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Departments of Anatomy and Physiology and Kinesiology, Kansas State University, Manhattan, Kansas 66506-5602
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ABSTRACT |
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There is evidence that
oxidative enzyme inertia plays a major role in limiting/setting the
O2 uptake (
O2) response at
the transition to higher metabolic rates and also that nitric oxide (NO) competitively inhibits
O2 within
the electron transport chain. To investigate whether NO is important in
setting the dynamic response of
O2 at
the onset of high-intensity (heavy-domain) running in horses, five
geldings were run on a treadmill across speed transitions from 3 m/s to
speeds corresponding to 80% of peak
O2
with and without nitro-L-arginine methyl ester
(L-NAME), an NO synthase inhibitor (20 mg/kg; order
randomized). L-NAME did not alter (both P > 0.05) baseline (3 m/s, 15.4 ± 0.3 and 16.2 ± 0.5 l/min
for control and L-NAME, respectively) or end-exercise
O2 (56.9 ± 5.1 and 55.2 ± 5.8 l/min for control and L-NAME, respectively). However,
in the L-NAME trial, the primary on-kinetic response was
significantly (P < 0.05) faster (i.e., reduced time constant, 27.0 ± 2.7 and 18.7 ± 3.0 s for control and
L-NAME, respectively), despite no change in the gain of
O2 (P > 0.05). The
faster on-kinetic response was confirmed independent of modeling by
reduced time to 50, 63, and 75% of overall
O2 response (all P < 0.05). In addition, onset of the
O2 slow
component occurred earlier (124.6 ± 11.2 and 65.0 ± 6.6 s for control and L-NAME, respectively), and the
magnitude of the O2 deficit was attenuated (both
P < 0.05) in the L-NAME compared with the
control trial. Acceleration of the
O2
kinetics by L-NAME suggests that NO inhibition of
mitochondrial
O2 may contribute, in
part, to the intrinsic metabolic inertia evidenced at the transition to
higher metabolic rates in the horse.
nitric oxide; nitric oxide synthase inhibition; oxygen uptake slow component; oxygen deficit; nitro-L-arginine methyl ester
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INTRODUCTION |
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THE ABILITY OF
THE EQUINE athlete to adjust rapidly to increased metabolic
stress is extraordinary. Specifically, although mass-specific maximal
O2 uptakes (
O2) two- to
threefold greater than those found in elite human athletes are
achieved,
O2 kinetics are substantially
faster in horses (26) than in their human counterparts
(2, 44). The capacity of the horse to generate prodigious
cardiac outputs >300 l/min as well as to attain maximal levels of
O2 nearing 200 ml · kg
1 · min
1 places a
heavy burden on the equine cardiovascular system to match adequately
O2 delivery to metabolic demand, and thus the horse offers
an exciting and relevant model in which to study the
O2 kinetic response to exercise.
Two mechanisms are thought to limit
O2
on-kinetics: 1) the rapidity with which the mitochondria
adjust oxidative ATP supply to demand (oxidative enzyme inertia
hypothesis) (7, 13, 14, 19, 43) or, alternatively,
2) the rate of O2 delivery to working muscle
(O2 delivery hypothesis) (12, 15, 28; for review see Ref. 42). Although O2 delivery is generally not
considered to be a limiting factor in response to aerobic work
performed below the lactate threshold (i.e., limiting factors reside
primarily within the inertia of the oxidative enzymes), there is clear
evidence that perturbations expected to alter O2 delivery
during the transition to heavy-domain exercise may result in similarly
altered
O2 on-kinetic responses
(12, 15, 28).
Nitric oxide (NO), synthesized from L-arginine and
O2 in a reaction catalyzed by NO synthase (NOS), has been
implicated in a myriad of biological functions (6, 10, 21,
38); however, its ability to reduce vascular smooth muscle tone
has been most widely documented (for review see Ref. 21).
Although not unequivocal (35, 40), NOS inhibition by
L-arginine analogs has been shown to reduce skeletal muscle
blood flow in response to exercise in humans (9), rats
(18), and dogs (38). Thus, if
nitro-L-arginine methyl ester (L-NAME) reduces
O2 delivery significantly at the trot-to-gallop transition,
the rapid
O2 on-kinetic profile
characteristic of the horse may be slowed.
In contrast to the role of NO in facilitating O2 transport
to skeletal muscle, recent studies have demonstrated that NO may regulate mitochondrial function through competitive inhibition of
O2 in the electron transport chain,
specifically at cytochrome c oxidase (6, 37).
Thus NO may serve as part of a feedback mechanism to reduce the
reliance on O2 extraction to meet tissue O2
needs, and this would serve to maintain higher intramyocyte PO2 levels during exercise (38).
Indeed, concomitant with a reduced cardiac output, NOS blockade
resulted in an elevated fractional O2 extraction at peak
exercise compared with control conditions in the horse
(23). In this scenario, NOS blockade acted to reduce whole
body O2 delivery while simultaneously relieving the NO
inhibition of mitochondrial function. Both of these mechanisms will
have contributed to the increased fractional O2 extraction
observed. From the evidence presented above, it is feasible that NO
inhibition of mitochondrial
O2 may
contribute to an intrinsic oxidative enzyme inertia at exercise onset.
The purpose of the present investigation was to determine the
O2 kinetic profile in the horse during
heavy exercise under control and NOS inhibition (by L-NAME)
conditions. We hypothesized that if inhibition of mitochondrial
function by NO across the on-transient plays a deterministic role in
setting the
O2 on-kinetic response,
alleviation of this inhibition by L-NAME will speed
O2 on-kinetics. Alternatively,
L-NAME may reduce muscle blood flow to such a degree that
O2 on-kinetics are slowed because of the
decreased O2 delivery. In this instance, any improvement in
mitochondrial function would be masked.
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METHODS |
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Five geldings (4 Thoroughbreds and 1 quarter horse, 547 ± 21 kg, 10 ± 2 yr) acclimatized to running on a treadmill
(conditioned twice weekly) were housed in a dry lot (loafing shed with
paddock) and given unrestricted access to water and fed twice daily.
Food was withheld
4 h before each experimental session. All
procedures were approved by the Kansas State University Institutional
Animal Care and Use Committee. Initially, peak
O2
(
O2 peak) was assessed 2 wk before this
investigation [
O2 and CO2
output (
CO2), obtained by open-flow
system as described below]. The protocol consisted of an 800-m trot at
3 m/s followed by a 1 m/s per 1-min interval incremental ramp
(starting at 7 m/s) performed on a level equine treadmill (SATO,
Uppsala, Sweden) to volitional fatigue.
Experimental Protocol
Each horse performed one control and one L-NAME exercise trial (order randomized; 2 wk between runs). Before both runs, the temperature of the equine laboratory was lowered to ~11°C (relative humidity ~55%), and two overhead fans were used to counteract the horse's inability to thermoregulate after NOS inhibition (30). After each horse was led onto the treadmill, L-NAME (20 mg/kg in 180 ml of sterile saline) or sterile saline (180 ml) was infused intravenously over a 4-min period. At 3 min after L-NAME (or saline) infusion, the exercise protocol was initiated. The protocol, which began and ended with an 800-m trot at 3 m/s, consisted of two constant-speed (i.e., increase to the required speed in <10 s) exercise bouts separated by a 4-min recovery trot at 3 m/s. These exercise bouts consisted of an initial 4-min run at 8-10 m/s (warm-up at ~50%
O2 peak) followed by a 6-min run at the
speed corresponding to 80% of control
O2 peak (experimental run).
Respiratory Gas Measurement
Measurements of
O2 and
CO2 (STPD corrected) were
obtained as described previously (26) using an open-flow
system. Briefly, a loose-fitting mask was placed over the horse's
muzzle while industrial fans drew air past the mask at a flow rate
>7,500 l/min, such that no end-expired air escaped. Flow through the
system was calculated by measurement of pressure differences
(differential pressure transducer, model CD1-3-871, Validyne,
Northridge, CA) across a flow nozzle (standard 2 in ASME).
Concentrations of O2 and CO2 (mass
spectrometer, model 1100, Perkin-Elmer, Pomona, CA) as well as
temperature and relative humidity (model HS-ZCHDT-2R, Thunder
Scientific, Albuquerque, NM) were measured distal to the flow nozzle
and recorded (100-Hz sample rate) by means of a computer-based data
acquisition system (DATAQ, Akron, OH).
Kinetic Modeling/Analysis
The open-flow system utilized does not permit measurement of tidal volumes or assessment of changes in lung gas stores; however, evidence to date (17) suggests that functional residual capacity is not altered in ponies from rest to exercise. Values for
O2 were smoothed using a 4-s rolling
average. Data were then analyzed by means of Kaliedagraph data analysis
software (Synergy Software, Reading, PA), using a one- and
two-exponential model of the following forms
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1 and
2 are the time constants. In
all cases, a significantly improved fit to the data was found for the
two-component model. In addition, time to 50, 63, 75, and 95% of the
overall amplitude was determined independent of modeling procedures.
O2 deficit was calculated in two ways. First, it was
calculated in the traditional manner as the area above the
O2 curve and below a horizontal line
drawn from the end-exercise asymptotic value. The second method was
derived from that presented by Bearden and Moffatt (5) and
calculated O2 deficit in the traditional manner less the
area represented by (A2 * TD2).
Statistical Analysis
Values are means ± SE. Differences between the L-NAME and control trials were tested by Student's paired t-test. Statistical significance was accepted at P
0.05.
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RESULTS |
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O2 peak (initial incremental
protocol) averaged 62.2 ± 5.0 l/min. The speed that corresponded
to 80%
O2 peak was 11.9 ± 0.5 m/s and yielded end-exercise (control)
O2 values of 55.9 ± 5.1 l/min
(89.5 ± 3.3%
O2 peak
measured on the initial incremental protocol).
The
O2 on-kinetic parameters for
the control and L-NAME runs are shown in Table
1 and represented graphically in Fig.
1. The mean response for all
five horses (2-s average) is shown in Fig. 1, top. Figure 1,
bottom, depicts a common logarithmic plot of the
O2 difference at time t (4-s
average) from its asymptotic (or end-exercise) value. Although
L-NAME did not affect
O2
during the warm-up at 3 m/s or at end exercise, the primary on-kinetic response was significantly faster (i.e., reduced
1;
P < 0.05), with no change in the amplitude of the
response (A1). The reduced
1 was confirmed,
independent of time delay and monoexponential curve modeling, by a
significant reduction (P < 0.05) in time to 50, 63, and 75% of the overall
O2 amplitude
(however, time to 95% was not statistically different; Fig.
2). The onset of the slow component
(i.e., TD2) occurred significantly sooner
(P < 0.05) in the L-NAME than in the
control trial. Furthermore, L-NAME significantly
(P < 0.05) attenuated the magnitude of the O2 deficit irrespective of the model used (see
METHODS) for its calculation (Fig.
3). In Fig. 1 (bottom) the
L-NAME-induced reduction in O2 deficit is
represented by the area between the control and L-NAME
points [i.e., (control
L-NAME) as a function of
time].
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The effect of L-NAME on the
CO2 on-kinetic response was
qualitatively similar to the effect of L-NAME on the
O2 response (Table
2). Specifically, there were no
differences in baseline or end-exercise
CO2 or the primary (i.e.,
A1) and slow component (i.e., A2) amplitudes in
response to L-NAME.
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Although the onset of the
CO2 slow
component occurred sooner (P < 0.05) with
L-NAME in three horses, two of the five horses treated with
L-NAME did not exhibit a
CO2
slow component response (Table 2). In addition, although
CO2 on-kinetics tended to be faster in
the L-NAME than in the control trial (
1 = 35.3 ± 8.8 and 24.6 ± 5.3 s for control and
L-NAME, respectively), the response was not significantly different.
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DISCUSSION |
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This investigation is the first to quantify
O2 on-kinetics during
L-NAME-induced NOS inhibition in the exercising horse. The
data suggest an important role for NO in the regulation of the equine
O2 on-kinetic response during exercise
in the heavy domain. Specifically, as a result of L-NAME
treatment,
O2 on-kinetics were
significantly faster (i.e., reduced
1) and the onset of the slow component occurred significantly earlier (i.e., shorter TD2). These data suggest that NO inhibition of
O2 may be a deterministic factor
contributing to the intrinsic metabolic inertia evidenced at the
dynamic transition to higher metabolic rates in the horse.
Mechanism for Altered
O2 Kinetic
Profile
O2 delivery. It is generally accepted (although not unequivocally so) that NO plays a modest role in skeletal muscle exercise hyperemia (21). Thus, although some investigators have reported that NOS inhibition does not reduce blood flow in exercising human muscle (35, 40), other studies in humans (9) and also in rats (18) and dogs (38) demonstrated significant reductions in the exercise hyperemic response when subjects/ animals were challenged with NOS inhibition. In the present investigation, skeletal muscle blood flow was not measured. However, L-NAME does significantly reduce cardiac output (274 ± 23 and 242 ± 20 l/min for control and L-NAME, respectively, P < 0.05) (23) and concomitantly increases fractional O2 extraction during heavy-domain exercise in the horse, suggesting that skeletal muscle blood flow may be reduced by L-NAME.
At the onset of exercise or increased work rates in humans, there is strong evidence that increases in muscle blood flow precede increases in
O2 (45) and that muscle
O2 fractional extraction falls, such that venous effluent
O2 content rises [albeit transiently (10-15 s)]
(16). During work consistent with moderate-intensity exercise in the dog gastrocnemius muscle, neither elevated
O2 delivery (13) nor a rightward-shifted
O2 dissociation curve (designed to enhance hemoglobin
O2 off-loading) (14) speeds
O2 kinetics. However, in a recent
investigation, Grassi and colleagues (15) determined that
increasing blood flow to the isolated canine gastrocnemius muscle
before electrically stimulated contractions at near-maximal values
resulted in faster muscle
O2
on-kinetics. This study, in combination with the work of others
(12, 25), suggests that if O2 delivery was
reduced by L-NAME, then a resultant slowing of
O2 dynamics may occur during
heavy-domain exercise. However, if this effect was present, it must
have been overcome by the inhibition of oxidative enzyme function
(inertia), and the result was a net acceleration of the
O2 on-kinetic response (see below).
Oxidative enzyme inertia.
Many experiments have supported the notion that the site of control of
O2 kinetics is located within the muscle
(7, 13, 14, 19, 43), and this has been corroborated
recently using a frog myocyte preparation (19).
Specifically, Hogan (19) demonstrated that intramyocyte
PO2 did not fall immediately at the onset of
contractions. Rather, there was a delay of ~13 s followed by a
monoexponential decline to the steady state, suggesting that a delay in
O2 at the mitochondrial level is
responsible, in part, for the delayed
O2
kinetics. Given that there is strong evidence implicating intramuscular
factors in the control (or limitation) of
O2 kinetics, numerous mechanisms could
achieve this control. Potential mechanisms include phosphorylation
state, redox potential, pyruvate dehydrogenase (PDH) activation,
mitochondrial Ca2+ transients, and mitochondrial
PO2. Although there is some suggestive evidence
that dichloroacetate activation of PDH may speed
O2 kinetics at exercise onset in humans
(20, 41), rigorous dissection of the relative importance
of each of the potential controllers listed previously must await
future investigation.
O2 kinetics in humans performing
exercise that is moderate (25) or severe (32)
in intensity.
There are at least three possible mechanisms by which NOS inhibition
may reduce the intrinsic metabolic inertia at the on-transient to
higher metabolic rates. First, it has been reported that NO inhibits
creatine kinase (22). Thus the removal of this inhibition may speed phosphocreatine hydrolysis and ATP turnover and, in turn,
increase
O2 more rapidly. Second,
Howlett et al. (20) demonstrated an increased contribution
of oxidative phosphorylation to ATP demand at exercise onset by means
of PDH activation by dichloroacetate. Given that NO-mediated damage of
PDH has been described in heart mitochondria during
postischemia reperfusion (1), the possibility
exists that NO may inhibit PDH activation at exercise onset. Finally,
as described in the introduction, it is well documented that NO
inhibits
O2 by competitive inhibition of
cytochrome c oxidase in the electron transport chain
(6, 37, 38). Removal of this inhibition may serve to
accelerate mitochondrial O2 flux and thus speed the
O2 on-kinetic response.
Alleviation of NO Inhibition on Net
O2
O2
in exercising horses (31) and humans (35) and
dogs at rest (8). However, some investigations have
reported an elevated
O2 in canine
skeletal muscle at rest (24) and during exercise
(38) after NOS inhibition. In the former study, whole body
O2 remained unchanged (24).
If alterations in net muscle
O2 occurred
in this investigation, this would have been manifested in the pulmonary
O2 values, given that, during
near-maximal exercise, skeletal muscle receives the bulk of cardiac
output (29). Furthermore, unless NO reduces mechanical or
oxidative enzyme efficiency, increases muscle fiber recruitment, and/or
decreases anaerobic contributions to aerobic steady-state exercise
(which are thought to be minimal at best), no readily available
explanation exists for an increased steady-state
O2 under L-NAME conditions.
Mechanisms for Early Onset of
O2
Slow Component With L-NAME
O2
slow component associated with sustained work performed above the
lactate threshold, although the origin appears to be primarily within
the working muscle (11, 34). In contrast to the magnitude
of the slow component, relatively little attention has been afforded to
the temporal displacement of the slow component (i.e., TD2)
from the on-transition to higher metabolic rates (4, 27,
33).
To our knowledge, there is no evidence to suggest that the muscle mass
recruited to perform a given workload is altered by NOS inhibition.
Nevertheless, the likelihood does exist that a population of muscle
fibers may fatigue more rapidly if their O2 delivery is
reduced. Neither the primary (A1) nor the slow component
(A2)
O2 amplitudes were
significantly different between conditions. This suggests that
L-NAME does not cause substantial changes in muscle
recruitment. Moreover, if less-economical type IIb fibers were
recruited earlier during the L-NAME condition, a reduction
in A1 and an increase in A2 with no change in
the time of onset (i.e., TD2) of the
O2 slow component might be expected
(3). Furthermore, recent analysis of
electromyogram frequency and integrated electromyogram in
concert with
O2 determination during
heavy-domain cycle ergometry demonstrated no correlation between the
slow component and altered muscle recruitment patterns (36), in contrast to previous work (39).
As discussed above, evidence presented previously (9, 18, 23,
38) suggests that muscle blood flow was likely to be reduced
during exercise in the L-NAME condition; however, this variable was not measured in the present investigation. Also it is not
known to what degree the matching of O2 delivery to
O2 requirement may have been altered. In
this regard, there was a trend toward elevated venous plasma lactate
with L-NAME, but this was not statistically different
between trials (11.7 ± 4.1 and 13.7 ± 3.4 mM for control
and L-NAME, respectively) (23). Irrespective of the precise mechanism responsible, we believe that the present investigation is the first to demonstrate an experimental condition that results in an acceleration of the onset of the
O2 slow component and suggests that some
component of NO control of mitochondrial function may be deterministic
in setting the onset of the slow component.
To our knowledge, this is the first investigation to quantify the
O2 on-kinetic response in the exercising
horse under control and NOS-inhibited (by L-NAME)
conditions. Although L-NAME did not affect the primary
component or slow component amplitude, the primary
O2 response increased at a greater rate
and the
O2 slow component onset occurred
earlier in horses performing exercise in the heavy domain. Regardless
of the effect of L-NAME on muscle blood flow, these data
suggest that NO may be responsible, in part, for the initial intrinsic
metabolic inertia seen at exercise onset and that this effect may be
mediated by inhibition of mitochondrial
O2.
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ACKNOWLEDGEMENTS |
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The authors thank Mark Brentano and Holly Brown for help with data acquisition.
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FOOTNOTES |
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This investigation was supported in part by grants from the American Quarter Horse Association and the Kansas Racing Commission and National Heart, Lung, and Blood Institute Grant HL-50306.
Address for reprint requests and other correspondence: D. C. Poole, Kansas State University, 1600 Denison Ave., Veterinary Medical Sciences, Rm. 228, Manhattan, KS 66506-5602 (E-mail: Poole{at}vet.ksu.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 8 December 2000; accepted in final form 15 March 2001.
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