Ronald L. Terjung

CYTOARCHITECTURAL AND METABOLIC ADAPTATIONS IN MUSCLES WITH MITOCHONDRIAL AND CYTOSOLIC CREATINE KINASE DEFICIENCIES

We have blocked creatine kinase (CK) mediated phosphocreatine (PCr) ⇄ ATP transphosphorylation in mitochondria and cytosol of skeletal muscle by knocking out the genes for the mitochondrial (ScCKmit) and the cytosolic (M-CK) CK isoforms in mice. Animals which carry single or double mutations, if kept and tested under standard laboratory conditions, have surprisingly mild changes in muscle physiology. Strenuous ex vivo conditions were necessary to reveal that MM-CK absence in single and double mutants leads to a partial loss of tetanic force output. Single ScCKmit deficiency has no noticeable effects but in combination the mutations cause slowing of the relaxation rate. Importantly, our studies revealed that there is metabolic and cytoarchitectural adaptation to CK defects in energy metabolism. The effects involve mutation type-dependent alterations in the levels of AMP, IMP, glycogen and phosphomonoesters, changes in activity of metabolic enzymes like AMP-deaminase, alterations in mitochondrial volume and contractile protein (MHC isoform) profiles, and a hyperproliferation of the terminal cysternae of the SR (in tubular aggregates). This suggests that there is a compensatory resiliency of loss-of-function and redirection of flux distributions in the metabolic network for cellular energy in our mutants.

Adenine nucleotide metabolism in contracting skeletal muscle.

During steady-state muscle contractions, ATP production and utilization are well matched. When the rate of ATP hydrolysis exceeds the capacity of a given muscle fiber to phosphorylate ADP, the ADPf and AMPf concentrations rise, first leading to the deamination of adenylates and subsequently to the dephosphorylation of AMP or IMP, or both, to their respective nucleosides and bases. Several proposed roles for the purine nucleotide cycle in skeletal muscle have been reviewed and evaluated. The deaminating limb of the purine nucleotide cycle is most important; it maintains the ATP/ADP ratio and lessens adenine nucleotide degradation. Regulation of glycolytic pathway enzymes by the products of AMP deamination (IMP and NH4+) does not seem likely. During reamination there is a net production of fumarate, with the branch-chain amino acids potentially supplying a significant fraction of the amine; reamination, however, is probably not concurrent with a high rate of deamination. Evidence from some studies of AMP deaminase-deficient persons suggests that an intact purine nucleotide cycle is required for normal muscle function during intense exercise; the issue is clouded, however, by the occurrence of asymptomatic AMP deaminase deficiency. Skeletal muscle is capable of extensive adenine nucleotide degradation during severe, energy-depleting conditions. Purine nucleosides and bases not reincorporated by the salvage pathway must be synthesized de novo. The capacity for de novo synthesis differs among fiber types, being highest in muscle with the highest oxidative capacity.

Amino acid metabolism during exercise and following endurance training.

SummaryExercise results in marked alterations in amino acid metabolism within the body. The branched-chain amino acids, especially leucine, are particularly important since they contribute as energy substrates and as nitrogen donors in the formation of alanine, glutamine and aspartate. Leucine oxidation increases during whole-body exercise. Nonetheless, leucine’s contribution as a muscle energy substrate is small, being 3 to 4% at rest, and even lower (1%) during exercise. Traditional energy substrates (carbohydrates, lipid) remain most important. These rates of leucine oxidation can be readily attributed to skeletal muscle. Following endurance training, whole-body leucine oxidation is increased at rest and during exercise. Since its oxidation by muscle is not augmented, this whole-body increase is not due to muscle. Thus, other tissues within the body (i.e. liver) must account for this. Comparisons of leucine oxidation in rats and humans indicate that species differences exist. Much larger increases in leucine oxidation are brought about by exercise in humans. Calculations based on steady-state rates of leucine oxidation at rest and during exercise indicate that the recommended dietary intake of leucine is inadequate, since it is lower than measured whole-body rates of leucine oxidation. This inadequacy is exacerbated in individuals who are physically active.

Influence of exercise on chylomicron triacylglycerol metabolism: plasma turnover and muscle uptake.

Triacylglycerides (TG), circulating in chylomicrons, represent a potentially rich source of plasma substrates available for tissue uptake. Chylomicron TG are first hydrolyzed by the action of lipoprotein lipase prior to tissue uptake of the TG-derived fatty acids. Although the removal of these TG by fat cells appears to favor a storage function, uptake by skeletal muscle accounts for a significant portion of the TG removed from plasma. Further, uptake of TG-derived fatty acids by skeletal muscle is increased during exercise. This could contribute to an increased rate constant for TG removal from the plasma during exercise. A significant portion of the TG-derived fatty acids that enter muscle during exercise remain in the non-esterified fatty acid pool of the muscle where they could provide a substrate for beta-oxidation. Indirect estimates of the contribution that TG-derived fatty acids may make to the total energy costs during exercise in a fasting condition may be minor. However, appropriate direct measurements during a postprandial condition, where total plasma TG turnover is very large, have not been made.

Exercise training enhances basic fibroblast growth factor-induced collateral blood flow

This study evaluated whether daily exercise would enhance the peripheral collateral vessel development found in response to exogenous basic fibroblast growth factor (bFGF) infusion. After bilateral femoral occlusion, male Sprague-Dawley rats (∼325 g) received intra-arterial infusions of either bFGF (1 μg/day; n = 15) or carrier solution ( n = 13) via osmotic pumps for 2 wk. Subgroups of each treatment were kept sedentary (cage activity) or trained by walking at 20 m/min at 15% grade, two times a day, 5 days/wk for 4 wk. Training markedly increased citrate synthase activity in the active muscle ( P < 0.001). Muscle function and blood flows (85Sr microsphere) were evaluated using an isolated hindquarter perfused at 100 mmHg via the abdominal aorta. The significant increase in blood flow to the entire hindlimb in the sedentary animals, caused by bFGF infusion ( P < 0.05), was further increased ( P < 0.01) in the bFGF-trained group. The quantitatively largest increases in blood flows were observed in the collateral-dependent tissues of the distal hindlimb. Blood flows to the entire calf muscle group increased ∼140% in carrier-trained ( P < 0.001), ∼180% in bFGF sedentary ( P< 0.001), and ∼240% in the bFGF-trained ( P < 0.001) groups compared with the carrier sedentary group. The increases in collateral blood flow were functionally important, as improvements in calf muscle performance correlated with measured blood flows. Our results demonstrate that exogenous bFGF administration in combination with a moderate-intensity exercise program greatly increases collateral-dependent blood flow and improves muscle performance. That physical activity enriched the bFGF response is consistent with the hypothesis that hemodynamic factors are important contributors to collateral vessel enlargement.This study evaluated whether daily exercise would enhance the peripheral collateral vessel development found in response to exogenous basic fibroblast growth factor (bFGF) infusion. After bilateral femoral occlusion, male Sprague-Dawley rats (approximately 325 g) received intra-arterial infusions of either bFGF (1 microg/day; n = 15) or carrier solution (n = 13) via osmotic pumps for 2 wk. Subgroups of each treatment were kept sedentary (cage activity) or trained by walking at 20 m/min at 15% grade, two times a day, 5 days/wk for 4 wk. Training markedly increased citrate synthase activity in the active muscle (P < 0.001). Muscle function and blood flows (85Sr microsphere) were evaluated using an isolated hindquarter perfused at 100 mmHg via the abdominal aorta. The significant increase in blood flow to the entire hindlimb in the sedentary animals, caused by bFGF infusion (P < 0.05), was further increased (P < 0.01) in the bFGF-trained group. The quantitatively largest increases in blood flows were observed in the collateral-dependent tissues of the distal hindlimb. Blood flows to the entire calf muscle group increased approximately 140% in carrier-trained (P < 0.001), approximately 180% in bFGF sedentary (P < 0.001), and approximately 240% in the bFGF-trained (P < 0.001) groups compared with the carrier sedentary group. The increases in collateral blood flow were functionally important, as improvements in calf muscle performance correlated with measured blood flows. Our results demonstrate that exogenous bFGF administration in combination with a moderate-intensity exercise program greatly increases collateral-dependent blood flow and improves muscle performance. That physical activity enriched the bFGF response is consistent with the hypothesis that hemodynamic factors are important contributors to collateral vessel enlargement.

Blood flow to different rat skeletal muscle fiber type sections during isometric contractions in situ

In whole skeletal muscle, peak blood flow is known to correlate with the capacity for oxidative metabolism. Since most mammalian skeletal muscle is comprised of different fiber types whose oxidative potential varies widely, the possibility of heterogeneous blood flow distribution within a given muscle was investigated. An in situ preparation of the rat gastrocnemius-soleus-plantaris muscle group was used and blood flow measured by the radiolabeled microsphere technique. Blood flow at rest averaged 5-6 ml.min-1.100 g-1 in fast-twitch white (FTW) fiber sections, while flows to fast-twitch red (FTR) and slow-twitch red (STR) muscle were 10-12 ml.min-1.100 g-1. Isometric twitch contractions generated large (12-15 times above rest) increases in blood flow to all fiber type sections that tended to decrease at higher frequencies. Tetanic contractions result in greater tension development and higher blood flows in the red fiber sections. The highest blood flow to the FTR section was 300 ml.min-1.100 g-1, a value 3-4-fold greater than the maximum for the FTW fiber section. Peak blood flow to the STR (soleus) was intermediate between the two fast fiber types. Differences in blood flow response between fiber sections could not be dismissed due to measurement artifact. Thus, the capacity for blood flow is fairly proportional to the differences in oxidative capacity among fiber types. Blood flow to the skeletal muscle fiber types of the rat also differed qualitively in response to contractions.(ABSTRACT TRUNCATED AT 250 WORDS)

Endurance training alters alanine and glutamine release from muscle during contractions

The release of alanine and glutamine from perfused muscle of trained and control animals was investigated. Release rates did not differ between trained and control muscle at rest. During contractions in trained muscle, alanine release was higher than at rest, while glutamine release was transiently increased. Phenylalanine release did not differ between trained and control muscle, implying that protein degradation was not increased in trained muscle. The muscle cellular adaptations to training include a selective modification of amino acid output, which could potentially influence gluconeogenic flux and alter muscle ammonia levels during contractions.

LEUCINE METABOLISM IN PERFUSED RAT SKELETAL MUSCLE DURING CONTRACTIONS

An isolated single rat hindlimb muscle preparation was used to examine leucine metabolism during steady-state conditions as a function of metabolic rate (VO2) and leucine concentration. The rates of muscle leucine uptake and leucine oxidation (measured as alpha-decarboxylation) were dependent on leucine delivery. At a physiological leucine concentration (0.1 mM), leucine uptake and alpha-ketoisocaproic acid (KIC) release during rest was 12.8 +/- 0.4 and 1.86 +/- 0.06 nmol.min-1.g-1 g, respectively. Leucine oxidation was 2.35 +/- 0.11 nmol.min-1.g-1 (n = 24) and if fully oxidized could account for only 3-4% of the resting VO2. This fraction was reduced to approximately 1% during contractions. The rate of leucine oxidation progressively increased, up to two to three times above rest (6-7 nmol.min-1.g-1), during contractions of graded frequency (7.5, 15, 30, 45, and 60 tetani/min) in a manner related to the eightfold increase in VO2 of the mixed fiber muscle. The fraction of muscle leucine uptake that was transaminated (i.e., leucine decarboxylation + KIC release) increased from 33% at rest to approximately 60% during contractions. The increase in leucine oxidation during contractions was probably primarily due to the high oxidative fast-twitch, red muscle mass, whose VO2 was estimated to increase up to 24-fold above rest. On the basis of our observed rates of muscle leucine alpha-decarboxylation, it is reasonable to attribute the rates of whole-body leucine oxidation of nontrained individuals during exercise to leucine oxidation by the working muscle.