Regulation of Endothelial Progenitor Cells by Short-Term Exercise (EPC-Ex)
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Purpose
Endothelial Progenitor Cells (EPCs) are circulating cells released from bone marrow which are important for maintaining cardiovascular health. The prevalence of cardiovascular disease in older adults is associated with reduced circulating EPC numbers. Studies have shown reduced EPC number and function in old vs. young individuals, and endurance exercise training increases EPC number and function in young adults. Oxidative stress adversely affects endothelial cells and preliminary evidence indicates that oxidative stress negatively affects EPC function. Conversely, regular exercise reduces markers of oxidative stress and may enhance EPC function in older adults. The investigators hypothesize that older endurance-trained athletes and matched sedentary individuals will have markedly divergent EPC function and that altering the physical activity levels of both groups will move them to intermediate points between these two extremes. The investigators also propose that the investigators can "mimic" the effect of exercise training on EPC function in cell culture by altering intracellular levels of a key enzyme and a signaling molecule which the investigators have shown to regulate EPC function with respect to exercise training in young individuals.
| Condition | Intervention |
|---|---|
|
Aging Exercise Cardiovascular Disease |
Other: Exercise Training Other: Exercise Cessation |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Regulation of Endothelial Progenitor Cells by Short-Term Exercise |
- Baseline Endothelial progenitor cell number [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
- Final Endothelial Progenitor Cell Number [ Time Frame: Day 15 ] [ Designated as safety issue: No ]
- Baseline Endothelial Reactivity [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
- Final Endothelial Reactivity [ Time Frame: Day 15 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | July 2011 |
| Estimated Study Completion Date: | November 2013 |
| Estimated Primary Completion Date: | November 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Sedentary Older Adults |
Other: Exercise Training
2 weeks of daily aerobic exercise training
|
| Experimental: Older Endurance Athletes |
Other: Exercise Cessation
Stopping all exercise for 2 weeks
|
Eligibility| Ages Eligible for Study: | 50 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- 50-80 years of age, BMI = 18-35 kg/m2, non-smoking, women must be postmenopausal
Exclusion Criteria:
- history of cardiovascular/cerebrovascular disease, diabetes, cancer, renal, liver disease, HIV; uncontrolled hyperlipidemia/hypertension
Contacts and Locations| Contact: Sarah Horlitz, M.S. | 410-605-7000 ext 4823 | sarah.horlitz@va.gov |
| United States, Maryland | |
| University of Maryland, Baltimore & Baltimore VA Medical Center | Recruiting |
| Baltimore, Maryland, United States, 21201 | |
| Contact: Sarah Horlitz, M.S. 410-605-7000 ext 4823 sarah.horlitz@va.gov | |
| Principal Investigator: | Steven J Prior, Ph.D. | University of Maryland, Baltimore County |
More Information
Additional Information:
No publications provided
| Responsible Party: | Steven J. Prior, Ph.D., Assistant Professor, University of Maryland School of Medicine |
| ClinicalTrials.gov Identifier: | NCT01169831 History of Changes |
| Other Study ID Numbers: | HP-00045413 |
| Study First Received: | July 23, 2010 |
| Last Updated: | July 20, 2011 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013