This study demonstrated that toxicity increases expression of the Wnt, TGFβ, and beta-catenin genes in the heart of rats. The use of each of the exercise and supplement interventions can moderate this reduction. While the expression of these genes in the exercise-eugenol group was significantly lower than that of the toxic control group, its amount in the interactive group was not different from the aerobic exercise and eugenol groups. The combination of exercise and eugenol had no interactive or synergistic effect on the Wnt, TGFβ, and beta-catenin gene expression in the heart of rats poisoned with chlorpyrifos.
Chlorpyrifos is a toxin that affects all tissues. Regarding the toxicity of chlorpyrifos on pancreatic tissue, chlorpyrifos has been shown to interfere with hormonal signaling and metabolism (
26). Another study intended to evaluate DNA damage and cytotoxicity in insecticide-poisoned rats reported that acute and chronic insecticide administration caused significant DNA damage in the liver, kidney, brain, and spleen tissues (
27).
Regarding the cardiovascular effects of chlorpyrifos, it has been shown that exposure to this substance affects blood pressure and resting heart rate (
28). A study on mice exposed to the toxin showed that chlorpyrifos interfered with various parts of the normal heart electrocardiogram (such as an increase in the ST segment), increased blood pressure, and enhanced enzymes in markers of heart tissue damage (such as creatine). Kinase and troponin resulted in decreased cardiac antioxidants (such as superoxide dismutase), increased lipid peroxidation, and enhanced cardiac tissue apoptosis (
29). Another study showed that exposure to chlorpyrifos caused heart failure in rabbits (
30). Chlorpyrifos induces the production of free radicals and dose-dependent oxidative stress. The most severe adverse effect of chlorpyrifos poisoning is on the liver, which leads to an increase in liver and oxidative enzymes, including aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, catalase, and superoxide dismutase (
31). Studies showed that chlorpyrifos at doses of 15 and 30 mg per kg of body weight significantly affected the expression of caspase 3 and 9 genes, BAX, and BCL2 (
32). This toxic substance contains organic phosphorus compounds that can react with cell macromolecules and macromolecules and cause cellular and genetic damage. Some researchers suggested increasing lipid peroxidation and production of free radicals resulting from the metabolism of organic phosphorus toxins as the primary mechanism of destruction of cells and various body tissues (
31).
Cardiac fibrosis is characterized by an increase in the activity of cardiac fibroblasts, which increases the rigidity of the heart and the risk of heart failure and sudden cardiac death. The TGF-β and WNT signaling pathways are the two central regulators of myofibroblasts in cardiac fibrosis (
8,
9). TGF-β1 increases during cardiac fibrosis (
10,
11). Wnt/beta-catenin signaling has also been shown to increase in areas of fibrosis formation (
12). It seems that aerobic exercise and eugenol supplementation provided in the present study could moderate the expression of these genes, which contribute to heart disease. Some studies have investigated Wnt, beta-catenin, and TGF-β (
21-
23) in cardiac tissue. In a review study, Tao et al. emphasized the positive role of physical activity in reducing TGF-β (
23). Benito et al. showed that intense, long-term physical activity could improve cardiac function by acting on TGF-β (
21). Martherus et al. showed that endurance activity improves heart function by regulating the Wnt/beta-catenin signaling pathway (
22). The effect of exercise on the expression of these genes in chlorpyrifos poisoning has not been studied yet. The present study showed that exercise and supplementation of eugenol in chlorpyrifos intoxication could modulate the expression of Wnt, beta-catenin, and TGF-β genes.
While the effect of eugenol on the Wnt, beta-catenin, and TGF-β gene expression has been investigated by several studies (
18,
21-
23), no study has been performed on chlorpyrifos poisoning. Al-Sharif et al. showed the positive role of eugenol in improving breast cancer by regulating TGF-β expression (
18). Eugenol has been shown to improve lung cancer by regulating beta-catenin (
33). There are many mechanisms associated with the positive effects of aerobic exercise and eugenol. Aerobic exercise removes toxins by increasing blood flow and, consequently, increasing the excretion of toxins from the body. In addition, such effects can be attributed to increased intestinal stimulation for defecation, enhanced antioxidant defense and DNA repair, increased angiogenesis and neurogenesis, reduced free radicals, and increased number and size of mitochondria (
34-
36). Aerobic activity reduces oxidative stress and DNA damage in rats poisoned with H2O2 (
37,
38). It has been shown that aerobic activity can reduce the damage caused by chlorpyrifos toxin (
16,
17,
39). Numerous studies have observed the anti-inflammatory, anti-cancer, anti-apoptotic, antioxidant, and oxidative stress-reducing effects of eugenol supplementation (
18-
20). Some studies found reduced negative effects of chlorpyrifos following eugenol supplementation (
18,
24). This study demonstrated the positive role of exercise and eugenol in reducing chronic cardiac toxicity through modifying the expression of Wnt, TGFβ, and beta-catenin genes.
5.1. Practical Achievement
The results of this study can be considered as a basis for future human studies.