Mitochondria play a central role in the irreversible damages induced to the heart by a prolonged period of
ischemia followed by reperfusion. We previously demonstrated that (1)
myocardial ischemia-reperfusion induces mitochondrial accumulation of
cholesterol and
oxysterols that are deleterious for the organelle; (2) inhibition of
cholesterol and
oxysterol accumulation prevents mitochondrial injury at reperfusion; (3) exercise is cardioprotective and remains efficient in the presence of co-morbidities such as
obesity. The aim of this study was to investigate whether regular exercise limits mitochondrial
cholesterol and
oxysterol accumulation in wild-type and obese mice. Wild-type C57BL/6J and obese (ob/ob) mice were assigned to sedentary conditions or regular treadmill exercise and submitted to 30min of coronary artery occlusion followed by 15min of reperfusion. Regular exercise improved oxidative phosphorylation, restored the
antioxidant capacity of the heart by increasing the expression of SOD1 and
catalase and reduced the mitochondrial generation of
oxysterols in wild-type as well as in ob/ob mice. In wild-type animals, exercise limited the production of
oxysterols. In ob/ob mice, despite
hypercholesterolemia, chronic exercise abolished the mitochondrial accumulation of
cholesterol and concomitantly reduced the generation of 7α-hydroxycholesterol,
7-ketocholesterol and cholesterol-5α,6α-epoxide. In conclusion, regular exercise prevents the mitochondrial accumulation of
cholesterol and
oxysterols which occurs during early reperfusion of an ischemic myocardium in mice. This effect is observed in normo and hypercholesterolemic animals. It may be partly responsible for the
antioxidant properties of regular exercise and contribute to its cardioprotective effect in obese conditions.