Salivary chromogranin A, but not α-amylase, correlates with cardiovascular parameters during high-intensity exercise

Summary Introduction  Several studies have shown that activation of the sympathetic nervous system results in the increased secretion of α‐amylase (sAA), an enzyme produced by salivary glands. Recently, chromogranin A (CgA), a soluble protein costored and coreleased with catecholamines from the adre...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2011-12, Vol.75 (6), p.747-752
Hauptverfasser: Gallina, Sabina, Di Mauro, Michele, D'Amico, Maria Angela, D'Angelo, Emanuele, Sablone, Andrea, Di Fonso, Alessia, Bascelli, Adriana, Izzicupo, Pascal, Di Baldassarre, Angela
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container_issue 6
container_start_page 747
container_title Clinical endocrinology (Oxford)
container_volume 75
creator Gallina, Sabina
Di Mauro, Michele
D'Amico, Maria Angela
D'Angelo, Emanuele
Sablone, Andrea
Di Fonso, Alessia
Bascelli, Adriana
Izzicupo, Pascal
Di Baldassarre, Angela
description Summary Introduction  Several studies have shown that activation of the sympathetic nervous system results in the increased secretion of α‐amylase (sAA), an enzyme produced by salivary glands. Recently, chromogranin A (CgA), a soluble protein costored and coreleased with catecholamines from the adrenal medulla and sympathetic nerve endings, has been proposed as a marker of sympathoadrenal medullary system (SAM) activity. The aim of this study was to investigate the behaviour of salivary chromogranin A (sCgA) and sAA during high‐intensity exercise and to analyse their possible correlation with cardiovascular and psychological parameters. Methods  Before and during a standardized treadmill stress test, and at 5, 15 and 30 min during the recovery phase, sCgA and sAA were monitored in 21 healthy men. The double product (DP) of blood pressure and heart rate responses, and the product of the subjective ratings of perceived exertion recorded at the final step (RPE) and the exercise duration were used as indices of cardiovascular and exercise intensity, respectively. Results  With respect to baseline, significant (P 
doi_str_mv 10.1111/j.1365-2265.2011.04143.x
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Recently, chromogranin A (CgA), a soluble protein costored and coreleased with catecholamines from the adrenal medulla and sympathetic nerve endings, has been proposed as a marker of sympathoadrenal medullary system (SAM) activity. The aim of this study was to investigate the behaviour of salivary chromogranin A (sCgA) and sAA during high‐intensity exercise and to analyse their possible correlation with cardiovascular and psychological parameters. Methods  Before and during a standardized treadmill stress test, and at 5, 15 and 30 min during the recovery phase, sCgA and sAA were monitored in 21 healthy men. The double product (DP) of blood pressure and heart rate responses, and the product of the subjective ratings of perceived exertion recorded at the final step (RPE) and the exercise duration were used as indices of cardiovascular and exercise intensity, respectively. Results  With respect to baseline, significant (P &lt; 0·001) increases in peak sCgA (median 64%) and sAA (median 86%) were observed at the end of exercise. During the recovery phase, sAA levels fell abruptly, whereas sCgA remained elevated (P &lt; 0·001). Significant correlations emerged only for sCgA with respect to %DP (r = 0·84; P &lt; 0·001) and last step‐RPE (r = 0·82; P = 0·024). Conclusions  These data suggest sCgA as a reliable marker of SAM activation. Furthermore, the relationship between sCgA and exercise intensity highlights the potential use of this noninvasive parameter in monitoring the adrenergic response during intense physical stress.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1111/j.1365-2265.2011.04143.x</identifier><identifier>PMID: 21671973</identifier><identifier>CODEN: CLECAP</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; alpha-Amylases - analysis ; alpha-Amylases - metabolism ; Biological and medical sciences ; Cardiovascular Physiological Phenomena ; Cardiovascular System - metabolism ; Chromogranin A - analysis ; Chromogranin A - metabolism ; Endocrinopathies ; Exercise - physiology ; Exercise Test ; Fundamental and applied biological sciences. Psychology ; Humans ; Male ; Medical sciences ; Physical Exertion - physiology ; Saliva - chemistry ; Saliva - enzymology ; Saliva - metabolism ; Specimen Handling ; Vertebrates: endocrinology ; Young Adult</subject><ispartof>Clinical endocrinology (Oxford), 2011-12, Vol.75 (6), p.747-752</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2011 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4203-ac25ad239ed0c1d9ec8e8521e2058e3aacab598760febe56393affe8ed0243a33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2265.2011.04143.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2265.2011.04143.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24735770$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21671973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallina, Sabina</creatorcontrib><creatorcontrib>Di Mauro, Michele</creatorcontrib><creatorcontrib>D'Amico, Maria Angela</creatorcontrib><creatorcontrib>D'Angelo, Emanuele</creatorcontrib><creatorcontrib>Sablone, Andrea</creatorcontrib><creatorcontrib>Di Fonso, Alessia</creatorcontrib><creatorcontrib>Bascelli, Adriana</creatorcontrib><creatorcontrib>Izzicupo, Pascal</creatorcontrib><creatorcontrib>Di Baldassarre, Angela</creatorcontrib><title>Salivary chromogranin A, but not α-amylase, correlates with cardiovascular parameters during high-intensity exercise</title><title>Clinical endocrinology (Oxford)</title><addtitle>Clin Endocrinol (Oxf)</addtitle><description>Summary Introduction  Several studies have shown that activation of the sympathetic nervous system results in the increased secretion of α‐amylase (sAA), an enzyme produced by salivary glands. Recently, chromogranin A (CgA), a soluble protein costored and coreleased with catecholamines from the adrenal medulla and sympathetic nerve endings, has been proposed as a marker of sympathoadrenal medullary system (SAM) activity. The aim of this study was to investigate the behaviour of salivary chromogranin A (sCgA) and sAA during high‐intensity exercise and to analyse their possible correlation with cardiovascular and psychological parameters. Methods  Before and during a standardized treadmill stress test, and at 5, 15 and 30 min during the recovery phase, sCgA and sAA were monitored in 21 healthy men. The double product (DP) of blood pressure and heart rate responses, and the product of the subjective ratings of perceived exertion recorded at the final step (RPE) and the exercise duration were used as indices of cardiovascular and exercise intensity, respectively. Results  With respect to baseline, significant (P &lt; 0·001) increases in peak sCgA (median 64%) and sAA (median 86%) were observed at the end of exercise. During the recovery phase, sAA levels fell abruptly, whereas sCgA remained elevated (P &lt; 0·001). Significant correlations emerged only for sCgA with respect to %DP (r = 0·84; P &lt; 0·001) and last step‐RPE (r = 0·82; P = 0·024). Conclusions  These data suggest sCgA as a reliable marker of SAM activation. Furthermore, the relationship between sCgA and exercise intensity highlights the potential use of this noninvasive parameter in monitoring the adrenergic response during intense physical stress.</description><subject>Adult</subject><subject>alpha-Amylases - analysis</subject><subject>alpha-Amylases - metabolism</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular Physiological Phenomena</subject><subject>Cardiovascular System - metabolism</subject><subject>Chromogranin A - analysis</subject><subject>Chromogranin A - metabolism</subject><subject>Endocrinopathies</subject><subject>Exercise - physiology</subject><subject>Exercise Test</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Physical Exertion - physiology</subject><subject>Saliva - chemistry</subject><subject>Saliva - enzymology</subject><subject>Saliva - metabolism</subject><subject>Specimen Handling</subject><subject>Vertebrates: endocrinology</subject><subject>Young Adult</subject><issn>0300-0664</issn><issn>1365-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuO0zAUhi0EYsrAKyBvECwmwZc4ThYsRtUwoI4KaLgsrVPntHXJpdjJTPtYvAjPhENL2eGNLZ3vt3S-nxDKWcrjeb1JucxVIkSuUsE4T1nGM5nuHpDJafCQTJhkLGF5np2RJyFsGGOqYPoxORM817zUckKGW6jdHfg9tWvfNd3KQ-taenlBF0NP266nv34m0OxrCHhBbec91tBjoPeuX1MLvnLdHQQ71ODpFjw02KMPtBq8a1d07VbrxLU9tsH1e4o79NYFfEoeLaEO-Ox4n5Mvb68-T98lNx-u308vbxKbCSYTsEJBJWSJFbO8KtEWWCjBUcRFUAJYWKiy0Dlb4gJVLksJyyUWEReZBCnPycvDv1vf_Rgw9KZxwWJdQ4vdEEzJJM-UkjqSr_5L8iLqKoTQRUSfH9Fh0WBltt41UaD5KzUCL45AFAP1MiqNS__jMi2V1ixybw7cvatxf5pzZsaSzcaMXZqxSzOWbP6UbHZmejUfXzGfHPIu9Lg75cF_N7mWWplv82vz8dNs9nV2W5i5_A2X5KwQ</recordid><startdate>201112</startdate><enddate>201112</enddate><creator>Gallina, Sabina</creator><creator>Di Mauro, Michele</creator><creator>D'Amico, Maria Angela</creator><creator>D'Angelo, Emanuele</creator><creator>Sablone, Andrea</creator><creator>Di Fonso, Alessia</creator><creator>Bascelli, Adriana</creator><creator>Izzicupo, Pascal</creator><creator>Di Baldassarre, Angela</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201112</creationdate><title>Salivary chromogranin A, but not α-amylase, correlates with cardiovascular parameters during high-intensity exercise</title><author>Gallina, Sabina ; Di Mauro, Michele ; D'Amico, Maria Angela ; D'Angelo, Emanuele ; Sablone, Andrea ; Di Fonso, Alessia ; Bascelli, Adriana ; Izzicupo, Pascal ; Di Baldassarre, Angela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4203-ac25ad239ed0c1d9ec8e8521e2058e3aacab598760febe56393affe8ed0243a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>alpha-Amylases - analysis</topic><topic>alpha-Amylases - metabolism</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular Physiological Phenomena</topic><topic>Cardiovascular System - metabolism</topic><topic>Chromogranin A - analysis</topic><topic>Chromogranin A - metabolism</topic><topic>Endocrinopathies</topic><topic>Exercise - physiology</topic><topic>Exercise Test</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Physical Exertion - physiology</topic><topic>Saliva - chemistry</topic><topic>Saliva - enzymology</topic><topic>Saliva - metabolism</topic><topic>Specimen Handling</topic><topic>Vertebrates: endocrinology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallina, Sabina</creatorcontrib><creatorcontrib>Di Mauro, Michele</creatorcontrib><creatorcontrib>D'Amico, Maria Angela</creatorcontrib><creatorcontrib>D'Angelo, Emanuele</creatorcontrib><creatorcontrib>Sablone, Andrea</creatorcontrib><creatorcontrib>Di Fonso, Alessia</creatorcontrib><creatorcontrib>Bascelli, Adriana</creatorcontrib><creatorcontrib>Izzicupo, Pascal</creatorcontrib><creatorcontrib>Di Baldassarre, Angela</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical endocrinology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gallina, Sabina</au><au>Di Mauro, Michele</au><au>D'Amico, Maria Angela</au><au>D'Angelo, Emanuele</au><au>Sablone, Andrea</au><au>Di Fonso, Alessia</au><au>Bascelli, Adriana</au><au>Izzicupo, Pascal</au><au>Di Baldassarre, Angela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salivary chromogranin A, but not α-amylase, correlates with cardiovascular parameters during high-intensity exercise</atitle><jtitle>Clinical endocrinology (Oxford)</jtitle><addtitle>Clin Endocrinol (Oxf)</addtitle><date>2011-12</date><risdate>2011</risdate><volume>75</volume><issue>6</issue><spage>747</spage><epage>752</epage><pages>747-752</pages><issn>0300-0664</issn><eissn>1365-2265</eissn><coden>CLECAP</coden><abstract>Summary Introduction  Several studies have shown that activation of the sympathetic nervous system results in the increased secretion of α‐amylase (sAA), an enzyme produced by salivary glands. Recently, chromogranin A (CgA), a soluble protein costored and coreleased with catecholamines from the adrenal medulla and sympathetic nerve endings, has been proposed as a marker of sympathoadrenal medullary system (SAM) activity. The aim of this study was to investigate the behaviour of salivary chromogranin A (sCgA) and sAA during high‐intensity exercise and to analyse their possible correlation with cardiovascular and psychological parameters. Methods  Before and during a standardized treadmill stress test, and at 5, 15 and 30 min during the recovery phase, sCgA and sAA were monitored in 21 healthy men. The double product (DP) of blood pressure and heart rate responses, and the product of the subjective ratings of perceived exertion recorded at the final step (RPE) and the exercise duration were used as indices of cardiovascular and exercise intensity, respectively. Results  With respect to baseline, significant (P &lt; 0·001) increases in peak sCgA (median 64%) and sAA (median 86%) were observed at the end of exercise. During the recovery phase, sAA levels fell abruptly, whereas sCgA remained elevated (P &lt; 0·001). Significant correlations emerged only for sCgA with respect to %DP (r = 0·84; P &lt; 0·001) and last step‐RPE (r = 0·82; P = 0·024). Conclusions  These data suggest sCgA as a reliable marker of SAM activation. Furthermore, the relationship between sCgA and exercise intensity highlights the potential use of this noninvasive parameter in monitoring the adrenergic response during intense physical stress.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21671973</pmid><doi>10.1111/j.1365-2265.2011.04143.x</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
alpha-Amylases - analysis
alpha-Amylases - metabolism
Biological and medical sciences
Cardiovascular Physiological Phenomena
Cardiovascular System - metabolism
Chromogranin A - analysis
Chromogranin A - metabolism
Endocrinopathies
Exercise - physiology
Exercise Test
Fundamental and applied biological sciences. Psychology
Humans
Male
Medical sciences
Physical Exertion - physiology
Saliva - chemistry
Saliva - enzymology
Saliva - metabolism
Specimen Handling
Vertebrates: endocrinology
Young Adult
title Salivary chromogranin A, but not α-amylase, correlates with cardiovascular parameters during high-intensity exercise
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