Abstract
Exercise shares many similarities with the acute phase response of inflammatory diseases.
Recently, elevated serum levels of the novel pro-inflammatory molecules of the S100
protein family, S100A8 and S100A9, have been associated with various inflammatory
diseases. The present study was conducted to assess their potential roles as inflammatory
markers in monitoring the exercise-induced immune response. Seventeen male subjects
of different training status performed a marathon run. Furthermore 13 subjects (10
male, 3 female) performed three different treadmill tests: strenuous (STE), moderate
(MTE), and downhill (DTE). S100A8/A9 complexes were measured by ELISA, while white
blood cell count (WBC) and C-reactive protein (CRP) were used as markers of the inflammatory
response. Serum creatine kinase (CK) concentration was determined as a marker for
muscle damage. After marathon S100A8/A9 increased dramatically during the early post-exercise
period and returned to resting levels one day after the run. A similar pattern was
found for WBC, while CK and CRP reached their maximum on the day after the run. Moreover,
S100A8/A9 release was higher in the subgroup of well-trained athletes. The kinetic
of the S100A8/A9 release after the treadmill tests depended on exercise intensity
and was prolonged after eccentric exercise. In summary, the present results indicate
that the novel pro-inflammatory molecules S100A8/A9 are very early and sensitive markers
of the exercise-induced inflammatory response. Further investigations are necessary
to evaluate the applicability of S100A8/A9 for monitoring the training process and
to elucidate the dependence on training status.
Key words
Acute phase reaction - leucocytosis - treadmill - marathon - inflammation
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F. C. Mooren
Institute of Sports Medicine · Muenster University Hospital
Horstmarer Landweg 39
48129 Muenster
Germany
Telefon: + 492518335388
Fax: + 49 25 18 33 53 87
eMail: mooren@uni-muenster.de