Effects of Aerobic Exercise at Different Circadian Phases on p53 Expression and β-Cell Survival in the Pancreas of Type 2 Diabetic NMRI Mice

Authors
Fatemeh Sepehrinya 1 iD
Asma Taheri 3 iD
Masoumeh Hosseinzadeh 4 iD
Affiliations
1Graduate of Exercise Physiology, Shahid Chamran University of Ahvaz, Iran
2Assistant Professor, Department of Sport Physiology, Faculty of Sport Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran
3Assistant Professor, Department of Sports Physiology, Faculty of Sports Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran
4Instructor, Department of Sport Physiology, Faculty of Sport Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Overview

Abstract

Circadian rhythms regulate glucose homeostasis, insulin secretion, mitochondrial function, and apoptosis in pancreatic β-cells. The tumor suppressor gene p53 is a key molecular regulator of apoptosis and may contribute to β-cell loss in type 2 diabetes (T2DM). This study investigates the effects of aerobic exercise performed during different circadian phases on blood glucose, β-cell survival, insulin presence, and p53 gene expression in type 2 diabetic NMRI mice.  Thirty male NMRI mice were assigned to six groups: healthy controls (CH-ZT3, CH-ZT15), diabetic controls (CD-ZT3, CD-ZT15), and diabetic exercise groups trained in light (TD-ZT3) or dark phase (TD-ZT15). T2DM was induced via high-fat diet plus low-dose streptozotocin. Aerobic training (50–60% Vmax) was performed for 8 weeks. Pancreatic tissues were analyzed for β-cell survival, insulin immunostaining, and p53 expression via qRT-PCR. Data were evaluated using two-way ANOVA. Exercise significantly reduced glucose levels (p < 0.05), increased β-cell survival (p < 0.0001), and decreased p53 expression (p < 0.0001). Light-phase training (ZT3) produced greater improvements than dark-phase training. A significant interaction between training × circadian phase was found for β-cell percentage and p53 expression (p < 0.01). Aerobic exercise improves β-cell viability and reduces apoptotic signaling in diabetic mice, with circadian phase strongly modulating the benefits. Exercise during the light phase showed superior outcomes, suggesting that timing of physical activity may be an important factor in diabetes management.

Circadian Rhythm, Aerobic Exercise, Type 2 Diabetes, p53 Gene Expression, Pancreatic β-Cells, NMRI Mice

Conclusion

Aerobic exercise substantially improves β-cell survival, reduces p53-mediated apoptotic stress, and enhances glycemic control in type 2 diabetic mice. Crucially, these effects are significantly modulated by circadian timing, with light-phase exercise producing superior outcomes. Incorporating circadian strategies into exercise prescriptions may enhance therapeutic efficacy for individuals with T2DM. These findings highlight the potential of Chrono-exercise as a targeted, non-pharmacological intervention to protect β-cell function and mitigate diabetes progression.

Acknowledgements

We hereby express our gratitude to all members of the research team and technicians at Avin Stem Gen Bio Health, whose expertise and collaboration played a crucial role in the completion of this study.

Conflict of Interest

The authors declare that there is no conflict of interest.

Author Contributions

F. Sepehrinya and M. Janbozorgi conceived the study. Methodology was designed by F. Sepehrinya and A. Taheri. Data curation and investigation were performed by A. Taheri and M. Hosseinzadeh. Formal analysis and drafting of the initial manuscript were carried out by F. Sepehrinya. Manuscript review and editing were completed by M. Janbozorgi and A. Taheri. Project supervision and administration were provided by M. Janbozorgi. All authors reviewed and approved the final version of the manuscript.

Ethical Cosidreation:

The conduct and procedures involving animal experiments were approved by the Committee for Ethics in Animal Experiments at Shahid Chamran University (License number: IR.SCU.TEC.1404.062).

References

  1. Bass J, Takahashi JS. Circadian integration of metabolism and energetics. Science. 2010;330:1349–54.
  2. Zhang P, Li T, Wu X, et al. p53-mediated apoptosis in diabetic pancreatic tissue. Diabetologia. 2011;54:136–45.
  3. Boudina S, Abel ED. Diabetic cardiomyopathy, oxidative stress, and apoptosis. Circulation. 2007;115:3213–23.
  4. afzalpur me, taheri chadorneshin, hosein. Physical activity and oxidative stress bamdad ketab; 2015. 56-70 p.
  5. Ghorbanzadeh V, Mohammadi M, Mohaddes G, Darishnejad H, Chodari L. Effect of crocin and voluntary exercise on P53 protein in pancreas of type2 diabetic rats. Pharmaceutical sciences. 2017;23(3):182-8
  6. Safdar A, Khrapko K, Flynn JM, Saleem A, De Lisio M, Johnston AP, et al. Exercise-induced mitochondrial p53 repairs mtDNA mutations in mutator mice. Skeletal muscle. 2015;6(1):1-18.
  7. Curran M, Drayson MT, Andrews RC, Zoppi C, Barlow JP, Solomon TP, et al. The benefits of physical exercise for the health of the pancreatic β‐cell: a review of the evidence. Experimental physiology. 2020;105(4):579-89.
  8. Marcheva B, Ramsey KM, Buhr ED, et al. Disruption of circadian clock causes β-cell failure. Nature. 2010;466:627–31.
  9. Kalsbeek A, la Fleur S, Fliers E. Circadian control of glucose metabolism. Mol Metab. 2014;3:372–83.
  10. Barnea M, Madar Z, Froy O. High-fat diet and circadian clock malfunction. Int J Obes. 2008;32:379–86.
  11. Salto C, Arce V, et al. Timing of exercise modulates metabolic responses. Physiol Behav. 2017;179:1–7.
  12. Holloszy JO. Exercise-induced increases in insulin action. J Appl Physiol. 2005;99:338–43.
  13. Ruderman NB, Xu XJ, Nelson L, et al. AMPK and mitochondrial biology in diabetes. Am J Physiol Endocrinol Metab. 2010;298:E1–10.
  14. Fang J, Nagy L. SIRT1 and circadian regulation in metabolic disease. Trends Endocrinol Metab. 2010;21:516–23.
  15. Sato S, Basse AL, Schönke M, Chen S, Samad M, Altıntaş A, et al. Time of exercise specifies the impact on muscle metabolic pathways and systemic energy homeostasis. Cell metabolism. 2019;30(1):92-110. e4.
  16. Chavanelle V, Boisseau N, Otero YF, Combaret L, Dardevet D, Montaurier C, et al. Effects of high-intensity interval training and moderate-intensity continuous training on glycaemic control and skeletal muscle mitochondrial function in db/db mice. Scientific reports. 2017;7(1):1-10.
  17. 17.Ramos-Vara JA. Principles and methods of immunohistochemistry. Methods Mol Biol. 2011;691:83-96
  18. Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, Kubista M, et al. The MIQE Guidelines: M inimum I nformation for Publication of Q uantitative Real-Time PCR E xperiments. Oxford University Press; 2009.
  19. Trivić T, Drid P, Obadov S, Ostojic S. Effect of endurance training on biomarkers of oxidative stress in male wrestlers. Journal of Martial Arts Anthropology. 2011;11(2):6-9.
  20. Schafer MJ, White TA, Evans G, Tonne JM, Verzosa GC, Stout MB, et al. Exercise Prevents Diet-Induced Cellular Senescence in Adipose Tissue. Diabetes. 2016;65(6):1606-15. Epub 2016/03/18. doi: 10.2337/db15-0291. PubMed PMID: 26983960; PubMed Central PMCID: PMCPMC4878429.
  21. Kung C-P, Murphy ME. The role of the p53 tumor suppressor in metabolism and diabetes. The Journal of endocrinology. 2016;231(2):R61.
  22. Xu-Monette ZY, Medeiros LJ, Li Y, Orlowski RZ, Andreeff M, Bueso-Ramos CE, et al. Dysfunction of the TP53 tumor suppressor gene in lymphoid malignancies. Blood, The Journal of the American Society of Hematology. 2012;119(16):3668-83.