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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphys.2016.00631</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Chronic Exercise Training Improved Aortic Endothelial and Mitochondrial Function via an AMPK&#x003B1;2-Dependent Manner</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Chen</surname> <given-names>Xiaohui</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/376446/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>An</surname> <given-names>Xiangbo</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname> <given-names>Dongrui</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/383318/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ye</surname> <given-names>Maoqing</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/398816/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Shen</surname> <given-names>Weili</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Han</surname> <given-names>Weiqing</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/354116/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Youyi</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/43240/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Gao</surname> <given-names>Pingjin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/353962/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory of Vascular Biology and Key Laboratory of Stem Cell Biology, Institute of Health Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, University of Chinese Academy of Sciences</institution> <country>Shanghai, China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Institute of Vascular Medicine, Peking University Third Hospital</institution> <country>Beijing, China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine</institution> <country>Shanghai, China</country></aff>
<aff id="aff4"><sup>4</sup><institution>Shanghai Institute of Hypertension</institution> <country>Shanghai, China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Mingyi Wang, National Institutes of Health, USA</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Youyang Zhao, University of Illinois at Chicago, USA; Maria Pikilidou, AHEPA University Hospital, Greece</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Youyi Zhang <email>zhangyy&#x00040;bjmu.edu.cn</email></p></fn>
<fn fn-type="corresp" id="fn002"><p>Pingjin Gao <email>gaopingjin&#x00040;sibs.ac.cn</email></p></fn>
<fn fn-type="other" id="fn003"><p>This article was submitted to Vascular Physiology, a section of the journal Frontiers in Physiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>7</volume>
<elocation-id>631</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>09</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>12</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016 Chen, An, Chen, Ye, Shen, Han, Zhang and Gao.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Chen, An, Chen, Ye, Shen, Han, Zhang and Gao</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract><p>Chronic exercise training is known to protect the vasculature; however, the underlying mechanisms remain obscure. The present study hypothesized that exercise may improve aortic endothelial and mitochondrial function through an adenosine monophosphate-activated protein kinase &#x003B1;2 (AMPK&#x003B1;2)-dependent manner. Ten-week-old AMPK&#x003B1;2 knockout (AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup>) mice and age-matched wild-type (WT) mice were subjected to daily treadmill running for 6 weeks, and the thoracic aorta from these mice were used for further examination. Our results showed that exercise significantly promoted vasodilatation and increased expression and phosphorylation of endothelial nitric oxide synthase (eNOS), concomitant with increased AMPK&#x003B1;2 expression in WT mice. These effects were not observed in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice. Furthermore, exercise training increased thoracic aortic mitochondrial content as indicated by increased Complex I and mitochondrial DNA (mtDNA) in WT mice but not in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice. This may be caused by decreased mitochondrial autophagy since the expression of BH3 domain-containing BCL2 family members BNIP3-like (BNIP3L) and LC3B were decreased in WT mice with exercise. And these changes were absent with AMPK&#x003B1;2 deletion in mice. Importantly, exercise increased the expression of manganous superoxide dismutase (MnSOD) and catalase, suggesting that mitochondrial antioxidative capacity was increased. Notably, the improved antioxidative capacity was lost in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise. In conclusion, this study illustrated that AMPK&#x003B1;2 plays a critical role in exercise-related vascular protection via increasing endothelial and mitochondrial function in the artery.</p></abstract>
<kwd-group>
<kwd>AMPK</kwd>
<kwd>exercise</kwd>
<kwd>vascular</kwd>
<kwd>endothelial function</kwd>
<kwd>mitochondrial function</kwd>
</kwd-group>
<contract-num rid="cn001">14XJ10042</contract-num>
<contract-num rid="cn002">14PJ1406400</contract-num>
<contract-num rid="cn003">201540037</contract-num>
<contract-num rid="cn004">81100184</contract-num>
<contract-num rid="cn004">81230071</contract-num>
<contract-num rid="cn004">81570221</contract-num>
<contract-num rid="cn004">91539202</contract-num>
<contract-num rid="cn004">81200203</contract-num>
<contract-num rid="cn004">81300089</contract-num>
<contract-sponsor id="cn001">Shanghai Jiao Tong University School of Medicine<named-content content-type="fundref-id">10.13039/501100008233</named-content></contract-sponsor>
<contract-sponsor id="cn002">Science and Technology Commission of Shanghai Municipality<named-content content-type="fundref-id">10.13039/501100003399</named-content></contract-sponsor>
<contract-sponsor id="cn003">Ministry of Education of the People&#x00027;s Republic of China<named-content content-type="fundref-id">10.13039/501100002338</named-content></contract-sponsor>
<contract-sponsor id="cn004">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content></contract-sponsor>
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<fig-count count="5"/>
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</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>It is well documented that exercise training can effectively prevent cardiovascular risk factors such as obesity, hypertension, and diabetes in the long term (Stewart, <xref ref-type="bibr" rid="B42">2002</xref>). For example, it has been shown that exercise improved vascular endothelial function in hypertensive animal models (Kumral et al., <xref ref-type="bibr" rid="B22">2016</xref>) and patients with coronary artery disease (Hambrecht et al., <xref ref-type="bibr" rid="B11">2000</xref>). In vessel samples from animals with exercise, the expression and Ser<sup>1177</sup> phosphorylation of endothelial nitric oxide synthase (eNOS) were increased, whereas the oxidative stress was decreased. These changes lead to increased NO availability and improved vascular function (Kojda et al., <xref ref-type="bibr" rid="B18">2001</xref>; Hambrecht et al., <xref ref-type="bibr" rid="B10">2003</xref>; Adams et al., <xref ref-type="bibr" rid="B1">2005</xref>). However, the mechanisms by which exercise exerts these beneficial effects on the vasculature are little known.</p>
<p>Adenosine monophosphate-activated protein kinase (AMPK) is a serine/threonine kinase consisting of &#x003B1;, &#x003B2;, and &#x003B3; subunits. The &#x003B2; and &#x003B3; regulatory subunits maintain the stability of the kinase, and the &#x003B1; subunit possesses catalytic activity (Steinberg and Kemp, <xref ref-type="bibr" rid="B41">2009</xref>). In particular, two isoforms of AMPK&#x003B1;, AMPK&#x003B1;1, and AMPK&#x003B1;2 are both expressed in endothelial cells and in smooth muscle cells (Goirand et al., <xref ref-type="bibr" rid="B7">2007</xref>). Furthermore, it has been shown that AMPK&#x003B1;2 is increased during exercise in skeletal muscle cells (Magnoni et al., <xref ref-type="bibr" rid="B26">2014</xref>), and the increased AMPK&#x003B1;2 can regulate gene and protein expression through direct interaction with the nucleus (McGee et al., <xref ref-type="bibr" rid="B29">2003</xref>; J&#x000F8;rgensen et al., <xref ref-type="bibr" rid="B14">2006</xref>). Recent studies suggest that AMPK has a much more important role in the vasculature as it activates and phosphorylates endothelial nitric oxide synthase (eNOS) (Morrow et al., <xref ref-type="bibr" rid="B30">2003</xref>), protects endothelial cells against oxidative stress (Schulz et al., <xref ref-type="bibr" rid="B39">2008</xref>) and prevents vascular smooth muscle proliferation (Nagata et al., <xref ref-type="bibr" rid="B32">2004</xref>). These results may suggest a protective role of AMPK in the vascular system.</p>
<p>Mitochondria are mobile organelles that exist in dynamic networks. To maintain a healthy population of mitochondria, the content of mitochondria is critically regulated by biogenesis, fusion-fission, and autophagy. These regulations ultimately determine the quantity, quality, and function of mitochondria, thereby contributing to cell function (Yan et al., <xref ref-type="bibr" rid="B49">2012</xref>). It has been shown that maintaining mitochondrial content and functional network is crucially important for proper function of both endothelial cells and vascular smooth muscle cells (Salabei and Hill, <xref ref-type="bibr" rid="B38">2013</xref>; Szewczyk et al., <xref ref-type="bibr" rid="B44">2015</xref>). As expected, the abnormal content and network regulation of mitochondria lead to various cardiovascular diseases, such as diabetic vascular dysfunction (Pangare and Makino, <xref ref-type="bibr" rid="B33">2012</xref>) and hypertension (Jin et al., <xref ref-type="bibr" rid="B13">2011</xref>). It has been shown that exercise can increase mitochondrial content and function in skeletal muscle (Russell et al., <xref ref-type="bibr" rid="B37">2014</xref>). In addition, mitochondrial antioxidant enzymes can reduce the damaging effects of reactive oxygen species (ROS, Tang et al., <xref ref-type="bibr" rid="B45">2014</xref>). For example, mitochondrial manganese superoxide dismutase (MnSOD) deficiency aggravated age-dependent vascular dysfunction and increased mitochondrial oxidative stress (Wenzel et al., <xref ref-type="bibr" rid="B48">2008</xref>). Over-expressing mitochondria MnSOD in mice attenuated angiotensin II (Ang-II) induced hypertension (Dikalova et al., <xref ref-type="bibr" rid="B3">2010</xref>). However, whether exercise training could improve mitochondrial function in the vasculature remains unclear. In the present study, we hypothesize that chronic exercise training may improve endothelial function and mitochondrial function in aortas and that AMPK&#x003B1;2 may contribute these protective effects by mediating the expression of the corresponding proteins.</p></sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Animals and exercise protocol</title>
<p>All animal treatment complied with the <italic>Guide for the Care and Use of Laboratory Animals</italic> published by the US National Institutes of Health (NIH Publication No. 85&#x02013;23, revised 1996). All animal procedures were approved in accordance with the institutional guidelines established by the <italic>Committee of Ethics on Animal Experiments at the Chinese Academy of Sciences</italic>. Wild type (WT) mice were provided by the Institute of Laboratory Animal Science of Peking Union Medical College. AMPK&#x003B1;2-knockout (AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup>) mice were kindly provided by Dr. Benoit Viollet (Department of Endocrinology, Metabolism and Cancer, Institute Cochin, University Paris Descartes, Paris, France) and bred in a specific pathogen-free environment. Male AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> and WT mice were both with C57BL/6J genetic background. All mice were 2 months old with a mean body weight of 18 &#x000B1; 2 g at the start of the experiment.</p>
<p>After allowing acclimatization to their housing and the treadmill, WT mice (<italic>n</italic> &#x0003D; 20), and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice (<italic>n</italic> &#x0003D; 20) were randomly divided into two groups: the control group and the training group, with 10 mice in each group. Mice in the training group ran on the treadmill for 90 min/day at 9.0 meters/min (0% grade), 5 days/week for 6 weeks (Fernando et al., <xref ref-type="bibr" rid="B6">1993</xref>). Body weight, heart rate and systolic/diastolic blood pressure were assessed in all animals. After 12 h of the last training, mice were anesthetized of pentobarbital (5 mg/100 g) with an intraperitoneal injection and sacrificed.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>The thoracic aortas were dissected out and immersed in liquid nitrogen immediately. Then the frozen tissues were lysed in RIPA (Radio Immunoprecipitation Assay) buffer containing 150 mM NaCl, 50 mM Tris (pH 7.4), 1% sodium deoxycholate, 1% Triton X-10, 0.1% SDS, protease inhibitor (sodium fluoride, sodium orthovanadate, leupeptin, EDTA) (Beyotime, Haimen, China). After sonication on ice for 30 min and centrifugation at 12 000 rpm for 20 min at 4&#x000B0;C, the supernatant was collected for Western blotting as previously described (Li et al., <xref ref-type="bibr" rid="B23">2012</xref>). The primary antibodies were as follows: anti-MnSOD (ABclonal, MA, USA), anti-AMPK&#x003B1;2 (Abcam, Cambridge, England), anti-phospho-AMPK&#x003B1;1/&#x003B1;2 (Thr<sup>172</sup>), anti-BNIP3L (BH3 domain-containing BCL2 family members BNIP3-like) (Bioworld, St. Louis, Park, USA), anti-eNOS, anti-phospho-eNOS (Ser<sup>1177</sup>) (BD Biosciences, NJ, UK), anti-Complex I, anti-PGC-1&#x003B1; (peroxisome proliferator-activated receptor gamma coactivator 1 alpha), anti-Drp1(dynamin related protein 1), anti-Mfn1 (mitofusin 1), anti-LC3, anti-catalase, anti-GAPDH (Santa Cruz, CA, USA), anti-mTOR (mammalian target of rapamycin), anti-phospho-mTOR (Ser<sup>2448</sup>) (Sigma-Aldrich, St. Louis, MO, USA). Immunoreactive bands were highlighted by electrochemiluminescence (ECL) technology and quantified by densitometry using imaging software (Image Jversion 1.46, NIH, Maryland, USA). The individual values were originally expressed as a percentage of a target protein and an internal protein standard (GAPDH) (target protein content/GAPDH content) and then expressed as a fold change of the normal WT control group (target protein content/GAPDH content) value.</p>
</sec>
<sec>
<title>Immunofluorescence</title>
<p>The paraffin sections were deparaffinized by dimethylbenzene and rehydrated by graded alcohol. Antigen retrieval was processed by citric acid buffer (pH 6.0) for 5 min at 100&#x000B0;C. Then the slides were incubated in hydrogen peroxide for 10 min and were blocked in TBST (tris-buffered saline and tween) containing 5% Bovine Serum Albumin at room temperature for 30 min. Some sections were subsequently incubated with 300 nM MitoTracker Green (Invitrogen, CA, USA) at room temperature for 30 min. Other sections were incubated at 4&#x000B0;C overnight with antibodies against AMPK&#x003B1;2 (1:100, Abcam, Cambridge, England), fluorescent anti-rabbit secondary antibody at a 1:400 dilution for 30 min, and then nucleus dye 4,6-diamidino-2-phenylindole (DAPI) for 3 min. All images were taken by using a Zeiss Pascal LSM 710 confocal microscope (Germany). Fluorescence intensity was analyzed with Image Pro Plus in three independent samples.</p>
</sec>
<sec>
<title>Mitochondrial DNA copy number</title>
<p>Genomic DNA of the thoracic aorta tissue was extracted by using UniversalGen DNA Kit(Cwbiotech, Beijing, China). The mitochondrial (mt) copy number was analyzed by real-time PCR (ABI 7900 Real Time PCR System; Foster City, CA) as previously described (Ray Hamidie et al., <xref ref-type="bibr" rid="B34">2015</xref>), through the relative value of mitochondrial and nuclear DNA (mt:nuclear DNA) which reflects the amounts of mitochondria per cell. The mitochondrial DNA (mtDNA) forward primer was CCTAGGGATAACAGCGCAAT (5&#x02032;-3&#x02032;) and the reverse primer was ATCGTTGAACAAACGAACCA. The nuclear DNA (nDNA) forward primer was AGAGCTCTGCGGGTACATCT and the reverse primer was CATCAGTGACGGTGCCTTAC. Q-PCR were performed in a real time PCR system: the PCR began with 95&#x000B0;C denaturation for 30 s followed by 40 cycles of 95&#x000B0;C denaturation for 5 s, and annealing and elongation for 34 s at 60&#x000B0;C. Samples were assayed in triplicate. Cycle threshold (CT) was used for data analysis, and CT (nDNA)&#x02014;CT (mtDNA) or &#x00394;CT was used to reflect the difference in CT values. Results were expressed as the copy number of mtDNA per cell, 2 &#x000D7; 2<sup>&#x02212;&#x00394;CT</sup>.</p>
</sec>
<sec>
<title>Thoracic aorta ring assay</title>
<p>Mice thoracic aortas were separated, cleared of fat and connective tissues, cut into 2&#x02013;3 mm rings, and fixed on isometric force transducers (Danish Myo Technology Model 610 M, Denmark) in a 5 ml organ bath, and aerated with 95% O<sub>2</sub> and 5% CO<sub>2</sub> under an initial resting tension of 2.5 mN (Zhou et al., <xref ref-type="bibr" rid="B51">2014</xref>). Force was recorded in a PowerLab/8sp data acquisition system (A.D. Instruments, Castle Hill, Australia). After 1 h of incubation in oxygenated Krebs&#x00027; medium (containing: KCl 4.7 mmol/L, NaCl 118 mmol/L, CaCl<sub>2</sub> 2.5 mmol/L, KH<sub>2</sub>PO<sub>4</sub> 1.2 mmol/L, MgSO<sub>4</sub> 1.2 mmol/L, glucose 11 mmol/L and NaHCO<sub>3</sub> 25 mmol/L) at pH 7.4 and 37&#x000B0;C, rings contractility was tested 3 times by high K<sup>&#x0002B;</sup> mediums (60 mM KCI) to stabilize the contraction. Cumulative response curve of phenylephrine (10<sup>&#x02212;8</sup> to 10<sup>&#x02212;4</sup> mol/L) was performed to assess the vasoconstriction response and cumulative concentration-response curves of acetylcholine (10<sup>&#x02212;8</sup> to 10<sup>&#x02212;4</sup> mol/L) were constructed with a phenylephrine pre-contraction (3 &#x003BC;mol/L).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All values are reported as means &#x000B1; SD. Comparison of groups involved Student&#x00027;s unpaired two tailed <italic>t</italic>-test or two-way ANOVA with the Bonferroni test for post-hoc analysis (SigmaPlot Software, San Jose, CA, USA). <italic>P</italic> &#x0003C; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>The protein expression and phosphorylation of AMPK&#x003B1;2 were increased in mice aorta with chronic exercise</title>
<p>Firstly, there was no significant difference of body weight and systolic blood pressure in WT and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice pre and post exercise as shown in Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>. Table <xref ref-type="supplementary-material" rid="SM1">S1</xref> also showed that heart rate was decreased in the exercise group by 17.7%, which was comparable in WT and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice.</p>
<p>Next, we evaluated whether chronic exercise would have any effect on AMPK&#x003B1;2 expression. As shown in Figure <xref ref-type="fig" rid="F1">1A</xref>, AMPK&#x003B1;2 expression was dramatically increased in the aorta after chronic exercise training in immunofluorescence staining, although the overall vascular architecture had no significant difference in the four groups of mice in H&#x00026;E staining (Figure <xref ref-type="supplementary-material" rid="SM2">S1</xref>). This was consistent with western blot results showing that exercise training induced a significant increase in aortic AMPK&#x003B1;2 protein expression by 31% in WT mice (Figure <xref ref-type="fig" rid="F1">1B</xref>). Furthermore, it was found that phosphor-AMPK&#x003B1; (p-AMPK&#x003B1;) (T172) was also significantly increased in the aorta of exercised mice by using phosphor-specific antibody against both &#x003B1;1 and &#x003B1;2 isoforms of AMPK. In AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice, the protein of AMPK&#x003B1;2 was not detectable due to gene knockout, and p-AMPK&#x003B1; (T172) had similar basal levels to WT mice but showed no increase in response to exercise. These results indicated that exercise induced a significant increase in the expression and phosphorylaton of AMPK&#x003B1;2 in the aorta.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>Exercise training increased thoracic aortic AMPK&#x003B1;2 activity. (A)</bold> Representative immunofluorescence images and fluorescence intensity analysis showing the expression of AMPK&#x003B1;2 in aorta, in which fluorescence-positive cells were stained in red (arrow) and nuclei were counterstained with DAPI (blue). <bold>(B)</bold> Representative western blot images and summarized data showing the expression of p-AMPK&#x003B1;2 and AMPK&#x003B1;2 of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. The protein levels of p-AMPK&#x003B1;2 and AMPK&#x003B1;2 were normalized to GAPDH. WT, wild type; Ex, exercise. Values are mean &#x000B1; SD (<italic>n</italic> &#x0003D; 6 in each group). <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01 versus WT. <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001 vs. WT&#x0002B;Ex. I indicates intima; M, media; A, adventitia.</p></caption>
<graphic xlink:href="fphys-07-00631-g0001.tif"/>
</fig>
</sec>
<sec>
<title>AMPK&#x003B1;2 deficiency decreased vasodilation and eNOS of aorta in exercise</title>
<p>We then analyzed whether exercise would have any beneficial effect on vasodilation. As shown in Figure <xref ref-type="fig" rid="F2">2A</xref>, the vascular relaxation to acetylcholine was decreased in aorta rings from AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice compared with age-matched wild type mice, indicating that AMPK&#x003B1;2 was involved in NO-dependent vasodilation. Importantly, the improvement of vasodilation was significantly lower in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice compared with WT mice, although exercise increased the vasorelaxation ability of the aorta in both WT and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice (Figure <xref ref-type="fig" rid="F2">2A</xref>). These results indicated that AMPK&#x003B1;2 played an important role in exercise-related vasorelaxation. In contrast, the vasoconstriction of aortas responding to phenylephrine was similar among the four groups (Figure <xref ref-type="fig" rid="F2">2B</xref>), suggesting that exercise might have no effect on vasocontraction.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>Exercise improved vasodilation and endothelial function in an AMPK&#x003B1;2-dependent manner. (A)</bold> Dose-dependent vasorelaxation to acetylcholine of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. <bold>(B)</bold> Dose-dependent vasocontraction to phenylephrine of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. <bold>(C)</bold> Representative western blot images and summarized data showing the expression of p-eNOS and eNOS of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. The protein levels of p-eNOS and eNOS were normalized to GAPDH. WT, wild type; Ex, exercise. Values are mean &#x000B1; SD (<italic>n</italic> &#x0003D; 6 in each group). <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001 versus WT.</p></caption>
<graphic xlink:href="fphys-07-00631-g0002.tif"/>
</fig>
<p>We then further investigated whether the difference in vasodilation was due to changes in eNOS/p-eNOS and the possible involvement of AMPK&#x003B1;2. As expected, WT mice with exercise exhibited increased eNOS protein expression and phosphorylation in aorta compared with WT mice without exercise (Figure <xref ref-type="fig" rid="F2">2C</xref>). In contrast, AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise did not show any increase in total eNOS level or p-eNOS level in aorta compared with AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice without exercise. These results indicated that the improved vasodilation of aortas during exercise training in mice might be through an AMPK&#x003B1;2-dependent mechanism.</p>
</sec>
<sec>
<title>AMPK&#x003B1;2 deficiency results in loss of aortic mitochondrial content increase with exercise</title>
<p>Accumulating studies indicated that mitochondrial content plays a critical role in maintaining vascular function. We thus evaluated whether exercise would have any effect on aortic mitochondrial content and the possible involvement of AMPK&#x003B1;2 by assessing mitochondrial fluorescence intensity, mtDNA copy number and Complex I protein expression.</p>
<p>As shown in Figure <xref ref-type="fig" rid="F3">3A</xref>, MitoTracker Green fluorescence intensity increased significantly in WT mice with exercise compared with WT mice without exercise. Consistently, the mtDNA copy number was upregulated by 34% in WT mice during exercise (Figure <xref ref-type="fig" rid="F3">3B</xref>). Meanwhile, Complex I protein expression also showed an increase of 2-folds in WT exercise mice compared to control mice (Figure <xref ref-type="fig" rid="F3">3C</xref>). In contrast, AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise did not show any increase in mitochondrial fluorescence intensity, mtDNA copy number and Complex I protein compared with AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice without exercise (Figure <xref ref-type="fig" rid="F3">3</xref>). These data suggested that exercise increased aortic mitochondrial content, and this effect was dependent on the presence of AMPK&#x003B1;2.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>Exercise training increased aortic mitochondrial content connected with AMPK&#x003B1;2. (A)</bold> Representative MitoTracker Green immunofluorescent images and fluorescence intensity analysis of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. Mitochondria were stained in green (arrow) and nuclei were counterstained with DAPI (blue). <bold>(B)</bold> Summarized data showing the mitochondria DNA copy number of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. <bold>(C)</bold> Representative western blot images and summarized data showing the expression of Complex I of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. The mitochondria DNA copy numbers were normalized to nuclear DNA, and the protein levels of Complex I were normalized to GAPDH. WT, wild type; Ex, exercise. Values are mean &#x000B1; SD (<italic>n</italic> &#x0003D; 6 in each group). <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01 versus WT; <sup><italic>&#x00023;&#x00023;</italic></sup><italic>p</italic> &#x0003C; 0.01; <sup><italic>&#x00023;&#x00023;&#x00023;</italic></sup><italic>p</italic> &#x0003C; 0.001 versus WT&#x0002B;Ex. I indicates intima; M, media; A, adventitia.</p></caption>
<graphic xlink:href="fphys-07-00631-g0003.tif"/>
</fig>
</sec>
<sec>
<title>Effect of AMPK&#x003B1;2 deficiency on autophagy of aortic mitochondria with exercise</title>
<p>It has been reported that mitochondrial quantity and quality were controlled by biogenesis, fusion-fission, and autophagy. We therefore examined the effect of exercise on the expression of these relative proteins and the possible role of AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup>. We found that the expression of LC3B, an indicator of autophagy, and BNIP3L, a mitochondria-associated protein, were decreased in WT mice with exercise compared with WT mice without exercise (Figure <xref ref-type="fig" rid="F4">4B</xref>). Then we detected the protein expression of mTOR, the major autophagy negative regulator, and its phosphorylation at Ser2448. It was shown that WT exercise mice showed increased mTOR protein content compared to WT mice without exercise, but no significant alteration in phosphorylation activity (Figure <xref ref-type="fig" rid="F4">4B</xref>). In contrast, there was no significant difference in either LC3B/BNIP3L or mTOR protein levels in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise compared with these knockout mice without exercise. These results indicated that decreased autophagy may be responsible for exercise-related increase of mitochondrial content, and this effect was dependent on AMPK&#x003B1;2.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>The changes of mitochondria autophagy-related protein LC3B, BNIP3L, and mTOR during exercise training were dependent on AMPK&#x003B1;2. (A)</bold> Representative western blot images and summarized data showing the expression of LC3B and BNIP3L of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. <bold>(B)</bold> Representative western blot images and summarized data showing the expression of mTOR and p-mTOR of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. The protein levels of LC3B, BNIP3L, p-Mtor, and mTOR were normalized to GAPDH. WT, wild type; Ex, exercise. Values are mean &#x000B1; SD (<italic>n</italic> &#x0003D; 6 in each group). <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01;<sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001 versus WT. <sup>&#x00023;</sup><italic>p</italic> &#x0003C; 0.05 versus WT&#x0002B;Ex.</p></caption>
<graphic xlink:href="fphys-07-00631-g0004.tif"/>
</fig>
<p>In contrast, there was no significant difference of PGC-1&#x003B1; (peroxisome proliferator-activated receptor gamma coactivator 1 alpha) protein expression, the main regulator of mitochondrial biogenesis, in the WT and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise compared with matched strain without exercise (Figure <xref ref-type="supplementary-material" rid="SM2">S2</xref>). Similarly, the protein levels of Drp1 (dynamin related protein 1) and Mfn1 (mitofusin 1), fission and fusion markers, also remained unchanged in the WT and AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise compared with matched stains without exercise. (Figure <xref ref-type="supplementary-material" rid="SM2">S2</xref>). These results indicated that mitochondrial biogenesis, fission and fusion might not be involved in exercise-related mitochondria content increase in the aorta.</p>
</sec>
<sec>
<title>AMPK&#x003B1;2 deficiency attenuates exercise-mediated increase in aortic mitochondrial antioxidant capacity</title>
<p>Finally, we evaluated the effect of exercise on mitochondrial antioxidant capacity and the possible involvement of AMPK&#x003B1;2. MnSOD and catalase are both critical to mitochondrial specific antioxidant defense. Figure <xref ref-type="fig" rid="F5">5A</xref> shows that the expression of catalase protein was significantly increased in the WT mice by 58% following exercise exposure, but not in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice. MnSOD protein content was significantly increased in WT mice after exercise intervention. Conversely, a marked decrease of MnSOD was observed in AMPK&#x003B1;2<sup>&#x02212;/&#x02212;</sup> mice with exercise compared with those without exercise (Figure <xref ref-type="fig" rid="F5">5A</xref>). These results indicated that exercise might increase mitochondrial antioxidant response in the aorta, and this effect was dependent on AMPK&#x003B1;2.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>Exercise training enhanced aortic mitochondrial MnSOD and catalase via AMPK&#x003B1;2. (A)</bold> Representative western blot images and summarized data showing the expression of MnSOD and catalase of aorta from WT and AMPK&#x003B1;2 knockout mice with or without exercise. <bold>(B)</bold> Scheme illustrates that AMPK&#x003B1;2 plays a critical role in exercise-related vascular protection via increasing endothelial and mitochondrial function in the artery. AMPK&#x003B1;2 is activated after chronic exercise training and in turn, mediates increased eNOS expression and activation, increased mitochondrial content (mtDNA and Complex I) and mitochondrial antioxidant capacity (MnSOD and catalase). These events contribute to the promoted vasodilation and mitochondrial network function, resulting in improved vascular function. The protein levels of MnSOD and catalase were normalized to GAPDH. WT, wild type; Ex, exercise. Values are mean &#x000B1; SD (<italic>n</italic> &#x0003D; 6 in each group). <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001 versus WT. <sup><italic>&#x00023;&#x00023;</italic></sup><italic>p</italic> &#x0003C; 0.01; <sup><italic>&#x00023;&#x00023;&#x00023;</italic></sup><italic>p</italic> &#x0003C; 0.001 versus WT&#x0002B;Ex.</p></caption>
<graphic xlink:href="fphys-07-00631-g0005.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>In the present study, we provide strong evidence that exercise promoted vasodilation, increased eNOS expression/<sup><italic>S</italic>1177</sup>-phosphorylation, and increased mitochondrial content and mitochondrial antioxidant capacity, resulting in increased vascular function. Importantly, these beneficial effects are dependent on the presence of AMPK&#x003B1;2 (Figure <xref ref-type="fig" rid="F5">5B</xref>).</p>
<p>Previous studies show that acute and long-term exercise training potently stimulate AMPK activity in skeletal muscles (Richter and Ruderman, <xref ref-type="bibr" rid="B36">2009</xref>). Goirand et al. and Musi et al. have provided evidence that exercise training could activate cardiac and vascular AMPK in mice (Musi et al., <xref ref-type="bibr" rid="B31">2005</xref>; Goirand et al., <xref ref-type="bibr" rid="B7">2007</xref>). Consistent with these studies, the present study shows that exercise training significantly increased AMPK&#x003B1;2 activity in the vasculature. Furthermore, the present study shows that chronic exercise training increased vasodilation, eNOS expression and phosphorylation in aorta from mice, and these effects were lost in AMPK&#x003B1;2 knockout mice. It has been reported in a previous study that the activation of AMPK&#x003B1;1 was associated with increased vasodilatation and eNOS activation in mouse aorta during exercise training (Kr&#x000F6;ller-Schon et al., <xref ref-type="bibr" rid="B19">2012</xref>). In this present study, we observed that AMPK&#x003B1;2 activation in response to exercise-related protection also occurs in the vasculature. Moreover, acute exercise activated eNOS associated with the presence of AMPK in mouse aorta (Cacicedo et al., <xref ref-type="bibr" rid="B2">2011</xref>), which is consistent with the present study showing that exercise increased eNOS activity through an AMPK&#x003B1;2 dependent manner.</p>
<p>Increasing evidence demonstrated that maintaining mitochondrial content/function and stability is essential to normal vascular systems (Dromparis and Michelakis, <xref ref-type="bibr" rid="B5">2013</xref>; Kr&#x000F6;ller-Schon et al., <xref ref-type="bibr" rid="B20">2013</xref>), and that exercise can stimulate key stress signals that control mitochondrial content and function in skeletal muscles (Russell et al., <xref ref-type="bibr" rid="B37">2014</xref>). In the current study, we find that chronic exercise training induces an adaptive increase of mitochondrial quantity in the aorta, including the increased mtDNA and Complex I protein content. Further study shows that the expression of autophagy markers LC3B and BNIP3L (Zhu et al., <xref ref-type="bibr" rid="B52">2013</xref>) was decreased, and that the expression of autophagy inhibitor marker mTOR (Kim et al., <xref ref-type="bibr" rid="B16">2011</xref>) was increased in exercise training. These results indicate that autophagy was decreased in exercise and that the decreased autophagy might be responsible for the increased mitochondrial content in exercise. Consistent with the present study, it has been shown that autophagy is decreased in skeletal muscle cells after exercise (Kim et al., <xref ref-type="bibr" rid="B17">2012</xref>). Besides autophagy, mitochondria content can also be regulated by biogenesis, fission, and fusion (Youle and Narendra, <xref ref-type="bibr" rid="B50">2011</xref>; Ding et al., <xref ref-type="bibr" rid="B4">2013</xref>). In our study, mitochondrial biogenesis and mitochondrial fusion and fission may have no effect on the changes in aorta with exercise training, since the expression of PGC-1&#x003B1;, Mfn1, and Drp1 was not changed in exercised mice compared mice without exercise. In contrast, previous studies suggest that AMPK works through PGC-1&#x003B1; to promote mitochondrial biogenesis in acute exercise in skeletal muscles (Kahn et al., <xref ref-type="bibr" rid="B15">2005</xref>; Reznick and Shulman, <xref ref-type="bibr" rid="B35">2006</xref>), and that endurance training increases Mfn1 content to induce mitochondrial fusion in rat liver (Gon&#x000E7;alves et al., <xref ref-type="bibr" rid="B8">2016</xref>). These results suggest that mitochondrial content may be regulated through different signaling pathways in different cells in exercise training.</p>
<p>Furthermore, our study demonstrates that chronic exercise training upregulated the protein expression of MnSOD and catalase, and the increases are depended on the AMPK&#x003B1;2 isoform. Indeed, it has been reported that antioxidant enzymes were activated by exercise training in rat brains (Marosi et al., <xref ref-type="bibr" rid="B28">2012</xref>; Marcelino et al., <xref ref-type="bibr" rid="B27">2013</xref>), and chronic aerobic exercise training increased aortic mitochondrial antioxidant enzyme in aged rats (Gu et al., <xref ref-type="bibr" rid="B9">2014</xref>). Consistent with our results, AMPK&#x003B1;2 has been reported to be involved in the protective effect of swimming training against isoproterenol-induced ROS production and promote the expression of antioxidant enzymes in mouse hearts (Ma et al., <xref ref-type="bibr" rid="B25">2015</xref>). AMPK activity has been reported to be associated with the redox reaction in different tissues in the cardiovascular system (Ma et al., <xref ref-type="bibr" rid="B25">2015</xref>). Activation of AMPK by 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR) could significantly decrease ROS which was induced by palmitic acid in human aortic endothelial cells and increased expression of the antioxidant thioredoxin (Li et al., <xref ref-type="bibr" rid="B24">2009</xref>). In addition, AMPK&#x003B1;2 suppressed NADPH oxidase expression and reduced ROS production in endothelial cells (Wang et al., <xref ref-type="bibr" rid="B47">2010</xref>) as well as induced manganese SOD (Kukidome et al., <xref ref-type="bibr" rid="B21">2006</xref>).</p>
<p>Finally, our results show that exercise-related increases of eNOS expression/phosphorylation, mitochondrial content and MnSOD/catalase expression were lost in AMPK&#x003B1;2 knockout mice. As demonstrated in the present study, the increased vasodilation and eNOS activation during exercise were decreased in AMPK&#x003B1;2 deficient mice. This may be caused by the finding that AMPK is able to phosphorylate eNOS, thereby leading to eNOS activation and increased NO production (Morrow et al., <xref ref-type="bibr" rid="B30">2003</xref>), and that the loss of AMPK&#x003B1;2 may prevent exercise-related eNOS activation. As for the increased expression of eNOS, mitochondria content and increased expression of MnSOD and catalase in aorta with exercise, the increased AMPK&#x003B1;2 may induce the expression of these proteins through direct interaction with the nucleus in WT mice as previously reported (McGee et al., <xref ref-type="bibr" rid="B29">2003</xref>; J&#x000F8;rgensen et al., <xref ref-type="bibr" rid="B14">2006</xref>). In AMPK&#x003B1;2 knockout mice, however, these corresponding proteins were not increased due to the lack of AMPK&#x003B1;2 to promote the expression of these proteins. Indeed, a recent report showed that AMPK signaling is required for the metabolic response to exercise <italic>in vivo</italic>, and AMPK activation was proposed as a regulatory mechanism that underlies exercise-induced glucose uptake in muscles, thereby leading to increased systemic insulin sensitivity (Steinberg and J&#x000F8;rgensen, <xref ref-type="bibr" rid="B40">2007</xref>).</p>
<p>It has been shown that AMPK plays a protective role in diabetes and hypertension. For example, Wang et al. reported that AMPK activation was reduced in diabetic mice, and that metformin, an AMPK activator, normalized the acetylcholine-induced endothelial relaxation (Wang et al., <xref ref-type="bibr" rid="B46">2009</xref>). Sun et al. found that resveratrol, a compound that activates AMPK, induced vasodilation and lowered blood pressure in DOCA-hypertensive mice(Sun et al., <xref ref-type="bibr" rid="B43">2015</xref>). Metformin attenuated cytokine-induced expression of proinflammatory factors via AMPK activation in human umbilical vein endothelial cells (Hattori et al., <xref ref-type="bibr" rid="B12">2006</xref>). The present finding that exercise improved aortic endothelial and mitochondrial function via AMPK&#x003B1;2 activation suggests that AMPK&#x003B1;2 may play a critical role in exercise-related improvement of vascular function in diabetes and hypertension.</p>
<p>In summary, our study shows that chronic exercise training mediates vascular protection through improving aortic endothelial and mitochondrial function, and that vascular AMPK isoform AMPK&#x003B1;2 is a key signaling molecule that mediates the protective effects of exercise in the vasculature. These findings may provide a novel mechanism in exercise-related cardiovascular protection.</p>
</sec>
<sec id="s5">
<title>Author contributions</title>
<p>XC designed the study, performed the experiments, collected and analyzed the data, and wrote and revised the final version of the manuscript. XA and DC contributed to data collection. WS, YZ, and PG designed the study. MY, WH, and PG critically revised the final version of the manuscript. All authors read and approved the final version of the manuscript.</p>
</sec>
<sec id="s6">
<title>Funding</title>
<p>This study was supported by the National Natural Science Foundation of China (81100184, 81230071, 81300089, 81200203, 91539202, and 81570221), the Scientific Fund of Shanghai Jiao Tong University School of Medicine (14XJ10042), the Pujiang Program of the Shanghai Science and Technology Committee (14PJ1406400), the Scientific Research Foundation for the Returned Overseas Chinese Scholars of the State Education Ministry, and the Shanghai Medical Bureau Fund (201540037).</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
<ack>
<p>Thank you to all the participants who were involved in the research. There are no conflicts of interest to disclose.</p>
</ack>
<sec sec-type="supplementary-material" id="s7">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="http://journal.frontiersin.org/article/10.3389/fphys.2016.00631/full#supplementary-material">http://journal.frontiersin.org/article/10.3389/fphys.2016.00631/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Presentation1.PDF" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Presentation2.PDF" id="SM2" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Presentation3.PDF" id="SM3" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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