Exercise & Innate Immune Function Flashcards

1
Q

What did hack et al suggest the mechanism that effects respiratory burst depend on exercise intensity is ?

A

Adrenaline

This is because the adrenalin suppressed neutrophil function which increased cAMP, thus inhibiting signaling pathways associated with superoxide production, degranulation, chemotaxis and phagocytosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the chronic training effect on NK cell numbers and NKCT (natural killer cytotoxic activity) ?

A

NK cell number and NKCT per cell are significantly higher in people who undergo regular endurance training.

However during a period of very high intensity training the NK number will decrease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the effect of strenuous exercise on rates of chemotaxis and how does this happen ?

A

Strenuous exercise impairs chemotaxis

it does this as as it reduces the ability of the cells to adhere to the membrane.

Secondly strenuous exercise resulted in a reduction of cell migration through via diapedesis (moving through membrane gaps).

Both of these are still significantly reduced 24 hours later.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

From the information given in the prior study mentioned by Davies where they investigated survival rates and macrophage function in mice, why might the knowledge of exercise effect on TLR’s expand thee findings ?

A

The survival rate in the mice likely dropped significantly in the exhaustive trial because there TLR were significantly impaired, allowing greater virus replication leading to death.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

During exercise why is there an initial increase in leucocyte overall leucocyte amount.

A

Initial increase as the cells that are normally resting on the vessel walls are pulled into circulation in a process called demargination, caused by increased shear stress by heightened blood flow and reduced adherence via adhesion molecules due to adrenalin.

It is worth remembering that the overall increase during exercise is dependent on both the intensity and the duration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How do NK cell numbers and the Cytotoxic ability (killing ability) differ to the other immune cells post exercise?

A

Like others immune cells the NK number increases post exercise due to demargination then drops of due to adrenalin being removed and cortisol simulating removal from circulation.

This is also true for the overall Cytotoxic ability of NK cells which follow the trend.

However, If you look at the cytotoxic ability of each NK cell individually there is actually an upwards rise following exercise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How did the hack paper assess respiratory burst via the production of what free radicle ?

A

O2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What did Ceddia and Woods, 1999, show about the levels of antigen presentation in mice following moderate, exhaustive and an ad lib treadmill controls ?

A

In moderate exercise macrophage AP was elevate immediately, but significantly reduce 4 hours post, However this rebounded to a significant increase 24 hours later.

Comparatively in exhaustive exercise this was AP was significantly reduced immediately post and at three hours post. But unlike moderate exercise it did not rebound and was still significantly reduce compare to a control, indicating the immune systems inability to perform properly, likely due to the TLR expression being reduced.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the mechanism underlying the initial and delayed increases in neutrophil counts in exercises ?

A

Initial - Adrenalin and demargination

Delayed increase - Cortisol stimulating release of neutrophils from bone marrow.

Cortisol makes lymphocytes and monocytes leave circulation but increases neutrophil counts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How did Smith et al (1990) further the work of hack in regards the the effect of moderate and intense training effect on respiratory burst levels ?

A

Moderate training increases the burst response for 6 hours post exercise, whereas similarly to hack et al, higher intensity sustained training damped it down at rest, post and 6+ hours.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the major influencer of NK cell function and who reported this ?

A

Adrenalin in the Major influencer of NK function.

This was reported by Kappel et al., 1991 who found that by measuring exercise adrenalin levels and then on a separate day infusing adrenalin to this same level the NK cell function responses were almost identical.

This is because NK cells have greater numbers of Adrenal receptors (Beta 2 type)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How were the findings on adrenalin and its effect on NK function expanded by Fletcher and Bishop, 2012 study using caffeine ?

A

Using caffeine supplementation the NK cell number was significantly higher post exercise. At this time was also when the adrenalin has spiked.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In Hack, what was the effect of acute exercise on respiratory burst activity in MT and IT vs control groups?

A

Acute exercise caused an earlier decrease in Respiratory burst, happening immediately post exercise in MT and IT compared with 30mins later in the control.

Moreover, in all groups there is a super compensation response 24 hours post exercise.

However, in the IT group all of the values were dampened down, as seen with other results from IT training bouts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the three main functional activities of a neutrophil ?

A

Phagocytosis ( engulf )
Respiratory burst ( release of free radicles)
Degranulation (release of cytotoxic enzymes )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What did bishop et al ., 2003 show about the cause for reduced neutrophil degranulation and function?

A

Bishop showed that with exercise there is an standard expected increase in neutrophil released elastase counts in circulation.

However, the induvial release per cell is lower and is likely caused by interruption of stimulating pathways and elastase release is reduced.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does the monocyte change change from its pre exercise state compared to 1 hour post and post exercise as shown by the booth et al., 2010 study ?

A

Pre exercise circulating monocytes with CD14/CD16- were in greater number.

However, immediately post exercise the CD14++/CD16+ and CD14+/CD16++ levels were significantly higher, resulting in a higher inflammatory response.

By 1 hour post levels were almost back to pre exercise levels.

17
Q

What happens to toll-like receptor expression following exercise and why is this important?

Who was this study by ?

A

Following exercise all four of the major TLR’s (TLR1, TLR2, TLR3, TLR4) are reduced post exercise, and significantly reduce in the hour post exercise?

This is important because the ability for the monocyte to activate is decreased as it cannot get switched on.

Gleeson et al., 2006.

18
Q

What are the patter recognition receptors (PRR’s) that monocytes have that help them to recognize pathogen associated molecular patterns (PAMP’s) ?

A

Toll-like receptors.

There help monocyte recognize something that shouldn’t be there.

19
Q

What is the continuum that neutrophils sit on and what will determine where they sit on this ?

A

Neutrophils sit between being inactive or active, and this scale is known as neutrophil priming.

Priming can be decreased by adrenaline and cortisol

Can be increased by IL-6, TNF-a, IL-8, Growth hormone.

Adrenalin increases the numbers of neutrophils within circulation but decreases their function.

20
Q

What is the effect of training status on neutrophil degranulation at rest ?

A

The more training you have done the greater dampening effect there is to the resting degranulation.

21
Q

For the following is adrenalin or cortisol the cause?

  • Initial leukocytosis of exercise
  • Delayed leukocytosis of exercise
  • Downregulation of adhesion molecules
  • Bone marrow release of neutrophils
  • Exit of lymphocytes and monocytes from the circulation
A
  • Initial leukocytosis of exercise - Adrenaline
  • Delayed leukocytosis of exercise - Cortisol
  • Downregulation of adhesion molecules - Adrenaline
  • Bone marrow release of neutrophils - Cortisol
  • Exit of lymphocytes and monocytes from the circulation- Cortisol
22
Q

Are the following true or false ?

  • NK cell numbers increase during exercise
  • NK cell numbers increase post-exercise
  • In response to acute exercise, numbers of CD56bright (anti-tumor) NK cells increase more than CD56dim (cytotoxic) NK cells
  • NK cell number changes are closely related to adrenaline
  • NK cell cytotoxic activity increases with regular training
A

TRUE

  • NK cell numbers increase during exercise
  • NK cell number changes are closely related to adrenaline
  • NK cell cytotoxic activity increases with regular training

False

  • NK cell numbers increase post-exercise
  • In response to acute exercise, numbers of CD56bright (anti-tumor) NK cells increase more than CD56dim (cytotoxic) NK cells
23
Q

What was shown by Blannin et al., 1996, about the difference between leukocyte, neutrophil and lymphocytes counts between trained and untrained middle aged endurance cyclists?

A

In all cases the levels reported in trained cyclists were lower than those found in untrained, but still within the clinically normal ranges.

The theorized cause for this is not that the counts are actually lower but is due to endurance athletes having a greater blood volume so counts are diluted representatively.

24
Q

What did Campbell et al., 2009, find about which type of NK cell is preferentially mobilized during acute exercise of varying intensities?

A

They found that during both low and high intensity exercise there were increases in cell number of dim and bright NK cells.

However, during high intensity exercise the increase in dim NK cells was almost 5x more that during low intensity exercise.

The dim cells have a much greater cytotoxic ability which indicates that at higher intensities they have enhanced virus protection.

25
Q

What did the Hack et al., 1994 paper find about the effect of MT and IT on phagocytic activity at rest, post exercise, 30mins post and 24hours post.

A

MT led to a reduction immediately post at 30min later compared to controls, however a significant increase by 24 hours.

Comparatively in the IT condition phagocytic activity was significantly reduced immediate post and 30mins after exercise. however, in this condition there was a significant reduction in both he resting value and the 24 hours value.

26
Q

What causes the secondary changes in individual leucocytes following completion of exercise ?

A

At this point cortisol begins to have an effect as adrenaline is removed.

Cortisol stimulates bone marrow to release neutrophils, increasing the content of these in the blood.

Alternativity cortisol encourages the monocytes and lymphocytes to leave the circulation, resulting in a reduction post exercise.