Journal of Exercise & Organ Cross Talk

Abstract Sciatic nerve injury results in significant functional impairment and is associated with neuroinflammatory responses. While lithium and exercise have shown independent neuroprotective potential, their combined effects remain less explored. This study investigated the therapeutic efficacy of lithium, resistance training, and their combination on functional recovery and neuroinflammatory markers in a rat model of sciatic nerve injury. Twenty-five rats were randomly divided into five groups: Sham, Model (sciatic nerve injury), Model+Lithium, Model+Resistance training, and Model+Lithium+Resistance training. Lithium carbonate (10 mg/kg, i.p.) was administered for 5 days, and resistance training was conducted for 6 weeks, with both interventions starting 24 hours’ post-injury. Functional recovery was assessed using the beam walk test. Neuroinflammation was evaluated by measuring the activity of myeloperoxidase (MPO) and nitric oxide (NO) in the cerebrospinal fluid at the end of the 6-week intervention period. Sciatic nerve injury (Model group) induced a significant deficit in beam test performance compared to the Sham group (p < 0.001). All treatment groups (Lithium, Resistance training, and Combined) showed significant improvement in functional scores compared to the Model group, with the Combined treatment group showing significantly greater recovery than either monotherapy (p < 0.05). Furthermore, the Model group exhibited a significant increase in MPO and NO levels. Resistance training alone and in combination with lithium significantly attenuated this increase (p < 0.0001). Interestingly, lithium monotherapy did not reduce the elevated neuroinflammatory markers. Our findings demonstrate that resistance training alone effectively reduces neuroinflammation and improves functional recovery after sciatic nerve injury. The combination of lithium and resistance training yields a synergistic effect, resulting in the most significant functional improvement, suggesting a promising combined therapeutic strategy for peripheral nerve injury.

Abstract Non-alcoholic fatty liver disease (NAFLD) is a prevalent chronic liver disorder associated with fat accumulation, sedentary lifestyle, and poor diet. This study examined the effects of aerobic exercise and mealworm protein supplementation on oxidative balance and the expression of FGF21 and mTOR genes in the soleus muscle of rats with NAFLD. Fifteen male Wistar rats (250 ± 50 g, aged 10–12 weeks) were randomly assigned to five groups: healthy control, fatty liver, fatty liver + supplement, fatty liver + exercise, and fatty liver + supplement + exercise. A high-fat diet was used to induce NAFLD. The exercise group performed moderate-intensity treadmill running (12–16 m/min) for eight weeks, five days per week. Mealworm protein (20 mg/kg) was administered via oral gavage. Liver and muscle tissues were analyzed using Real-Time PCR (FGF21, mTOR) and ELISA (TOS, TAC). Combined treatment significantly increased FGF21 expression (~130%; p = 0.022), reduced total oxidant status (~40%; p = 0.001), increased total antioxidant capacity (~45%; p = 0.009), and lowered SGPT and ALP levels (~32% and ~38%, respectively; p < 0.05). mTOR expression showed no significant change (p = 0.113), and the 18% SGOT reduction was not significant (p = 0.169). The combination had greater effects than either treatment alone. Aerobic exercise combined with mealworm protein supplementation improves oxidative balance and FGF21 expression in NAFLD. This integrative strategy may offer a novel therapeutic approach targeting liver-muscle metabolic interactions. Further human studies are recommended.