David Rowbottom

Acute exercise effects on the immune system

PURPOSE In recent years, health professionals have placed increased attention on the benefits of physical activity for maintaining health in the general population as well as regaining health in many disease states. Conversely, reports of apparent decreases in immune cell function after acute exercise are widespread in the literature. The purpose of this article is to evaluate critically the available data and currently employed methods, with the aim of establishing whether genuine or artefactual alterations of immune function are being reported. During and immediately after exercise, the total number of white blood cells in peripheral blood samples increases, such that the relative proportions of cell types within the leukocyte pool are altered. A number of important areas of discussion arise from these shifts in the number of circulating cells after exercise, not least of which is the artefactual effects they may have on currently employed assays of immune cell function. Recent advances in methodology are beginning to call into question the assumption that acute exercise has any genuine immunosuppressive effect. CONCLUSION At present, there is little evidence to suggest that the range of acute exercise intensities and durations recommended by ACSM has a major detrimental effect on the function of individual T- and B-lymphocytes, natural killer cells and neutrophils. Although individual cells may not be as adversely affected as previously supposed, it is unclear whether the numerical content of the circulating population is an important clinical consideration.

Training adaptation and biological changes among well-trained male triathletes

The distinction between training and overtraining responses is an important prerequisite for any potential marker for monitoring overtraining in athletes. In this study, eight well-trained male triathletes undertook physical performance assessments, at 6 weekly intervals, throughout a 9-month intensive training season. At each assessment, a resting blood sample was obtained for determination of a number of biological parameters previously associated with overtraining. All athletes produced significant (P < 0.05) improvements in running speed at anaerobic threshold (ATRS) from 15.6 +/- 0.2 k.h-1 at the start of the season to 16.6 +/- 0.6 k.h-1 at the time of major competitions. This improvement in performance was taken as evidence of well balanced training programs. Significant changes (P < 0.05) in plasma glutamine and plasma uric acid concentrations were observed during the training season, and both correlated moderately with ATRS (r = 0.365 and r = -0.328, respectively). None of the other parameters measured showed any significant changes during the training season. The elevations in plasma glutamine concentration observed in response to long-term balanced training may be distinguishable from previous reports of decreased glutamine concentrations in overtrained athletes, making it a potentially valuable tool in the monitoring of overtraining in athletes.

The case history of an elite ultra-endurance cyclist who developed chronic fatigue syndrome

An elite ultra-endurance athlete, who had previously undergone physiological and performance testing, developed chronic fatigue syndrome (CFS). An incremental cycling exercise test conducted while he was suffering from CFS indicated decreases in maximum workload achieved (Wmax; -11.3%), the maximum oxygen uptake (VO2max; -12.5%), and the anaerobic threshold (AT; -14.3%) compared to pre-CFS data. A third test conducted after the athlete had shown indications of significant improvement in his clinical condition revealed further decreases in Wmax (-7.9%), VO2max (-10.2%) and AT (-8.3%). These data, along with submaximal exercise data and muscle biopsy electron microscopic analyses, suggest that the performance decrements were the result of detraining, rather than an impairment of aerobic metabolism due to CFS per se. These data may be indicative of central, possibly neurological, factors influencing fatigue perception in CFS sufferers.

Acute exercise and T-lymphocyte expression of the early activation marker CD69

PURPOSE This study aimed to determine the effect of acute exercise on the proliferation and expression of activation markers on T-lymphocytes. METHODS Seventeen well-trained male endurance runners completed 60 min of treadmill running at 95% of ventilatory threshold and a resting, no exercise, control session at the same time of day. Five blood samples were collected at each session: before exercise, mid-exercise, immediately after exercise, and 30 min and 60 min after exercise. Isolated peripheral blood mononuclear cells (PBMC) were stimulated with the mitogen PHA. Activation was measured using the expression of CD69 (assessed by three-color flow-cytometry), and cellular proliferation was assessed using 3-(4,5-dimethlthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) dye uptake. RESULTS At all sampling points, there was a significant difference (P < 0.05) in the percentage of CD4 and CD8 cells that became activated (CD69+) after mitogen stimulation (68% of CD4 compared with 45% of CD8 cells). Exercise had no effect on the percentage of cells that became activated in response to mitogen. There was a significant exercise-induced decrease in lymphocyte proliferation of PBMC, but when expressed per-T-cell (CD3+), there was no difference between the exercise and control condition. CONCLUSION This study indicated that on an individual cell basis 1 h of exercise at 95% of ventilatory threshold did not alter the ability of T-lymphocytes (CD3+) or T-lymphocyte subsets (CD3+CD4+ and CD3+CD8+) to become activated and did not alter the ability of T-lymphocytes to proliferate.

ACUTE INTENSIVE INTERVAL TRAINING AND IN VITRO T-LYMPHOCYTE FUNCTION 899

Five male endurance-trained runners completed an interval running session of 15 x 1-min intervals at 95% VO2 max. Venous blood samples were collected pre-exercise and then immediately, 30- and 60-minutes post-exercise. The response of cultures of total lymphocytes to mitogen (phytohaemagglutinin) were significantly reduced immediately after exercise, but returned to resting levels by 30-min of recovery. Conversely, the mitogen response of cultures of pure T-lymphocytes (CD4+ and CD8+ cells), separated using a magnetic separation technique, showed no significant change during the exercise and recovery periods. These data showed directly that there was no apparent change in the functional capability of T-lymphocytes following an intensive interval training session. Furthermore, there were significant changes in the composition of the total lymphocyte cultures immediately post-exercise; increased numbers of natural killer (NK) cells (CD56+) and T-suppressor cells (CD8+) and decreased numbers of T-helper cells (CD4+). There were also significant correlations between total mitogen response and the composition of the cultured lymphocytes. These data indicated that the large increases in NK cells, relative to T-cells, following intensive exercise, were the most likely cause of the reduced mitogen response of total lymphocyte cultures.