Aerobic Exercise Protects from Pseudomonas aeruginosa-Induced Pneumonia in Elderly Mice

J Innate Immun. 2018;10(4):279-290. doi: 10.1159/000488953. Epub 2018 May 29.

Abstract

Background: Pseudomonas aeruginosa (PS) infection results in severe morbidity and mortality, especially in immune-deficient populations. Aerobic exercise (AE) modulates the immune system, but its effects on the outcomes of pulmonary PS infection in elderly mice are unknown.

Methods: BALB/c mice (24 weeks old) were randomized to sedentary, exercise (EX), PS, and PS + EX groups for the acute experimental setting, and PS and PS + EX groups for the chronic setting. Low-intensity AE was performed for 5 weeks, 60 min/day; 24 h after the final AE session, mice were inoculated with 5 × 104 colony-forming units (CFU) of PS, and 24 h and 14 days after PS inoculation, mice were studied.

Results: AE inhibited PS colonization (p < 0.001) and lung inflammation (total cells, neutrophils, lymphocytes [p < 0.01] in bronchoalveolar lavage [BAL]), with significant differences in BAL levels of IL-1β (p < 0.001), IL-6 (p < 0.01), CXCL1 (p < 0.001), and TNF-α (p < 0.001), as well as parenchymal neutrophils (p < 0.001). AE increased BAL levels of IL-10 and parenchymal (p < 0.001) and epithelial (p < 0.001) IL-10 expression, while epithelial (p < 0.001) and parenchymal (p < 0.001) NF-κB expression was decreased. AE diminished pulmonary lipid peroxidation (p < 0.001) and increased glutathione peroxidase (p < 0.01). Pre-incubation of BEAS-2B with IL-10 inhibited PS-induced epithelial cell expression of TNF-α (p < 0.05), CD40 (p < 0.01), and dichlorodihydrofluorescein diacetate (p < 0.05).

Conclusions: AE inhibits PS-induced lung inflammation and bacterial colonization in elderly mice, involving IL-10/NF-κB, and redox signaling.

Keywords: Cytokines; Elderly; Exercise immunology; Physical training; Pseudomonas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging
  • Animals
  • Disease Models, Animal
  • Exercise / physiology*
  • Glutathione Peroxidase / metabolism
  • Humans
  • Interleukin-10 / metabolism*
  • Lipid Peroxidation
  • Lung / immunology*
  • Mice
  • Mice, Inbred BALB C
  • NF-kappa B / metabolism
  • Neutrophils / immunology*
  • Physical Conditioning, Animal
  • Pneumonia / immunology*
  • Pneumonia / therapy
  • Pseudomonas Infections / immunology*
  • Pseudomonas Infections / therapy
  • Pseudomonas aeruginosa / physiology*
  • Signal Transduction

Substances

  • NF-kappa B
  • Interleukin-10
  • Glutathione Peroxidase