Exercise increases the utilisation of oxygen in the body, and therefore enhances the production of reactive oxygen species (ROS) and impairs both enzymatic and non-enzymatic antioxidant defence systems in target tissues and blood(Reference Davies, Quintanilha and Brooks1, Reference Husain2). An increase in ROS production may occur during and after exercise by increase in oxygen uptake, increase in catecholamine levels, increase in lactic acid production, elevated rate of Hb auto-oxidation and hyperthermia(Reference Osorio, Christofani and D'Almeida3). As a consequence of increased production of ROS, oxidative damage of lipids, proteins and DNA has been reported following single bouts of exercise(Reference Davies, Quintanilha and Brooks1, Reference Alessio, Goldfarb and Cutler4, Reference Radák, Asano and Inoue5). However, it is generally accepted that regular, non-exhaustive exercise training reduces post-exercise oxidative stress in blood and tissues(Reference Finaud, Lac and Filaire6).
The increase in ROS production is usually protected by antioxidant defence systems, such as antioxidant enzymes, non-enzymatic antioxidant mechanism and antioxidant vitamins(Reference Yu7). Antioxidant levels are influenced by nutritional, pathological and physiological factors and their efficiency in counterbalancing ROS production determines the level of cell damage(Reference Osorio, Christofani and D'Almeida3). Exercise-induced oxidative damage may be prevented by optimising nutrition, particularly by increasing the dietary content of nutritional antioxidants(Reference Gomez-Cabrera, Domenech and Viña8). Supplementation of certain antioxidant nutrients is practicable to recover faster from tiredness and prevent exercise-induced oxidative damage(Reference Banerjee, Mandal and Chanda9). Many studies(Reference Khanna, Atalay and Laaksonen10, Reference Atalay, Laaksonen and Khanna11) have indicated that antioxidant supplementation led to the prevention of strenuous exercise-induced oxidative injury in rats.
Grape seed extract (GSE) contains plant flavonoids such as proanthocyanidins. Flavonoids are potent antioxidants and exert many health-promoting effects(Reference Kar, Laight and Shaw12). The antioxidant effect of GSE is approximately fifty times greater than that of vitamin C and vitamin E(Reference Bagchi, Garg and Krohn13). There are limited studies(Reference Minegishi, Haramizu and Hase14, Reference Lafay, Jan and Nardon15) investigating the effects of grape or grape leaf extract on exercise performance or exercise-induced oxidative stress, but no study to date has investigated the effects of GSE supplementation on exercise-induced oxidative stress in acutely and/or chronically exercised rats.
In the present study, we aimed to investigate changes in blood because it has been suggested that oxidative stress markers change towards the same direction in blood and tissues; and this implies that changes detected in blood markers may reflect changes in the redox status of tissues such as skeletal muscle, heart or liver(Reference Veskoukis, Nikolaidis and Kyparos16). Since the antioxidant properties of GSE have been shown in previous studies(Reference Bagchi, Garg and Krohn17–Reference Sehirli, Ozel and Dulundu21) and free radicals mediate exercise-induced oxidative stress, we designed the present study based on the effects of GSE supplementation on exercise-induced oxidative damage in acutely and chronically exercised rats.
Materials and methods
Animals
The experiments were carried out with sixty-four adult male Sprague–Dawley rats (14 weeks of age, weighing 243·4 (sd 29·2) g). Rats were housed under controlled environmental conditions (12 h light–12 h dark cycle and 21 ± 2°C temperature and 50 % humidity). The rats were fed ad libitum a standard rat chow and tap water. The body weight changes of the animals were recorded weekly. The study protocol was approved by the Ethics Committee of the Selcuk University Experimental Medicine Research and Application Center (Konya, Turkey). All procedures were in accordance with the US National Institutes of Health Guide for the Care and Use of Laboratory Animals.
Rats were randomly divided into the following six groups: sedentary control (C, n 10), chronic exercise control (CEC, n 11), acute exercise control (AEC, n 11), GSE-supplemented control (GC, n 10), GSE-supplemented chronic exercise (GCE, n 11) and GSE-supplemented acute exercise (GAE, n 11).
Supplementation protocol
GSE was kindly donated by San Joaquin Valley Concentrates (Fresno, CA, USA). GSE was extracted with a standardised water–ethanol mixture, and in previous studies(Reference Joshi, Kuszynski and Bagchi18, Reference Sen and Bagchi22) it had been demonstrated that GSE contains dimeric (54 %), trimeric (13 %), tetrameric (7 %) and monomeric proanthocyanidines (less than 5 %). Antioxidants such as cathechines and oligomeric proanthocyanidines also exist in the extract.
Rats in the GC, GCE and GAE groups were given GSE in drinking-water at 100 mg/kg per d for 6 weeks and this GSE concentration in drinking-water corresponds to approximately 100 mg/kg per d. The 100 mg/kg dosage was chosen because previous studies(Reference El-Alfy, Ahmed and Fatani23, Reference Balu, Sangeetha and Murali24) have demonstrated the antioxidant effect of this dosage in rats.
Exercise protocol
The exercise protocols were performed on a motor-driven rodent treadmill (MAY-TME 0804, Commat Limited, Ankara, Turkey). The treadmill was equipped with an electric shock grid on the rear barrier to provide exercise motivation to the animals. All exercise tests were performed during the same time period of the day to minimise diurnal effects.
The animals in the chronic exercise groups (CEC and GCE groups) were habituated by treadmill exercise over a 5-d period such as: 1st day 10 m/min, 10 min; 2nd day 20 m/min; 10 min, 3rd day 25 m/min, 10 min; 4th day 25 m/min, 20 min and 5th day 25 m/min, 30 min. Thereafter, the animals were exercised at 25 m/min, 45 min/d, 5 d per week for 6 weeks(Reference Liu, Yeo and Overvik-Douki25).
The animals in the acute exercise groups underwent a light exercise familiarisation on the treadmill 3 d before the exercise protocol at 15 m/min for 15 min. Immediately before being killed, the rats were made to run on the treadmill at 30 m/min until exhaustion and time to exhaustion was recorded(Reference Gul, Laaksonen and Atalay26). Exhaustion was defined as the inability of a rat to right itself when being laid on its side. To minimise diurnal effects, all animals were exercised at the same time (09.00–12.00 hours).
Blood sampling
The rats were killed immediately post-exercise in the acute exercise group and 24 h after the last exercise in the chronic exercise group (to wean the effects of acute exercise) by cardiac puncture. To minimise diurnal effects, all animals were killed at the same hours. Within 1 min, blood samples were transferred into EDTA-coated tubes and plasma was separated by centrifugation at 1750 g for 10 min at +4°C. Plasma samples were stored at − 80°C until the time of analysis.
Biochemical analysis
The plasma malondialdehyde (MDA) levels were measured by the thiobarbituric acid-reactive substances assay according to the method of Wasowicz et al. (Reference Wasowicz, Nève and Peretz27). The quantification of thiobarbituric acid-reactive substances was determined by comparing the absorption to the standard curve of MDA equivalents generated by acid catalysed hydrolysis of 1,1,3,3 tetramethoxypropane. The values of MDA were expressed as μmol/l.
Plasma xanthine oxidase (XO) activity was determined by the method of Prajda & Weber(Reference Prajda and Weber28), wherein activity is measured by the determination of uric acid from xanthine. The reaction was stopped by the addition of 100 % (w/v) TCA. A calibration curve was constructed by using 10–50 mU/ml concentrations of standard XO solutions. Urate was determined in the supernatant by measuring the absorption at 293 nm against blank. One unit of activity was defined as 1 μmol of uric acid formed per min at 37°C, pH 7·5, and expressed in U/ml.
Plasma adenosine deaminase (ADA) activities were estimated spectrophotometrically by the method of Giusti(Reference Giusti and Bergmeyer29), which is based on the direct measurements of the formation of ammonia produced when ADA acts in excess of adenosine. The results of ADA were expressed as U/l.
Endogenous production of NO in plasma was determined as nitrite and nitrate. Nitrite and nitrate levels were determined in plasma by acidic Griess reaction using a spectrophotometric method after deproteinisation(Reference Cortas and Wakid30). The values of NO were expressed as mmol/l.
The plasma total superoxide dismutase (SOD) activity was measured using a commercially available SOD assay kit (Cayman Chemical, Ann Arbor, MI, USA) according to the manufacturer's instructions. This assay measures all three types of SOD iso-enzymes (Cu/Zn, Mn and FeSOD). The activity was recorded spectrophotometrically at 450 nm. The enzyme activities were expressed as U/ml.
Plasma glutathione peroxidase (GPx) activity was measured using enzymatic procedures as described by the provider (Cayman Chemical). GPx activity was monitored spectrophotometrically at 340 nm for 5 min. The decrease in absorbance at 340 nm is proportional to the GPx activity in the sample. Activity was expressed as nmol/min per ml).
Statistical analysis
Statistical analysis was carried out by using SPSS 15.0 for Windows (SPSS Inc., Chicago, IL, USA). All data are presented as means and standard deviations. All the data were tested for homogeneity of variance. The effects of the GSE supplementation on oxidative stress and antioxidant defence markers in acute and chronic exercise were tested by a two-way ANOVA, with GSE supplementation and the exercise tests as ANOVA factors. The sets of data in which there were significant effects were tested by the one-way ANOVA with Bonferroni correction and post hoc Tukey test. Exhaustion time of the acute exercise groups were compared with Student's t test. A P value less than 0·05 was considered statistically significant.
Results
Effects of grape seed extract supplementation on time of exhaustion
There was no difference in time of exhaustion between the acute exercised rats. GSE supplementation did not affect time of exhaustion in the acutely exercised rats (71·4 (sd 16·2) v. 70·8 (sd 13·3) min in the AEC and GAE groups, respectively).
Effects of grape seed extract supplementation and acute and chronic exercise on malondialdehyde levels
Plasma MDA levels (μmol/l) were higher in the acute exercised groups while significantly lower in the chronic exercised groups compared to the controls (P < 0·05). Plasma MDA levels were lower in all the GSE-supplemented groups compared to the non-supplemented controls (GC, GCE, GAE; 1·13 (sd 0·05), 0·83 (sd 0·06), 1·31 (sd 0·05) v. C, CEC, AEC; 1·29 (sd 0·05), 1·07 (sd 0·04), 1·54 (sd 0·08), respectively; P < 0·05). The highest MDA levels were observed in the AEC group and the lowest MDA levels were observed in the GCE group (Fig. 1) .
Effects of grape seed extract supplementation and acute and chronic exercise on xanthine oxidase activities
Plasma XO activity (U/ml) was the highest in the acutely exercised control group compared to the other groups including the GSE-supplemented acute exercise group (AEC and GAE groups; 0·41 (sd 0·05) and 0·27 (sd 0·04), respectively; P < 0·05). There was no significant difference among the other groups (P>0·05; Fig. 2).
Effects of grape seed extract supplementation and acute and chronic exercise on adenosine deaminase activities
Plasma ADA activity (U/l) was the highest in the acutely exercised control group compared to all the other groups including the GSE-supplemented acute exercise group (AEC and GAE groups; 25·98 (sd 2·77) and 17·04 (sd 4·45), respectively; P < 0·05). There was no significant difference among the other groups (P>0·05; Fig. 3).
Effects of grape seed extract supplementation and acute and chronic exercise on NO levels
Plasma NO levels (mmol/l) were higher in all the GSE-supplemented groups compared to the non-supplemented controls (GC, GCE, GAE; 94·22 (sd 7·77), 116·91 (sd 8·48), 100·90 (sd 13·69) v. C, CEC, AEC; 75·00 (sd 8·71), 95·15 (sd 6·10), 78·77 (sd 6·80), respectively; P < 0·05). There was no difference between the control and acute exercised groups (P>0·05), but plasma NO levels were higher in the chronically exercised groups (P < 0·05; Fig. 4). The GCE group had the highest NO levels.
Effects of grape seed extract supplementation and acute and chronic exercise on superoxide dismutase activities
Plasma SOD activity (U/ml) was higher in all the GSE-supplemented groups compared to the non-supplemented controls (GC, GCE, GAE; 1·088 (sd 0·05), 1·419 (sd 0·04), 0·908 (sd 0·07) v. C, CEC, AEC; 0·903 (sd 0·05), 1·260 (sd 0·02), 0·704 (sd 0·03), respectively; P < 0·05). Plasma SOD activity was lower in the acute exercised groups while it was higher in the chronic exercised groups compared to the controls (P < 0·05). The highest SOD activity was observed in the GCE group and the lowest SOD activity was observed in the AEC group (Fig. 5).
Effects of grape seed extract supplementation and acute and chronic exercise on glutathione peroxidase activities
Plasma GPx activity (nmol/min per ml) was higher in both the acute and chronic exercised and the GSE-supplemented groups compared to the non-supplemented controls (GCE, GAE; 166·96 (sd 17·51), 98·01 (sd 5·99) v. CEC, AEC; 137·87 (sd 19·28), 77·13 (sd 5·67), respectively; P < 0·05). Plasma GPx activity was lower in the acute exercised groups while it was significantly higher in the chronic exercised groups compared to the controls (P < 0·05). There was no difference between the control groups (GC, C; 110·32 (sd 3·43), 99·19 (sd 7·28), respectively). The highest GPx activity was observed in the GCE group and the lowest GPx activity was observed in the AEC group (Fig. 6).
Discussion
In recent years, there has been a great deal of interest in the antioxidant potentials of phytochemicals such as green tea, ginseng and grape seed extract. The antioxidant effects of GSE were demonstrated in many conditions such as chemical-induced oxidative stress(Reference Bagchi, Garg and Krohn17, Reference Joshi, Kuszynski and Bagchi18), hypoxia(Reference Feng, Liu and Fratkins19), X-radiation(Reference Enginar, Cemek and Karaca31) and ischaemia–reperfusion injury(Reference Sato, Maulik and Ray20, Reference Sehirli, Ozel and Dulundu21). In these studies, GSE supplementation reduced lipid peroxidation and played a protective role against increased oxidative damage in blood and tissues. However, no study to date has investigated the effects of GSE supplementation on oxidative stress markers in acutely and/or chronically exercised rats or human subjects. In the present study, we hypothesised that GSE supplementation would partially protect the antioxidant system and therefore alleviate acute and chronic exercise-induced oxidative damage.
In the present study, the exhaustion time of the acute-exercised GSE-supplemented group (GAE) was not different from that of the control (AEC). Based on these findings, we suggest that GSE supplementation does not influence the performance of exhaustive exercise in rats. In the present literature, there is no study investigating the effects of GSE supplementation on exercise performance. However, Lafay et al. (Reference Lafay, Jan and Nardon15) demonstrated that grape extract supplementation increases physical performance and explosive power in elite athletes during competition period (handball players). Further and more detailed studies are needed in this subject.
This study compared the changes in several oxidative stress biomarkers, including MDA, XO, ADA, NO, SOD and GPx in blood samples in response to acute and chronic exercise and dietary antioxidant pretreatment (GSE). The present study has demonstrated that while acute exhaustive exercise induced oxidative stress and impaired antioxidant enzyme activities, 6 weeks of exercise training attenuated oxidative stress and improved antioxidant enzyme activities in blood. Furthermore, GSE supplementation reduced exercise-induced oxidative damage and augmented the activity of antioxidant enzymes in plasma.
The data presented here show that while an acute exhaustive exercise protocol led to increased MDA levels in plasma, 6 weeks of exercise training led to a reduction in MDA levels and to a protection of cells and tissues against oxidative damage. Furthermore, GSE supplementation reduced MDA levels in all groups and played a protective role against increased oxidative damage in blood. It has been demonstrated that green tea polyphenols reduced post-exercise lipid peroxidation in human subjects and rats(Reference Alessio, Hagerman and Romanello32, Reference Panza, Wazlawik and Ricardo Schütz33), and grape extract supplementation increased antioxidant capacity in athletes(Reference Lafay, Jan and Nardon15). Based on these results, our findings supported the antioxidant potential of GSE against exercise-induced oxidative stress.
There are contradictory results regarding the changes of MDA levels measured as thiobarbituric acid-reactive substances in acute exhaustive exercise and chronic exercise training. Although it is generally demonstrated that MDA levels increased after acute exhaustive exercise in plasma, skeletal muscle, liver and lung tissues(Reference Davies, Quintanilha and Brooks1, Reference Liu, Yeo and Overvik-Douki25, Reference Lin, Yang and Chen34), in several studies it has been suggested that MDA levels were not changed(Reference Child, Wilkinson and Fallowfield35, Reference Dixon, Robertson and Goss36) and even decreased(Reference Kretzschmar, Müller and Hübscher37). For chronic exercise, consistent with our results, it has been demonstrated that regular exercise training increases resistance against lipid peroxidation and reduces oxidative protein and DNA damage(Reference Leeuwenburgh and Ji38). The differences among the results can be explained by antioxidant nutritional status, exercise intensity, training level and methods used for the measurement of oxidative stress(Reference Finaud, Lac and Filaire6). Chronic exercise can induce adaptations as a result of the cumulative effects of repeated bouts of sufficient intensity and duration that attenuate exercise-induced oxidative stress(Reference Bloomer and Goldfarb39). Therefore, the reduced oxidative stress resulting from chronic training may originate from the enhanced antioxidant defence system(Reference Bloomer and Goldfarb39). According to these results, our exercise training protocol seems to have enough intensity and duration to induce adaptation.
During exhaustive exercise, it has been reported that XO activity significantly increased in both blood and tissues(Reference Radák, Asano and Inoue5, Reference Liu, Huang and Lin40). Consistent with the previous studies, in the present study XO activity significantly increased after acute exhaustive exercise; however, chronic exercise did not affect XO activity. Furthermore, GSE supplementation decreased and therefore normalised XO activity to the control levels in acute exercised rats. The acute exhaustive exercise-induced increase in XO activity can be explained by acute exhaustive exercise-induced ischaemia and/or hypoxia-like situations in the tissues. Ischaemia or hypoxia in certain regions of the body cause ATP to be converted to ADP, AMP, inosine and finally hypoxanthine. During ischaemia or hypoxia, oxygen concentrations are low and intracellular concentrations of XO and hypoxanthine can rise(Reference Sachdev and Davies41). Our findings suggest that GSE supplementation inhibits the conversion of xanthine dehydrogenase to the XO or GSE supplementation improves the resistance of tissues against ischaemia. No study to date has investigated the effects of GSE supplementation on XO activity in exercised human subjects or rats. However, it has been demonstrated that GSE supplementation inhibits ischaemia–reperfusion injury-induced lipid peroxidation in the heart(Reference Sato, Maulik and Ray20) and kidney(Reference Nakagawa, Yokozawa and Satoh42). Because XO activity was not investigated in these studies, this is the originality of our study. In addition, unchanged XO activity in chronically exercised rats can be explained by the acute effects of exercise being removed in 24 h after exercise(Reference Sachdev and Davies41).
In the present study, plasma ADA activity significantly increased after acute exhaustive exercise; however, chronic exercise did not affect ADA activity. GSE supplementation attenuated ADA activity in acute exercised rats to the control levels. It has been suggested that there is a positive correlation between MDA levels and ADA activity, while there is a negative correlation between antioxidant enzymes and ADA activity(Reference Erkiliç, Evereklioglu and Cekmen43). In the present study, we showed a positive correlation between MDA levels and ADA activity (R 2 0·153, P = 0·002). Consistent with our findings, Langfort et al. (Reference Langfort, Czarnowski and Pilis44) showed that ADA activity increased after exhaustive exercise in heart tissue of rats. It has been showed in several studies(Reference Bassini-Cameron, Sweet and Bottino45, Reference Ozyurt, Iraz and Koca46) that antioxidant supplementation decreased ADA activity. Based on these findings, our results supported the antioxidant potential of GSE. Unchanged ADA activity in chronically exercised rats can be explained by the acute effects of exercise being removed in 24 h after exercise(Reference Sachdev and Davies41).
In our study, plasma NO levels was not affected by acute exhaustive exercise, while it was increased with both GSE supplementation and chronic exercise. It has been reported that 3, 6, 8 and 12 months of exercise training increase plasma NO levels in rats(Reference Husain2, Reference Xiao and Qian47). During exercise training, increased NO is involved in the regulation of vasodilatation; hence it increases substrate supplies to muscles. Increased NO decreases superoxide production, and inhibits neutrophil aggregation and lysosomal enzyme release from neutrophils(Reference Adams48). NO also has the capacity to inhibit XO to prevent cellular damage(Reference Souza-Costa, Zerbini and Metzger49). In the present study, XO activity increased but NO level did not change in response to acute exercise. This can be explained by the compensatory role of NO against increased XO activity. It is generally demonstrated that GSE supplementation increases NO secretion(Reference Demrow, Slane and Folts50, Reference Clifton51). Furthermore, Shao et al. (Reference Shao, Hsu and Chang52) suggested that high-dose GSE may induce cytotoxicity by increasing oxidative stress caused by NO in cultured chick embryos and therefore increase apoptotic cell death. Based on the present findings, we suggest that GSE supplementation increases NO production and exercise training supports this increase.
In the present study, plasma antioxidant enzyme activities (SOD and GPx), while impaired after acute exhaustive exercise, improved after chronic exercise training and GSE supplementation increased SOD and GPx activities especially in both the exercised groups (acute and chronic). SOD is the major defence upon superoxide radicals and catalyses the dismutation of superoxide and the formation of H2O2. However, GPx has the ability to transform H2O2 into water(Reference Finaud, Lac and Filaire6). Although there are contradictory results about the acute and chronic exercise-induced changes in the antioxidant enzyme activity, it has been generally accepted that both acute exhaustive exercise and chronic exercise training increase antioxidant enzyme activities in tissues such as skeletal muscle(Reference Husain2, Reference Ji and Fu53, Reference Leeuwenburgh, Hollander and Leichtweis54) and erythrocytes(Reference Ohno, Yahata and Sato55, Reference Marzatico, Pansarasa and Bertorelli56). It has been suggested that acute exercise-induced increase in antioxidant enzyme activation is due to the increased free-radical production during acute exhaustive exercise, while regular exercise training negates the harmful effects of oxidative stress by up-regulating the activity of antioxidant enzymes(Reference Greathouse, Samuels and Dimarco57). In the present study, the acute exhaustive exercise protocol might have induced a decrease in SOD and GPx activity because of the increased ROS production in tissues especially in the skeletal muscles. The observed decrease in antioxidant enzyme activity may reflect allosteric down-regulation of the enzymes in addition to enzyme inactivation attributable to overwhelming oxidative stress. In addition, Elosua et al. (Reference Elosua, Molina and Fito58) have shown that there is a transient decrease (at 30 min post exercise) in blood SOD and GPx activities, after a 30-min exercise bout. The authors postulate that exercise-induced ROS production leads to the consumption of enzyme activity with a subsequent rebound recovery. In the present study, we measured total SOD activity which includes all three types of SOD iso-enzymes (Cu/Zn, Mn and FeSOD).
Our findings demonstrated that 6 weeks of training protocol is good enough to stimulate antioxidant enzyme expression and synthesis. The difference in the results may depend on the difference in the analysis methods and intensity and duration of the training protocol. Our findings also suggest that GSE supplementation up-regulates antioxidant enzyme activity especially in acutely and chronically exercised rats.
In conclusion, while acute exhaustive exercise increases oxidative stress and therefore induces lipid peroxidation and an ischaemia-like situation, chronic exercise training in enough intensity and duration up-regulates antioxidant defence systems by increasing the antioxidant enzyme activity in acutely and chronically exercised rats. The present study demonstrated that GSE has strong antioxidant potential, attenuates exercise-induced oxidative damage and augments the activities of antioxidant enzymes; however, it does not affect physical performance. Since our study is the first investigation in this subject, more detailed further studies are needed to determine the mechanism of action and the antioxidant potential of GSE in exercise-induced oxidative stress.
Acknowledgements
The authors declare that there are no conflicts of interest. The authors thank Professor Said Bodur for the statistical assistance. This work was supported by Scientific Research and Project Coordinator of Selcuk University (grant no. SABE 08102008). All the authors contributed to the collection and interpretation of the data as well as to the drafting of the manuscript.