bbrc.1998.9156
https://doi.org/10.1006/bbrc.1998.9156...
, 2222 Simpson RJ, Florida-James GD, Whyte GP, Black JR, Ross JA, Guy K. Apoptosis does not contribute to the blood lymphocytopenia observed after intensive and downhill treadmill running in humans. Res Sports Med 2007; 15:157-74. doi: 10.1080/15438620701405339.
https://doi.org/10.1080/1543862070140533...
]. Hypothetically, considering that the total work performed by the aerobic group was significantly greater than that performed by the animals in the resistance training, it would be reasonable to state that these animals were subjected to a more intense and stressful training protocol. This hypothesis explains the inferior immunological performance of splenocytes from the aerobic group in the proliferation assay. Overall, our findings point to different responses of the immune system as consequence of practicing different exercise’ modalities, showing an adjuvant role of resistance exercise on the immune response in mice.

CONCLUSION

In conclusion, our results showed that resistance exercise promoted, a significant improvement in the immune system response in C57BL6/J mice, which was predominantly associated with CD8+ T lymphocytes and B lymphocytes. However, the group of animals undergoing 8-weeks of aerobic training failed to show clear improvements.

Acknowledgments

The authors would like to thank Gabriel William Oliveira Silva and Pâmela Aparecida Custódio for their technical assistance.

REFERENCES

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    » https://doi.org/10.1016/bs.pmbts.2015.08.001.
  • 2
    Kurowski M, Seys S, Bonini M, Del Giacco S, Delgado L, Diamante Z, et al. Physical exercise, immune response, and susceptibility to infections-current knowledge and growing research areas. Allergy. 2022; 77:2653-64. doi:10.1111/all.15328.
    » https://doi.org/10.1111/all.15328.
  • 3
    McFarlin BK, Flynn MG, Campbell WW, Craig BA, Robinson JP, Stewart LK, et al. Physical activity status, but not age, influences inflammatory biomarkers and toll-like receptor 4. J. Gerontol A Biol Sci Med Sci 2006; 61:388-93. doi: 10.1093/gerona/61.4.388.
    » https://doi.org/10.1093/gerona/61.4.388.
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    » https://doi.org/10.1016/j.bbadis.2020.165823.
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    » https://doi.org/10.3390/nu10101360.
  • 7
    Ahtiainen JP, Lensu S, Ruotsalainen I, Schumann M, Ihalainen JK, Fachada V, et al. Physiological adaptations to resistance training in rats selectively bred for low and high response to aerobic exercise training. Exp Physiol 2018; 103:1513-23. doi: 10.1113/EP087144.
    » https://doi.org/10.1113/EP087144.
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    » https://doi.org/10.1007/s40279-021-01466-1.
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    Pedersen BK, Hoffman-Goetz L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev. 2000; 80:1055-81. doi: 10.1152/physrev.2000.80.3.1055.
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  • 10
    Ma A, Koka R, Burkett P. Diverse functions of IL-2, IL-15, and IL-7 in lymphoid homeostasis. Annu. Rev. Immunol. 2006; 24:657-79. doi: 10.1146/annurev.immunol.24.021605.090727.
    » https://doi.org/10.1146/annurev.immunol.24.021605.090727.
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    Terra R, Alves PJF, Gonçalves da Silva SA, Salerno VP, Dutra PML. Exercise Improves the Th1 Response by Modulating Cytokine and NO Production in BALB/c Mice. Immunology 2013; 34:661-6. doi: 10.1146/annurev.immunol.24.021605.090727.
    » https://doi.org/10.1146/annurev.immunol.24.021605.090727.
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    Abbasi A, Hauth M, Walter M, Hudemann J, Wank V, Niess AM, et al. Exhaustive exercise modifies different gene expression profiles and pathways in LPS-stimulated and un-stimulated whole blood cultures. Brain Behav Immun 2014; 39:130-41. doi: 10.1016/j.bbi.2013.10.023.
    » https://doi.org/10.1016/j.bbi.2013.10.023.
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    Pereira LJ, Macari S, Coimbra CC, Pereira TSF, Barrioni BR, Gomez RS. Aerobic and resistance training improve alveolar bone quality and interferes with bone-remodeling during orthodontic tooth movement in mice’, Bone 2020; 138:115496. doi: 10.1016/j.bone.2020.115496.
    » https://doi.org/10.1016/j.bone.2020.115496.
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    Hornberger-Jr TA, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol 2004; 29:16-31. doi: 10.1139/h04-002.
    » https://doi.org/10.1139/h04-002.
  • 15
    Nieman DC, Henson DA, Gusewitch G, Warren BJ, Dotson RC, Butterworth DE, et al. Physical activity and immune function in elderly women. Med Sci Sports Exerc 1993; 25:823-31. doi: 10.1249/00005768-199307000-00011.
    » https://doi.org/10.1249/00005768-199307000-00011.
  • 16
    Abd El-Kader SM, Al-Shreef FM, Al-Jiffri OH. Impact of aerobic exercise versus resisted exercise on endothelial activation markers and inflammatory cytokines among elderly. Afr Health Sci. 2019; 19:4:2874-80. doi: 10.4314/ahs.v19i4.9.
    » https://doi.org/10.4314/ahs.v19i4.9.
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    Laidlaw BJ, Craft JE, Kaech SM. The multifaceted role of CD4(+) T cells in CD8(+) T cell memory, Nat Rev Immunol 2016; 16:102-11. doi: 10.1038/nri.2015.10.
    » https://doi.org/10.1038/nri.2015.10.
  • 19
    Pedersen BK, Febbraio MA. Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiol Rev 2008; 88:1379-406. doi: 10.1152/physrev.90100.2007.
    » https://doi.org/10.1152/physrev.90100.2007.
  • 20
    Beserra AHN, Kameda P, Deslandes AC, Schuch FB, Laks J, Moraes HS. Can physical exercise modulate cortisol level in subjects with depression? A systematic review and meta-analysis. Trends Psychiatry Psychother 2018; 40:360-8. doi: 10.1590/2237-6089-2017-0155.
    » https://doi.org/10.1590/2237-6089-2017-0155.
  • 21
    Mars M, Govender S, Weston A, Naicker V, Chuturgoon. A High intensity exercise: a cause of lymphocyte apoptosis? Biochem Biophys Res Commun 1998; 249:366-70. doi: 10.1006/bbrc.1998.9156
    » https://doi.org/10.1006/bbrc.1998.9156
  • 22
    Simpson RJ, Florida-James GD, Whyte GP, Black JR, Ross JA, Guy K. Apoptosis does not contribute to the blood lymphocytopenia observed after intensive and downhill treadmill running in humans. Res Sports Med 2007; 15:157-74. doi: 10.1080/15438620701405339.
    » https://doi.org/10.1080/15438620701405339.
  • Funding:

    This study was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001, Fundação de Amparo à Pesquisa de Minas Gerais (Fapemig) and Conselho Nacional de Desenvolvimento Ciêntifico e Tecnológico (CNPq).

Edited by

Editor-in-Chief:

Paulo Vitor Farago

Associate Editor:

Paulo Vitor Farago

Publication Dates

  • Publication in this collection
    12 Jan 2024
  • Date of issue
    2024

History

  • Received
    18 Apr 2022
  • Accepted
    23 Aug 2023
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