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Ghasdi S, Rami M, Habibi A. The effect of six weeks HIIT exercise on the gene expression of some inflammatory and anti-inflammatory markers of hippocampal tissue in aged male Wistar rats. Jorjani Biomed J 2025; 13 (1) :37-43
URL: http://goums.ac.ir/jorjanijournal/article-1-1079-en.html
1- Department of Sport Physiology, Faculty of Sport Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran
2- Department of Sport Physiology, Faculty of Sport Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran , m.rami@scu.ac.ir
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Introduction
With aging, various changes occur in the body's systems and cells, including brain atrophy, increased oxidative stress, as well as decreased antioxidant defense mechanisms, which contribute to impaired memory, learning, and physical activity (1). In fact, these aging-related changes are major risk factors for the most common neurodegenerative diseases, such as Parkinson's, Alzheimer's, and Huntington's diseases (2). Many age-related changes are associated with risk factors such as changes in cytokine expression levels (3). Cytokines are cell signaling proteins that are secreted to regulate the immune response to various inflammatory processes and injury (4). These cells signaling proteins include pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), and IL-6, and anti-inflammatory cytokines such as IL-10 (4). Higher levels of IL-6 were observed in the hippocampal formation and cerebellum of aged rats compared with young adult rats (5). In addition, decreased levels of IL-10 have also been identified in the aged brain (5). Results of studies suggest that age-related decreases in IL-10 levels may contribute to increased brain IL-6 expression in aged rats (6). This imbalance in the anti- and pro-inflammatory balance may be one of the mechanisms contributing to age-related neurodegeneration and brain vulnerability to disease (6).
Increased levels of pro-inflammatory cytokines have been reported in neurodegenerative disorders such as Alzheimer’s, Parkinson’s, and other chronic conditions (7). Consequently, non-pharmacological and pharmacological interventions targeting cytokines and their signaling pathways have been proposed for therapeutic purposes (8). There is a growing body of evidence that suggests the potential of physical activity to reduce or improve outcomes of common age-related disorders (9). In fact, physical activity may be an important intervention to improve cognitive function in the elderly (10) and may be effective in reducing the progression or onset of neurodegenerative disorders such as Alzheimer’s (11) and Parkinson’s (12). These beneficial effects of physical activity during aging should be associated with changes in brain cytokine expression. Among the exercises that received attention today is high-intensity interval training (HIIT), which describes exercises that include short, intermittent periods of intense physical activity interspersed with low-intensity exercise or rest periods (13). Statistics show that only about 30% of people have enough time to engage in long-term aerobic exercise activities and they mainly complain about the lack of vitality and fatigue of this type of exercise, but short-term intense interval training, in addition to saving time, has also been reported to have more metabolic and physiological benefits (14).
HIIT has recently become a popular alternative activity due to its time efficiency. Several studies have shown that HIIT improves metabolic dysfunction, lipid profiles, systemic inflammatory markers, cardiac structure and function, and insulin receptors (15-19). Freitas et al. showed that after six weeks of HIIT, antioxidant defenses in cerebellar tissue increased (20); this protocol also reduced inflammatory markers and lipoperoxidation, reducing oxidative stress in the hippocampus. Brain-derived neurotrophic factor (BDNF) levels and antioxidant defenses were also increased with HIIT (21). It seems that the greater the duration and intensity of exercise, the stronger and more prolonged the immune response. Therefore, it is predicted that repeated bouts of a prolonged and continuous exercise stimulus will reduce the inflammatory response, reflecting an adaptive immune response to physical activity (22). Recent studies have also shown that exercise can alter inflammatory responses in the brain of rats (23) and given that most studies have examined the effects of HIIT have been less studied in the elderly. In fact, less is known about the inflammatory response to HIIT exercise. Therefore, this study aimed to investigate the effect of six weeks of HIIT on selected inflammatory and anti-inflammatory genes (IL-10, IL-6, and IL-1β) in the hippocampal tissues of elderly rats.

Methods
Experimental animals
This research was an experimental and applied study conducted in a laboratory with a post-test design with a control group. Accordingly, 21 male Wistar rats were obtained from the animal house of Shahid Chamran University of Ahvaz. Based on the size of the previous studies (24,25), this number was selected for each group, and since the aging process has been done for 22 months, the maintenance of this sample size has was more manageable. After that, rats were transferred to the laboratory environment and were kept in eight groups of two and three in transparent polycarbonate cages with a 12:12 light-dark cycle, at a temperature of 20-23 °C, and with free access to food and water. Initially, rats that were intended for old age were selected at 22 months of age and randomly divided into two groups: training and control. At the same time, a young group (10 weeks) was also added to the groups. Therefore, rats were divided into three groups: 1-control group (C), 2-elderly control group (EC), and 3-elderly training group (ET). The intervention lasted six weeks, during which rats underwent HIIT intervention.
HIIT protocol
At the beginning of the exercise protocol, all rats were acclimated to the rodent treadmill conditions for two weeks at a speed of 15 m/min for 15 min per day. Then, 48 h after the last familiarization session, all rats underwent a maximal speed test. The test started at a speed of 10 m/min, and then the treadmill speed was automatically increased by 3 m/min every 3 min until exhaustion. The HIIT protocol in the first week consisted of running on the treadmill for five 2-min intervals at an intensity of 80% of maximum speed. Each interval was followed by 2 min of active rest at 60% of maximum speed. The training schedule in consecutive weeks is shown in Table 1 (26). At the beginning and end of each session, warming up and cooling down were performed for 1 min. After the end of the training period, the hippocampal tissues of the rats were extracted and stored in the freezer.
Hippocampal tissue extraction, Real-time PCR, and SOD and MDA measurement
Forty-eight hours after the last training session, rats were anesthetized by intraperitoneal injection of 20-30 mg/kg ketamine and 2-3 mg/kg xylazine. Then, hippocampal tissue was isolated and snap-frozen. After RNA extraction using a special kit (Pars Toss, Iran), gene expression was measured using RT-PCR. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as a reference gene. LightCycler SW1.1 software was used for comparative gene expression. Primer sequences are shown in Table 2. The Rendox-UK colorimetric method was used to measure the levels of malondialdehyde (MDA) and superoxide dismutase (SOD).
Statistical analysis
In this study, the Shapiro-Wilk test was used to check the normality of the data and the Levene test was used to check the homogeneity of variances. Also, the one-way analysis of variance (ANOVA) test and then the Tukey’s post-hoc test were used to check the means of the variables and compare the groups pairwise. SPSS version 19 software was used to analyze the data. Statistical significance level was 0.05.
Table 1. HIIT protocol

Table 2. Sequences of primers

Abbreviations: Glyceraldehyde-3-Phosphate Dehydrogenase (GAPDH), Interleukin (IL).

Results
IL-6 expression
The results of the one-way ANOVA showed a significant difference between groups (P-Value =0.001) for IL-6 gene expression, and the results of Tuckey’s post-hoc test showed a significant increase in the expression of IL-6 in the EC group compared to the C group (P-Value =0.001), while IL-6 expression significantly decreased by HIIT (P-Value =0.001) in the ET group compared to the EC group (Figure 1).


Figure 1. Comparison of IL-6 expression in the C, EC, and ET groups 48 hours after the last training session (Mean ± SD). * Indicates a significant increase in the EC group compared to the C group. # Indicates a significant decrease in the ET group compared to the EC group. Abbreviations: C: Control group, EC: Elderly Control group, and ET: Elderly Training group.
IL-1β expression
The results of the one-way ANOVA showed a significant difference between groups (P-Value =0.001) for IL-1β expression, and the results of Tuckey post-hoc test showed a significant increase in the expression of IL-1β in the EC group compared to the C (P-Value =0.001), whereas IL-1β expression significantly decreased by HIIT (P-Value =0.001) in the ET group compared to the EC group (Figure 2).


Figure 2. Comparison of IL-1β expression in the C, EC, and ET groups 48 hours after the last training session (Mean ± SD). * Indicates a significant increase in the EC group compared to the C group. # Indicates a significant decrease in the ET group compared to the EC group. Abbreviations: C: Control group, EC: Elderly Control group, and ET: Elderly Training group.
IL-10 expression
The results of the one-way ANOVA showed a significant difference between groups (P-Value =0.001) for IL-10 expression, and the results of Tuckey post-hoc test showed a significant decrease in IL-10 expression in the EC group compared to the C (P-Value =0.001), while IL-10 expression significantly increased by HIIT (P-Value =0.001) in the ET group compared to the EC group (Figure 3).


Figure 3. Comparison of IL-10 expression in the C, EC, and ET groups 48 hours after the last training session (Mean ± SD). * Indicates a significant decrease in the EC group compared to the C group. # Indicates a significant increase in the ET group compared to the EC group. Abbreviations: C: Control group, EC: Elderly Control group, and ET: Elderly Training group.
SOD and MDA
The results of the one-way ANOVA showed a significant difference between groups for SOD (P-Value =0.001) and MDA (P-Value =0.001), and the results of Tuckey post-hoc test showed a significant increase in the expression of IL-10 in the EC group compared to the C (P-Value =0.001), and the average of them decreased significantly by HIIT (P-Value =0.001) in the ET group compared to the EC group (Figure 4).


Figure 4. Comparison of SOD (a) and MDA (b) in the C, EC, and ET groups 48 hours after the last training session (Mean ± SD). * Indicates a significant difference in the EC group compared to the C group. # Indicates a significant difference in the ET group compared to the EC group. Abbreviations: C: Control group, EC: Elderly Control group, and ET: Elderly Training group.

Discussion
This study investigated the effects of HIIT on some inflammatory and anti-inflammatory markers in the hippocampal tissue of aged rats. Examination of the results showed that the mean expression level of IL-6 and IL-1β significantly increased, while the mean expression level of IL-10 significantly decreased in the hippocampus of aged control rats compared to the control group. However, after six weeks of HIIT, the mean expression level of IL-6 and IL-1β significantly decreased, whereas the mean expression level of IL-10 significantly increased in the hippocampus of aged trained rats compared to the control group. The results of some recent studies are also consistent with the results of the present study and have shown that the mean expression levels of IL-6 and IL-1β with the aging process are increased, while IL-10 is decreased (27), which may cause neurodegenerative diseases and dementia (28). However, it is better to perform preparatory training first in elderly and less active groups and then move on to HIIT (29,30). Therefore, it is likely that the inflammatory, anti-inflammatory, and pro-inflammatory effects of HIIT in this study and counteract the increasing effects of aging on oxidative stress may control the age-related decline in hippocampal tissue of trained elderly rats compared to the control elderly group.
IL-6
The results show that IL-6 expression is significantly increased in elderly control samples compared to young control samples. Additionally, samples from older adults who exercised showed a significant decrease compared to controls (1.9 units lower in the exercised sample than in the control group). Therefore, it seems that the hippocampus is sensitive to exercise stress and is affected by exercise intensity. According to the results of studies, there is a relationship between the volume of brain gray matter and the level of this cytokine in elderly people, and it has also been reported that increased levels of IL-6 after inflammation causes memory impairment and neuron loss (31). Signorelli et al. reported that treadmill exercise for more than 5 min did not alter IL-6 levels in elderly subjects. As a result, IL-6 levels were maintained in working muscles after 60 min of exercise in 70-year-old men (32). Another study showed that 12 weeks of combined resistance and aerobic training changed the levels of IL-6, TNF-α, or IL-1β under resting conditions in healthy elderly samples (33). One of the reasons for the inconsistency of the results of the research subjects is that the present study used laboratory animals, providing greater control over the subjects, diet, and living environment, and limited the influence of confounder variables, while other studies used human subjects as exercisers. The study of Shargh and her colleagues showed that a period of endurance exercise reduced IL-6 levels in the plasma of aged rats (34). According to the results of another study, 12 weeks of aerobic training led to a decrease in all pro-inflammatory cytokines, CRP, IL-1, IL-6, and also a significant increase in the anti-inflammatory cytokine IL-10 in elderly patients with coronary artery disease (35). In line with the results of the present study, Abbasi et al. investigated the effect of HIIT swimming on the protein level of IL-6 in the hippocampus of rats. The results showed that eight weeks of HIIT improved brain function and reduced IL-6 in the hippocampus of rats (36). IL-6 release during exercise is independent of TNF-α and increases 100-fold during exercise and with skeletal muscle contraction. In fact, the amount of IL-6 release depends on the intensity and duration of exercise and the volume of muscle groups involved. The cytokine IL-6 released from skeletal muscle inhibits inflammatory markers by stimulating their receptor antagonists and increases the release of anti-inflammatory markers such as IL-10 (37). It seems that in the present study, a decrease in IL-6 expression levels led to decreased levels of inflammatory markers and increased expression levels of IL-10. According to the results of some other studies, it has been stated that the protection of brain cells during exercise is mediated by IL-6 and may be beneficial in neuro-inflammatory diseases, especially those affecting the hippocampus (38).
IL-1β
According to the results of the present study, the expression level of IL-1β in the aged control group significantly increased compared to the control group, and significantly decreased in the aged exercise group compared to the aged control group (In the exercise group, it was 0.9 units lower than the control). In terms of the duration of exercise and its effectiveness, it has been suggested that three weeks of exercise is sufficient to reduce the concentration of amyloid and pro-inflammatory cytokines such as IL-1β (39), and performing acute exercise has the opposite effect, as we see in the study by Pedersen et al., (40) and the study of Hamada et al., (41). In the study by Hamada et al., it has been observed that performing acute exercise increases mRNA levels of TNF-α and IL-1β in skeletal muscle in adults aged 66 to 78 years (41). The results of another study show that resistance training induces mRNA expression of IL-1β, IL-2, IL-5, IL-6, IL-8, IL-10, and TNF-α in muscle tissue without increasing them in the plasma of recreationally active elderly women (42). In the study conducted by Naderi et al. (43) in the Alzheimer's group who performed resistance exercise, the results showed that there was no significant difference in IL-1β levels compared to the Alzheimer's control group. The results of these studies are inconsistent with the results of the present study, which may be due to the type of exercise protocol and differences in initial IL-1β levels. Another reason could be the time of blood sampling after the last training session, which, in the study of Naderi et al., was performed 48 hours after the last training session, while injuries caused by sports activity can be observed up to 72 hours after the end of training. For this reason, it is possible that the lack of a significant decrease in IL-1β levels is due to the residual effects of the last training session. On the other hand, the results of human studies have suggested the use of exercise training, especially HIIT, in Alzheimer's patients as a strategy for modulating systemic inflammation, which can have a neuroprotective effect (44,45). Therefore, it can be stated that the antioxidant effects of high-intensity intermittent exercise can probably be a modulating factor in regulating inflammation in the central nervous system of elderly individuals. However, on the other hand, studies have also reported that long-term exercise activity at high intensities can itself be a factor in controlling inflammation. In a study by Broderick et al., it was shown that performing moderate-intensity exercise training caused a decrease in expression of IL-1β in the hearts of rats (46). In the study by Sarikhani et al., the effect of HIIT on the levels of IL-1β in the heart of rats was investigated, and the results showed a decrease in its levels after a short-term exercise period (47). Studies have shown that HIIT, causes physiological adaptations, and on the other hand, it may be accompanied by HIIT and an inefficient antioxidant system in the body, causing cellular damage caused by oxidative stress (48,49). It has been shown that HIIT at an intensity close to 80% of maximum speed has been able to significantly regulate and control oxidative stress (50). However, the effects of HIIT on oxidative stress require further investigation. In the present study, due to the lack of assessment of all oxidative stress factors, it is not clear whether this HIIT has controlled and regulated oxidative stress in hippocampal tissue. Therefore, there is a need for more and more detailed studies on the effects of HIIT on oxidative stress in the central nervous system, especially in the hippocampal region.
IL-10
According to the results of this study, the expression level of IL-10 in aged control rats was significantly decreased compared to the control group, and significantly increased in aged exercise rats compared to the aged control group (In the exercise group, it was 0.4 units higher than in the control group). Many studies have been conducted on the effect of exercise on IL-10, and it has changed differently in response to the exercise with different protocols. The results of the present study were inconsistent with the results of the study by Barzegar et al., who performed a period of exercise training with no effect on IL-10 levels. It has been suggested that the response of this anti-inflammatory cytokine to exercise is lower (51). While the study by Dornelers et al. showed that overweight and obese individuals had lower IL-10 levels than the control group, and an increase in its levels was seen immediately after performing exercise (52). They investigated the effect of HIIT on IL-10 levels in overweight men. Their findings indicated that exercise training led to an increase in serum IL-10 levels. This rise in IL-10 is a response to elevated inflammatory cytokines, aimed at suppressing them. However, it appears that short-term training periods do not produce significant changes in the baseline levels of this cytokine (52). In cross-sectional and longitudinal studies, the anti-inflammatory effect of exercise activities and its effect on pro-inflammatory and anti-inflammatory cytokines have been confirmed. IL-10 is positively associated with physical fitness (53) and its effect apparently depends on the intensity of training, and HIIT can change its levels, as we see in the present study, its levels increased following HIIT. One of the possible mechanisms for IL-10 averages following regular exercise training is the balance between Th1 and Th2 cytokines (54). Apparently, exercise training can cause an upregulation of Th2 cytokine production and a relative downregulation of Th1 cytokines, which ultimately leads to an increase in inflammatory cytokines, including IL-10 (40). In addition, adiponectin suppresses Th2 secretion by stimulating prostaglandin synthesis and ultimately affects B-lymphocyte activity to improve inflammation. Therefore, it is possible that exercise training affects IL-10 levels by increasing adiponectin levels. It has also been suggested that exercise can alter IL-10 directly through cytokine production in muscle, adipose tissue, and mononuclear cells, and indirectly through increased insulin sensitivity, increased endothelial function, and weight loss. It has been suggested that exercise training, by downregulating NF-κB, induces IL-10 secretion by T cells and monocytes via the Th2 pathway (54). However, the present study has some limitations, and one of the most important limitations is the type of research subjects, which were laboratory animals, and this limitation may affect its external validity and its generalization to normal societies and humans. Another limitation was the small sample size, and it is possible that using a larger sample size would have had different effects on the results of this study. Also, the duration of six weeks of exercise training is another limitation of this study, and using a longer period of time may have yielded different results.
SOD and MDA
Regarding the two measured side factors MDA and SOD, the results showed that training had a positive effect, reducing the levels of both markers. It seems that elderly rats subjected to HIIT exercises improve their health by strengthening the antioxidant defense system, especially by improving SOD and MDA, through the scavenging of free radicals by antioxidants. These findings are of great help in reducing diseases related to free radicals during the sensitive period of aging. In fact, in the discussion of technical differences in physical activity, it can be stated that the effect of exercise training on the activity of antioxidant enzymes during exercise depends on the amount of oxygen consumption with respect to the intensity, duration and type of exercise. As shown, moderate-intensity endurance exercise caused a decrease in SOD and no change in catalase and glutathione peroxidase (55).

Conclusion
Our findings indicate a significant increase in some inflammatory, anti-inflammatory, and oxidative stress markers during aging. However, the exact mechanism is still unclear. Therefore, based on the available evidence and considering the benefits of HIIT in aging on pro-inflammatory and anti-inflammatory markers, it can be stated that HIIT-type physical activity may have beneficial effects on preventing neurodegeneration due to its anti-inflammatory properties and could be a promising non-pharmacological strategy for controlling the complications of aging.

Acknowledgement
This article is based on a master's thesis that was conducted with research grant number SCU.SS1404.266. We would like to express our gratitude and appreciation for the cooperation and support from Shahid Chamran University of Ahvaz and the Department of Sports Physiology within the Faculty of Sports Sciences at Shahid Chamran University of Ahvaz.

Funding sources
None declared.

Ethical statement
The study protocol was approved by the Research Ethics Committee of the Shahid Chamran University of Ahvaz with the number SCU. EC. SS. 403.1107.

Conflicts of interest
The authors declared no conflict of interest.

Author contributions
S. Gh. and M. R. designed the study. S. Gh. served as principal investigator. S. Gh. collected the data. M. R. analyzed data. M. R. and A. H. were involved in data interpretation and presentation. All authors approved the final manuscript.

Data availability statement
All the data used in this study can be found within the article itself and do not need separate access.
Type of Article: Original article | Subject: Health
Received: 2024/05/19 | Accepted: 2025/03/16 | Published: 2025/12/8

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