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Epigenetics of Exercise and Sports Concepts, Methods, and Current Research

FIRST EDITION

Cardiovascular and Lifestyle Medicine Research Group, Coventry University, Coventry, United Kingdom

Series Editor

Comprehensive Cancer Center, Comprehensive Center for Healthy Aging, University of Alabama at Birmingham, Birmingham, AL, United States

Trygve Tollefsbol

Table of Contents

Cover image

Title page

Copyright

Contributors

Preface

A note on how to use this book

Section I: Concepts and methods

Chapter 1: Exercise and sport: Definitions, classifications, and relevance to population health

Abstract

Introduction

Defining physical activity and population categories

What are the physical activity guidelines, and are we meeting them?

Physiological implications of physical activity and inactivity

Exercise intensity domains

Exercise at the extremes

Individual responses to diet and exercise

Chapter 2: Epigenetic processes An overview

Abstract

Introduction

DNA methylation

CpG islands

DNA methylation and gene imprinting

Histone modification

Noncoding RNAs

Epigenetic-based therapies

RNA methylation

Epigenetic interactions, networks, and emergent properties

Conclusions

Chapter 3: Methods to study exercise and sports epigenetics

Abstract

Acknowledgement

Introduction

Ethical considerations and sample collections

DNA methylation

Chip-Seq

Noncoding RNAs

Conclusion

Section II: Current research and future perspectives

Chapter 4: Nutrients, metabolism, and epigenetic change

Abstract

Diet and nutri-epigenomics

What is DNA methylation?

Fatty acids and epigenetics

Conclusion

Chapter 5: Obesity epigenetics and exercise

Abstract

Introduction

Role of epigenetics in syndromic and monogenic obesity

Maternal and paternal impact on obesity predisposition in their children and beyond

Can epigenetic-mediated obesity predisposition change during adulthood?

Could epigenetic treatments help tackle the obesity pandemic?

Final conclusions

Chapter 6: Epigenetic change and different types of exercise

Abstract

Exercise

Epigenetic modifications

Exercise-induced DNA methylation

Exercise-induced histone modifications

Exercise-induced noncoding RNAs

Conclusion

Chapter 7: Exercise, epigenetics, and aging

Abstract

Introduction

Aging defined

Benefits of physical activity

Aging and epigenetics

Exercise and the epigenetic response

Exercise and DNA methylation

Exercise and histone modifications

Exercise and MicroRNA

Exercise, epigenetics, and cancer

Exercise, epigenetics, and inflammation

Exercise epigenetics and cardiovascular diseases

Exercise, epigenetics, and neurological disorders

Exercise, metabolism, and epigenetics

Telomere biology

Telomerase

Mean leukocyte telomere length

Aging-telomere link

Telomeres, aging, and mortality

Telomeres and senescence

Telomeres and age-related diseases

Physical activity and telomere length

Proposed benefits of physical activity on telomere homeostasis

Oxidative stress

Inflammation

The Shelterin complex

Epigenetics and telomere homeostasis

Epigenome, exercise training, and trans-generational inheritance

Summary

Chapter 8: Epigenetics, exercise, and the immune system

Abstract

Acknowledgments

Introduction to epigenetics

Overview of immunity and exercise

Immune system epigenetic modifications via physical activity and exercise

MicroRNA regulation of immune cells in aerobic exercise

Exercise as a putative modifier of cancer pathogenesis

Conclusions

Chapter 9: Alzheimer’s disease, epigenetics, and exercise

Abstract

Alzheimer’s disease

Exercise and memory

Cellular and molecular mechanisms of exercise-induced neurogenesis

Genetic considerations

Transgenerational effects

Conclusions

Chapter 10: The current and future state of sports genomics

Abstract

Introduction

Overview of sports genomics

Candidate gene studies

Genome-wide association studies and next-generation sequencing

Consortia studies

Limitations and future directions

Conclusion

Chapter 11: Epigenetic regulation and musculoskeletal injuries

Abstract

Introduction

Epigenetic risk factors underlying musculoskeletal injuries

Clinical implications of epigenetic testing for musculoskeletal soft tissue injuries

Concluding remarks

Chapter 12: Sports concussion and epigenetics

Abstract

Introduction

Definition of concussion

Diagnosis of concussion

Short-term consequences of concussion

Long-term consequences of concussion

Genetics of concussion

Epigenetics

Epigenetics of TBI

Epigenetics of concussion

Epigenetic pattern profiling as a biomarker to aid concussion diagnosis

Epigenetic pattern profiling as a biomarker for short-term outcomes following concussion

Conclusions and future directions

Chapter 13: Epigenetics and doping in sports The role of microRNAs

Abstract

Acknowledgments

Introduction

Novel epigenetic markers: miRNAs

MicroRNAs for detection of doping abuse

MicroRNAs as potential markers of autologous blood transfusion in sports

Confounding factors

Conclusions and perspectives

Chapter 14: Future perspectives and concluding remarks

Abstract

Introduction

Future avenues for research

Closing remarks

Index

Copyright

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Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

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Contributors

Olutope Arinola Akinnibosun School of Science, Psychology, and Sport, Federation University Australia, Ballarat, VIC, Australia

Mark Antrobus Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom

Fadi J. Charchar Health Innovation and Transformation Centre and School of Science, Psychology, and Sport, Federation University Australia, Ballarat, VIC, Australia

Warrick Chilton School of Science, Psychology, and Sport, Federation University Australia, Ballarat, VIC, Australia

Tom Cullen Sport and Human Performance Research Group, Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom

Saul Cuell Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom

Louis Y. El Khoury

Department of Molecular Pharmacology and Experimental Therapeutics

Center for Individualized Medicine, Epigenomics Program, Mayo Clinic, Rochester, MN, United States

Alessia Finoi Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy

Steven S. Foster School of Life Sciences, Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom

Roberto Gambari Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy

Jessica Gasparello Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy

D.J. Hunter School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

B. Hussey School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

L. James School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

Mary-Jessica N. Laguee

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town

International Federation of Sports Medicine (FIMS) Collaborative Centre of Sports Medicine

UCT Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Cape Town, South Africa

Nicola Lamberti Department of Neuroscience and Rehabilitation, Section of Sport Sciences, University of Ferrara, Ferrara, Italy

M.R. Lindley School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

Lee R. Machado Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom

Michelle C. Maier School of Science, Psychology, and Sport, Federation University Australia, Ballarat, VIC, Australia

Fabio Manfredini Department of Neuroscience and Rehabilitation, Section of Sport Sciences, University of Ferrara, Ferrara, Italy

S.S. Mastana School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

Sarah Mc Fie Department of Psychology, Faculty of Humanities, University of Cape Town, Cape Town, Western Cape, South Africa

Brendan J. O’Brien School of Science, Psychology, and Sport, Federation University Australia, Ballarat, VIC, Australia

Michael Posthumus

Sports Science Institute of South Africa, University of Cape Town, Cape Town, Western Cape

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town; International Federation of Sports Medicine (FIMS)

Collaborative Centre of Sports Medicine, Cape Town, South Africa

Stuart M. Raleigh Cardiovascular and Lifestyle Medicine Research Group, Coventry University, Coventry, United Kingdom

Stephen M. Roth Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD, United States

Alison V. September

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town

International Federation of Sports Medicine (FIMS) Collaborative Centre of Sports Medicine

UCT Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Cape Town, South Africa

Mathijs A.M. Suijkerbuijk Department of Orthopaedic Surgery, Erasmus MC, University Medical Center Roerdam, Roerdam, The Netherlands

Nicholas B. Tiller Institute of Respiratory Medicine and Exercise Physiology, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, United States

Preface

My career as a scientist started back in the 90s. At that time I and my colleagues often used to use the term epigenetics to refer to environmental factors that in some way altered the expression of genes and therefore modified a phenotype. Although this concept was correct, we had very lile knowledge or understanding of how these processes occurred. It was not until some years later that the processes of DNA methylation, histone modification, regulation of genes by small (and long) noncoding RNAs became more familiar to me. Since then, our understanding of epigenetic processes has advanced significantly and provided fertile ground for researchers to try and explain how the message encoded within our genomes can be fine-tuned to modify our behavior and risk of disease. Within the fields of exercise science and sports medicine, researchers have, in general, been less focused on epigenetics. There still appears to be a large number of academic papers published that simply ignore this important facet of molecular biology and the assumption seems to be that a certain level of exercise or physical activity affects us all in the same way. Indeed, the concept of personalized exercise is largely absent. This is surprising to me as I feel that epigenetic mechanisms are able to explain (in large part) a variety of traits that are related to exercise including: variability in training response, predisposition to sports injury, motivation and behavior, effectiveness of performance diets, muscle mass alterations during training, range of motion and flexibility as we age and ultimately degree of exercise or sports achievement.

I was thrilled when Elsevier approached me to edit and contribute to this first edition of Epigenetics of Exercise and Sports. I feel the book is timely and I hope it will encourage others working within the fields of exercise and sports research to look at how epigenetic processes might help to explain their data. The book will start with and overview of how physical activity and sports benefits populations along with an explanation of what epigenetics actually is. We then journey through a broad spectrum of topics to show just how dependent exercise response is on epigenetics processes. We also study the limitations associated with the field of exercise genetics and cover ways in which epigenetics might be used to reduce the adverse effects of sports associated pathology.

Ultimately, it is hoped that by understanding the interaction between exercise, sports, and epigenetics we can, in the near future, customize exercise and sports to the individual, improve the management of sports related pathologies and produce more engaged and physically active populations.

A note on how to use this book

Dear Readers,

We hope that you enjoy this 1st Edition of Epigenetics of Exercise and Sports, Concepts, Methods and Current Research.

The book is divided into two sections. The first section (Concepts and Methods) does, unsurprisingly, cover essential descriptions and definitions of what we mean by physical activity, exercise, and sports. We also include a chapter on fundamental epigenetic processes and a separate chapter on how epigenetic phenomenon can be measured in the laboratory.

The second section (Current Research and Future Perspectives) covers all aspects of current research relating to the various types of physical activity and epigenetics. The laer chapters in this section tend to focus on sports. Finally, we have included a chapter on future perspectives.

You will also note that several chapters (in Section 2) also cover some of the basic epigenetic concepts that were introduced in Chapter 2. We have decided to do this to enable you to simply select relevant chapters that are of interest to you without the need to read the book from cover to cover.

If, after reading this book, you have more questions about epigenetics than you did before you started then we would have achieved our aims! I hope you enjoy the journey.

S E C T I O N I

Concepts and methods

Chapter 1: Exercise and sport: Definitions, classifications, and relevance to population health

Abstract

Physical exertion was once crucial for survival because energy (food) was derived predominantly from hunting and foraging; this, in turn, shaped the genome of modern man. In contemporary society, human genes and human lives are incongruent; physical activity is no longer a prerequisite for securing calories, our jobs are largely sedentary, and scarcely is a predominance of leisure time devoted to structured exercise. Reducing sedentary time and following a structured exercise regimen has been shown, unequivocally, to improve long-term weight management and reduce the risk of noncommunicable diseases. Nevertheless, many are not meeting the most conservative of physical activity guidelines. This chapter begins by distinguishing among the terms of physical activity, exercise, and sport before overviewing the principal physiological benefits of regular exercise. There is a discussion of the juxtaposition between the benefits of regular exercise and the pathophysiological consequences of extreme exercise behavior. Finally, there is an overview of the genetically-inherited traits

that mediate the physiological adaptation to exercise training and other molecular mechanisms that likely underpin exercise and performance.

Keywords

Physical activity; Exercise; Sport; Genetics; Nutrition

Introduction

When the human (and prehuman) genome was naturally selected, daily physical activity was critical for obtaining food and ensuring survival. For the most part, calories were obtained by hunting, scavenging meat, and foraging for vegetables and other staples.1 Modern hunter-gatherer tribes also expend considerable energy in accomplishing a range of other activities. For example, both males and females have been observed walking several kilometers each day, navigating hilly and rocky terrain, to collect water and firewood, search for camp resources, and visit neighboring tribes.2 The Hadza, a modern hunter-gatherer population residing in Northern Tanzania, exhibit levels of moderate-to-vigorous physical activity (MVPA) that are approximately 14-times greater than that of subjects participating in large epidemiological studies in the United States.3 Accordingly, expending energy through physical activity was once a prerequisite for daily life, and such codependency shaped the cardiorespiratory, metabolic, and musculoskeletal systems of modern man (for review, see Ref.4). Physical activity and exercise are very much part of our DNA. Presently, human genes and human lives are incongruent. Physical activity is no longer necessary to secure calories, our jobs are largely sedentary, and scarcely is a predominance of leisure time devoted to structured exercise. Instead, much of contemporary culture is characterized by a surplus of energy availability, inactive lifestyles, and all the technological contrivances the modern world can afford. In evolutionary timeframes, the cultural shift in modern

society has been rapid, far outstripping the ability of genetic evolution to respond. Our misplaced lifestyles and behavior have birthed an obesity epidemic we cannot stem, and an increased incidence of noncommunicable diseases including cardiovascular disease, coronary heart disease (CHD), type II diabetes mellitus, and lifestyle-related cancers.5 Indeed, with the exception of cigaree smoking, the leading risk factors for mortality (e.g., high blood pressure, high blood glucose, obesity) are directly associated with physical inactivity.6 With growing concern for public health, there is now a greater emphasis on increasing population health through various lifestyle interventions including physical activity, structured exercise regimens, and participation in competitive sports which, collectively, reduce the risk of cardiovascular disease (CVD) and allcause mortality.7–9 A more robust understanding of the mechanisms underpinning disease, and the applied physiological adaptations associated with chronic exercise, is crucial for students, graduates, and practitioners alike.

In this opening chapter of Epigenetics of Exercise and Sport, we first make a distinction among physical activity, exercise, and sport, overview the scientific consensus on the physical activity/exercise guidelines, and assess the disparity between those guidelines and the current estimates of population engagement. We then overview the myriad physiological benefits of regular exercise, with a focus on the individual responses to diet and exercise and our capacity for physiological adaptation, both of which are genetically and epigenetically determined. The question of how to determine the intensity of exercise prescription is addressed, with a focus on the various exercise intensity domains. Finally, we collate some novel data on exercise at the extremes, with an emphasis on the juxtaposition between the benefits of exercise and the pathophysiological consequences of long-term participation in ultraendurance sport. This chapter provides a framework for the remainder of the book and serves to contextualize the later discussions pertinent to epigenetics.

Defining physical activity and population categories

In an effort to mitigate the risks associated with physical inactivity, many are now implementing lifestyle changes to reduce sedentary time. But such changes may manifest in several forms. For example, structured exercise and competitive sport are both considered physical activities, but clearly not all physical activities (to include activities of daily living: ADLs) manifest as exercise or sport. Moreover, the organism will experience distinct physiological responses (both acute and chronic) depending on the nature of the activity. As such, it is first important to definitionally distinguish physical activity, exercise, and sport, and consider more broadly our conceptualizations of the “active lifestyle.” The effectiveness of any intervention will also depend on its appropriateness for the individual; therefore, the population fitness subcategories warrant brief consideration.

Physical activity, as defined by the World Health Organization, is any bodily movement produced by skeletal muscles that requires energy expenditure – including activities undertaken while working, playing, carrying out household chores, travelling, and engaging in recreational pursuits.10 Many individuals meet the physical activity guidelines through vigorous gardening, grocery shopping, and other manual tasks. Striving to augment levels of physical activity becomes more pertinent given the increased siing time associated with sedentary jobs.11 The primary distinction between physical activity and exercise is that the laer is planned, structured, and repetitive, and specifically undertaken for the propose of developing fitness in oneor-more body systems (e.g., cardiovascular, musculoskeletal). To obtain the benefits of exercise, it should be regular (at least 3–5 days per week, depending on the intensity) and considered of moderateto-vigorous intensity. Examples include strength and/or aerobic exercise in the gym, jogging or running, cycling, swimming, and team sports. There is a gray area between the definitions because whether an intervention is considered physical activity or exercise will

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