IntroductionExercise in daily life is conducted for elite sports performance, maintenance of health, and management of disease and disability, among other reasons (1). As a physical stress, exercise challenges homeostasis, and the body generates an acute and subclinical inflammatory response to it (2). However, many studies have demonstrated that regular exercise is associated with a reduction in the longterm risk of myocardial events (3).Interleukin-6 (IL-6) is a cytokine that is produced during strenuous exercise more than any other proinflammatory or antiinflammatory cytokines and may be involved in mediating exercise-related metabolic changes (4). An increase in cytokines such as IL-6, systemic inflammation (5), and oxidative stress induced by strenuous exercise has been suggested to lead to cardiomyocyte dysfunction and cardiac injury (3).Severe exercise yields an increase in cytokine production, especially that of IL-6, which is the predominate mediator of the iron regulatory hormone hepcidin (6). Hepcidin activity may be elevated at the conclusion of physical activity as a result of exercise-induced inflammation (7). Additionally, plasma IL-6 could be involved in the exercise-induced increase in hepcidin gene expression (8). Hepcidin is secreted in response to iron overload and/or inflammation and hypoxia. Its preventive role in cardiac injury has been suggested in several studies (9). It is hypothesized that training attenuates the IL-6 increase due Background/aim: Exercise benefits the cardiovascular system, but strenuous exercise can cause cardiac damage and induce cytokine production, particularly that of interleukin-6 (IL-6). Hepcidin, which is primarily regulated by IL-6, increases after exercise. Hepcidin is a possible protective factor against the adverse effects of strenuous exercise such as oxidative stress. The aim of the study is to reveal that training increases hepcidin and attenuates increased levels of IL-6 in the hearts of exhaustively exercised rats by comparing the IL-6 and hepcidin mRNA expression levels in trained and untrained groups.Materials and methods: Thirty male Wistar albino rats were assigned to the following groups: sedentary controls (Con); untrained animals that acutely completed exhaustive exercise and were sacrificed immediately after exhaustion (UT-i) or 1 day after exhaustion (UT-1); and long-term trained animals that completed exhaustive exercise and were sacrificed immediately after exhaustion (T-i) or 1 day after exhaustion (T-1). mRNA levels were examined by reverse transcription PCR.Results: IL-6 levels significantly increased in the UT-i, T-i, and T-1 groups compared to the Con group (P = 0.000, P = 0.024, P = 0.001), with maximal IL-6 expression found in the UT-i group. Hepcidin levels significantly increased in the T-1 group (P = 0.000) compared to the control.
Conclusion:Increased IL-6 levels in rats show that exhaustive exercise can cause cardiac inflammation. However, long-term training attenuated the severity of the inflammation. The possible protective effe...