Effect of Resistance Training on Cytokines in Hiv+ Men with Chemical Dependence

Human immunodeficiency virus (HIV) and substance abuse (drug and/or alcohol) independently impair the immune system; importantly, the combination of HIV infection and substance abuse might produce more than an additive effect on this system. Tumor necrosis factor-alpha (TNF-?) and Interferon gamma (IFN?) are pro-inflammatory cytokines involved in differentiation of Th0 cells into Th1 cells. Interleukin 4 (IL-4) and Interleukin 10 (IL-10) are anti-inflammatory cytokine involved in differentiation of Th0 cells to Th2 cells. Unbalanced Th1 and Th2 cells can lead to immune suppression. Thus, changes in these cytokines could have important implications for people infected with HIV (HIV+). Resistance training can counteract muscle wasting, improve strength, and improve muscle mass. The purpose of this study was to examine the effect of resistance training on resting concentrations of circulating TNF-?, IFN-?, IL-4, and IL-10. Sixteen men (42 ± 11 years, 180.4 ± 9.1 cm, 89.2 ± 20.7 kg) infected with HIV and enrolled in an intensive 60-day in-patient substance addiction/abuse treatment program were recruited shortly after admission to the treatment facility. Participants were assigned to one of two groups using randomization: supervised resistance exercise 3 times per week using a progressive and non-linear periodized program (Exercise) or no exercise training (Non-Exercise) for six weeks. Before (Pre) and after (Post) the 6-week period, resting and fasted blood samples were obtained and analyzed for serum TNF-?, IFN-?, IL-4, and IL-10 concentrations using a high-sensitivity ELISA. TNF-? did not change following the 6-week period for Exercise (Pre: 4.8 ± 2.7 pg·ml-1; Post: 4.6 ± 2.4 pg·ml-1) or Non-Exercise (Pre: 3.0 ± 1.3 pg·ml-1; Post: 2.7 ± 0.8 pg·ml-1). IFN-?, IL-4, and IL-10 concentrations were below detectable limits. No adverse effects of the intervention were reported. A six-week resistance training program does not elicit changes in circulating TNF-? concentrations in men infected with HIV and undergoing an intensive in-patient substance addiction/abuse treatment program. Concentrations of IFN-?, IL-4, IL-10 were below detectable levels. Six weeks of resistance training was not sufficient to affect circulating TNF-?, nor enough to increase concentrations of IFN-?, IL-4, IL-10 to detectable levels. The lack of adverse effects shows that adding resistance training to the current in-patient treatment regimen for substance abuse among men infected with HIV is safe