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1 Department of Physiology, The University of Melbourne, Parkville, Victoria 3010; 2 School of Health Sciences, Deakin University, Burwood, Victoria 3125, Australia; and 3 Department of Human Biology and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada L8N 3Z5
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ABSTRACT |
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To investigate the influence of heat stress on the regulation of skeletal muscle carbohydrate metabolism, six active, but not specifically trained, men performed 5 min of cycling at a power output eliciting 70% maximal O2 uptake in either 20°C (Con) or 40°C (Heat) after 20 min of passive exposure to either environmental condition. Although muscle temperature (Tmu) was similar at rest when comparing trials, 20 min of passive exposure and 5 min of exercise increased (P < 0.05) Tmu in Heat compared with Con (37.5 ± 0.1 vs. 36.9 ± 0.1°C at 5 min for Heat and Con, respectively). Rectal temperature and plasma epinephrine were not different at rest, preexercise, or 5 min of exercise between trials. Although intramuscular glycogen phosphorylase and pyruvate dehydrogenase activity increased (P < 0.05) at the onset of exercise, there were no differences in the activities of these regulatory enzymes when comparing Heat with Con. Accordingly, glycogen use in the first 5 min of exercise was not different when comparing Heat with Con. Similarly, no differences in intramuscular concentrations of glucose 6-phosphate, lactate, pyruvate, acetyl-CoA, creatine, phosphocreatine, or ATP were observed at any time point when comparing Heat with Con. These results demonstrate that, whereas mild heat stress results in a small difference in contracting Tmu, it does not alter the activities of the key regulatory enzymes for carbohydrate metabolism or glycogen use at the onset of exercise, when plasma epinephrine levels are unaltered.
glycogen phosphorylase; pyruvate dehydrogenase; temperature
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INTRODUCTION |
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EXERCISE IN THE HEAT INCREASES intramuscular glycogen utilization (14-16), pyruvate (24) and lactate accumulation (14, 15, 24, 27, 40), and whole body carbohydrate (CHO) oxidation in the absence of any changes in glucose oxidation (18). In addition, contracting limb respiratory quotient (RQ) is higher when comparing exercise- and dehydration-induced hyperthermia with similar exercise in a euhydrated state (17). In contrast, others (26, 38, 39) have not observed increased glycogenolysis when comparing exercise in the heat with that in a cooler environment. The studies by Nielsen et al. (26) and Young et al. (39) had subjects commence exercise with different glycogen levels when comparing treatments, whereas the study by Yaspelkis et al. (38) used mildly acclimatized subjects and subjected them to a mild heat stress. Taken together, the literature suggests that both glycogen breakdown and CHO oxidation are augmented by heat stress during submaximal exercise, provided the magnitude of the heat stress is severe enough to markedly increase body temperature and subjects commence exercise with similar intramuscular glycogen levels (for review see Ref. 11).
The two key enzymes that regulate CHO metabolism are glycogen phosphorylase (Phos) and pyruvate dehydrogenase (PDH). Phos catalyzes the rate-limiting step of glycogenolysis, converting one glucosyl unit from glycogen and Pi to glucose 1-phosphate. PDH, a multienzyme complex that catalyzes the oxidative decarboxylation of pyruvate to acetyl-CoA, controls the amount of acetyl-CoA able to enter the tricarboxylic acid cycle (22). Both Phos and PDH exist in an active a form and a less active b form. Transformation between these two forms is controlled by kinases and phosphatases. Phosphorylase kinase catalyzes phosphorylation of Phos to its active a form, whereas dephosphorylation of Phos back to its less active b form is catalyzed by phosphorylase phosphatase (33). It has been demonstrated that increased levels of Ca2+ cause transformation (initial activation to a form) of Phos, setting a potential upper limit for glycogenolytic flux (4, 31). Posttransformation (regulation of activation once in a form) of Phos occurs via the availability of substrates (Pi and glycogen) and the presence of positive allosteric modulators such as free AMP (22, 28, 30). PDH kinase and PDH phosphatase regulate the activity state of PDH. PDH kinase phosphorylates and inactivates the complex, whereas PDH phosphatase dephosphorylates and activates the complex (22, 28, 29). The activity of PDH is determined by the amount of the complex in the a form (PDHa) (33).
Although an increase in glycogen use and CHO oxidation during exercise and heat stress is a often observed, the regulatory mechanisms for such an observation are poorly understood (11). It has been demonstrated that the augmented increase in contracting muscle temperature (12, 34) and circulating epinephrine (13, 36) contribute to the exaggerated CHO use observed during exercise in the heat. However, the effects of temperature and/or circulating epinephrine on either Phos or PDH activity have not been widely studied. Theoretically, a rise in temperature would increase the rate of key enzymatic reactions due to the Q10 effect (two- to threefold increase in reaction rates for every 10°C rise in temperature) (11); however, the effect of muscle temperature in vivo on either Phos or PDH activation has not been directly measured. Although our laboratory has recently demonstrated that increased circulating epinephrine increases PDH activation and glycogen use (36), epinephrine infusion does not always result in an increase in glycogenolysis (6, 23, 37). Apart from the direct effects of temperature and/or epinephrine on Phos and PDH activity, it is also important to note that heat stress increases creatine phosphate (PCr) degradation (15), which in turn increases free Pi, a substrate for Phos and pyruvate formation (24), which inhibits PDH kinase, allowing PDH to remain in the a form.
Studies that have demonstrated an effect of heat stress on CHO
metabolism during exercise (14, 15, 17-19, 27) have
been performed at a moderate intensity [60-70% maximal oxygen
uptake (
O2 max)]. Importantly, at this
exercise intensity, both Phos and PDH are fully activated within 1 min
of the onset of exercise (22). Therefore, it is likely
that, during exercise in the heat, enzymatic regulation of CHO
metabolism would occur in the transition from rest to exercise. With
this is mind, the aim of this study was to examine the effect of heat
stress on the activation of Phos and PDH at the onset of
moderate-intensity exercise. We hypothesized that exercise in the heat
would increase the activation of both enzymes, thereby providing a
mechanism for an increase in both glycogenolysis and CHO oxidation.
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METHODS |
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Subjects.
Six healthy, active male subjects volunteered to participate in this
study. Their age, body mass,
O2 max,
and 70%
O2 max workload were 26.0 ± 5.0 (SD) yr, 75.0 ± 6.7 kg, 3.55 ± 0.39 l/min, and
180 ± 30 W, respectively. Subjects participated in some form of
regular weekly aerobic exercise but were not highly endurance trained.
Subjects were informed of all possible risks involved in participation,
and written consent was received from all subjects before
participation. The study was approved by the Human Research Ethics
Committees of The University of Melbourne and Deakin University.
Experimental protocol.
O2 max was determined during an
incremental cycling test to volitional exhaustion on an electrically
braked cycle ergometer (Lode, Groningen, The Netherlands) at
20-22°C. At least 7 days after the
O2 max test, subjects performed one of
two experimental trials. The experimental trials consisted of cycling
for 5 min at a power output corresponding to 70%
O2 max at either 20°C (Con) or 40°C
(Heat) (35% relative humidity for both trials). The order of the two
trials was randomized between subjects, and trials were separated by at
least 7 days. Subjects were asked to consume their normal diet and to
abstain from exercise, caffeine, and alcohol for 24 h before the
two experimental trials. To ensure subjects were in the same
nutritional state for both trials, dietary records were kept for
24 h before their first trial and replicated during the same
period before the second trial. To avoid the confounding effects of
natural heat acclimatization, all trials were conducted in the winter months.
Blood and muscle analyses. Plasma epinephrine was determined with a single-isotope (3H) radioenzymatic assay system (Amersham kit TRK 995, Little Chalfont, UK) as previously described (14). A small piece of frozen muscle (10-20 mg) was removed under liquid N2 for the determination of PDH transformation state (PDHa), as described by Constantin-Teodosiu et al. (7) and modified by Putman et al. (30). The remainder of the muscle biopsy sample was freeze-dried; dissected of all visible blood, connective tissue, and fat; and powdered for subsequent analysis.
One aliquot (3-4 mg) of powdered freeze-dried muscle was extracted for determination of the percentage of Phos in the more active a form via a spectrophotometric assay (6). Briefly, the powdered freeze-dried muscle was homogenized at
25°C
in 200 µl of buffer containing 100 mM Tris, 60% glycerol, 50 mM KF,
and 10 mM EDTA (pH 7.0). Homogenates were then diluted with 800 µl of
the above buffer without glycerol and homogenized further at 0°C. The
homogenate was either added to a reagent in the presence (for total
a + b activity) or absence (a
form) of AMP, and the activities were measured following the production
of glucose 1-phosphate spectrophotometrically at 30°C. The maximal
velocity (Vmax) of total (a + b; Vmax tot) and a
(Vmax a) forms as well as the
percentage of Phos in the a form, which is represented as a
mole fraction of total Phos (a + b), was
calculated from the measured activities described by Chasiotis et al.
(4). Phos a was not measured at rest, because
an accurate resting Phos a value is obtainable only if the
biopsy is held from liquid N2 freezing for >30 s
(5), requiring a separate biopsy. Resting Phos
a has been measured previously and is ~10%
(5).
A second aliquot (1 mg) of freeze-dried muscle was extracted with 250 µl of 2 M HCl, incubated at 100°C for 2 h, and then neutralized with 750 µl of 0.667 M NaOH for subsequent determination of glycogen via an enzymatic analyses with fluorometric detection (29). A third aliquot (6 mg) of freeze-dried muscle was
extracted with 750 µl of 0.5 M perchloric acid-1 mM EDTA and
neutralized with 150 µl of 2.1 M KHCO3. This
extract was used for determination of lactate, ATP, creatine, PCr,
glucose 6-phosphate (G-6-P), and pyruvate by enzymatic
spectrophotometric and fluorometric assays (1,
20). Acetyl-CoA was measured by the radiometric measure as previously described (3).
Calculations. Free ADP and free AMP concentrations were calculated by assuming equilibrium of the creatine kinase and adenylate kinase reactions (10). Free ADP was calculated using the measured ATP, PCr, and creatine content (10), and H+ concentration was estimated from the muscle lactate content according to the regression equation of Sahlin et al. (32). Free AMP was calculated from the ATP concentration and the estimated free ADP. Free Pi was calculated by adding the assumed resting free Pi of 10.8 mmol/kg dry muscle (8) to the values of change in PCr minus change in G-6-P between rest and each exercise time point. All metabolites and the activities of Phos and PDH were normalized to the highest total creatine measurement from the six samples obtained for each subject.
Statistical analysis. All data from Heat and Con were compared with the use of a two-way analysis of variance (time × treatment) with repeated measures. For significant (P < 0.05) effects, pairwise comparisons were made using a Student-Newman-Keuls post hoc analysis. All analyses were performed with Statistica (Stat Soft, Berkley, CA).
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RESULTS |
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Physiological responses.
Resting Tmu was similar when comparing Heat with Con,
averaging 34.2 ± 0.3 and 34.4 ± 0.2°C, respectively.
However, 20 min of passive exposure to heat increased
(P < 0.05) Tmu in Heat compared with Con,
and this difference was maintained throughout exercise such that values
at 5 min of exercise were 37.5 ± 0.1 vs. 36.9 ± 0.1°C for
Heat and Con, respectively (P < 0.05). Tre
was not different at rest, preexercise, or at 1 and 5 min of exercise between the two trials. HR was not different at rest, preexercise, and
5 min of exercise (Table 1).
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Regulatory enzymes.
Phos Vmax tot was similar between trials at
both 1 and 5 min of exercise, but there was a main time effect
(P < 0.05) for
Vmax a when comparing 5 min with 1 min (Table 2). There was no difference at
1 or 5 min of exercise when comparing Heat with Con for either
Vmax tot or Vmax a. The
resulting percentage of Phos in the more active a form was not different at 1 or 5 min of when comparing Heat with Con (Fig. 1). PDHa activity was similar between
Heat and Con preexercise, averaging 0.87 ± 0.06 and 0.76 ± 0.12 mmol · kg wet
muscle
1 · min
1, respectively (Fig.
1). There was no difference in PDHa activity between trials during
exercise. PDHa activity was higher (P < 0.05) at 1 min
of exercise compared with rest. Of note, at 5 min of exercise, PDHa
activation was higher (P < 0.05) when compared with 1 min of exercise and with preexercise, indicating that the activity of
this enzyme was not fully activated at this power output after 1 min of
exercise.
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Muscle metabolites.
Preexercise glycogen concentrations were not different when comparing
Heat with Con, averaging 336 ± 43 and 325 ± 38 mmol/kg dry
muscle, respectively (Table 3). At 5 min
of exercise, glycogen concentrations had decreased (P < 0.05) in both trials, but there were no differences in the
concentration of this metabolite when comparing trials. Preexercise
concentrations of G-6-P, lactate, creatine, PCr, pyruvate,
and ATP were all similar (Table 3). G-6-P, lactate, and
creatine were all higher (P < 0.05) and PCr was lower
(P < 0.05) at 1 and 5 min compared with preexercise concentrations. There were no differences when comparing Heat with Con
for any of these metabolites. Pyruvate and ATP at 1 and 5 min were not
different compared with preexercise concentrations, and there was no
difference between trials. Preexercise acetyl-CoA concentrations were
similar when comparing Heat with Con, and, although there was no
significant increase in acetyl-CoA concentration at 1 min of exercise,
concentrations of this metabolite were higher (P < 0.05) at 5 min of exercise compared with rest. No differences in
acetyl-CoA were observed during exercise when comparing Heat with Con.
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Allosteric activators. Preexercise concentrations of free ADP, free AMP, and free Pi were similar between Heat and Con (Table 3). Concentrations of free ADP, free AMP, and free Pi were higher (P < 0.05) at 1 and 5 min of exercise compared with preexercise, but there was no difference in the concentration of any of these metabolites when comparing trials.
Epinephrine.
Basal plasma epinephrine concentrations were similar when comparing
Heat with Con, and, although concentrations of this hormone increased
(P < 0.05) with 5 min of exercise, values remained
similar when comparing trials (Fig. 2).
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DISCUSSION |
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The results from this study demonstrated that, despite resulting in an increased Tmu, mild heat stress did not increase the plasma epinephrine response or the activation of Phos or PDHa during 5 min of exercise. Consequently, no significant differences in glycogen utilization or muscle lactate accumulation were observed during exercise.
In the present study, no differences in CHO metabolism was observed
when comparing Heat with Con. An obvious difference between the results
from the present study and those reported previously (14, 15, 17,
18, 27) is the exercise duration. Previous studies that have
observed an effect of heat stress on CHO metabolism during exercise
have sampled muscle before and after exercise lasting from 40 to 135 min. It is also important to note that, in a previous study where the
level of heat stress imposed during the hot trial was similar to that
imposed in the present study, no difference in the rate of muscle
glycogenolysis was observed (38). In the present study,
our rationale for examining muscle metabolism at the onset of exercise
was based on the previous findings of Howlett et al.
(22). In this study, both Phos and PDHa activity were
fully activated by 1 min of exercise and remained elevated after 10 min
of exercise at 65%
O2 max. On the basis of these data, we predicted that the effect of heat stress on
these regulatory enzymes must occur within minutes of the onset of
exercise. In contrast with the findings of Howlett et al., in the
present study, PDHa activity was higher when comparing 5 min with 1 min. It is possible, therefore, that had exercise progressed further
than 5 min and the effect of heat stress was exacerbated, we may have
seen differences in PDHa and CHO oxidation when comparing Heat with
Con. This suggestion is purely speculative because the previous studies
that have observed differences in CHO metabolism when comparing
exercise in a cool environment with that in a hot environment had not
examined the effect of heat stress on CHO metabolism and enzyme
activities early in exercise.
Of note, the subjects in the present study, although having
participated in some form of regular weekly aerobic exercise, were not
as highly endurance trained as those subjects recruited in previous
studies. This difference may be important when one examines the
regulation of Phos and glycogen use. Although Ca2+ is
responsible for the initial activation of Phos to its a
form, setting a potential upper limit for glycogenolytic flux (4, 31), posttransformation regulation of activation once in
a form occurs via the presence of positive allosteric
modulators such as AMP (22, 28, 30). It has been
demonstrated that free AMP is reduced with endurance training
(5), and it is therefore possible that, in the present
study, exercise at 70%
O2 max was of
such an intensity that it resulted in marked elevations in positive
allosteric modulators, rendering the environmental condition
unimportant. Indeed, the calculated concentrations of the allosteric
activators of Phos were higher in this, compared with our
laboratory's previous, study in endurance-trained men (15).
Although our laboratory previously observed a marked increase in CHO
oxidation when comparing exercise in the heat with that in a cooler
environment (18), we did not observe any difference in
PDHa in the present study. It is important to note, however, that all
previous studies that have observed differences in CHO oxidation
(14, 15, 18) or contracting leg RQ (17)
during exercise and heat stress have also observed marked differences in circulating epinephrine. Interestingly, when comparing
dehydration-induced heat stress with a euhydrated trial,
Gonzalez-Alonso et al. (17) observed
differences in leg RQ only late in exercise in the dehydration trial
(after 120 min), when plasma epinephrine concentrations were also
different. In contrast, early during exercise (within 120 min), when
the degree of heat stress was not sufficient to result in differences
in the sympathoadrenal response, no differences in CHO oxidation were
observed when comparing trials. In the present study, 5 min of exercise
did not result in differences in epinephrine, glycogen use, or PDHa
activity. Taken together, these data suggest that PDHa may be acutely
sensitive to alterations in epinephrine. In support of this, our
laboratory recently demonstrated that epinephrine infusion increases
PDHa activity and glycogenolysis after 1 and 20 min of exercise at
~60%
O2 max (36). Whether the stimulus for the increase in PDH activity is mediated by a
direct effect of epinephrine on PDH kinase or PDH phosphatase is not
known. Studies in the isolated rat heart demonstrate that epinephrine
increases PDH activity (21, 25) and intramitochondrial Ca2+ concentration (9). In addition,
2-adrenergic stimulation of mouse skeletal muscle
increases tetanic myoplasmic Ca2+ concentration by
enhancing sarcoplasmic Ca2+ release (2). Taken
together, these data suggest that epinephrine may increase PDH
activation via a Ca2+-stimulated activation of PDH
phosphatase. We suggest, therefore, that, during exercise in the heat,
the activation of PDHa is only augmented when the increase in
epinephrine concentrations is exacerbated, ultimately leading to
differences in CHO oxidation. In the present study, this did not occur.
Our laboratory has previously shown that manipulating Tmu
in the absence of any other physiological changes increases glycogen use after 20 min of exercise at 70%
O2 max (34). Our laboratory has also shown that elevated temperature decreased sarcoplasmic reticulum Ca2+ reuptake in vitro
(35), which may result in an increase in cytosolic
Ca2+, which can activate Phos (33).
In the present study, despite a higher Tmu at 0 min, due to
the passive exposure, and at 1 min and 5 min of exercise in Heat
compared with Con, neither Phos nor glycogenolysis was different. It is
important to note, however, that in the present study the difference in
Tmu at 5 min was 0.6°C, whereas, in our laboratory's
previous experiment where Tmu was manipulated, the
difference at the onset of exercise was 6.9°C (34). This
indicates that the magnitude of difference in Tmu in the
present study was not sufficient to result in changes in CHO metabolism.
In summary, our data demonstrate that, whereas heat stress resulted in a small difference in contracting Tmu during 5 min of exercise, it was not sufficient to result in major physiological changes such as an altered sympathoadrenal response. As a consequence, the activity of the key regulatory enzymes for CHO metabolism or glycogen use were not different at these times. We hypothesize, therefore, that as exercise in the heat progresses and differences in circulating epinephrine become greater, the activity of CHO regulatory enzymes is augmented, leading to differences in CHO use. Further research examining PDH and Phos activity progressively throughout prolonged exercise in the heat is required to test this hypothesis.
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ACKNOWLEDGEMENTS |
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The authors acknowledge the technical assistance of Drs. Rod Snow and Damien Angus.
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FOOTNOTES |
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This study was supported by The Australian Research Council.
Address for reprint requests and other correspondence: M. Febbraio, Dept. of Physiology, The Univ. of Melbourne, Parkville, Victoria 3010, Australia (E-mail: m.febbraio{at}physiology.unimelb.edu.au).
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 23 April 2001; accepted in final form 5 July 2001.
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