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ENVIRONMENTAL, EXERCISE AND RESPIRATORY PHYSIOLOGY
1Department of Experimental Medicine, University of Palermo, Palermo, Italy; 2Institute of Biomedicine and Molecular Immunology, Italian National Research Council, Palermo; 3Laboratory of Haematology, V. Cervello Hospital, Palermo; 4Dept of Hematology, Oncology and Molecular Medicine, Italian Institute of Public Health, Rome, Italy; 5Laboratory of Clinical Pathology, V. Cervello Hospital, Palermo; and 6Institute of Medicine and Pneumology, University of Palermo, Italy
Submitted 11 May 2005 ; accepted in final form 13 July 2005
Marathon runners show increased circulating CD34+ cell counts and postexercise release of interleukin-6 (IL-6), granulocyte-colony stimulating factor (G-CSF) and flt3-ligand (Bonsignore MR, Morici G, Santoro A, Pegano M, Cascio L, Bonnano A, Abate P, Mirabella F, Profita M, Insalaco G, Gioia M, Vignola AM, Majolino I, Testa U, and Hogg JC. J Appl Physiol 93: 16911697, 2002). In the present study we hypothesized that supramaximal ("all-out") exercise may acutely affect circulating progenitors and reticulocytes and investigated possible mechanisms involved. Progenitor release was measured by flow cytometry (n = 20) and clonogenic assays (n = 6) in 20 young competitive rowers (13 M, 7 F, age ± SD: 17.1 ± 2.1 yr, peak O2 consumption: 56.5 ± 11.4 ml·min1·kg1) at rest and shortly after 1,000 m "all-out." Release of reticulocytes, cortisol, muscle enzymes, neutrophil elastase, and several cytokines/growth factors was measured. Supramaximal exercise doubled circulating CD34+ cells (rest: 7.6 ± 3.0, all-out: 16.3 ± 9.1 cells/µl, P < 0.001), and increased immature reticulocyte fractions; AC133+ cells doubled, suggesting release of angiogenetic precursors. Erythrocyte burst forming units and colony forming units for granulocytes-monocytes and all blood series increased postexercise by 3.4-, 5.5-, and 4.8-fold, respectively (P < 0.01 for all). All-out rowing acutely increased plasma cortisol, neutrophil elastase, flt3-ligand, hepatocyte growth factor, VEGF, and transforming growth factor-
1, and decreased erythropoietin; K-ligand, stromal-derived factor-1, IL-6, and G-CSF were unchanged. Therefore, all-out exercise is a physiological stimulus for progenitor release in athletes. Release of reticulocytes and proangiogenetic cells and mediators suggests tissue hypoxia as possibly involved in progenitor mobilization.
angiogenetic precursors; hypoxia; cytokines; growth factors
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