Abstract
This study investigated plasma lipopolysaccharides (LPS) concentration and intestinal permeability after 60-min run at 70 % maximum oxygen uptake (VO2max) in hot [33 °C, 50 % relative humidity (rH)] and cool (22 °C, 62 % rH) conditions. Fifteen volunteers gave their informed consent to participate in this study. Their venous blood samples were taken before, after, 2 and 5 h after exercise in each of the conditions. The order of the two environmental conditions in which they exercised in was randomised and counterbalanced. Plasma LPS concentration increased by an average of 54.0 % (95 % confidence interval: 30.7, 75.1 %) after exercising in the hot trial but no significant changes were observed in cool trial, where mean plasma LPS concentration was 12.0 ± 6.4 pg mL−1 (before), 10.9 ± 5.4 pg mL−1 (after), 10.7 ± 6.0 pg mL−1 (2 h after) and 10.6 ± 5.7 pg mL−1 (5 h after). Median (range) plasma claudin-3 (CLDN3) concentration was significantly higher after exercise (hot: 8.2 [1.0–13.0] ng mL−1 and cool: 7.6 [0.6–13.4] ng mL−1) as compared to before exercise (hot: 6.6 [0.7–11.8] ng mL−1 and cool: 6.7 [0.8–12.6] ng mL−1) (p < 0.05), but there is no significant difference observed between trials (p > 0.05). Changes in intestinal permeability are only affected by exercise while exercise-induced endotoxemia is affected by environmental conditions. This study, thus, highlights that an increase in intestinal permeability is not sufficient to trigger exercise-induced endotoxemia, suggesting that post-LPS translocation events may have a greater impact in its occurrence.




Similar content being viewed by others
References
Ashton T, Young IS, Davison GW, Rowlands CC, McEneny J, Van Blerk C, Jones E, Peters JR, Jackson SK (2003) Exercise-induced endotoxemia: the effect of ascorbic acid supplementation. Free Radical Biol Med 35:284–291
Bosenberg AT, Brock-Utne JG, Gaffin SL, Wells MT, Blake GT (1988) Strenuous exercise causes systemic endotoxemia. J Appl Physiol 65:106–108
Brock-Utne JG, Gaffin SL, Wells MT, Gathiram P, Sohar E, James MF, Morrell DF, Norman RJ (1988) Endotoxaemia in exhausted runners after a long-distance race. S Afr Med J 73:533–536
Camus G, Poortmans J, Nys M, Deby-Dupont G, Duchateau J, Deby C, Lamy M (1997) Mild endotoxaemia and the inflammatory response induced by a marathon race. Clin Sci (Lond) 92:415–422
Derikx JP, Luyer MD, Heineman E, Buurman WA (2010) Non-invasive markers of gut wall integrity in health and disease. World J Gastroenterol 16:5272–5279
Doran JE (1992) Biological effects of endotoxin. Curr Stud Hematol Blood Transfus 59:66–99
Hall DM, Baumgardner KR, Oberley TD, Gisolfi CV (1999) Splanchnic tissues undergo hypoxic stress during whole body hyperthermia. Am J Physiol 276:G1195–G1203
Han DW (2002) Intestinal endotoxemia as a pathogenetic mechanism in liver failure. World J Gastroenterol 8:961–965
Jeukendrup AE, Vet-Joop K, Sturk A, Stegen JH, Senden J, Saris WH, Wagenmakers AJ (2000) Relationship between gastro-intestinal complaints and endotoxaemia, cytokine release and the acute-phase reaction during and after a long-distance triathlon in highly trained men. Clin Sci (Lond) 98:47–55
Lambert GP, Gisolfi CV, Berg DJ, Moseley PL, Oberley LW, Kregel KC (2002) Selected contribution: hyperthermia-induced intestinal permeability and the role of oxidative and nitrosative stress. J Appl Physiol 92:1750–1761 (discussion 1749)
Lambert GP, Boylan M, Laventure JP, Bull A, Lanspa S (2007) Effect of aspirin and ibuprofen on GI permeability during exercise. Int J Sports Med 28:722–726
Lambert GP, Lang J, Bull A, Eckerson J, Lanspa S, O’Brien J (2008) Fluid tolerance while running: effect of repeated trials. Int J Sports Med 29:878–882
Lim CL (2007) Unusually low plasma concentration of lipopolysaccharide following 160-km race. Brain Behav Immun 21, 514; author reply 515
Lim CL, Mackinnon LT (2006) The roles of exercise-induced immune system disturbances in the pathology of heat stroke: the dual pathway model of heat stroke. Sports Med 36:39–64
Lim CL, Pyne D, Horn P, Kalz A, Saunders P, Peake J, Suzuki K, Wilson G, Mackinnon LT (2009) The effects of increased endurance training load on biomarkers of heat intolerance during intense exercise in the heat. Appl Physiol Nutr Metab 34:616–624
Lira FS, Rosa JC, Lima-Silva AE, Souza HA, Caperuto EC, Seelaender MC, Damaso AR, Oyama LM, Santos RV (2010) Sedentary subjects have higher PAI-1 and lipoproteins levels than highly trained athletes. Diabetol Metab Syndr 2:7
McCluskey A, Lalkhen AG (2007) Statistics II: central tendency and spread of data. Continu Edu Anaesthesia Crit Care Pain 7:127–130
Midgley AW, Carroll S (2009) Emergence of the verification phase procedure for confirming ‘true’ VO(2max). Scand J Med Sci Sports 19:313–322
Morin PJ (2005) Claudin proteins in human cancer: promising new targets for diagnosis and therapy. Cancer Res 65:9603–9606
Moseley PL, Gisolfi CV (1993) New frontiers in thermoregulation and exercise. Sports Med 16:163–167
Ng QY, Lee KW, Byrne C, Ho TF, Lim CL (2008) Plasma endotoxin and immune responses during a 21-km road race under a warm and humid environment. Ann Acad Med Singapore 37:307–314
Pals KL, Chang RT, Ryan AJ, Gisolfi CV (1997) Effect of running intensity on intestinal permeability. J Appl Physiol 82:571–576
Rowell LB (1974) Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 54:75–159
Selkirk GA, McLellan TM, Wright HE, Rhind SG (2008) Mild endotoxemia, NF-kappaB translocation, and cytokine increase during exertional heat stress in trained and untrained individuals. Am J Physiol Regul Integr Comp Physiol 295:R611–R623
Shapiro Y, Alkan M, Epstein Y, Newman F, Magazanik A (1986) Increase in rat intestinal permeability to endotoxin during hyperthermia. Eur J Appl Physiol 55:410–412
Thuijls G, Derikx JP, de Haan JJ, Grootjans J, de Bruine A, Masclee AA, Heineman E, Buurman WA (2010) Urine-based detection of intestinal tight junction loss. J Clin Gastroenterol 44:e14–e19
Tsukita S, Furuse M, Itoh M (2001) Multifunctional strands in tight junctions. Nat Rev Mol Cell Biol 2:285–293
van Wijck K, Lenaerts K, Grootjans J, Wijnands KA, Poeze M, van Loon LJ, Dejong CH, Buurman WA (2012) Physiology and pathophysiology of splanchic hyperfusion and intestinal injury during exercise: strategies for evaluation and prevention. Am J Physiol Gastrointest Liver Physiol 303:G155–G168
Acknowledgments
The authors wish to thank the volunteers for their participation and support in this research. We would also like to thank Ms. Eunice Teo for coordinating the trials. The authors also appreciate Dr. Jason Lee, Ms. Jacinta Yeo, Mr. David Fun, Ms. Priscilla Fan, Ms. Teo Ya Shi, Ms. Huang Liyan, Ms. Dean Neo, Ms. Jessica Woo, Mr. Alexander Mok and Mr. Samuel Low for their assistance in data collection and technical support during the experiment. This study is supported by grant from Ministry of Defence, Singapore. The views expressed in this manuscript are those of the authors. They do not represent the views of the Singapore Armed Forces or the Ministry of Defence, Singapore.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Additional information
Communicated by George Havenith.
Rights and permissions
About this article
Cite this article
Yeh, Y.J., Law, L.Y.L. & Lim, C.L. Gastrointestinal response and endotoxemia during intense exercise in hot and cool environments. Eur J Appl Physiol 113, 1575–1583 (2013). https://doi.org/10.1007/s00421-013-2587-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-013-2587-x


