Effects of a Single Bout of Exercise on Transcriptomics and Metabolomics in Adipose Tissue

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to determine the effects of a single bout of exercise on changes in the genes and small molecules in blood and fat tissue, before and after a bout of exercise. This research may contribute to a better understanding of the beneficial effects of exercise on the body.

Detailed Description
-----------------
The national and international prevalence of both obesity and type 2 diabetes has risen dramatically over the last few decades, increasing the need for new therapies to treat these conditions. An established treatment for type 2 diabetes and obesity are regular physical activity and exercise. It has been shown that one single session of exercise can lead to adaptations in the blood and in tissues that improve systemic homeostasis overtime; while acute changes in skeletal muscle also play a critical role in these effects, changes in the adipose tissue and in the peripheral mononuclear cells (PBMCs) that may also contribute to this improvement. However, the beneficial effects of exercise on metabolism through these other tissues have not been intensively investigated. The investigators hypothesize that a single session of exercise will result in changes to white adipose tissue, including changes in metabolites and gene expression, as well as changes in PBMCs, and that these adaptations may play an important role to improve metabolic homeostasis. This hypothesis stems from the investigator's animal-based studies, which have led to the exciting discoveries that 1) exercise training-induced adaptations to subcutaneous white adipose tissue (scWAT) result in significant improvements in whole-body glucose tolerance and insulin sensitivity (1), and 2) the mechanism for this effect may be due to auto-, para-, or endocrine effects of novel exercise-induced circulating factors coming from adipose tissue. Thus, being able to further understand, and potentially mimick, these exercise-induced changes to scWAT could lead to novel therapies for obesity and type 2 diabetes. Given the great interest in exercise mimetics as treatments for diabetes and obesity, it is essential to determine if a single session of exercise alters metabolites as well as gene expression in the scWAT in human subjects with obesity. To determine if a single session of exercise leads to changes in PBMCs, PBMC transcriptomics will be analyzed. This analysis will determine how exercise affects the number of specific cell types in the blood that can regulate metabolic health.

Official Title
-----------------
Effects of a Single Bout of Exercise on Transcriptomics and Metabolomics in Adipose Tissue

Conditions
-----------------
Metabolic Complication, Obesity

Intervention / Treatment
-----------------
* Procedure: Acute Bout of Exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age 20-60 years Body mass index (BMI) ≥30.0 ± 0.1 and ≤40.0 ± 0.1 kg/m2 HbA1c ≤ 5.7 ± 0.1% No history of diabetes (type 1 and type 2) In good general health with no conditions that could influence the outcome of the trial, and in the judgment of the investigator is a good candidate for the study based on review of available medical history, physical examination and clinical laboratory evaluations Willing to adhere to the protocol requirements for the duration of the study Exclusion Criteria: Exercises frequently i.e. ≥ 150 minutes per week of moderate intensity or ≥ 75 min high intensity. Blood glucose rises ≥140mg/dl at 2 hours after OGTT on Visit 1 Use of weight loss medications (i.e. GLP-1 agonists) Use of any medications related to diabetes Use of beta-blockers Use of anticoagulation and aspirin Use of agents that affect hepatic glucose production such as beta adrenergic agonists, xanthine derivatives Currently pregnant or breastfeeding Current smoker Heart or lung disease Acute infection, including COVID-19 (current or recent infection of COVID-19 in the previous 3 months) Any hospitalization due to COVID-19. Severe hypertension (systolic >160 mmHg or diastolic >90 mmHg) Inability to exercise for any reason Any known contraindication to exercise testing based on current ACSM guidelines (5)

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acute Bout of Exercise<br>Exercising for 60 minutes at 55-60% of VO₂ peak | Procedure: Acute Bout of Exercise<br>* Exercising for 60 minutes at 55-60% of VO₂ peak<br>|
| No Intervention: No Exercise<br>No Exercise Session | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Transcriptome in white adipose tissue | Gene transcription changes in RNA-based expression within subcutaneous adipose tissue | Baseline; 2 hours | 
| Metabolome in fat | Changes in concentration of metabolites within subcutaneous adipose tissue | Baseline; 2 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Transcriptomic changes in peripheral blood mononuclear cell in people with obesity | Gene transcription changes in RNA-based expression within peripheral blood mononuclear cells | Baseline; 2 hours | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
obesity, adipose tissue transcriptomics, adipose tissue metabolomics, peripheral blood mononuclear cell transcriptomics, exercise