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Copenhagen Muscle Research Centre, August Krogh Institute, University of Copenhagen, DK-2100 Copenhagen Ø, Denmark
Asp, Sven, and Erik A. Richter. Decreased insulin
action on muscle glucose transport after eccentric contractions in rats. J. Appl. Physiol. 81(5):
1924-1928, 1996.
We have recently shown that eccentric
contractions (Ecc) of rat calf muscles cause muscle damage and
decreased glycogen and glucose transporter GLUT-4 protein content in
the white (WG) and red gastrocnemius (RG) but not in the soleus (S) (S. Asp, S. Kristiansen, and E. A. Richter. J. Appl.
Physiol. 79: 1338-1345, 1995
[Medline]
). To study whether
these changes affect insulin action, hindlimbs were perfused at three different insulin concentrations (0, 200, and 20,000 µU/ml) 2 days
after one-legged eccentric contractions of the calf muscles. Compared
with control, basal glucose transport was slightly higher (P < 0.05) in Ecc-WG and -RG,
whereas it was lower (P < 0.05) at
both submaximal and maximal insulin concentrations in the Ecc-WG and at
maximal concentrations in the Ecc-RG. In the Ecc-S, the glucose
transport was unchanged in hindquarters perfused in the absence or
presence of a submaximal stimulating concentration of insulin, whereas
it was slightly (P < 0.05) higher
during maximal insulin stimulation compared with control S. At the end
of perfusion the glycogen concentrations were lower in both
Ecc-gastrocnemius muscles compared with control muscles at all insulin
concentrations. Fractional velocity of glycogen synthase increased
similarly with increasing insulin concentrations in Ecc- and control WG
and RG. We conclude that insulin action on glucose transport but not
glycogen synthase activity is impaired in perfused muscle exposed to
prior eccentric contractions.
skeletal muscle; insulin resistance
A SINGLE BOUT of concentric exercise (which involves
shortening of active muscle) is a recognized enhancer of insulin action systemically and in muscle in rats and humans (7, 19, 21, 22), whereas
it has been reported that a bout of eccentric exercise (which involves
forced lengthening of active muscle) transiently impairs whole body
insulin action 2 days after the bout (16). The underlying mechanism(s)
for this apparent insulin-resistant state remains obscure, but both
local and/or systemic changes are possible. In recent studies
in humans and rats, we showed that eccentric contractions induce a
transient decrease in the skeletal muscle glucose transporter isoform
(GLUT-4) protein content (4, 5). GLUT-4 is the predominant glucose
transporter in skeletal muscle fibers (17), and translocation of GLUT-4
from an intracellular pool to the sarcolemma and t-tubules occurs by insulin stimulation (12, 13, 29). Because insulin-induced glucose
transport (15) and uptake (1, 10) have been found to correlate with
muscle GLUT-4 content, decreased GLUT-4 content could be part of the
explanation for the insulin resistance found systemically. Also, this
could be part of the reason for the sustained low muscle glycogen
concentration after eccentric contractions (6, 9, 11, 20, 28). Thus, in
the present study, we used the perfused rat hindquarter technique to
investigate whether eccentric damage decreases insulin's ability to
stimulate muscle glucose transport and glycogen synthase activity.
Because we previously showed that muscle GLUT-4 protein content was
decreased maximally 2 days after eccentric contractions (5), insulin
action on glucose transport and glycogen synthase activity was studied
in muscle perfused 2 days after eccentric muscle contractions.
Animals and diets.
All experiments were approved by the Danish Animal Experiments
Inspectorate and complied with the "European Convention for the
Protection of Vertebrate Animals Used for Experiments and Other
Scientific Purposes" (Council of Europe no. 123, Strasbourg, France,
1985). Male Wistar rats weighing ~200-240 g were housed three
per cage on a 12:12-h light-dark cycle and were fed on an ad libitum
standard chow diet (Altromin no. 1324, Petersen, Ringsted, Denmark;
62% energy intake as carbohydrate), which was maintained until the end
of the experiment.
80°C until
analyzed.
For measurement of muscle membrane glucose transport, 10-20 µCi
of
3-O-[methyl-14C]-methyl-D-glucose
(specific activity 315 mCi/mmol; New England Nuclear, Boston, MA) along
with 20 µCi
[3H]mannitol (specific
activity 22.5 Ci/mmol; New England Nuclear) were added at the start of
the actual experimental period. Also, cold mannitol yielding a
perfusate concentration of 1 mM was added simultaneously. Because
transit time from the reservoir to the hindquarter was 2.75 min, the
hindquarters were exposed to isotopes for 27.25, 12.25, or 7.25 min, at
basal, submaximal, and maximal insulin concentrations,
respectively. Muscle glycogen was measured by a hexokinase
method after acid hydrolysis (18). Glycogen synthase activity was
measured with a modification of the filter paper method of Thomas et
al. (27), where maximal activity was measured at saturating (8 mM)
glucose 6-phosphate concentration and the percent fractional velocity
was calculated as activity at a submaximal glucose 6-phosphate
concentration (0.17 mM) in percentage of maximal activity. Total water
content of muscle was determined by weighing before and after
lyophilization for 48 h.
Glucose transport.
Uptake of
3-O-methyl-D-glucose
in the individual muscles was determined in perchloric acid extracts
and corrected for label in the extracellular space determined by the
3H counts for mannitol. From the
uptake of labeled
3-O-methyl-D-glucose, rates of glucose transport were calculated by using a specific activity
of glucose determined by the glucose concentration in the cell-free
arterial perfusate and the
3-O-methyl-D-glucose counts. To compare transport rates into muscles despite
differences in mannitol space in control and Ecc-muscles, transport was
expressed as micromoles of glucose per gram of non-mannitol-accessible
muscle per hour, and for this calculation we used an equation derived from Richter et al. (23), assuming the mass density of the mannitol space being 1 g/ml
|
1 · h
1),
Cm is glucose concentration in
muscle calculated from
3-O-[methyl-14C]-methyl-D-glucose
counts in muscle, with the assumption of the same specific activity in
muscle and plasma (µmol glucose/g wet wt muscle),
Cp is glucose concentration in
perfusate plasma water (µmol glucose/ml perfusate plasma water), E is
extracellular (mannitol) space (ml/g wet wt muscle), W is muscle weight
(g wet wt), and T is time that muscles are exposed to tracers
(h).
Statistics.
Mean values from control and Ecc-muscles were compared by Student's
paired t-test. To compare mean
glycogen values at the different insulin concentrations, a one-way
analysis of variance was used. Student's unpaired
t-test was used as post hoc test.
Compared with the control muscle, basal glucose
transport rate was slightly higher in the Ecc-WG and -RG but not in the
Ecc-S (Fig. 1). Insulin-stimulated glucose
transport was impaired in the Ecc-WG both at submaximal and maximal
insulin concentrations (Fig. 1A).
In the Ecc-RG, the maximal transport rate was lower compared with
control muscle, whereas at submaximal insulin concentrations there was
no significant difference (Fig. 1B).
In the Ecc-S, maximal insulin-stimulated glucose transport surprisingly
was slightly but significantly higher compared with control muscle
(Fig. 1C).
The muscle glycogen concentration at the end of the perfusions was lower in the Ecc-WG and -RG, whereas in the Ecc-S the glycogen concentration was similar to the corresponding control leg at all insulin concentrations (Table 1). In control muscle, glycogen concentrations at the end of perfusion were significantly higher when insulin was present in the perfusate than when it was absent. This was also the case in the Ecc-RG and -S but not in the Ecc-WG, in which no net insulin-stimulated glycogen synthesis was apparent (Table 1).
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The fractional velocity of glycogen synthase increased with increasing insulin concentrations in WG and not significantly in RG, and there were no differences between Ecc- and control muscles (Table 2). The maximal activity of glycogen synthase was on average 16% lower in the Ecc-WG compared with control, whereas it was unaffected in the Ecc-RG (Table 2).
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The mannitol space was larger in all Ecc-muscles compared with control (Table 3). The water content was 4.2 ± 0.5% higher in the Ecc-WG and 2.5 ± 0.5% higher in the Ecc-RG compared with control. No change was found in the Ecc-S (Table 3).
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The principal finding in this study is that insulin action on skeletal muscle glucose transport was impaired in fast-twitch muscle by prior eccentric contractions. The decrease was most pronounced in the WG, whereas it was less marked in the RG and no suppression was found in the S.
It has been reported that a bout of eccentric exercise transiently impairs the stimulating action of a submaximal insulin concentration on whole body glucose disposal 2 days after the bout (16), but the underlying mechanism(s) for this apparent insulin-resistant state remains obscure, involving local and/or systemic changes. The in vitro hindquarter technique allows us to measure changes of insulin action in muscle caused by prior eccentric contractions, and the results indicate that local muscle effects might at least partly be responsible for the previously observed whole body insulin resistance (16). We found the largest effect on glucose transport in the WG, in which we recently showed that muscle GLUT-4 protein content is decreased by ~65% 2 days after eccentric contractions (5). In comparison, in the RG in which the decrease in GLUT-4 protein is only ~30% (5), prior eccentric contractions impaired insulin-stimulated glucose transport less (Fig. 1). The results from these muscle types are in agreement with the view that the insulin-induced increase in muscle glucose uptake is dependent on the GLUT-4 protein content (1, 10, 15). Finally, in the S muscle, eccentric contractions had no effect on the GLUT-4 protein content (5), and the maximal insulin stimulated glucose transport was actually slightly but significantly higher in this muscle type. The latter finding was surprising, but it is possible that the more deeply located S muscle is stretched less during the stimulation than are the other more superficial calf muscles and hence contracted with a more concentric pattern, which subsequently could enhance insulin action. As judged by the previously described (5) rapid glycogen resynthesis, unchanged GLUT-4 content, and lack of signs of muscle damage in the Ecc-S after eccentric contractions, this is possible but is hard to evaluate without individual measurements of tension in the different muscles during the stimulation.
The non-insulin-stimulated glucose transport into the eccentrically damaged muscles was slightly higher compared with the control muscles in the WG and RG. This might be due to the high glucose utilization by inflammatory cells (9, 14, 26) present in the Ecc-WG and -RG (5), and also inflammatory cells have been shown to release a factor that may cause increased insulin-independent glucose metabolism in skeletal muscle (14, 26). Alternatively, if the cytosolic Ca2+ concentration is increased in damaged muscle (3), this may cause increased glucose transport (30) and might even play a role in decreasing insulin-stimulated glucose transport as well (8). However, the present study does not allow for conclusions in these respects.
Glycogen concentrations were lower in the Ecc-WG and -RG (Table 1) after perfusion with insulin at any concentration. Muscle glycogen was apparently synthesized in control muscle during perfusion with insulin because glycogen concentrations at the end of perfusions were higher than when the perfusate insulin was 0 µU/ml (Table 1). However, this was not the case in the Ecc-WG, which is in accordance with the marked decrease in insulin-stimulated glucose transport. Still, it might seem unusual that although insulin-stimulated glucose transport was decreased by 50% in the Ecc-WG compared with control, it was increased approximately sixfold compared with basal by 200 µU/ml insulin and yet absolutely no tendency to an increase in muscle glycogen from 0 to 200 µU/ml insulin was found (Table 1). This might suggest that not only is glycogen synthesis impaired by decreased glucose transport but also glycogen breakdown may be accelerated. The latter may also be part of the explanation behind the lower glycogen values in the Ecc-RG compared with control because the decrease in insulin-stimulated glucose transport, especially at low insulin concentrations, was quite small in this muscle (Fig. 1B). These findings could suggest that the subnormal muscle glycogen concentrations found for several days after eccentric contractions (5, 6, 9, 11, 20, 28) are the result of both decreased insulin action on glucose transport secondary to decreased muscle GLUT-4 protein content and increased glycogen degradation.
The extracellular space, measured by the use of [3H]mannitol, was higher in all Ecc-muscles compared with control, and also the water content was higher in the Ecc-WG and -RG compared with control. The changes in the extracellular space were pronounced with a 12 and 7 ml/g increase in the Ecc-WG and -RG compared with control muscle, whereas the total water content only was 3 and 2 ml/100 g higher in the Ecc-WG and -RG compared with control muscle, respectively. The disparate changes in mannitol space and water content indicate that the major fraction of the increase in the former after the stimulation originates from the intracellular space probably secondarily to membrane damage. Because mannitol and 3-O-methyl-D-glucose have approximately the same molecular weight (182 and 194, respectively) and are both nonpolar compounds, they likely diffuse at nearly the same rate and any increase in distribution space for mannitol should be equally large for 3-O-methyl-D-glucose. Therefore, the increased apparent distribution space for mannitol should not be a problem in the calculation of specific glucose transport. We chose to express glucose transport as specific uptake of 3-O-methyl-D-glucose into the space that is not accessible to mannitol rather than per gram of muscle because in Ecc-muscle the larger mannitol space leaves less tissue for specific glucose transport per gram of muscle. Thus expression per gram muscle would tend to decrease specific glucose transport in eccentric muscle simply because of division by a larger mass of tissue that does not participate in specific glucose transport.
The maximal activity of the enzyme glycogen synthase, which presumably reflects enzyme concentration, was on average 16% lower in the Ecc-WG, whereas it was largely unchanged in the Ecc-RG. In previous studies we found no significant decrease in the maximal activity of glycogen synthase (4, 5), which was in accordance with the results from Doyle et al. (11). However, although we found a small decrease in the maximal activity, this was much smaller than the previously reported decrease in GLUT-4 (~65%) (5) in this fiber type, suggesting that the insulin- and/or exercise-regulatable glucose transporter (GLUT-4) is especially susceptible to this type of muscle damage.
We conclude that the decrease in the muscle content of the insulin- and/or exercise-regulatable glucose transporter (GLUT-4) 2 days after eccentric contractions is accompanied by impaired insulin-stimulated muscle glucose transport. This could at least partly explain the previously described systemic insulin resistance found 2 days after eccentric exercise (16) and the sustained decreased muscle glycogen concentration after eccentric contractions. However, increased glycogen degradation may also play a significant role in muscle after eccentric contractions.
Betina Bolmgren, Nina Pfluzek, and Dorte Kesje provided skilled technical assistance.
Address for reprint requests: S. Asp, Copenhagen Muscle Research Centre, August Krogh Institute, University of Copenhagen, 13 Universitetsparken, DK-2100 Copenhagen Ø, Denmark (E-mail: sasp{at}aki.ku.dk).
Received 6 February 1996; accepted in final form 3 July 1996.
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