The rest-to-work transition or an increase
in generated power output requires a rapid adjustment in ATP supply. Nobel Prize
laureate August Krogh and his co-worker Johannes Lindhard (1) were the first
to observe, in 1913, that during the transition from rest to work, pulmonary
oxygen uptake does not rise instantly, and reaches a steady-state only after
2-3 minutes. During the first seconds or the first tens of seconds of moderate-intensity
exercise the most important and immediately available source of energy is phosphocreatine
(PCr) splitting through the creatine kinase (CK) reaction, with only a minor
contribution by anaerobic glycolysis (see
e.g. 2 - 6). At higher power
output the contribution of anaerobic glycolysis to ATP production at the onset
of the exercise increases (see
e.g. 7, 8). Although the ATP supply from
oxidative phosphorylation starts almost immediately after the onset of muscle
contraction (9), the “acceleration” of this process is rather slow, and, as
mentioned above, O
2 uptake (
O2)
requires usually about 2-3 minutes to reach a steady state during moderate intensity
exercise (for review see 10, 11). During heavy-intensity exercise (
i.e. – above
the lactate threshold: LT), no steady state in the oxygen uptake is reached,
but a progressive increase in
O2
(slow component of
O2
kinetics) takes place (see 10, 11). The
O2
slow component is usually considered to be associated with muscle fatigue and
reduced exercise tolerance.
OXYGEN UPTAKE KINETICS AT THE ONSET OF EXERCISE
The rate of the increase in
O2 during the rest-to-work transition was originally described as a mono-exponential process (12 - 14). Further development of this approach resulted in more complex models of description of the
O2 on- and off- kinetics (15, 16). Currently, during the exercise of low and moderate intensity (
i.e. below LT), two phases in the
O2 on-kinetics are recognized and characterised: the “cardiodynamic” phase, also called phase I; and the “primary” component, also called phase II. During heavy exercise intensity, an additional third phase, called the “slow component” of
O2 on-kinetics (or phase III), is present (for overview see 10, 11, 15).
Although a complete characterization of
O2
on-kinetics involves various time delays and amplitudes of response for the
relevant phases (see 15), the most relevant parameters describing the rate of
increase in
O2
are the time constant of the primary component (
p)
or the half time of the overall response (t
1/2).
The
p
represents the time to reach [1 – 1/
e] x 100% = 63% of the final response
in
O2
during phase II of the rest-to-work transition. On the other hand, the t
1/2
indicates the time to reach 50% of the final response in
O2
during the rest-to-work transition (see 17).
When analyzing literature data on
O2
on-kinetics one has to realize the different meanings of parameters of
O2
on-kinetics measured in the working muscle (see
e.g. 9, 18, 19) and in
the lungs (pulmonary
O2),
although it has been demonstrated that
p
value characterising the primary component of the pulmonary
O2
on-kinetics reflects rather closely the kinetics of
O2
determined across exercising muscles (
m)
(18).
p can significantly vary in healthy humans, between 20 and 60 seconds (20). Generally,
p in humans is inversely correlated with maximal oxygen uptake (
O2 max) (see also 20). The lowest values of
p , amounting to about 10 s have been reported in well-trained individuals (21 - 23). On the other hand the longest values, often exceeding 70 s, have been observed in patients,
e.g. those suffering from cardio-pulmonary insufficiency (see
e.g. 24, 25). Although faster
O2 kinetics in physiological conditions is associated with a high physical capacity, and less substrate level phosphorylation, it was recently postulated that a faster
O2 kinetics at the onset of exercise is not necessarily associated with an improved muscle function (for discussion see below and ref. 26, 27).
For a long time, two main factors, (1) oxygen delivery to the working muscles and (2) the metabolic properties of the muscles, have been discussed as possible determinants of
O2 on-kinetics (for review see 6, 28 - 29). In the recent years a substantial amount of evidence has been provided showing that in “normal conditions” (
e.g. normoxia, no limitations to O
2 delivery, absence of pathology), at low or moderate exercise intensities the rate of
O2 increase at the onset of exercise is mainly determined by local factors within the working muscle cells, and not by O
2 delivery (see
e.g. 9, 30 - 34). However, during transitions to heavy or maximal exercise, an enhanced oxygen delivery to the working muscle may accelerate the
O2 on-kinetics (for review see
e.g. 6, 32). In the isolated
in situ dog gastrocnemius preparation, abolishment of delays in convective O
2 delivery to skeletal muscle did not affect skeletal muscle
O2 kinetics during transitions to contractions of submaximal metabolic intensity (30), whereas the same experimental intervention determined a slightly but significantly faster
O2 kinetics during transitions to contractions corresponding to
O2 max (35). These observations suggest that muscle blood flow, and therefore convective O
2 delivery, could be one important determinant of
O2 kinetics only during severe exercise. A similar scenario could be applied to the effects of training as well. Krustrup
et al. (36) recently observed that intense interval training elevates muscle
O2, blood flow and vascular conductance in the initial phase of exercise at high, but not at low, intensities.
Recently, by utilizing a computer model of oxidative phosphorylation in mammalian
skeletal muscles, we have suggested that the main factor which determines the
transition time t
1/2 of
O2
on-kinetics during exercise, at a given level of ATP utilization (exercise intensity)
and under the assumption that the creatine kinase reaction works near thermodynamic
equilibrium, is the absolute (in mM) amount of [PCr] that has to be transformed
into [Cr] during the rest-to-work transition (27). This hypothesis agrees well
with the experimental results by Philips
et al. (see (37),
Fig. 4
therein).
TRAINING-INDUCED ACCELERATION OF O2 KINETICS
It was originally reported by Whipp and Wasserman (38) that during the rest-to-work
transition to the same power output, the
O2
on-kinetics in a well-trained subject is much faster than in a poorly-trained
individual (see
Fig. 1 therein). This finding was soon confirmed by others
(4, 39, 40). Moreover, Powers
et al. (41) reported that in highly trained
individuals with similar training habits the
O2
adjustment at the onset of work at 50%
O2
was more rapid in those with a higher
O2
max.
Hickson
et al. (42) were probably the first to demonstrate that, in previously
untrained individuals, a rather short (10 weeks) but strenuous program of endurance
training, involving running and cycling, resulted in a significant acceleration
of the
O2
on-kinetics both at the same absolute and the same relative work rates. This
finding was confirmed in another study of the same group (43). A training-induced
acceleration of
O2
on-kinetics was also reported in previously trained athletes (44). Within a
8-week training period, involving 5 sessions per week lasting from 40 to 55
minutes,
p
of pulmonary
O2
kinetics during cycling at moderate intensity was reduced by about 5 s (from
29.2 s to 24.4 s) after 4 weeks of training. Subsequent four weeks of training
resulted in a further shortening the
p
, to 21.9 s (see
Table 2 in (44)).
Interesting observations were made by Cerretelli
et al. (4), who showed
that in trained muscles, compared to untrained muscles, a faster
O2
on-kinetics is associated with a lower contribution of energy from anaerobic
glycolysis at the onset of exercise (see
Fig. 4 therein). This experimental
finding was subsequently confirmed by theoretical studies, showing that an increase
in glycolytic ATP supply slows down the
O2
on-kinetics (45). Moreover, it has been demonstrated (4) that the training-induced
acceleration of
O2
on-kinetics, observed in the trained legs of runners and in the trained arms
of kayakers, as well as of swimmers, was limited to the specifically trained
muscles (see
Figs. 1, 2 and
3 therein).
Further studies in this field have shown that the mechanism(s) responsible for
the shortening of the
O2
on-kinetics is/are significantly activated already in early stages of endurance
training. For example, Phillips
et al. (37) have reported that as early
as after 4 sessions of training, involving 2 hours of cycling at 60%
O2
max, the
p
of
O2
kinetics was reduced from 37.2 to 34.9 s; after 9 days of training the
p
amounted to 32.5 s. At the end of training,
i.e. after 30 days, the
p
was 28.3 s. In another study, conducted on previously untrained 50-yr old subjects,
a significant acceleration of the
O2
on-kinetics was reported as soon as after two weeks of an endurance/fitness
training program (46). These authors have reported a clear tendency towards
shortening of the
p
(from the pre-training value of 46.9 s to 38.1 s) after only one week of training.
After 15 days of training, a significant (p<0.05) shortening of the
p
to 34.4 s was reached. From the second week of training up to the end of the
3
rd month of training, no significant changes
in
p
were found.
Recently, we have found that as few as 4 sessions of a maximal isometric strength training, including in total only 3 minutes and 20 seconds of maximal voluntary contractions (MVC), performed within one week (and resulting in a 15% increase of MVC) were sufficient to significantly accelerate the
O2 on- and off- kinetics during heavy-intensity exercise (Zoladz
et al. 2006 – unpublished data).
The above presented data show that the training-induced acceleration of
O2 on-kinetics is a very rapid response, faster than the training-induced increase in
O2 max (37, 46), and occurs earlier than increases in muscle mitochondria protein content (37).
MUSCLE METABOLIC STABILITY IN VARIOUS TYPES OF MUSCLE FIBRES
Good “metabolic stability” during rest-to-work transition in skeletal muscle
means less decrease in [PCr] and in the cytosolic phosphorylation potential
(DGp), as well as less increase in [P
i], [ADP
free],
[AMP
free] and [IMP
free]
for a given increase in oxygen consumption/work intensity.
In order to analyze the relationship between metabolic stability and
O2
kinetics and the effect of mitochondria volume/activity it is very important
to define more strictly the concept of metabolic stability. In particular, “absolute”
metabolic stability should be clearly distinguished from “relative” metabolic
stability. The absolute stability of, say, [ADP
free]
refers to absolute changes in [ADP
free] (in
µM), while relative stability refers to relative (in %, or expressed as multiples
of the resting values) changes in [ADP
free].
These two types of metabolic stability are not equivalent to each other. Let
us consider two hypothetical cases. In the first case [ADP
free]
increases during rest-to-work transition from 10 µM to 50 µM before training,
and from 5 µM to 25 µM after training. Therefore, relative stability remains
unchanged (a 5-fold increase), while absolute stability is 2-fold increased
(increase in [ADP
free] by 40 µM before training and by 20 µM after training).
In the second case [ADP
free] increases during
rest-to-work transition from 10 µM to 50 µM before training and from 10 µM to
25 µM after training. In this case both the relative stability (2.5-fold instead
of 5-fold increase in [ADP
free]) as well as
the absolute stability ([ADP
free] increases
by 15 µM instead of by 40 µM) are improved. The distinction between these two
types of metabolic stability is very important, because absolute metabolic (especially
in terms of [PCr]) stability is relevant for the
p
of pulmonary
O2
kinetics (as mentioned above), whereas relative metabolic (especially in terms
of [ADP
free]) stability refers to the “phenomenological”
(that is, observed
in vivo, being a consequence of not only the mechanistic
O2
/[ADP
free] dependence, observed
e.g.
in isolated mitochondria, but also of direct activation of oxidative phosphorylation
– see below) reaction order of oxidative phosphorylation (slope of the
O2
/[ADP
free] relationship) and therefore to the mechanisms of the regulation of
oxidative phosphorylation and of training-induced adaptation of this process
(47). Namely, if the negative feedback via [ADP
free] is the only mechanism of
the regulation of oxidative phosphorylation in response to a varying energy
demand, then the phenomenological reaction order may be maximally 1 (for hyperbolic,
Michaelis-Menten mechanistic
O2/[ADP
free]
dependence) (a, say, 3-fold increase in [ADP
free] can be accompanied by a maximally
3-fold increase in
O2
). If, on the other hand, the phenomenological reaction order is much greater
than 1 (a 3-fold in [ADP
free] is accompanied by a, say, 10-fold increase in
O2),
other mechanisms must contribute to the regulation of oxidative phosphorylation.
Additionally, if the phenomenological order (slope) of the
O2
/[ADP
free] dependence increases as a result of muscle training, the contribution
of other mechanisms of the regulation of oxidative phosphorylation must increase.
The phenomenological reaction order is directly related to the relative metabolic
stability, but not to the absolute metabolic stability. On the other hand, it
should also be acknowledged that in most cases absolute and relative metabolite
stabilities change in the same direction (that is, they both increase or decrease).
It is well documented that slow-twitch oxidative muscle fibers are characterized,
during rest-to-work transitions, by a higher (absolute and relative) metabolic
stability, compared to fast-twitch glycolytic muscle fibres (for review see
7, 48). This effect was observed both in animal muscles (49) as well as in human
muscles (50). Moreover, it was shown that in endurance trained subjects the
metabolic stability of calf muscle, determined by means of the
31P
NMR spectroscopy, is much better than in untrained subjects (51).
Important data regarding metabolic stability during exercise were provided by
experiments in which metabolic changes in predominantly slow muscle (soleus)
and in predominantly fast muscle (gastrocnemius) during calf exercise were determined
by means of
31P NMR spectroscopy (50). This study
demonstrated that in soleus muscle an increase in the ATP turnover rate up to
40% of maximum was accompanied by almost no changes in the [ADP
free],
and by much smaller changes in [PCr] and [Pi] when compared to the gastrocnemius
muscle (see
Fig. 2 therein). In terms of metabolic stability endurance
trained skeletal muscle resembles heart muscle, in which [ATP], [PCr], [P
i]
and [ADP
free] remain constant even during a
5-fold increase in
O2
(see 52, 53).
The above discussed data show that the regulation of oxidative phosphorylation
in vivo is more complex than that based exclusively on simple feedback
control loops, with [ADP
free] and [P
i]
as the main controllers of ATP production by oxidative phosphorylation (taking
place
e.g. in isolated mitochondria) (54, 55). This mandates a re-evaluation
of our understanding of the physiological mechanisms underlying the adaptations
to physical training (for overview of this point see also (56)).
TRAINING-INDUCED IMPROVEMENT OF MUSCLE METABOLIC STABILITY
It is well known that endurance training leads to a transformation of fast myosin heavy chains (MyHC) isoforms into slower MyHC isoforms (see
e.g. 57, 58, 59), as well as to a transformation of fast glycolytic muscle fibers into slow oxidative muscle fibers. Since slow oxidative muscle fibres possess a higher (absolute and relative) metabolic stability than fast glycolytic muscle fibres, it derives that endurance training should result in an improvement of skeletal muscles’ metabolic stability during exercise.
As far as we know, the first evidence for a training-induced improvement in
skeletal muscles’ metabolic stability during exercise in humans was presented
by Karlsson
et al. (60). These authors showed that 3 months of endurance
training resulted in a less pronounced decrease in muscle PCr concentration
and in an attenuated increase in muscle lactate concentration during cycling
exercise at the same absolute power output. Further studies in this area, involving
animal model preparations, confirmed this finding. Constable
et al. (61)
showed that, in rats, a few weeks of endurance training (running on the treadmill)
resulted in a higher [PCr] and lower [P
i], [ADP
free],
and [AMPfree] concentrations in muscles, for the same contractile activity,
compared to untrained rats. Clark III
et al. (62) using
31P
- NMR spectroscopy showed that electrically induced conditioning of canine latissimus
dorsi resulted in a much lower decrease in [PCr] concentration and greater maximal
tension development, compared to untrained muscle during identical stimulation
conditions (see
Fig. 7 therein).
It is also well documented that muscle metabolic adaptations to endurance training include an increase in mitochondrial enzymes involved in the oxidation of carbohydrates and fatty acids (63 - 65), as well as an increase in the size and number of mitochondria (mitochondrial volume density) (66, 67). It was reported that training in humans, as well as in other mammals, can increase muscles mitochondrial content, usually by between 30 to 100% within about 4-6 weeks (68).
It has been postulated that training-induced increase in mitochondria content/mitochondrial proteins would increase by itself muscle metabolic stability (see
e.g. 64, 69, 70), allowing a given respiratory rate to be achieved in the presence of smaller disturbances in intermediate metabolite concentrations. Indeed, it was shown that the training-induced increase in mitochondrial density, accompanied by a decrease in resting [ADP
free], led to an increase in both absolute and relative metabolic stability (71). In our opinion, however, the improvement of the absolute and relative metabolic stability observed in many experiments cannot be satisfactorily explained by the mechanism postulated by Gollnick and Saltin (69). In particular, it cannot explain the cases in which training improves metabolic stability, but does not decrease resting [ADP
free], as well as the cases in which a significant increase in both absolute and relative metabolic stability at low work intensities is observed.
In order to be able to stimulate significantly
O2
during rest-to-work transition, [ADP
free] at
rest must be well below the K
m (Michaelis-Menten)
constant of oxidative phosphorylation for [ADP
free].
When mitochondrial oxidative phosphorylation is not significantly saturated
with [ADP
free], an increase in mitochondria
content itself can significantly improve absolute muscle metabolic stability,
but not the relative metabolic stability. When other parameters are kept constant,
a training-induced increase in the activity (and therefore in the maximal velocity
V
max) of oxidative phosphorylation will result
in an increase in the resting phosphorylation potential and [PCr], and in a
decrease in resting [ADP
free] and [P
i].
Also during exercise the same
O2
will be accomplished at lower [ADP
free]. Additionally,
a smaller increase in the absolute (in µM) [ADP
free]
concentration may cause the same relative (expressed as a multiple of the resting
value) stimulation of
O2.
This is because at low resting [ADP
free] the
same relative increase in [ADP
free] corresponds
to a smaller absolute increase in [ADP
free]
(see above). However, because at low (much below Km) [ADP
free]
concentrations the
O2
/[ADP
free] relationship remains approximately
first order (a, say, 3-fold increase in [ADP
free]
causes an about 3-fold increase in
O2)
regardless of the amount/activity of mitochondria, the same relative increase
in
O2
must be accompanied by a similar relative increase in [ADP
free].
On the other hand, when resting [ADP
free] is
low, oxidative phosphorylation becomes saturated with ADP at higher
O2
and therefore the phenomenological
O2
/[ADP
free] relationship at high work intensities
becomes steeper than in the case when resting [ADP
free]
is high (69). If resting [ADP
free] is not affected
by muscle training, the increase in mitochondria content has no impact on either
absolute or relative metabolic stability. For this reason, the training-induced
change in the resting [ADP
free] is extremely
important for the hypothesis that an increase in mitochondria content improves
metabolic stability.
It was indeed observed in some experimental studies that training decreases resting [ADP
free] (60, 71). However, in other experimental studies (in some of which a training-induced improvement in metabolite concentrations was observed) training/conditioning caused either no changes in resting [ADP
free] (61, 72 - 74), or even an increase in the concentration of this metabolite at rest (62, 75).
Additionally, it seems that a short-term (lasting from a few days to one month) training, leading to a significant improvement of metabolic stability, but not causing any detectable increase in the amount and activity of mitochondrial proteins, does not affect resting [ADP
free] (61, 73, 74). In some cases after a short training improving metabolic stability even an increase in resting [ADP
free] was encountered (62, 76). On the other hand, relatively long-lasting training (conducted to reach a steady-state of muscle adaptations) increases mitochondria content and lowers resting [ADP
free] (71). This suggests that some other mechanism, which does not decrease resting [ADP
free] and is not related to the increase in the amount of mitochondria, is responsible for the improvement of metabolic stability in early stages of training. Even muscle training that increases the amount of mitochondria does not necessarily decrease the resting [ADP
free]. The latter may take place if changes in some other components of the system (for instance increases in resting ATP usage or proton leak) compensate for the increase in mitochondrial proteins. In such a case the increase in mitochondria amount can not account for the increase in the apparent sensitivity of
O2 to [ADP
free] (increase in the relative [ADP
free] stability) (see above).
It was also observed (62) that even at low work intensities, during which [ADP
free]
can be expected to be much below K
m, muscle
conditioning causes a significant increase in both relative and absolute metabolic
stability. This finding cannot be explained by the increase in mitochondria
content, as discussed above. Finally, in intact skeletal muscle
in vivo
the phenomenological
O2
/[ADP
free] relationship is usually much steeper
than first-order, and therefore cannot be explained by the hyperbolic (Michaelis-Menten)
kinetics observed in isolated mitochondria (7, 77).
Generally, if the training-induced increase in mitochondria volume/activity is associated with a decrease in resting [ADP
free], at low work intensities it could account for some improvement of absolute [ADP
free] and [PCr]/[Cr] stability, and it could lead to a shortening of the
p of
O2 kinetics, but it could not account for a significant improvement of relative [ADP
free] and [PCr]/[Cr] stability. However, the latter effect could be expected at higher work intensities, during which oxidative phosphorylation becomes saturated with [ADP
free] (according to the mechanism proposed by Gollnick and Saltin (69)). On the other hand, if, for some reasons, a training-induced increase in mitochondrial volume/activity does not lead to a decrease in resting [ADP
free], it will not cause a faster
O2 kinetics and an improvement of (either absolute or relative) metabolic stability. Additionally, the mitochondria amount does not increase significantly in the early stages of training, and therefore it can not be responsible for the early improvement of metabolic stability. These limitations do not apply to the training-induced increase in the intensity of the parallel activation of ATP demand and ATP supply (see below), which can improve the absolute and relative [ADP
free] and [PCr]/[Cr] stability, can determine a faster
O2 kinetics without changing resting [ADP
free] (27, 47), and is likely to take place in the early stages of exercise.
Burelle and Hochachka (78) observed a training-induced decrease in the half-saturation
constant of oxidative phosphorylation for ADP, while Zoll
et al. (79)
encountered the opposite effect. However, in the skinned fibres preparation
which was utilized by these authors significant ADP gradients are likely to
take place, and therefore these experimental results are difficult to interpret.
Moreover, an increase in K
m of oxidative phosphorylation
for ADP would not lead to an increase in the “regulatory space” (potential increase
in
O2
caused by an increase in [ADP
free]) as proposed
by Zoll
et al. (79), but simply to a proportional increase in resting
[ADP
free] (the ratio of K
m
to resting [ADP
free] would remain constant).
Jeneson
et al. (80) postulated that the mechanistic
O2
/[ADP
free] dependence in isolated mitochondria
and intact skeletal muscle is not hyperbolic, but at least second order. However,
even a steep but constant mechanistic
O2
/[ADP
free] dependence can not account for the
training-induced increase in [ADP
free] stability
(increase in the steepness of the phenomenological
O2
/[ADP
free] relationship). (The mechanistic
O2
/[ADP
free] dependence is due to the activation
of oxidative phosphorylation by ADP,
e.g. in isolated mitochondria, whereas
the phenomenological
O2
/[ADP
free] relationship
in vivo results
not only from the mechanistic
O2
/[ADP
free] dependence, but also from other regulatory
mechanisms,
e.g. parallel activation – see below). Furthermore, as it
was discussed previously (47, 77), such a kinetics yields several predictions
which contradict experimental data (for instance it would dictate a sigmoidal
O2
on-kinetics).
Green
et al. (72) reported a significant improvement in muscle metabolic
stability after a short-term training programme involving 2 h of daily exercise
at 59% of peak
O2,
repeated for 10-12 consecutive days, despite the absence of an increase in mitochondrial
enzymes activities. These findings were confirmed by another study by the same
group (76), showing a significant improvement in metabolic stability during
cycling exercise in human muscles (see
Table 3 and
5 therein)
after only a 5-7 days of endurance training, despite the absence of an increase
in mitochondrial enzymes activities. Similarly, Phillips
et al. (37)
reported a significant improvement of muscle metabolic stability after only
5 days of training, before any increase in the maximal activity of mitochondrial
enzymes. Moreover, as early as after a single, extended session of heavy exercise,
an improvement in muscle metabolic stability (especially lower [ADP
free]
and [AMPfree], see (74)
Fig. 3 therein) during cycling at 60 and 75%
of pre-training
O2
max was reported. Interestingly, Phillips
et al. (37) reported
a significant improvement in muscle metabolic stability, accompanied by an acceleration
of the
O2
on-kinetics in humans, just after four sessions of endurance training, before
any detectable increase in muscle mitochondrial enzymes activities. On the other
hand, it has been reported that the training-induced increase in mitochondrial
enzymes activity in humans occurs as early as within 7-10 days of endurance
training (81) or within about two weeks of sprint interval training (82, 83).
Thus, although, as discussed above, in some experimental conditions an increase
in mitochondrial enzymes activity can be found in early stage of training (see
81 - 83), however it was also reported that the training-induced increase in
muscle metabolic stability can precede increase in the muscle maximal mitochondrial
enzymes activities (37, 72, 76).
Some conclusions can be taken from the above presented data and discussion. Firstly, the training-induced increase in mitochondrial volume/activity can increase the relative metabolic (especially [ADP
free] and [PCr]/[Cr]) stability only at higher work intensities (in which oxidative phosphorylation becomes saturated with ADP). On the other hand, it is known that a significant increase in relative metabolite stability can occur also at low work intensities. Secondly, increases in mitochondrial volume/activity can increase both the absolute and relative metabolic stability only if an increase in mitochondria volume/activity is associated with a decrease in resting [ADP
free], whereas no decrease (or even an increase) in resting [ADP
free] is seen in the early stages of exercise. Thirdly, training/conditioning of muscles in its very early stage can induce some adaptive responses that improve muscle metabolic stability and shorten the
p of
O2 kinetics independently from an increase in mitochondrial proteins.
A quick improvement of (absolute and relative) [ADP
free] and [PCr]/[Cr] stability at a constant resting [ADP
free], as well as a faster
O2 kinetics could be achieved by a training-induced intensification of parallel activation of ATP usage and ATP production (see 27, 47). This mechanism does not have to involve the synthesis of significant amounts of proteins (genetic level regulation), which on the other hand is needed when the mitochondrial amount increases.
SIMULTANEOUS REGULATION/PARALLEL ACTIVATION
OF ATP CONSUMPTION AND ATP PRODUCTION
The concept of “simultaneous regulation/parallel activation” of ATP consumption
and ATP production is based on the assumption that some external cytosolic signal/mechanism
(
e.g. calcium ions and/or another, still not discovered factor) directly
activates both the production and hydrolysis of ATP during muscle contraction,
allowing to maintain relatively stable concentrations of [ATP], [ADP
free]
and [P
i] while increasing the turnover of these
intermediates (for overview see 7, 48, 84, 85). The concept of simultaneous
regulation was introduced by Hochachka and co-workers (see 7, 48, 84). The term
parallel activation was introduced by Korzeniewski (85), but it is presently
referred by different authors to rather different regulatory mechanisms. The
discovery of the activation by calcium ions of three rate-controlling TCA cycle
dehydrogenases prompted several authors (see
e.g. 86) to postulate that
both NADH supply (substrate dehydrogenation) and ATP usage are directly activated
by calcium. Hochachka and co-workers postulated within their simultaneous regulation
concept (see 7, 48, 84) that some “latent enzymes” within the ATP-producing
block (the authors did not specified which ones) are directly activated during
muscle contraction (7, 48). Balaban and co-workers (87, 88) proposed that ATP
synthase is directly activated by calcium ions in parallel with the activation
of ATP usage and NADH supply. Finally, Korzeniewski postulated that ATP usage,
NADH supply and all oxidative phosphorylation complexes (complex I, complex
III, complex IV, ATP synthase, ATP/ADP carrier, P
i
carrier) must be directly activated in order to account for different kinetic
properties of oxidative phosphorylaton in intact tissues (the so-called “each-step-activation”
mechanism) (77, 85, 89). It was proposed (90) that the activating factor could
be represented by the frequency of calcium oscillations (for discussion of this
point see also (91).
It was also postulated (48, 77) that parallel activation (each-step-activation)
would be highest in intact heart
in vivo, in which [ATP], [PCr], [P
i]
and [ADP
free] remain constant even during a
5-fold increase in
O2
(see 52, 53), intermediate in oxidative skeletal muscles (type I muscle fibres)
and low in glycolytic skeletal muscles (type II muscle fibers), in which changes
in metabolite concentrations are the highest (see also, 49). Therefore, it seems
likely that the training-induced transformation of the fatigue-sensitive type
II muscle fibers into the fatigue-resistant type I could be accompanied by an
intensification of the parallel activation/simultaneous regulation (47). It
was demonstrated that (27, 47) that this mechanism could account for both a
significant improvement of the (absolute and relative) [ADP
free]
and [PCr]/[Cr] stability, and to an at least two-fold decrease in
p
of
O2
kinetics even if resting [ADP
free] remains unchanged.
It is worth to mention that in the most fatigue-resistant muscle (the heart), in which parallel activation seems to be highest and metabolite concentrations are most stable during work transitions, the
O2 on-kinetics is very quick: t
1/2 equals 4-8 (-12)s under physiological conditions (92, 93), and anyway seems to be slowed down by oxygen diffusion limitations (92) This kinetics is significantly slower in skeletal muscle (20), in which parallel activation seems to be smaller and quite significant changes in metabolite concentrations during rest-to-work transition take place.
We conclude that the improved metabolic stability after training is due, for the most part, to an enhanced parallel activation of ATP supply and ATP usage, and to a lesser extent, in cases in which muscle training causes a decrease in resting [ADP
free], to an increase in mitochondrial content.
O2 DEFICIT, METABOLIC STABILITY AND EXERCISE TOLERANCE
The O
2 deficit, proportional to the amount of
energy which must be derived from substrate level phosphorylation during rest-to-work
transition, is determined, for a given amplitude of the
O2
response (
i.e. the difference between the baseline
O2
and the steady-state
O2),
by the t for muscle
O2
on-kinetics (tm ) (11). Since the steady-state
O2
during exercise at a given work intensity is only a little or not affected by
training, the effects of training on the O
2
deficit are determined by the kinetic properties of the oxidative phosphorylation
system. It is generally thought that a lower O
2
deficit has, by itself, positive effects on exercise tolerance, since it is
associated with less PCr and glycogen depletion, less H
+
accumulation in muscle and blood, etc. This concept, however, may be not necessarily
true. The training induced acceleration of the
O2
on-kinetics during moderate exercise intensity is usually caused by factors
beneficial for muscle performance (
i.e. intensification of parallel activation
and/or increase in mitochondrial proteins), and therefore the acceleration of
O2
on-kinetics and the decrease of the O
2 deficit
are usually considered as a positive adaptive response to exercise. However,
acceleration of the
O2
on-kinetics may also be caused by some factors that may be neutral or even harmful
for muscle performance (
e.g. decrease or inhibition of the creatine kinase
activity, decrease in the total creatine pool) (see
e.g. 27, 94). Therefore,
what really matters, in terms of the O
2 deficit
and its relationship with exercise tolerance, may not be its absolute value,
but the kinetic properties of the oxidative phosphorylation system underlying
the
O2
on-kinetics (for review see 26).
We postulate that the training-induced acceleration of the
O2 on-kinetics, caused by factors (increase in parallel activation and mitochondria content) improving muscle metabolic stability, is accompanied by an improvement of exercise tolerance at a given power output of moderate intensity (
e.g. longer time to exhaustion at 50%
O2 max). This effect may be caused by lower disturbances in muscle metabolic stability (attenuated increase in [ADP
free] and [Pi]) after training, leading to reduced rate of glycogen depletion as well as to an attenuation of the negative effects of [ADP
free], [Pi] and [H+] on muscle power generating capabilities (for overview see
e.g. 69, 71, 95). These effects could be more significant than, or even independent from, the effects on O
2 deficit. Within this scenario, then, the lower O
2 deficit after training may be considered just an epiphenomenon of the increased metabolic stability. The latter, and not the O
2 deficit by itself, would be responsible for the improved exercise tolerance.
CONCLUSIONS
We postulate that
O2 on-kinetics is a marker of absolute metabolic stability in skeletal muscle at a given level of ATP turnover (power output). In the early stages of training, the training-induced acceleration in the
O2 on-kinetics during moderate exercise intensity, expressed by shortening of the
p , would be caused by an improvement in muscle metabolic stability, and would be independent from increases in mitochondrial proteins. The improvement in muscle metabolic stability during muscle training may be caused by an intensification of the simultaneous regulation/parallel activation (each-step activation) of ATP consumption and ATP supply pathways (for overview see
e.g. 7, 47, 48, 77, 84, 85). A further acceleration in
O2 on-kinetics, resulting from prolonged training, may be caused by a further and more pronounced improvement in muscle metabolic stability, caused by an intensification of the simultaneous regulation/parallel activation, as well as by an increase in mitochondrial proteins (see also 47). However, the latter effect (the increase in mitochondrial proteins) would depend on a training-induced decrease in resting [ADP
free]. We postulate that the training induced acceleration of
O2 on-kinetics, being a marker of improvement of the absolute metabolic stability at a given level of ATP turnover, would be more closely related to an improvement of endurance capacity (time to exhaustion at
e.g. 50%
O2 max) than to an increase in whole body
O2 max, since the latter is considered to be predominantly limited not by muscle oxidative capacity but by oxygen delivery to the working muscles.
Acknowledgements:
This study was supported by grant No 3PO5D08924 from The Ministry of Science
and Informatisation.
REFERENCES
- Krogh A, Lindhard J. The regulation of respiration and circulation during the initial stage of muscular work. J Physiol 1913; 47: 112-136.
- di Prampero PE, Margaria R. Relationship between O2
consumption, high energy phosphates and the kinetics of the O2
debt in exercise. Pflüg Arch 1968; 304: 11-19.
- Piiper J, Di Prampero PE, Cerretelli P. Oxygen debt and high-energy phosphates in gastrocnemius muscle of the dog. Am J Physiol 1968; 215: 523-531.
- Cerretelli P, Pendergast D, Paganelli WC, Rennie DW. Effects of specific muscle training on VO2 on-response and early blood lactate. J Appl Physiol 1979; 47: 761-769.
- di Prampero PE. Energetics of muscular exercise. Rev Physiol Biochem Pharmacol 1981; 89: 143-222.
- Tschakovsky ME, Hughson RL. Interaction of factors determining oxygen uptake at the onset of exercise. J Appl Physiol 1999; 86: 1101-1113.
- Hochachka PW. Muscles as Molecular and Metabolic Machines. CRC Press, Boca Raton, Florida, USA, 1994, pp. 95-118.
- Sahlin K, Tonkonogi M, Soderlund K. Energy supply and muscle fatigue in humans. Acta Physiol Scand 1998;162: 261-266.
- Bangsbo J, Krustrup P, Gonzalez-Alonso J, Boushel R, Saltin B. Muscle oxygen kinetics at onset of intense dynamic exercise in humans. Am J Physiol Regul Integr Comp Physiol 2000; 279: R899-R906.
- Whipp BJ, Ward SA, Rossiter HB. Pulmonary O2
uptake during exercise: conflating muscular and cardiovascular responses.
Med Sci Sports Exerc 2005; 37: 1574-1585.
- Whipp BJ, Rossiter HB. The kinetics of oxygen uptake. Physiological inferences from the parameters. In Oxygen Uptake Kinetics in Sport, Exercise and Medicine, AM Jones, DC Poole (eds). Routledge, London, UK, 2005, pp. 62-94.
- Henry FM, Aerobic oxygen consumption and alactic debt in muscular work. J Appl Physiol 1951; 3: 427-438.
- Margaria R, Mangili F, Cuttica F, Cerretelli P. The kinetics of the oxygen consumption at the onset of muscular exercise in man. Ergonomics 1965; 8: 49-54.
- Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol 1982; 52: 1506-1513.
- Barstow TJ, Jones AM, Nguyen PH, Casaburi R. Influence of muscle fiber type and pedal frequency on oxygen uptake kinetics of heavy exercise. J Appl Physiol 1996; 81: 1642-1650.
- Scheuermann BW, Hoelting BD, Noble ML, Barstow TJ. The slow component of O2 uptake is not accompanied by changes in muscle EMG during repeated bouts of heavy exercise in humans. J Physiol 2001; 531: 245-256.
- Koga S, Shiojiri T, Kondo N. Measuring VO2
kinetics the practicalities. In Oxygen Uptake Kinetics in Sport, Exercise
and Medicine, AM Jones, DC Poole (eds). Routledge, London, UK, 2005, pp.
39-61.
- Grassi B, Poole DC, Richardson RS, Knight DR, Erickson BK, Wagner PD. Muscle O2 uptake kinetics in humans: implications for metabolic control. J Appl Physiol 1996; 80: 988-998.
- Grassi B, Hogan MC, Kelley KM, Howlett RA, Gladden LB. Effects of nitric oxide synthase inhibition by L-NAME on oxygen uptake kinetics in isolated canine muscle in situ. J Physiol 2005; 568: 1021-1033.
- Whipp BJ, Rossiter HB, Ward SA. Exertional oxygen uptake kinetics: a stamen of stamina? Biochem Soc Trans 2002; 30: 237-247.
- Barstow TJ, Mole PA. Linear and nonlinear characteristics of oxygen uptake kinetics during heavy exercise. J Appl Physiol 1991; 71: 2099-2106.
- Koppo K, Bouckaert J, Jones AM. Effects of training status and exercise intensity on phase II VO2 kinetics. Med Sci Sports Exerc 2004; 36: 225-232.
- Zoladz JA, Szkutnik Z, Duda K, Majerczak J, Korzeniewski B. Preexercise metabolic alkalosis induced via bicarbonate ingestion accelerates VO2 kinetics at the onset of a high-power-output exercise in humans. J Appl Physiol 2005; 98: 895-904.
- Sietsema KE. Oxygen uptake kinetics in response to exercise in patients with pulmonary vascular disease. Am Rev Respir Dis 1992; 145: 1052-1057.
- Sietsema KE, Ben-Dov I, Zhang YY, Sullivan C, Wasserman K. Dynamics of oxygen uptake for submaximal exercise and recovery in patients with chronic heart failure. Chest 1994; 105: 1693-1700.
- Korzeniewski B, Zoladz JA. Biochemical background of the VO2
on-kinetics in skeletal muscles. J Physiol Sci 2006; 56: 1-12.
- Korzeniewski B, Zoladz JA. Factors determining the oxygen consumption rate (VO2) on-kinetics in skeletal muscles. Biochem J 2004; 379: 703-710.
- Whipp BJ, Mahler M. Dynamics of pulmonary gas exchange during exercise. In Pulmonary Gas Exchange, JB West (ed.). Academic, New York, USA, 1980, pp. 33-96.
- Cerretelli P, Rennie DW, Pendergast DR. Kinetics of metabolic transients during exercise. In Exercise Bioenergetics and Gas Exchange, P Cerretelli, BJ Whipp (eds.). Elsevier, Amsterdam, The Netherlands, 1980, pp. 187-209.
- Grassi B, Gladden LB, Stary CM, Wagner PD, Hogan MC. Peripheral O2
diffusion does not affect VO2 on-kinetics
in isolated insitu canine muscle. J Appl Physiol 1998; 85: 1404-1412.
- Grassi B, Gladden LB, Samaja M, Stary CM, Hogan MC. Faster adjustment
of O2 delivery does not affect VO2
on-kinetics in isolated in situ canine muscle. J Appl Physiol 1998;
85: 1394-1403.
- Grassi B. Regulation of oxygen consumption at exercise onset: is it really controversial? Exerc Sport Sci Rev 2001; 29: 134-138.
- Bell C, Paterson DH, Kowalchuk JM, et al. Determinants of oxygen uptake kinetics in older humans following single-limb endurance exercise training. Exp Physiol 2001; 86: 659-665.
- Haseler LJ, Kindig CA, Richardson RS, Hogan MC. The role of oxygen in determining phosphocreatine onset kinetics in exercising humans. J Physiol 2004; 558: 985-992.
- Grassi B, Hogan MC, Kelley KM, et al. Role of convective O2
delivery in determining VO2 on-kinetics
in canine muscle contracting at peak VO2.
J Appl Physiol 2000; 89: 1293-1301.
- Krustrup P, Hellsten Y, Bangsbo J. Intense interval training enhances human skeletal muscle oxygen uptake in the initial phase of dynamic exercise at high but not at low intensities. J Physiol 2004; 559: 335-345.
- Phillips SM, Green HJ, MacDonald MJ, Hughson RL. Progressive effect of
endurance training on VO2 kinetics at onset
of submaximal exercise. J Appl Physiol 1995; 79: 1914-1920.
- Whipp BJ, Wasserman K. Oxygen uptake kinetics for various intensities of constant-load work. J Appl Physiol 1972; 33: 351-356.
- Hagberg JM, Nagle FJ, Carlson JL. Transient oxygen uptake (VO2)
responses at the onset of exercise. Federation Proc 1975; 34: 443.
- Weltman A, Katch V. Min-by-min respiratory exchange and oxygen uptake
kinetics during steady-state exercise in subjects of high and low max VO2.
Res Q 1976; 47: 490-498.
- Powers SK, Dodd S, Beadle RE. Oxygen uptake kinetics in trained athletes
differing in VO2max. Eur J Appl Physiol
1985; 54: 306-308.
- Hickson RC, Bomze HA, Holloszy JO. Faster adjustment of O2
uptake to the energy requirement of exercise in the trained state. J Appl
Physiol 1978; 44: 877-881.
- Hagberg JM, Hickson RC, Ehsani AA, Holloszy JO. Faster adjustment to and recovery from submaximal exercise in the trained state. J Appl Physiol 1980; 48: 218-224.
- Norris SR, Petersen SR. Effects of endurance training on transient oxygen uptake responses in cyclists. J Sports Sci 1998; 16: 733-738.
- Korzeniewski B, Liguzinski P. Theoretical studies on the regulation of anaerobic glycolysis and its influence on oxidative phosphorylation in skeletal muscle. Biophys Chem 2004; 110: 147-169.
- Fukuoka Y, Grassi B, Conti M, et al. Early effects of exercise training on on- and off-kinetics in 50-year-old subjects. Pflugers Arch 2002; 443: 690-697.
- Korzeniewski B, Zoladz JA. Training-induced adaptation of oxidative phosphorylation in skeletal muscles. Biochem J 2003; 374: 37-40.
- Hochachka PW, McClelland GB. Cellular metabolic homeostasis during large-scale change in ATP turnover rates in muscles. J Exp Biol 1997; 200: 381-386.
- Kushmerick MJ, Meyer RA, Brown TR. Regulation of oxygen consumption in fast- and slow-twitch muscle. Am J Physiol 1992; 263: C598-C606.
- Allen PS, Matheson GO, Zhu G, et al. Simultaneous 31P
MRS of the soleus and gastrocnemius in Sherpas during graded calf muscle
exercise. Am J Physiol 1997; 273: R999-R1007.
- Matheson GO, Allen PS, Ellinger DC, et al. Skeletal muscle metabolism
and work capacity: a 31P-NMR study of Andean
natives and lowlanders. J Appl Physiol 1991; 70: 1963-1976.
- Balaban RS, Kantor HL, Katz LA, Briggs RW. Relation between work and phosphate metabolite in the in vivo paced mammalian heart. Science 1986; 232: 1121-1123.
- Katz LA, Swain JA, Portman MA, Balaban RS. Relation between phosphate metabolites and oxygen consumption of heart in vivo. Am J Physiol 1989; 256: H265-H274.
- Chance B, Williams GR. Respiratory enzymes in oxidative phosphorylation. I. Kinetics of oxygen utilization. J Biol Chem 1955; 217: 383-393.
- Chance B, Williams GR. The respiratory chain and oxidative phosphorylation. Adv Enzymol Relat Subj Biochem 1956; 17: 65-134.
- Balaban RS. Regulation of oxidative phosphorylation in the mammalian cell. Am J Physiol 1990; 258: C377-C389.
- Baumann H, Jaggi M, Soland F, Howald H, Schaub MC. Exercise training induces transitions of myosin isoform subunits within histochemically typed human muscle fibres. Pflugers Arch 1987; 409: 349-360.
- Conjard A, Peuker H, Pette D. Energy state and myosin heavy chain isoforms in single fibres of normal and transforming rabbit muscles. Pflugers Arch 1998; 436: 962-969.
- Andersen JL, Aagaard P. Myosin heavy chain IIX overshoot in human skeletal muscle. Muscle Nerve 2000; 23: 1095-1104.
- Karlsson J, Nordesjo LO, Jorfeldt L, Saltin B. Muscle lactate, ATP, and CP levels during exercise after physical training in man. J Appl Physiol 1972; 33: 199-203.
- Constable SH, Favier RJ, McLane JA, Fell RD, Chen M, Holloszy JO. Energy metabolism in contracting rat skeletal muscle: adaptation to exercise training. Am J Physiol 1987; 253: C316-C322.
- Clark BJ 3rd, Acker MA, McCully K, et al. in vivo 31P-NMR
spectroscopy of chronically stimulated canine skeletal muscle. Am J Physiol
1988; 254: C258-C266.
- Holloszy JO. Biochemical adaptations in muscle. Effects of exercise on mitochondrial oxygen uptake and respiratory enzyme activity in skeletal muscle. J Biol Chem 1967; 242: 2278-2282.
- Holloszy JO, Oscai LB, Don IJ, Mole PA. Mitochondrial citric acid cycle and related enzymes: adaptive response to exercise. Biochem Biophys Res Commun 1970; 40: 1368-1373.
- Mole PA, Oscai LB, Holloszy JO. Adaptation of muscle to exercise. Increase in levels of palmityl CoA synthetase, carnitine palmityltransferase, and palmityl CoA dehydrogenase, and in the capacity to oxidize fatty acids. J Clin Invest 1971; 50: 2323-2330.
- Hoppeler H, Luthi P, Claassen H, Weibel ER, Howald H. The ultrastructure of the normal human skeletal muscle. A morphometric analysis on untrained men, women and well-trained orienteers. Pflugers Arch 1973; 344: 217-232.
- Holloszy JO, Booth FW. Biochemical adaptations to endurance exercise in muscle. Annu Rev Physiol 1976; 38: 273-291.
- Henriksson J, Reitman JS. Time course of changes in human skeletal muscle succinate dehydrogenase and cytochrome oxidase activities and maximal oxygen uptake with physical activity and inactivity. Acta Physiol Scand 1977; 99: 91-97.
- Gollnick PD, Saltin B. Significance of skeletal muscle oxidative enzyme enhancement with endurance training. Clin Physiol 1982; 2: 1-12.
- Holloszy JO, Coyle EF. Adaptations of skeletal muscle to endurance exercise and their metabolic consequences. J Appl Physiol 1984; 56: 831-838.
- Dudley GA, Tullson PC, Terjung RL. Influence of mitochondrial content on the sensitivity of respiratory control. J Biol Chem 1987; 262: 9109-9114.
- Green HJ, Jones S, Ball-Burnett ME, Smith D, Livesey J, Farrance BW. Early muscular and metabolic adaptations to prolonged exercise training in humans. J Appl Physiol 1991; 70: 2032-2038.
- Phillips SM, Green HJ, Tarnopolsky MA, Heigenhauser GJ, Grant SM. Progressive effect of endurance training on metabolic adaptations in working skeletal muscle. Am J Physiol 1996; 270: E265-E272.
- Green HR, Tupling B, Roy D, O’Toole M, Burnett GS. Adaptations in skeletal muscle exercise metabolism to a sustained session of heavy intermittent exercise. Am J Physiol 2000; 278: E118-E126.
- Zoladz JA, Kulinowski P, Zapart-Bukowska J, et al. Phosphorylation potential in the dominant leg is lower, and free [ADP] is higher in calf muscles at rest in endurance athletes than in sprinters and in untrained subjects. J Physiol Pharmacol 2006; (Submited).
- Green HJ, Helyar R, Ball-Burnett M, Kowalchuk N, Symon S, Farrance B. Metabolic adaptations to training precede changes in muscle mitochondrial capacity. J Appl Physiol 1992; 72: 484-491.
- Korzeniewski B. Regulation of oxidative phosphorylation in different muscles and various experimental conditions. Biochem J 2003; 375: 799-804.
- Burelle Y, Hochachka PW. Endurance training induces muscle-specific changes in mitochondrial function in skinned muscle fibers. J Appl Physiol 2002; 92: 2429-2438.
- Zoll J, Sanchez H, N’Guessan B, et al. Physical activity changes the regulation of mitochondrial respiration in human skeletal muscle. J Physiol 2002; 543: 191-200.
- Jeneson JA, Wiseman RW, Westerhoff HV, Kushmerick MJ. The signal transduction function for oxidative phosphorylation is at least second order in ADP. J Biol Chem 1996; 271: 27995-27998.
- Spina RJ, Chi MM, Hopkins MG, Nemeth PM, Lowry OH, Holloszy JO. Mitochondrial enzymes increase in muscle in response to 7-10 days of cycle exercise. J Appl Physiol 1996; 80: 2250-2254.
- Burgomaster KA, Hughes SC, Heigenhauser GJ, Bradwell SN, Gibala MJ. Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans. J Appl Physiol 2005; 98:1985-1990.
- Gibala MJ, Little JP, van Essen M, et al. Short-term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. J Physiol 2006; 575: 901-911.
- Hochachka PW, Matheson GO. Regulating ATP turnover rates over broad dynamic work ranges in skeletal muscles. J Appl Physiol 1992; 73: 1697-1703.
- Korzeniewski B. Regulation of ATP supply during muscle contraction: theoretical studies. Biochem J 1998; 330: 1189-1195.
- McCormack JG, Halestrap AP, Denton RM. Role of calcium ions in regulation of mammalian intramitochondrial metabolism. Physiol Rev 1990; 70: 391-425.
- Territo PR, French SA, Dunleavy MC, Evans FJ, Balaban RS. Calcium activation
of heart mitochondrial oxidative phosphorylation: rapid kinetics of mVO2,
NADH, AND light scattering. J Biol Chem 2001; 276: 2586-2599.
- Balaban RS, Bose S, French SA, Territo PR. Role of calcium in metabolic signaling between cardiac sarcoplasmic reticulum and mitochondria in vitro. Am J Physiol Cell Physiol 2003; 284: C285-293.
- Korzeniewski B, Noma A, Matsuoka S. Regulation of oxidative phosphorylation
in intact mammalian heart in vivo. Biophys Chem 2005; 116: 145-157.
- Korzeniewski B. Regulation of ATP supply in mammalian skeletal muscle during resting state—>intensive work transition. Biophys Chem 2000; 83: 19-34.
- Balaban RS. Cardiac energy metabolism homeostasis: role of cytosolic calcium. J Mol Cell Cardiol 2002; 34: 1259-1271.
- van Beek JGHM, Tian X, Zuurbier CJ, et al. The dynamic regulation of myocardial oxidative phosphorylation: Analysis of the response time of oxygen consumption. Mol Cel Biochem 1998; 184: 321-344.
- Korzeniewski B. Oxygen consumption and metabolite concentrations during transitions between different work intensities in heart. Am J Physiol Heart Circ Physiol 2006; 291: H1466-H1474.
- Grassi B, Hogan MC, Rossiter HB, et al. Effects of acute creatine kinase inhibition on skeletal muscle O2 uptake kinetics. Med Sci Sports Exerc 2006; 38: S519.
- Mayer RA, Wiseman RW. The Metabolic Systems: Control of ATP Synthesis in Skeletal Muscle. In Advanced Exercise Physiology, CM Tipton (ed.). ACSM’s Lippincott Williams & Wilkins, Philadelphia, 2006, pp. 370-384.