Physical activity and its relationship with the immune system
Keywords:
physical exercise, immunity, macrophage, neutrophils, lymphocytes, immunoglobulins.Abstract
Introduction: Exercise improves many aspects of human health, including, regulating the immune system. Moderate training has been shown to exert anti-inflammatory effects. By improving immune functions, it reduces the incidence of non-communicable diseases and susceptibility to viral infections.
Objective: To describe the effects of physical activity on the innate and adaptive immune system.
Methods: The PubMed and Google Scholar databases were used. The terms "physical exercise", "immunity", "macrophage", "neutrophils", "lymphocytes" and "immunoglobulins" were used, according to the Health Sciences descriptor (DeCS). Eighty-six articles were included in the review.
Conclusions: Acute exercise (moderate to vigorous intensity, less than 150 min) is considered an immunostimulant because it enhances the antimicrobicidal activity of macrophages and increases the synthesis of anti-inflammatory cytokines. In addition, it favors the movement of neutrophils, NK cells, cytotoxic T cells and immature B cells.
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1. Ruiz A, Martin A, Perez LM, Provencio M, Fiuza C, Lucia A. Exercise and the hallmarks of cancer. Trends Canc. 2017;3(6):423-41. DOI: https://doi.org/10.1016/j.trecan.2017.04.007
2. Kotas ME, Medzhitov R. Homeostasis, inflammation, and disease susceptibility. Cell. 2015;160(5):816-27. DOI: https://doi.org/10.1016/j.cell.2015.02.010
3. Sallam N, Laher I. Exercise modulates oxidative stress and inflammation in aging and cardiovascular diseases. Oxid Med Cell Longev. 2016;2016:7239639. DOI: https://doi.org/10.1155/2016/7239639
4. Nieman D, Mitmesser S. Potential impact of nutrition on immune system recovery from heavy exertion: a metabolomics perspective. Nutrients. 2017;9(5):513. DOI: https://doi.org/10.3390%2Fnu9050513
5. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985 [acceso 03/07/2020];100(2):126-31. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/3920711
6. Bauman A, Craig CL. The place of physical activity in the WHO Global Strategy on diet and physical activity. Int J Behav Nutr Phys Act. 2005;2:10. DOI: https://doi.org/10.1186/1479-5868-2-10
7. Suzuki K. Chronic inflammation as an immunological abnormality and effectiveness of exercise. Biomolecules. 2019;9(6):223. DOI: https://doi.org/10.3390/biom9060223
8. Estruel S, Camps M, Massot M, Perez FJ, Castell M. Alterations in the innate immune system due to exhausting exercise in intensively trained rats. Sci Rep. 2020;10(1):967. DOI: https://doi.org/10.1038/s41598-020-57783-4
9. Ghilotti F, Pesonen AS, Raposo SE, Winell H, Nyren O, Trolle Y, et al. Physical activity, sleep and risk of respiratory infections: A Swedish cohort study. PLoS One. 2018;13(1):e0190270. DOI: https://doi.org/10.1371/journal.pone.0190270
10. Estruel S, Ruiz P, Periz M, Franch A, Perez FJ, Camps M, et al. Changes in lymphocyte composition and functionality after intensive training and exhausting exercise in rats. Front Physiol. 2019;10:1491. DOI: https://doi.org/10.3389/fphys.2019.01491
11. Campbell JP, Turner JE. Debunking the myth of exercise-induced immune suppression: redefining the impact of exercise on immunological health across the lifespan. Front Immunol. 2018;9:648. DOI: https://doi.org/10.3389/fimmu.2018.00648
12. Gleeson M, Bishop NC. Special feature for the Olympics: effects of exercise on the immune system: modification of immune responses to exercise by carbohydrate, glutamine and anti-oxidant supplements. Immunol Cell Biol. 2000;78(5):554-61. DOI: https://doi.org/10.1111/j.1440-1711.2000.t01-6-.x
13. Araújo AL, Silva LC, Fernandes JR, Benard G. Preventing or reversing immunosenescence: can exercise be an immunotherapy? Immunother. 2013;5(8):879-93. DOI: https://doi.org/10.2217/imt.13.77
14. Nicholson LB. The immune system. Essays Biochem. 2016;60(3):275-301. DOI: https://doi.org/10.1042/ebc20160017
15. Ye J, Wang Y, Wang Z, Ji Q, Huang Y, Zeng T, et al. Circulating Th1, Th2, Th9, Th17, Th22, and treg levels in aortic dissection patients. Mediators Inflamm. 2018;2018:5697149. DOI: https://doi.org/10.1155/2018/5697149
16. Rendon JL, Choudhry MA. Th17 cells: critical mediators of host responses to burn injury and sepsis. J Leukoc Biol. 2012;92(3):529-38. DOI: https://doi.org/10.1189/jlb.0212083
17. Benatti FB, Pedersen BK. Exercise as an anti-inflammatory therapy for rheumatic diseases-myokine regulation. Nat Rev Rheumatol. 2015;11(2):86-97. DOI: https://doi.org/10.1038/nrrheum.2014.193
18. Hoffmann C, Weigert C. Skeletal muscle as an endocrine organ: the role of myokines in exercise adaptations. Cold Spring Harb Perspect Med. 2017;7(11):a029793. DOI: https://doi.org/10.1101/cshperspect.a029793
19. Idorn M, Hojman P. Exercise-dependent regulation of NK cells in cancer protection. Trends Mol Med. 2016;22(7):565-77. DOI: https://doi.org/10.1016/j.molmed.2016.05.007
20. Borges L, Passos M, Silva M, Santos VC, Momesso CM, Pithon TC, et al. Dance training improves cytokine secretion and viability of neutrophils in diabetic patients. Mediators Inflamm. 2019;2019:2924818. DOI: https://doi.org/10.1155/2019/2924818
21. Sureda A, Batle JM, Capo X, Martorell M, Cordova A, Tur JA, et al. Scuba diving induces nitric oxide synthesis and the expression of inflammatory and regulatory genes of the immune response in neutrophils. Physiol Genomics. 2014;46(17):647-54. DOI: https://doi.org/10.1152/physiolgenomics.00028.2014
22. Covington JD, Tam CS, Pasarica M, Redman LM. Higher circulating leukocytes in women with PCOS is reversed by aerobic exercise. Biochimie. 2016;124:27-33. DOI: https://doi.org/10.1016/j.biochi.2014.10.028
23. Xiao W, Chen P, Liu X, Zhao L. The impaired function of macrophages induced by strenuous exercise could not be ameliorated by BCAA Supplementation. Nutrients. 2015;7(10):8645-56. DOI: https://doi.org/10.3390/nu7105425
24. Blanks AM, Wagamon TT, Lafratta L, Sisk MG, Senter MB, Pedersen LN, et al. Impact of physical activity on monocyte subset CCR2 expression and macrophage polarization following moderate intensity exercise. Brain Behav Immun. 2020;2:100033. DOI: http://doi.org/10.1016/j.bbih.2019.100033
25. Walton RG, Kosmac K, Mula J, Fry CS, Peck BD, Groshong JS, et al. Human skeletal muscle macrophages increase following cycle training and are associated with adaptations that may facilitate growth. Sci Rep. 2019;9(1):969. DOI: https://doi.org/10.1038/s41598-018-37187-1
26. Banchereau J, Briere F, Caux C, Davoust J, Lebecque S, Liu YJ, et al. Immunobiology of dendritic cells. Annu Rev Immunol. 2000;18:767-811. DOI: https://doi.org/10.1146/annurev.immunol.18.1.767
27. Chiang LM, Chen YJ, Chiang J, Lai LY, Chen YY, Liao HF. Modulation of dendritic cells by endurance training. Int J Sports Med. 2007;28(9):798-803. DOI: https://doi.org/10.1055/s-2007-964914
28. Brown F, Campbell J, Wadley A, Fisher J, Aldred S, Turner J. Acute aerobic exercise induces a preferential mobilisation of plasmacytoid dendritic cells into the peripheral blood in man. Physiol Behav. 2018;194:191-98. DOI: https://doi.org/10.1016/j.physbeh.2018.05.012
29. Paul S, Lal G. The molecular mechanism of natural killer cells function and its importance in cancer immunotherapy. Front Immunol. 2017;8:1124. DOI: https://doi.org/10.3389/fimmu.2017.01124
30. Kurioka A, Klenerman P, Willberg CB. Innate-like CD8+ T-cells and NK cells: converging functions and phenotypes. Immunol. 2018;154(4):547-56. DOI: https://doi.org/10.1111/imm.12925
31. Reantragoon R, Corbett AJ, Sakala IG, Gherardin NA, Furness JB, Chen Z, et al. Antigen-loaded MR1 tetramers define T cell receptor heterogeneity in mucosal-associated invariant T cells. J Exp Med. 2013;210(11):2305-20. DOI: https://doi.org/10.1084/jem.20130958
32. Malka C, Ben G, Lambert M, Tourret M, Ghazarian L, Faye A, et al. Mucosal-associated invariant T cell levels are reduced in the peripheral blood and lungs of children with active pulmonary tuberculosis. Front Immunol. 2019;10:206. DOI: https://doi.org/10.3389/fimmu.2019.00206
33. Chen J, Guo Y, Gui Y, Xu D. Physical exercise, gut, gut microbiota, and atherosclerotic cardiovascular diseases. Lipids Health Dis. 2018;17(1):17. DOI: https://doi.org/10.1186/s12944-017-0653-9
34. Monda V, Villano I, Messina A, Valenzano A, Esposito T, Moscatelli F, et al. Exercise modifies the gut microbiota with positive health effects. Oxid Med Cell Longev. 2017;2017:3831972. DOI: https://doi.org/10.1155/2017/3831972
35. Estaki M, Pither J, Baumeister P, Little JP, Gill SK, Ghosh S, et al. Cardiorespiratory fitness as a predictor of intestinal microbial diversity and distinct metagenomic functions. Microbiome. 2016;4(1):42. DOI: https://doi.org/10.1186/s40168-016-0189-7
36. He Y, Xu R, Zhai B, Fang Y, Hou C, Xing C, et al. Hspa13 promotes plasma cell production and antibody secretion. Front Immunol. 2020;11:913. DOI: https://doi.org/10.3389/fimmu.2020.00913
37. Janda A, Bowen A, Greenspan NS, Casadevall A. Ig constant region effects on variable region structure and function. Front Microbiol. 2016;7:22. DOI: https://doi.org/10.3389/fmicb.2016.00022
38. Gupta A. Immunoglobulins. In: Comprehensive biochemistry for dentistry. Singapore: Springer; 2019. p. 585-91
39. Monje C, Rada I, Castro M, Penailillo L, Deldicque L, Zbinden H. Effects of a high intensity interval session on mucosal immune function and salivary hormones in male and female endurance athletes. J Sports Sci Med. 2020 [acceso 06/07/2020];19(2):436-43. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/32390738
40. van de Bovenkamp FS, Hafkenscheid L, Rispens T, Rombouts Y. The emerging importance of IgG Fab Glycosylation in immunity. J Immunol. 2016;196(4):1435-41. DOI: https://doi.org/10.4049/jimmunol.1502136
41. Jennewein MF, Alter G. The immunoregulatory roles of antibody glycosylation. Trends Immunol. 2017;38(5):358-72. DOI: https://doi.org/10.1016/j.it.2017.02.004
42. Alikhazaei H, Jalili A, Mousavi SR, Alidadi A, Safdari M, Moulaei N, et al. The effect of 8 weeks aerobic training on serum levels of pro-inflammatory cytokines (IL-17) and immunoglobulins (IgA, IgM, IgG and IgE) levels in patients with type 2 diabetes. Ann Med Health Sci Res. 2018 [acceso 07/07/2020];8:376-79. Disponible en: https://www.amhsr.org/articles/the-effect-of-8-weeks-aerobic-training-on-serum-levels-of-proinflammatory-cytokines-il17-and-immunoglobulins-iga-igm-igg.pdf
43. Sleiman M, Stevens DR, Chitirala P, Rettig J. Cytotoxic granule trafficking and fusion in synaptotagmin7-deficient cytotoxic T lymphocytes. Front Immunol. 2020;11:1080. DOI: https://doi.org/10.3389/fimmu.2020.01080
44. Pedersen BK, Hoffman L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev. 2000;80(3):1055-81. DOI: https://doi.org/10.1152/physrev.2000.80.3.1055
45. Navalta JW, Sedlock DA, Park KS. Effect of exercise intensity on exercise-induced lymphocyte apoptosis. Int J Sports Med. 2007;28(6):539-42. DOI: https://doi.org/10.1055/s-2006-955898
46. Golzari Z, Shabkhiz F, Soudi S, Kordi MR, Hashemi SM. Combined exercise training reduces IFN-gamma and IL-17 levels in the plasma and the supernatant of peripheral blood mononuclear cells in women with multiple sclerosis. Int Immunopharmacol. 2010;10(11):1415-9. DOI: https://doi.org/10.1016/j.intimp.2010.08.008
47. Clifford T, Wood MJ, Stocks P, Howatson G, Stevenson EJ, Hilkens CMU. T-regulatory cells exhibit a biphasic response to prolonged endurance exercise in humans. Eur J Appl Physiol. 2017;117(8):1727-37. DOI: https://doi.org/10.1007/s00421-017-3667-0
48. Lovinsky-Desir S, Jung KH, Jezioro JR, Torrone DZ, de Planell-Saguer M, Yan B, et al. Physical activity, black carbon exposure, and DNA methylation in the FOXP3 promoter. Clin Epigenetics. 2017;9(1):65. DOI: https://doi.org/10.1186/s13148-017-0364-0
49. Fulop T, Larbi A, Dupuis G, Le Page A, Frost EH, Cohen AA, et al. Immunosenescence and Inflamm-Aging As Two Sides of the Same Coin: Friends or Foes? Front Immunol. 2018;8:1960. DOI: https://doi.org/10.3389/fimmu.2017.01960
50. Chaparro NA, Franco AO. Aspectos clínicos e inmunológicos de la infección por SARS-CoV-2. Salud UIS. 2020;52(3):295-309. DOI: https://doi.org/10.18273/revsal.v52n3-2020010
51. Cowan JE, Takahama Y, Bhandoola A, Ohigashi I. Postnatal involution and counter-involution of the thymus. Front Immunol. 2020;11:897. DOI: https://doi.org/10.3389/fimmu.2020.00897
52. Tu W, Rao S. Mechanisms underlying T Cell immunosenescence: aging and cytomegalovirus infection. Front Microbiol. 2016;7:2111. DOI: https://doi.org/10.3389/fmicb.2016.02111
53. Rodrigues LC, Ladeira A, Ruiz J, Duarte A, Silva PR, Duarte AJ, et al. Moderate and intense exercise lifestyles attenuate the effects of aging on telomere length and the survival and composition of T cell subpopulations. Age. 2016;38(1):24. DOI: https://doi.org/10.1007%2Fs11357-016-9879-0
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