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AMERICAN JOURNAL OF PHYSIOLOGY. Vol. 228, No. 4, April 1975. Printed in U.S.A.. Skeletal muscle respiratory capacity, endurance, and glycogen utilization.
AMERICAN JOURNAL OF PHYSIOLOGY Vol. 228, No. 4, April 1975. Printed in U.S.A.

Skeletal muscle respiratory capacity, endurance, and glycogen utilization R. H. FITTS, F. W. BOOTH, Department of Preventive Medicine,

FITTS, LOSZY.

R. H., F. W. Skeletal

muscle

BOOTH,

respiratory

W. W. WINDER, capacity,

W. W. WINDER, AND J. 0. HOLLOSZY Washington University School of Medicine, St. Louis, Missouri

AND J. endurance, and

0. HOLglycogen

utilization. Am. J. Physiol. 228(4) : 1029-1033. 1975.-This study was undertaken to evaluate the relationship between physical performance capacity and the mitochondrial content of skeletal muscle. Four groups of rats were trained by means of treadmill running 5 days/wk for 13 wk. One group ran 10 min/day, a second group ran 30 min/day, a third group ran 60 min/day, and a fourth group ran 120 min/day. The magnitude of the exercise-induced adaptive increase in gastrocnemius muscle respiratory capacity varied over a twofold range in the four groups. There were significant correlations between the levels of three mitochondrial markers (cytochrome c, citrate synthase, respiratory capacity) in the animals’ gastrocnemius muscles and the duration of a run to exhaustion. There was also a significant correlation between the amounts of glycogen remaining in liver and skeletal muscle after a 30-min-long exercise test and the respiratory capacity of the animal’s leg muscles. These findings are compatible with the interpretation that a close relationship exists between skeletal muscle mitochondrial content and the capacity to perform endurance exercise.

treadmill running; mitochondria

cytochrome

c; citrate synthase; skeletal muscle

REGULARLY PERFORMED endurance exercise can induce an increase in the capacity of skeletal muscle for aerobic metabolism. Biochemical studies have provided evidence that increases in the levels of the enzymes of fatty acid oxidation (3, 16, 19), ketone oxidation (31), the citric acid cycle (16, 17), and mitochondrial respiratory chain (3, 4, 8, 14) are responsible for the exercise-induced increase in muscle respiratory capacity. It appears that both the size and number of skeletal muscle mitochondria increase in response to exercise training (9, 20) and that there is a change in mitochondrial composition (for refs. see 15, 16). It has been postulated on theoretical grounds that these adaptive changes in skeletal muscle mitochondria are, in large part, responsible for the increase in endurance brought about by endurance exercise training (15, 16). It has further been suggested that one mechanism by which an increase in the respiratory capacity of muscle improves endurance is by protecting against the depletion of carbohydrate stores during exercise (15, 16). In apparent conflict with this interpretation is a report by Barnard and Peter (4). These investigators concluded from their data that improvement in performance capacity, evaluated by means of a run to exhaustion, is independent of the concentration of cytochrome c in gastrocnemius muscle in guinea pigs (4). 1029

63110

In this context, the present study was undertaken to reevaluate the relationship between skeletal muscle mitochondrial content and performance capacity, which was evaluated by means of a run to exhaustion and by measurement of the depletion of body carbohydrate stores during a standardized exercise test. METHODS

Animal care and exercise programs. Six-week-old male rats of a Wistar strain (specific-pathogen-free CFN rats, Carworth) were housed in individual cages and maintained on a diet of Purina chow and water. They were separated into six groups. Four of the groups were trained for 5 days /wk on a motor-driven treadmill set at a 15 % grade and a speed of 1.2 mph ( 14). The length of the training sessions was progressively increased, but to different final durations, for the four groups. The final duration of the exercise session was 10 min for the group designated Tlo, 30 min for the group designated T. 30, 60 min for the group designated TGO, and 120 min for the group designated Tlzo. The hypothesis on which this experimental design was based was that the magnitude of the exercise-induced adaptive increase in muscle mitochondria could be varied by varying the duration of the training sessions. One sedentary group, designated paired weight, and the exercising groups Tro, T30, and Tso had their food intakes restricted in order to maintain their rate of weight gain the same as that of the Tlzo group. A second sedentary group, designated free eaters, was allowed to eat ad libitum. Exercise tests. An endurance exercise test, in which the animals ran to exhaustion, was administered at the end of the 12th wk of training. The work load for the initial 10 min of the run was 1.2 mph up a 15 % grade, after which it was increased to 1.5 mph up a 15 % grade for the remainder of the run. In this study, exhaustion was defined as the point when animals seemed unable to keep pace with the treadmill and avoid the shock grid at the rear of the treadmill. To avoid bias, a person who was not aware of the degree of training of the individual rats was assigned the task of determining the point of exhaustion. Blood was obtained from the rats’ tails at the end of the run. After 13 wk of training, a 30-min-long exercise test was administered for the purpose of determining the response of skeletal muscle and liver glycogen stores to a standardized bout of exercise. This test was administered between 9 and 11 A.M., 48 h following the last training session. Rats were not fasted prior to the test. Animals from each of the four trained groups were separated into a resting group, which

1030 was sacrificed without running on the day of the test, and an exercised group, which was sacrificed after running a total of 30 min, with the first 15 min at 1 mph up a 20 % grade and the second 15 min at 1.2 mph up a 25 % grade. The rats were anesthetized with 6 mg/lOO g body wt of Na pentobarbital given intraperitoneally immediately following completion of the exercise test. Tissue preparation and assay methods. Approximately 5 min following administration of the anesthetic, the right gastrocnemius muscle was dissected free and quick-frozen with Wollenberger tongs cooled in liquid nitrogen (32). One lobe of the liver was then frozen. Next, the rats were exsanguinated via the abdominal aorta. Next, the left gastrocnemius muscle was excised, trimmed free of connective tissue, and used for preparation of a homogenate in 175 mM KCl, 10 mM glutathione, 2 mM EDTA, pH 7.4. After removal of an aliquot of this homogenate for measurement of respiratory capacity, the remainder was frozen for determination of citrate synthase activity. Respiratory capacity of the fresh whole homogenate was determined manometrically in a Gilson differential respirometer at 3O”C, in the presence of nonlimiting amounts of Pi and ADP, with pyruvate plus malate as substrates, as described previously ( 14). Citrate synthase activity was determined by the method of Srere (27) with the use of 5.,5’-dithiobis (2nitrobenzoic acid). Gastrocnemius muscle homogenates were frozen and thawed 3 times prior to the assay. Cytochrome c concentration of gastrocnemius muscle was determined by the method of Williams and Thorp (30). Glycogen concentrations were determined on the quickfrozen muscle and liver samples with the use of anthrone reagent as described by Hassid and Abraham (11). Blood glucose levels were determined on Nelson-Somogyi filtrates of whole blood by the enzymatic method of Slein (26). Blood lactate levels were determined on perchloric acid extracts of whole blood by the enzymatic method of Hohorst (1% Analyses of variance were conducted, and significant differences among group means were determined at the P < 0.05 level, with Duncan’s procedure (28). The Student t test was used to compare two group means independent of other groups. The correlation between two variables was determined by means of a linear regression analyses (28). RESULTS

No significant differences with respect to any of the biochemical variables measured were observed between the paired weight and the freely eating sedentary animals. We have, therefore, combined the biochemical data from these two groups. Mitochondrial adaptations. The respiratory capacity of gastrocnemius muscle, as reflected in the rate of 02 uptake by whole-muscle homogenates, in the presence of nonlimiting amounts of ADP and Pi, with pyruvate plus’malate as substrate, increased in proportion to the duration of the daily sessions of running (Table 1). The magnitude of the increases in citrate synthase activity and in the concentration of cytochrome c also increased with the duration of the daily training sessions (Table 1). Endurance run to exhaustion. The average durations of the

FITTS,

BOOTH,

WINDER,

AND

HOLLOSZY

TABLE 1. Effects off our exercise Programs of dzyerent daily durations on citrate syn thase and cytochrome c levels, on respiratory capacity of gastrocnemius muscle, and on run time to exhaustion

--

Groups

Malate-Pyruvate Oxidation, ~1 02/g per min

Citrate Synthase, pmol/g per min

=t *

T30

zt Tso

zt X20

*

36.6 0.8* 39.6 1.3 44.5 3.2 57.1 2.0t 75.6 2.3t

(16) (12) (6) (8) (12)

c,

-

--

Sedentary ‘Go

Cytz;roy

20.0 =t 0.7” 22.9 =t 1 .ot 31.4 =f= 2.7t 37.3 rt 2.4t 45.5 rt 2.3t

(16) (12) (6) (8) (12)

10.0 zt 0.5* 11.6 zk 0.7t 13.1 zt 1.1 13.8 * 0.7 19.2 & 0.6t

Run Time to Exhaustion, min

(13) 22 (7) (5) (5) (8)

If:

2-i

41 AZ 11 50 & 12 111 rt 16t

02) (6) (8) (12)

Values are means & SE. Number of animals per group is given in parentheses. * Sedentary significantly lower than T30, Tao, and Tr2,,, P < 0.05. t Significantly different from all other exercised groups, P < 0.05.

run to exhaustion for the four groups of trained animals are shown in Table 1. Blood glucose concentrations after the run to exhaustion were 76 mg/ 100 ml for the Tro, 60 mg/ 100 ml for the Ts 0,57 mg/ 100 ml for the TGO, and 6 1 mg/ 100 ml for the TrgO group. Blood lactate levels were not significantly elevated above control in any of the groups after the run to exhaustion. Correlation between endurance and muscle respiratory capacity. Endurance, as reflected in the duration of the run to exhaustion, was significantly correlated (P < 0.001) with gastrocnemius muscle cytochrome c concentration and citrate synthase activity and with the 02 uptake capacity of gastrocnemius muscle homogenates. Figure 1 shows the relationship between endurance and the cytochrome c concentration (A) in gastrocnemius muscle (correlation coefficient of 0.79) and the O2 uptake capacity (B) of gastrocnemius (correlation coefficient of 0.69). Thirty-minute-long exercise test. The running programs resulted in significant glycogen supercompensation in the gastrocnemius muscle, but not in the liver, in all four trained groups (Table 2). No significant differences were present between any of the resting exercise-trained groups with respect to muscle or liver glycogen concentration (Table 2). There was a trend for the amount of glycogen depleted from gastrocnemius muscle to vary inversely with the duration of training, but, because of the limited range of the changes in glycogen concentration, the intergroup differences are small. A striking effect of the level of training on the rate of glycogen depletion was seen in the liver, with, at one extreme, no depletion of liver glycogen stores in the Tr20 group, and, at the other extreme, an approximately 70 % decrease in liver glycogen in the Tlo group. Blood glucose values were not low in any of the rats following the exercise test, averaging 123 =t 8 mg/ 100 ml in the Tjro, 120 rt 18 mg/lOO ml in the T30, 141 rt= 16 mg/lOO ml in the TcO, and 16 1 rt 18 mg/ 100 ml in the Trzo group compared to an average resting value of 160 mg/ 100 ml. Postexercise blood lactate levels were not significantly different from resting levels except in the Tro group in which the

MUSCLE

MITOCHONDRIA,

ENDURANCE,

AND

GLYCOGEN

1031

_ B

0 l

MUSCLE

z i=

CYTOCHROME nMoles /g

C,

l l

0

r

5 200 LIL

;,

0

-

t

z T 8 u 05 g Z o+F

/

MUSCLE

RESPIRATORY PI02 /min/g

Glycogen,

tt

Gastrocnemius Rest

T30 Tso T-120

Values

n = 3.

mg/g wet wt

& rt rt zk =t

Liver 30 min

0.3” 0.5 0.6 0.8 0.6

6.0 6.5 7.8 8.0

zk zt rt zt

Rest

0.8 0.7 0.7 0.3

are means & SE for four * Significantly different

47.7 40.9 49.2 50.2 53.9

rt zt =t rt zt

30 min

3.5 7.7 11.4 7.2 2.5

12.5 18.7 26.7 58.8

zt 3.2 =t 8.5 zt 7.6 rt 10.3”

animals except for Tao in which from all other groups, P < 0.05.

blood lactate concentration averaged 7.49 =t 1.00 pmol/ml compared to a resting value of 2.16 =t 0.66 pmol/ml. Relationship between glycogen utilization and muscle respiratory capacity. As shown in Fig. 2A, there was a significant correlation (P < 0.02) between the respiratory capacity of gastrocnemius and the concentration of glycogen remaining in the gastrocnemius after the standardized exercise test. There was also a significant correlation (P < 0.001) between the respiratory capacity of the gastrocnemius and the concentration of glycogen remaining in the liver after the exercise test (Fig. 2B). Since the concentrations of glycogen in muscle and liver were not significantly different in resting animals in the four trained groups, we interpret the relationships shown in Fig. 2, A and B, to indicate that there is an inverse relationship between the amount of glycogen depleted from liver and muscle during the exercise test and the respiratory capacity of the animal’s leg muscles. On examination of the raw data, it appeared that, in groups Tro, T30, and TGO, those

c

800

0

TABLE 2. Glycogen depletion in gastrocnemius muscle and liver in four trained groups during 30-min-long exercise test

8.0 10.4 9.8 10.4 10.0

,/!I,,‘,’

1200

CAPACITY

FIG. 1. Correlations between endurance and (A) concentration of cytochrome c in gastrocnemius muscle, and (B) respiratory capacity of gastrocnemius muscle as reflected in rate of 02 uptake by whole homogenates in presence of nonlimiting amounts of ADP, Pi, and pyruvate.

Sedentary Tlo

l /

B 1

Group

,

r=0.83

l l

I

r

11

t

20 40 60 MUSCLE RESPIRATORY $0, /min/g

111

11

80 100 CAPACITY

FIG. 2. Correlations between respiratory capacity of gastrocnemius muscle and (A) gastrocnemius muscle glycogen concentration, (B) liver glycogen concentration, and (C) total liverglycogen content plus estimate4 total muscleglycogen content remaining after 30-m& long exercise test.

rats that had the greatest degree of muscle glycogen depletion had the least hepatic glycogen depletion and vice versa, suggesting that depletion of total-body carbohydrate stores might be a more meaningful measurement, in the present context, than either muscle or liver glycogen concentration. We, therefore, estimated the total amount of glycogen remaining in muscle plus liver in each of the rats that had been subjected to the exercise test. As shown in Fig. 2C, there is an excellent correlation (P < 0.001) between the respiratory ca.pacity of gastrocnemius muscle and the total amount of glycogen remaining in the liver plus the muscle after the exercise test. There was a similar close relationship cytochrome c (r = 0.94, P < 0.001) between gastrocnemius concentration and total liver plus muscle glycogen remaining after the exercise test. The estimation of total muscle glycogen was based on the assumption that the weight of the muscles involved in the exercise was 60 g and that the response to the exercise test of the glycogen in this mass of muscle paralled that seen in the gastrocnemius. The value of 60 g was obtained by weighing the muscles of the foreand hindlimbs, as well as those muscles that cross the hip or the shoulder joints, in rats weighing approximately 350 g. DISCUSSION

It was possible, in the present study, to vary the magnitude of the increase in skeletal muscle mitochondria induced by exercise over a twofold range in rats by varying the duration of their exercise sessions between 10 and 120 rnin per day. This wide range in adaptive response made it possible to correlate the levels of a number of mitochondrial markers, which were used as indicators of the concentration of mitochondria in skeletal muscle, with endurance and with

1032 glycogen depletion during exercise. In contrast to the report by Barnard and Peter (4), a highly significant positive correlation was found between how long the animals could run before they became exhausted and the levels of each of the mitochondrial markers measured in the present study. In the study by Barnard and Peter (4), guinea pigs were exercised on a treadmill, and the intensity of the training was increased each week until the 9th wk. This program resulted in a 39 % increase in cytochrome c concentration. Groups of three to five animals were tested and killed after 0, 3, 6, 9, and 12 wk. An increase in the duration of the run to exhaustion from 9 to 33 min occurred during the first 3 wk of training, while cytochrome c in gastrocnemius muscle did not increase significantly. One factor that may have played an important role in this increase in running time probably relates to the fact that naive rodents will not exercise to exhaustion on a treadmill but have to first be thoroughly familiarized with treadmill running. Since the pretraining group was exercised on the treadmill at a slow pace for 5-l 0 min only 3 times prior to the exercise test, we think it likely that these animals stopped running after 9 min for reasons other than exhaustion. Additional factors such as an improvement in cardiac function and adaptive changes in the neuroendocrine system may also have contributed to the 3-wk. trained group’s longer run time. Between 3 and 6 wk of training, significant increases occurred in both run time to exhaustion and gastrocnemius cytochrome c. However, no changes occurred thereafter; there were no significant differences in cytochrome c concentration or run time to exhaustion between the groups tested after 6, 9, and 12 wk. Clearly, in order to demonstrate a correlation between cytochrome c and endurance on a treadmill, a wide range of cytochrome c concentrations is needed, and all the animals tested must be thoroughly familiar with treadmill running. Barnard and Peter’s (4) study did not meet these criteria. This may explain why they did not find a significant correlation between these variables. The wide variation in the duration of the run to exhaustion of animals in the same groups in the present study, as reflected in the large standard errors of the means (Table l), points to a problem in the use of a run to exhaustion to evaluate the exercise capacity of rodents. Since determination of the end point is largely a subjective judgment made by the experimenter, it is often difficult to be sure that an animal has quit because of exhaustion rather than for some other reason. It, therefore, seems useful to also employ standardized exercise tests with fixed end points, in which the objective measurement of differences in metabolic response can be used to evaluate the level of training. In the present study, glycogen depletion was the response used to evaluate the relative metabolic stress of the standardized, 30-min-long exercise test. The concentrations both of liver and of gastrocnemius muscle glycogen remaining after the test were significantly correlated with the respiratory capacity of skeletal muscle. However, the highest correlation was between total glycogen remaining in the liver plus the working muscles after exercise and leg muscle respiratory capacity. Since there were no significant differences between the four trained groups in the concentrations of liver and of muscle glycogen at rest, it seems clear that carbohydrate utilization during exercise was inversely correlated with the

FITTS,

BOOTH,

WINDER,

AND

HOLLOSZY

concentration of mitochondria in the animal’s leg muscles. Since all the animals performed the same amount of work and, therefore, expended similar amounts of energy, it seems reasonable that the animals that utilized less carbohydrate must have utilized proportionally more fat, and vice versa. We have, so far, been unable to surmount the technical difficulties involved in measuring 02 consumption and respiratory quotient in our rats during exercise, and cannot, therefore, calculate the actual amounts of fat oxidized. However, it seems inescapable from our results that there must be a positive correlation between the percentage of the total energy expenditure derived from fatty acid oxidation and the concentration of mitochondria in the working skeletal muscles in rats performing the 30-min-long exercise test used in this study. There is considerable evidence that the oxidation of fatty acids inhibits the utilization of carbohydrates (2 l-23). It is also well documented that trained individuals oxidize more fat and less carbohydrate than untrained when performing submaximal work of the same absolute intensity (7, 12, 18). In a recent study in this laboratory (unpublished data) it was found that rats trained by means of a program of swimming had a slower depletion of glycogen in the different types of skeletal muscle and in liver during a standardized treadmill test than did untrained controls. The results of the present study show that the magnitude of this glycogen sparing effect of training is correlated with the increases in muscle respiratory capacity. The most highly trained animals in the present study (TIzo) demonstrate an extreme degree of this glycogen-conserving effect of exercise training. It can be estimated that the Tizo group, which showed minimal muscle glycogen depletion, no liver glycogen depletion, and the highest postexercise blood glucose levels of any of the groups, utilized approximately 120 mg of glucose during the 30-min exercise test. At the other extreme, the leasttrained (Tlo) group utilized more than 580 mg of glucose while performing the same amount of work. While it seems clear that animals with the highest levels of mitochondria in their skeletal muscles utilize the least carbohydrate during submaximal work, the mechanisms by which hepatic glycogenolysis and glucose release are closely matched to glucose utilization by the muscles are not known. Achou and Hetenyi (1) concluded from cross-circulation experiments that the overall rate at which glucose is utilized by the tissues regulates the rate of hepatic glucose release, but provided no information regarding the mechanisms by which this control is mediated. However, in light of what is known regarding the regulation of hepatic glycogenolysis, it seems likely that the final steps in the regulatory pathway involve hormonally induced alterations in the levels of cyclic AMP in the liver (25). It is of interest in this context that plasma catecholamine levels increase less ( 10) and that insulin levels decrease less (10) during exercise at the same absolute work level in the physically trained as compared to the untrained state. In conclusion, our finding of a significant correlation between skeletal muscle respiratory capacity and endurance does not, of course, prove a cause-and-effect relationship. However, as discussed in detail previously ( 15, 16), a strong case can be made in support of the view that the exerciseinduced increase in skeletal muscle mitochondria is re-

MUSCLE

MITCOHONDRIA,

ENDURANCE,

AND

1033

GLYCOGEN

sponsible for the slower utilization of carbohydrate during submaximal exercise in the trained as compared to the untrained state. There is extensive evidence that depletion of body carbohydrate stores either in muscle (2, 5, 12) and/or in the liver resulting in hypoglycemia (6, 24, 29) can play an important role in the development of exhaustion during prolonged, strenuous exercise. Thus, a glycogen sparing effect of an increase in muscle mitochondria could postpone depletion of body carbohydrate stores and the associated development of exhaustion during prolonged exercise.

We thank Mrs. May Chen for skillful technical assistance and Ms. Sandy Zigler for secretarial assistance. This research was supported by National Institutes of Health Research Grant HDO 16 13 and Training Grant AM 05341. R. H. Fitts and F. W. Booth were postdoctoral Research Trainees supported by Training Grant AM 05341. W. W. Winder was supported by National Institutes of Health postdoctoral Research Fellowship AM 5 1240. J. 0. Holloszy was the recipient of National Institutes of Health Research Career Development Award K4-HD19573. Received

for publication

9 August

1974.

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