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Clinical Trials in Turkey / NCT07536659
Enrolling by invitation Observational

Evaluation of Serum Autophagic Biomarkers in the Acute Response to Walking and Cycling in Healthy Male Individuals

NCT07536659 · tracked via the Priya Life Science Turkey tracker
Phase
Observational
Started
2026-04-01
Last updated
2026-04-21

Condition(s) studied

Effects of Walking and Cycling on Serum Physiological Biomarkers

Investigational drug(s) / intervention(s)

WALKİNG

WALKİNG: Data collection will be carried out in two separate 30-minute exercise sessions, scheduled one week apart. In the first session, participants will perform 30 minutes of walking on a treadmill at a predetermined target heart rate. In the second session, conducted one week later, participants will cycle on a bicycle ergometer for 30 minutes at a similar target heart rate. Apart from the 30-minute exercise modality, all other procedures will be identical in both data collection sessions. To avoid diurnal variations, participants will be asked to attend the laboratory at the same time of day for each session. A minimum one-week rest period will be provided between sessions to minimize potential carryover effects. Upon arrival at the laboratory, an indwelling venous catheter will be inserted into the cubital fossa of either the right or left arm of the participant. To minimize the potential effects of prior physical activity on biomarker concentrations, participants will rest in a supine po

Study summary

Physical exercise (walking and cycling) is a potent physiological stimulus that simultaneously alters energy balance, mechanical loading, and metabolic demands in the organism. Autophagy is recognized as a fundamental mechanism in the regulation of acute cellular responses to such stimuli, playing a critical role in maintaining cellular homeostasis, removing damaged proteins and organelles, and ensuring metabolic adaptation \[1\]. Experimental and translational studies have demonstrated that particularly moderate-intensity and controlled mechanical loading can activate autophagic pathways, thereby supporting structural and functional adaptation in muscle, bone, and connective tissues \[2-4\].

In the current literature, the relationship between autophagy and exercise has largely been evaluated through experimental animal models and a limited number of human studies \[5\]. Although animal studies have clearly shown that physiological loading such as walking and running increases molecular signals associated with autophagy, the direct assessment of autophagy at the tissue level in humans is limited due to ethical and feasibility concerns, as it requires invasive methods (e.g., muscle biopsy) \[3\]. Therefore, recent human studies have increasingly focused on indirect evaluation of autophagy through peripheral blood mononuclear cells and circulating biomarkers \[6\].

Indeed, recent human studies have reported that proteins associated with autophagy may exhibit changes in peripheral blood cells or circulation in response to acute exercise, and that this response may vary depending on the type, intensity, and mechanical characteristics of the exercise \[6\]. These findings suggest that autophagy is not merely a tissue-specific process but can also be monitored at the systemic level as part of physiological adaptation \[7\]. However, there is a limited number of human studies that comparatively investigate the acute effects of different exercise modalities with distinct mechanical loading profiles (such as walking and cycling) on serum biomarkers related to autophagy.

In this context, the present project aims to evaluate the acute effects of two common aerobic exercise modalities with different mechanical loading characteristics-walking and cycling-on serum biomarkers associated with autophagy in healthy male individuals. In this study, Beclin-1, LC3, and ATG3 levels will be considered not as direct indicators of autophagic flux in tissues, but as circulating biomarkers associated with the initiation and maintenance of autophagy. By examining changes in the serum levels of these proteins following acute exercise, it is aimed to obtain indirect yet biologically meaningful data regarding exercise-induced cellular adaptation mechanisms without the need for invasive procedures.

In conclusion, this study aims to contribute to an important gap in the current literature by safely and ethically demonstrating the acute physiological responses related to autophagy in humans across exercise modalities with different mechanical characteristics, thereby enhancing our understanding of the exercise-autophagy relationship.

Eligibility

Sex
MALE
Min age
18 Years
Max age
35 Years
Healthy volunteers
Accepted
Inclusion Criteria: * Healthy male volunteers aged 18-35 * Engaging in physical activity at least 2-3 days per week for a minimum of 30 minutes * Having no known health problems Exclusion Criteria: * Individuals with acute or chronic injuries in the bilateral/unilateral lower extremities * Individuals with musculoskeletal disorders in the bilateral/unilateral lower extremities * Individuals who have undergone surgical intervention to the hip and/or knee joint * Individuals with cardiopulmonary problems that would prevent them from performing exercise

Primary outcome measure(s)

Trial sites (2)

FacilityCityRegionStatus
Kocaeli University Faculty of Medicine Hospital Kocaeli Turkey (Türkiye)
Sakarya University of Applied Sciences Physiotherapy and Rehabilitation Research Center Sakarya Turkey (Türkiye)

More Kocaeli University trials in Turkey

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07536659 on ClinicalTrials.gov ↗ ← All trials in Turkey