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J Appl Physiol 93: 2059-2069, 2002. First published August 30, 2002; doi:10.1152/japplphysiol.00446.2002
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Vol. 93, Issue 6, 2059-2069, December 2002

Dynamics of intramuscular 31P-MRS Pi peak splitting and the slow components of PCr and O2 uptake during exercise

H. B. Rossiter1,2, S. A. Ward3, F. A. Howe4, J. M. Kowalchuk5, J. R. Griffiths4, and B. J. Whipp1,3

Departments of 1 Physiology and 4 Biochemistry, St. George's Hospital Medical School, Tooting, London SW17 0RE; 3 Centre for Exercise Science and Medicine, University of Glasgow, Glasgow G12 8QQ, United Kingdom; 5 The Center for Activity and Ageing, School of Kinesiology, and Department of Physiology, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; and 2 Department of Medicine, Division of Physiology, University of California, San Diego, CA, 92093-0623


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

The dynamics of pulmonary O2 uptake (VO2) during the on-transient of high-intensity exercise depart from monoexponentiality as a result of a "slow component" whose mechanisms remain conjectural. Progressive recruitment of glycolytic muscle fibers, with slow O2 utilization kinetics and low efficiency, has, however, been suggested as a mechanism. The demonstration of high- and low-pH components of the exercising skeletal muscle 31P magnetic resonance (MR) spectrum [inorganic phosphate (Pi) peak] at high work rates (thought to be reflective of differences between oxidative and glycolytic muscle fibers) is also consistent with this conjecture. We therefore investigated the dynamics of VO2 (using a turbine and mass spectrometry) and intramuscular ATP, phosphocreatine (PCr), and Pi concentrations and pH, estimated from the 31P MR spectrum. Eleven healthy men performed prone square-wave high-intensity knee extensor exercise in the bore of a whole body MR spectrometer. A VO2 slow component of magnitude 15.9 ± 6.9% of the phase II amplitude was accompanied by a similar response (11.9 ± 7.1%) in PCr concentration. Only five subjects demonstrated a discernable splitting of the Pi peak, however, which began from between 35 and 235 s after exercise onset and continued until cessation. As such, the dynamics of the pH distribution in intramuscular compartments did not consistently reflect the temporal features of the VO2 slow component, suggesting that Pi splitting does not uniquely reflect the activity of oxidative or glycolytic muscle fibers per se.

O2 uptake kinetics; magnetic resonance spectroscopy; exercise; intramuscular pH; Pi peak splitting; phosphocreatine


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

THE PULMONARY OXYGEN UPTAKE (VO2) response to dynamic muscular exercise has been characterized with the use of various dynamic forcing regimes and at various intensities (e.g., Refs. 2, 8, 19, 22, 25, 33, 35, 38, 54). This has allowed both estimation of the systems' parameters and attempts to elucidate features of the physiological control mechanisms.

During the on-transient of high-intensity cycle ergometry exercise, the dynamics of VO2 depart from monoexponentiality (as expressed in the moderate-intensity domain) as a result of a slowly developing supplementary component of delayed onset (25, 52). This may be termed the "excess" VO2 (43) or the "VO2 slow component" (55). The VO2 slow component constitutes an inefficiency of force production as the greater O2 requirement of constant work rate (W) results in an increased "gain" of response (i.e., Delta  VO2/Delta W). This inefficiency is manifest even without accounting for the simultaneous anaerobic energy-contributions to the energy transfer. The VO2 slow component can cause VO2 to climb inexorably toward the maximum VO2 and therefore contributes to limiting exercise tolerance. Reductions of the VO2 slow component have been demonstrated after interventions such as training (37) or when preceded by a bout of high-intensity exercise (8, 15, 22, 29).

The mechanisms underlying this slow component have been the focus of much recent attention; however, they remain conjectural. The time course and magnitude of such potential mediators as increased catecholamines (14), increased body (predominantly muscle) temperature (21), and ventilation (50) have been shown not to be well matched to those of the VO2 slow component. Altered proportional utilization of the malate-aspartate and the alpha -glycerophosphate shuttles in type I and type II muscle fibers has been suggested as a possible mechanism (55), as has increased respiratory, cardiac, and/or unmeasured work from auxiliary muscles with increased W (Refs. 7, 50; although epinephrine-induced hyperpnea had no influence on VO2 during heavy exercise; Ref. 14). Interestingly, the characteristics of the blood lactate concentration ([Lac]) response to high-intensity exercise have been shown to correlate well with those of the VO2 slow component, and under interventions such as training (37) both responses are reduced, suggesting that lactate may be involved in the mediation of the VO2 slow component. However, Poole et al. (39) were unable to increase the VO2 response by lactate infusion in working dog gastrocnemius; in addition, Roth et al. (44) could demonstrate no influence on recovery VO2 of blood lactate being experimentally increased to 4 or 5 mM.

Perhaps the most persistent theory is that the VO2 slow component is a consequence of the progressive recruitment of fast-twitch, type II muscle fibers. These have been suggested to constitute a higher proportion of the recruited fibers as W increases (17), to have a high energy cost of force production, and to evidence slow O2 utilization kinetics in vitro (10). The latter contentions, however, have been challenged during cycle ergometry in humans (4).

Yoshida and Watari (59, 60) and Mizuno et al. (28), among others, have described the existence of high- and low-pH regions within skeletal muscle during high-intensity exercise, discerned from the Pi peak characteristics by using phosphorus magnetic resonance spectroscopy (31P-MRS). These high- and low-pH regions can be discerned from a splitting of the Pi peak, which is manifest by the low-pH Pi peak apparently emerging from the high-pH Pi peak during exercise; it, therefore, indicates a fall in the average intramuscular pH. These authors have suggested that these regional pH differences are consistent with differences between oxidative and glycolytic muscle fibers (i.e., a high-pH region consistent with predominantly aerobic, type I, fibers and a low-pH region consistent with acid-producing, type II, fibers). We therefore wished to examine the dynamic features of the 31P-MRS spectrum proposed to reflect fast-twitch, type II fiber recruitment (e.g., Pi peak splitting) in concert with those of VO2 in exercising humans, with particular reference to the development of the VO2 slow component.


    METHODS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Eleven healthy men [age 26 ± 11.2 yr (mean ± SD); range 20-59; height 186 ± 4.3 cm; mass 89.9 ± 10.1 kg] provided informed consent (as approved by the Local Research Ethics Committee) to participate in the study and were cleared to exercise inside the bore of the magnetic resonance scanner. Each subject initially performed comprehensive habituation tests in the Laboratory of Human Physiology in the same prone position and using the same ergometer (see below) as used for the 31P-MRS studies. This allowed both 1) subject familiarization and 2) selection of the appropriate high-intensity work rates for the subsequent 31P-MRS experiments, i.e., a level that caused the subject to fatigue after ~10 min.

The methods employed here have been described previously by Rossiter et al. (41). Briefly, simultaneous determinations of pulmonary VO2 and intramuscular phosphocreatine (PCr) concentration ([PCr]) were made from 44 experiments (on an average of 4 visits by each subject, with each test on a separate day). Subjects lay prone inside the bore of the 1.5-T superconducting magnet (Signa Advantage, GE, Milwaukee, WI) with their feet suspended in the rubber stirrups of a custom-designed, plastic insert into the magnet bore (56). This ergometer permitted high-intensity exercise to be undertaken by means of rhythmic alternate-leg knee extensions of constant excursion and frequency (in response to an audible cue). The required work rate for each subject could be estimated (~W) by using the known elastic coefficient of the rubber stirrups; these ranged between 60 and 120 W among all the subjects (see Ref. 56). The contraction phase of the knee extensors of the nondominant leg was synchronized to occur in unison with the 31P-MRS interrogation of the quadriceps of the relaxed dominant leg. The subject was strapped down to the scanner table by means of a nondistensible strap placed over the hips.

Subjects performed high-intensity square-wave exercise of 4 min at rest, 6 min of exercise, and 6 min rest (recovery). The number of repeats required for each subject was governed by the extent to which increasing test repeats improved the overall signal-to-noise characteristics of the averaged VO2 and [PCr] responses, thereby allowing appropriate convergence and confidence limits (24, 40) for the subsequent parameter estimation procedures.

31P-MRS sequence. A one-pulse 31P-MRS acquisition was employed by using a surface radio frequency (RF) coil (8-in. transmit and 5-in. receive) tuned to a frequency of 25.85 MHz for phosphorus placed under the quadriceps muscle of the dominant leg midway between the knee and hip joint (56). The coil was securely fastened to the table; this, together with the hip strap, ensured that the region of interest (ROI) in the muscle from which the 31P spectra were acquired was always in the same position relative to the coil at the time of each signal acquisition.

Initially, a series of axial gradient-recalled echo images of the thigh was acquired to confirm the correct RF coil position. Shimming (optimization of the magnetic field homogeneity) was performed by using the proton signal of muscle water over the ROI. The 31P-RF excitation pulse was set at a level to give maximum [PCr] signals at 1,875 ms repetition rate from an 80-mm-thick axial slice of muscle. Free induction decays for 31P spectra were collected every 1,875 ms throughout the entire square-wave exercise test protocol (rest-exercise-recovery) with a spectral width of 2,500 Hz and 1,024 data points. 31P-MRS data were averaged over eight acquisitions (providing a 31P spectrum every 15 s) to estimate the relative signal intensities of the three ATP peaks (alpha , beta , and gamma ), PCr, and Pi every 15 s.

Signal intensities, frequencies, and line widths of each resonance were calculated (as a batch job) by means of the time-domain variable-projection fitting program VARPRO (49), by using the appropriate prior knowledge of the ATP multiplets (45). The T1 (longitudinal relaxation time) saturation factor was assumed to remain constant for each resonance throughout the experiment. Intramuscular pH was estimated from the chemical shift of the Pi peak relative to the PCr peak in the 31P spectrum using the relationship determined by Moon and Richards (27)
pH = 6.75 + log <FENCE><FR><NU>&dgr; − 3.27</NU><DE>5.69 − &dgr;</DE></FR></FENCE> (1)
where delta  is the chemical shift of the Pi peak relative to the PCr peak.

Pulmonary gas exchange measurement. VO2 was determined breath by breath (Clinical and Scientific Equipment, Gillingham, Kent, UK) simultaneously with the phosphate metabolite determination, by use of the algorithms of Beaver et al. (5), as previously described by Whipp et al. (56). Inspired and expired volume was measured by a custom-designed nonmagnetic turbine and a volume-measuring module (VMM, Interface Associates, Laguna Niguel, CA). This was calibrated with a 3.0-liter syringe before each experiment (Hans Rudolph, Kansas City, MO). The concentrations of respired gases (O2, CO2, and N2) were measured by use of a quadrupole mass spectrometer (QP9000, CaSE, Gillingham) calibrated against precision-analyzed gas mixtures. Gas was drawn continuously from the mouthpiece along the extended 45-ft capillary sampling line, which had a 5-95% rise time of <80 ms and a transit delay of 1,900 ms (56).

Kinetic analyses. The kinetic analyses were performed on the VO2, [PCr], and [Pi] responses by nonlinear least-squares fitting (Origin, Microcal; similar to previous studies, Refs. 40, 41). The [PCr] data were converted to changes relative to the resting baseline (%Delta ), which was taken as 100%. Occasional outlying data points (outside 4 SD) were initially edited (41), after which the repeated exercise responses were time aligned (exercise onset corresponding to time zero), interpolated on a second-by-second basis, and averaged (10 s for VO2 and 15 s for [PCr] and [Pi]) for each subject.

The fundamental responses of the VO2, [PCr], and [Pi] on-transients were modeled as being monoexponential, beginning at time zero (for [PCr] and [Pi]) or after the "cardiodynamic" or phase I duration (for VO2)
&Dgr;PCr<SUB>(<IT>t</IT>)</SUB> = PCr<SUB>0</SUB> − &Dgr;PCr<SUB>ss</SUB>[1 − <IT>e</IT><SUP>−<IT>t</IT>/&tgr;</SUP>] (2)

&Dgr;P<SUB>i (<IT>t</IT>)</SUB> = P<SUB>i 0</SUB> + &Dgr;P<SUB>i ss</SUB>[1 − <IT>e</IT><SUP>−<IT>t</IT>/&tgr;</SUP>] (3)

<A><AC>V</AC><AC>˙</AC></A><SC>o</SC><SUB>2 (<IT>t</IT>)</SUB> = <A><AC>V</AC><AC>˙</AC></A><SC>o</SC><SUB>2 0</SUB> + &Dgr;<A><AC>V</AC><AC>˙</AC></A><SC>o</SC><SUB>2 ss</SUB>[1 − <IT>e</IT><SUP>−(<IT>t</IT> − &dgr;)/&tgr;</SUP>], (4)

 phase I − phase II ≤ <IT>t</IT> = 360
where VO2 0, PCr0, and Pi 0 are the values of VO2, [PCr] and [Pi] at time (t) = 0; Delta VO2 ss, Delta PCrss, and Delta Pi ss are the asymptotic values to which VO2, [PCr], and [Pi] are assumed to project; tau  is the time constant of the responses; and delta  is a delay term similar to (but not equal to) the phase I-to-phase II transition time (e.g., Refs. 54, 24). Because the responses of [PCr] and [Pi] would not be expected to display a cardiodynamic phase, the delta  term was not included in the model for these variables; we have previously found that delta  does not significantly differ from zero for [PCr] (42). The confidence limits for the parameter estimation (40) and the chi 2 value were also obtained; confidence was set at 95% and tolerance at 5% (i.e., P <=  0.05). The off-transients of [PCr] and VO2 have been previously described (42); however, the off-transient of [Pi] was fit in a similar manner to the on-transient described above (see Ref. 42 for further details).

The fitting strategy was designed to identify, a posteriori, the onset of a putative delayed "slow component" in the response profiles (41). The fitting window extended from exercise onset (i.e., from t = 0 s for [PCr] and [Pi] and t = time at the end of phase I for VO2) initially only 60 s into the exercise. The window was lengthened iteratively, until the exponential model fit demonstrated a discernible departure from the measured response profiles. Two alternative indexes were used to determine the goodness-of-fit: 1) the maintenance of a flat profile of the residual plot (i.e., signifying a good fit to measured data), as judged by visual inspection, and 2) the demonstration of a local "threshold" in the chi 2 value. This allowed estimation of the fundamental steady-state value for VO2 [PCr] and [Pi]. The magnitude of the slow component for VO2 [PCr] and [Pi] was then estimated from the steady-state amplitude of the fundamental (i.e., Delta VO2ss, Delta [PCr]ss, and Delta [Pi]ss) and the amplitude of the final value, averaged from the last 15 s of the response (termed Delta VO2end, Delta [PCr]end, and Delta [Pi]end). Thus the percentage contribution of the slow component to the total response of variable y is equal to [(Delta yend - Delta yss)/Delta yss] × 100.

The differences between parameter values were examined by Student's t-test or ANOVA with Scheffé's post hoc testing where appropriate. The significance of all the fits to the responses was also estimated by using the chi 2 goodness-of-fit test. Values are given as means ± SD, or 95% confidence intervals (C95) where indicated, and a P value of <0.05 was used as the criterion for the rejection of the null hypothesis.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

[PCr] and VO2. We found no evidence of alterations in the three phosphoryl residues of ATP (alpha , beta , and gamma ) throughout the rest-exercise-rest protocol; however, the [PCr], which began to decrease at the onset of exercise with no discernable delay, continued to fall throughout the exercise bout, i.e., with no steady state being attained. As such, a monoexponential fit to the [PCr] response to high-intensity exercise was, as expected, not adequate to characterize the response (Fig. 1A) and, therefore, the fit was limited to the fundamental exponential region (see Kinetic analyses for methods; Fig. 1B). This was also the case for the on-transient of the VO2 response (Fig. 1A). The fundamental tau  values for [PCr] and VO2 were not different from each other and averaged 39 ± 5 and 42 ± 6 s, respectively. The C95 limits for parameter estimation were established to within, on average, 6 s.


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Fig. 1.   Example of O2 uptake (VO2; ) and phosphocreatine concentration ([PCr]; open circle ) responses to high-intensity constant-load exercise in a typical subject. The overlaid models demonstrate that the kinetics of both variables are not well fit by a monoexponential to the entire response (A), but the fundamental components of VO2 and [PCr] are well fit by a monoexponential (B) (see METHODS for fitting procedures). * Onset of the slow component.

The mean fall of [PCr] during the slow-component region of high-intensity exercise averaged 11.9 ± 7.1% of the fundamental amplitude with the corresponding magnitude of the slow component of VO2 averaging 15.9 ± 6.9%, i.e., ~130 ml/min. These were not different from each other; however, there was a large variability of responses among subjects. The estimated time of onset of the slow components were 227 ± 39 s for [PCr] and 223 ± 33 s for VO2; these were not significantly different.

Intramuscular [Pi]. The [Pi] response during high-intensity exercise was more complex than the simple inverse of [PCr] unlike the moderate intensity (3); furthermore, the [Pi] response was not consistent between subjects. During high-intensity exercise, two [Pi] peaks were manifest, suggestive of both a high- and a low-pH regions of the ROI, but unlike previous reports (59, 60) this was not consistently the case and occurred in 5 of the 11 subjects. Two stack-plot examples of the responses are shown in Fig. 2, top. Fitting these peaks as separate regions of the 31P-MRS spectrum proved problematic because the smaller (higher frequency) peak emerged out of the larger (low-frequency) peak. However, fitting each spectrum "manually" with the VARPRO fitting software (rather than automatically as a batch job) enabled a time course of the splitting process to be estimated; the onset of the [Pi] peak splitting averaged 121 ± 82 s and varied between 35 and 235 s after exercise onset in the five subjects and did not correlate to the time of the onset of the [PCr] or VO2 slow components. In fact, in only 1 of the 11 subjects were the three events temporally related; the emergence of a second [Pi] peak occurred at 235 s, with the VO2 and [PCr] slow components emerging at 210 s and 248 s, respectively (with an average resolution of 15 s). At exercise cessation, [Pi] fell to values below that of the preexercise baseline (on average 39% of the preexercise baseline; range 0-74%); however, in 4 of the 11 subjects this was so extreme that the [Pi] peak could actually not be resolved from the noise in the 31P spectrum. This resulted in [Pi] estimates of 0% of the baseline resting value. This off-transient behavior of [Pi] has previously been described by Bendahan et al. (6; see discussion).


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Fig. 2.   Top: Pi frequency distribution (Pi at rest centered at approximately -5 ppm) in the phosphorus magnetic resonance spectroscopy (31P-MRS) spectra during the rest-exercise-recovery protocol; * onset of Pi peak splitting. Middle: kinetics of calculated intramuscular pH. , Pi-weighted average of intramuscular pH; triangle , pHhi, calculated from high-pH Pi peak; down-triangle, pHlo, calculated from low pH Pi peak. Bottom: [PCr] () and VO2 kinetics (open circle ). A: subject without Pi peak splitting. B: subject with Pi peak splitting.

The total [Pi] response (i.e., the integral of the single or double peaks depending on the individual response) was not consistently well fit simply by an exponential (as such it is not appropriate to report a tau  value for it), and neither did it consistently demonstrate a clear fundamental and slow component, as was the case for [PCr]: representative examples of subjects expressing a single or a split Pi peak are shown in Fig. 3. Figure 3A shows a typical example in which the [Pi] rose rapidly over the first ~45 s of exercise, before decreasing by a magnitude that varied among subjects, often, but not exclusively, to attain a new steady state. The example in Fig. 3B shows how the two regions of the [Pi] response sum to give a total [Pi] response. This also was not consistently well fit by an exponential; however, accounting for the two Pi peaks often improved the fit, as demonstrated here. It was not possible, however, to provide a single typical characterization of the temporal responses of the two [Pi] peaks (in subjects who expressed a split Pi peak) because the peak split at such a wide range of time after exercise onset (35-235 s). However, the amplitudes of the two peaks were more consistent by the end of the exercise, with the high-pH region averaging 69 ± 7% of the total. Consequently, because of the variability of the [Pi] response, even when the model fit was restricted to the early phase of response (as with VO2 and [PCr]), the exponential model did not provide a good fit to the data in most cases. Interestingly, however, the off-transient was better fit by a single exponential, when possible (i.e., when [Pi] did not fall to functionally zero) with a tau  of 43.9 ± 12.1 s and C95 of 3.5 ± 1.7 s (n = 7).


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Fig. 3.   Typical responses of Pi concentration ([Pi]) to high-intensity constant-load exercise in a subject with a single Pi peak (A) and a subject with a split Pi peak (B). The model fitted is a monoexponential beginning at the onset of exercise; this did not adequately characterize the response in every case (e.g., A).

The group means of the Pi line width, differentiated by whether the Pi peak could be resolved as two components or not, are given in Fig. 4; the PCr line width is also included for comparison. In all cases, an increase in the Pi peak line width occurred during exercise, whereas the PCr line width remained constant. In both groups, the exercise-induced broadening of the Pi line width became significantly different (P < 0.05, ANOVA) from the resting value during the third minute of exercise. This suggests that the [Pi] may be present in at least two regions of differing pH and that within these regions there is also an increase in the variance of pH values.


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Fig. 4.   Group mean line width of Pi (A) and PCr peaks (B) for the subjects that expressed a split Pi peak (open symbols) and those subjects with a single Pi peak (solid symbols). Note that when a split-Pi is expressed the line widths of the pH high and pH low regions are fixed at the same value in the model fit.

Intramuscular pH. Estimation of the pH was complicated by the nonconsistent behavior of the [Pi] peak. Of the five subjects who expressed a clearly discernable splitting of the [Pi] peak, two "regional" pH values were estimated (the Pi peak amplitude, the weighted average of which was used to calculated the mean pH for each subject). The lower of the two pH regions (pHlo) averaged 6.62 ± 0.13 in the five subjects and the higher of the two regions (pHhi) averaged 7.05 ± 0.04. Figure 2 (middle) shows the responses from two subjects; one without (A) and one with (B) Pi peak splitting. The off-transient dynamics of pH were similarly problematic, because the characteristic fall of [Pi] to values below resting during the off-transients resulted in difficulties in resolving the peak center and hence the chemical shift. At the off-transient, accurate estimates of pHhi and pHlo were complicated by the disappearance of [Pi] in the spectrum.

With appropriate analysis to take into account the splitting behavior of the Pi peak, the mean intramuscular pH followed a similar time course in all 11 subjects (similar to the individual examples in Fig. 2). For the 4 min at rest before exercise, the intramuscular pH averaged 7.06 ± 0.03 (Table 1). At the onset of exercise, there was typically an alkaline shift in the overall pH that peaked (average 7.12 ± 0.04) after ~30-45 s. This was followed by a progressive acidosis, causing pH to fall to an average of 6.95 ± 0.09 by the end of the exercise. Those five subjects who expressed a split Pi peak had a significantly lower end-exercise mean pH than those subjects who maintained a single Pi peak, presumably owing to a weighting of the pHlo region. Thus the change in pH in these five subjects between the onset and end-exercise values (SD) averaged -0.2 pH units (0.07) compared with -0.1 (0.05) in the other six subjects.

                              
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Table 1.   Parameters of the VO2 and 31P-MRS responses to high-intensity square-wave exercise

Comparison of pH distribution (Pi frequency distribution) and VO2 kinetics. Despite the heterogeneity in the splitting of the Pi peak during high-intensity exercise, the corresponding VO2 responses all showed a slow component. Two examples are given in Fig. 2, demonstrating that the existence of a VO2 slow component (Fig. 2, bottom) was not dependent on a split Pi peak (Fig. 2, top). Of the subjects who did show a separate "region" of Pi corresponding to pHlo, the average VO2 slow component was greater in magnitude than those who expressed a homogeneous Pi response. However, whereas the "splitting" group showed a VO2 slow component of 18.1 ± 6.8%, the "nonsplitting" group still expressed a marked VO2 slow component of 14.1 ± 7.0%; these were, however, not statistically different. Only the pH decrement (Table 1) was different between the groups (presumably because of the greater influence by the pHlo region in the subjects with a split Pi peak), but this did not correlate to the existence or absence of [PCr] or VO2 slow components. The parameters and variables distinguished by group (i.e., split Pi peak compared with single Pi peak) are given in Table 1.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

The contention that the high-intensity-exercise-induced VO2 slow component is due to progressive recruitment of fast-twitch, type II muscle fibers remains to be conclusively confirmed or refuted. In this study, we observed features of the intramuscular 31P-MRS spectrum during exercise that have been suggested (e.g., Refs. 59, 60) to reflect fast-twitch fiber recruitment, and we have attempted to clarify their relationships with the VO2 slow component. Repeated and simultaneous measurements allowed determination of the kinetics of the 31P-MRS spectra and VO2 to be made with sufficient confidence to allow the comparisons to be meaningful (e.g., Refs. 24, 40). The results, however, suggest that either 1) fast-twitch, type II fiber recruitment is not required to elicit a VO2 slow component or 2) the split Pi peak does not necessarily reflect recruitment of fast-twitch muscle fibers. We favor the latter suggestion because other features of the 31P-MRS spectrum, such as the [PCr] slow component (which were closely coupled to VO2 slow component) and progressive Pi line-width broadening, may be considered consistent with progressive recruitment of lower efficiency muscle fibers (such as type II).

Dynamic coupling of the VO2 and [PCr] responses. The VO2 slow component may be regarded as a characteristic dynamic feature of the VO2 response to heavy- and very-heavy-intensity exercise (33) that is superimposed on to what may be termed the "fundamental" response to a step increase in work rate (2, 35, 39, 53). The potential mechanisms determining the VO2 slow component have previously been reviewed (55) and have been investigated in our laboratory in relation to intramuscular [PCr] responses (41, 42); however, its precise mechanism(s) remain(s) poorly understood. Poole et al. (38) have demonstrated that the time course of the VO2 slow component was significantly associated with VO2 across the exercising limb, such that, on average, ~86% of the slow component of VO2 arose in the exercising muscle. Other authors (e.g., Refs. 7, 32), however, have suggested a more significant role of increases in unmeasured work done by the arms and other stabilizing muscles during heavy-intensity cycling exercise or a greater contribution from cardiac and/or respiratory muscle work during high-intensity exercise (9, 50). A further suggestion (e.g., Ref. 55) is that a progressive recruitment of fast-twitch, low-efficiency muscle fibers causes the VO2 slow component during high-intensity exercise. The findings of Poole and colleagues (36, 37), that Delta [Lac] and arterial pH were well correlated with the VO2 slow component is consistent with this notion; that is, it is a manifestation of the recruitment of fast-twitch, type II fibers that are predominantly glycolytic and hence highly acid producing. Also further suggestions by Casaburi et al. (9) and Poole et al. (37) that training reduces both the VO2 slow component and the Delta [Lac] responses to a specific work rate may be interpreted as a smaller reliance on fast-twitch, type II muscle fiber contribution to force production in the trained state.

The findings from this study, that the [PCr] response to high-intensity exercise also manifests a slow-component-like fall of similar time course and magnitude to that seen in the simultaneously determined VO2 kinetics, are consistent with previous findings from this laboratory (e.g., Refs. 41, 42) that the VO2 slow component is a reflection of "excess" O2 consumption (cf. Ref. 38). Similar to findings in cycle ergometry (e.g., Refs. 2, 8, 33, 35), these data demonstrate that the VO2 slow component is superimposed on the fundamental response in the knee extensor exercise model, causing a reduction in the O2 utilization efficiency of the muscular work (or an increase in gain, i.e., Delta VO2/Delta W). This kinetic feature of [PCr] metabolism suggests that the low efficiency of high-intensity exercise is more a manifestation of a high phosphate cost of force production rather than a high O2 cost of phosphate production (42). This notion is also consistent with the findings of Crow and Kushmerick (10) in mouse muscle, that fast-twitch muscle fibers are kinetically slow and have a low oxidative efficiency. This notion (10), however, has thus far not been demonstrated in human muscle and has been challenged by Barstow et al. (4), who suggest that during cycle ergometry in humans fast-twitch muscle fibers express a low fundamental gain: that is, express a low O2 consumption-to-force production ratio. Nevertheless, the progressive reduction in pH in the present study, coupled with the manifestation of an intramuscular [PCr] slow component, suggests that acid-producing fibers with poor energetic efficiency may be contributing to force production during this high-intensity exercise.

[Pi] response to high-intensity exercise. The surprising finding that the [Pi] kinetics were not consistently well modeled by an exponential function for the fundamental region (as was the case for [PCr]) may be explained by physiological and/or methodological mechanisms. Other authors have suggested that the [Pi] response to moderate-intensity exercise is well characterized by an exponential (3). However, the work rates in that study would have been unlikely to give rise to large changes in intramuscular pH or large alterations in the rate of glycolytic flux. High-intensity exercise in this study, by contrast, did lead to a progressive acidosis, which is suggested to be predominantly due to a significantly increased rate of glycolysis and hence lactate production. This may have a number of potential consequences on the 31P-MRS estimation of [Pi]. First, Bendahan et al. (6) have suggested that [Pi] may become trapped in the glycogenolytic pathway as determined by changes in the phosphomonoester (PME) concentration ([PME]). They noted that the postexercise undershoot of [Pi] could be accounted for by a buildup in [PME], a feature consistent with our findings. This notion is in accordance with the findings Duboc et al. (11) that the sequestering of Pi in the glycolytic chain as PME occurs during exercise but also at rest in subjects with enzyme deficiencies (e.g., of phosphofructokinase), although the total (i.e., [Pi] + [PME]) appears to be unchanged (6). Because [PME] increased throughout the 3 min of exercise in the study of Bendahan et al. (6), it is reasonable to assume that Pi-to-PME trapping may persist throughout the 6 min of exercise in the present study and that the high-intensity nature of the exercise (and hence the presumably high glycolytic flux) may exacerbate the flux of Pi to PME. Unfortunately, [PME] is not easily detectable at 1.5 T [Bendahan et al. (6) used 4.7 T for increased signal-to-noise], and as such we have no measure of this possible trapping. However, because of the (sometimes extreme) undershoot in [Pi] that we observed in recovery (range of the [Pi] asymptote was 0-74% of the resting baseline), it is likely that Pi disappears from the MRS-visible pool consequent to exchange with PME. This could lead to the nonexponential behavior that was typical of the [Pi] response to high-intensity exercise in this study. Furthermore, the more consistent exponential response of [Pi] in recovery supports this notion. Others (e.g., Ref. 51) have suggested that Pi may be taken up by the sarcoplasmic reticulum, a mechanism linked closely to the fatigue process; however, no measure of this was made in this study.

Another potential effect of pH on [Pi] estimation by MRS is a methodological concern. Newcomer and Boska (30) have attempted to elucidate the changes in T1 relaxation times of PCr and Pi on transition from rest to exercise at 1.5 T by using 90 s of voluntary submaximal isometric plantar flexion exercise. The fact that, in our experiments, the PCr and Pi signals are partially saturated (to maximize the temporal frequency of sampling) may cause measurement errors if the T1 of these variables changes significantly during exercise. The findings of Newcomer and Boska suggest that T1 for PCr may be reduced by up to 20%. However, these changes all occurred within the first sampling point (i.e., <10 s), which would result in little or no effect on the estimation of the time constants of subsequent PCr kinetics. The T1 for Pi, however, was found to increase by ~60% on transition to exercise and subsequently fall gradually throughout exercise. This alteration of T1 for Pi was found to be significantly correlated to pH; a 0.1-pH unit reduction reduced the T1 by ~50%. This suggests that [Pi] determination using partially saturated signals is only valid when the pH is stable. This isometric exercise modality is likely not to be directly applicable to our dynamic knee extensor exercise because, for example, changes in other ions and molecules would be expected to alter the Pi T1, e.g., [PCr] and Mg2+ (12, 23, 26). Also, the effect would be likely to be manifest in the opposite direction in recovery, whereas we found more consistent exponential behavior during the recovery phase. To our knowledge, the relevant studies for rhythmic exercise have not yet been made.

Intramuscular features of the 31P spectrum consistent with fast-twitch fiber recruitment. Although the estimation of [Pi] is problematic, its frequency in the 31P-MRS spectrum may be used as a valid estimate of intramuscular pH (27). In the present study, the intramuscular pH profile was consistent among subjects when considered as a single manifestation of the average pH within the ROI (Fig. 2, middle). The profile showed a progressive acidification such that the end-exercise pH averaged 6.95 compared with the preexercise baseline value of 7.06. The magnitude of the fall of pH, however, showed no correlation to the magnitude of VO2 slow component or the [PCr] slow component, suggesting that low pH per se may not evoke a VO2 slow component. This relationship was not improved if only the slow-component regions were considered (i.e., comparing the Delta VO2 from the fundamental asymptote to the end of the exercise and the simultaneously determined pH).

However, as for the example in Fig. 2, 5 of the 11 subjects expressed a split Pi peak. A split Pi peak has been previously reported (e.g., Refs. 20, 47, 59, 60) and has been proposed to be due to mechanisms such as pH differences of active and inactive muscles in the ROI (20, 47); differences of force contribution from various muscle motor units; and, perhaps most interestingly, differences between oxidative and glycolytic muscle fibers (1, 34, 48, 59). Yoshida and Watari (59, 60) investigated the time course of the Pi splitting during progressive exercise to fatigue and concluded that, because the low-pH-domain Pi peak appears with increasing exercise intensity, the splitting might be attributable to the delayed recruitment of type II muscle fibers. However, observations of the Pi behavior from our present study suggest that a simple splitting of the Pi peak into two separate, distinct regions may be an oversimplification. Although the Pi peak may be adequately modeled by either one or two compartments, a broadening of the Pi peak in all cases may reflect an overlapping of a number of muscle "compartments" distinguished by a range of pH values. This was the case in all the subjects, and it is possible that those who did not express two distinct regions may have a broader variance of pH regions than are resolvable by this MRS method. The line width of Pi is inversely proportional to T2* (where the asterisk represents variations in the magnetic field), which is determined by the inherent magnetic properties of the molecule [i.e., the transverse relaxation time (T2)] and is also influenced by the homogeneity of the magnetic field within the ROI. Because the line width of PCr was unchanged during exercise, we are confident that homogeneity of the magnetic field is essentially stable and there are no significant movement artifacts. A pH-dependent T2 relaxation time could also affect the Pi line width. It has been shown in vivo that the Pi T1 relaxation time increases during exercise, coincident with a pH decrease (30). Similarly, in gels and aqueous solutions, both T1 and T2 of Pi decrease with increasing pH, a possible consequence of the change in average charge or ionic radius of the Pi. (18). Thus it is likely that the in vivo T2 of Pi also increases with exercise, which would cause a decrease in the Pi line width, the opposite of what was actually observed. Thus our observation of Pi broadening is more consistent with an increased variance of intramuscular pH around the reported mean (the pH value determined at the Pi peak center) than to relaxation time changes or MRS artifacts and amounts to ± approximately 0.05 units of pH. By this analysis, those subjects who did not express a split Pi peak did have a greater variance in intramuscular pH that became significant after ~3 min of exercise; however, the regions were not clearly enough resolved by using our techniques to clearly demonstrate more than one pH region.

This suggests that, with greater resolution, possibly at higher Tesla, split Pi peaks may be observed in more of the subjects. Furthermore, the modest average fall in pH at end exercise (in this high-intensity exercise) is suggestive of a regional distribution of force production within the quadriceps (e.g., Ref. 57) that leads to a large pH fall in a small proportion of the active muscle but a small pH fall in a large proportion of the ROI (e.g., quadriceps). It is possible that the influence of a fall in pH in a small proportion of the active muscle may present a greater influence on the subsequent VO2, an issue as yet unresolved.

Crow and Kushmerick (10) demonstrated in vitro that there was a greater energy cost per unit force production for type II fibers compared with type I. Gaesser et al. (13) indicated, in vivo, that the VO2 slow component was considerably augmented by increasing cycling cadence from 50 to 100 rpm, suggesting that higher cadences, which elicit a faster twitch fiber population, produced an increased VO2 slow component, although Barstow et al. (4) have opposed this view. However, it is presently not clear whether the VO2 slow component is mechanistically linked to a progressive contribution of low-oxidatively-efficient muscle fibers; this remains a commonly held view (see Ref. 55 for review). This being the case, we have demonstrated that there is a high energy cost, originating in the exercising muscle in the form of increased [PCr] metabolism, which is consistent with the recruitment of low oxidatively efficient muscle fibers (presumably type II). Alternatively, the findings are also consistent with a greater number of slow-twitch units contributing to the energy exchange as force generation declines in the fatiguing units. We were, however, unable to demonstrate any statistical correlation between the VO2 slow component and the expression of a split Pi peak. That is, all subjects expressed a VO2 slow component and a [PCr] slow component, but only five subjects showed a split Pi peak (Fig. 2). This suggests 1) that the expression of a split Pi peak is not consistent with the expression of the VO2 slow component, and, therefore, we feel that a split Pi peak is more likely to reflect differences of force contribution from various muscle motor units [similar to suggestions by Taylor et al. (47) and Jeneson et al. (20)], and 2) that the VO2 slow component and [PCr] slow component may be evident even without muscle regions expressing markedly decreased pH (i.e., arising from fibers with relatively high mitochondrial density).

Furthermore, gamma -ATP splitting has also been observed during exercise and has been linked to pH (58). However, there were no discernable alterations in gamma -ATP in our studies. Additionally, Takahashi et al. (46) have suggested that metabolite ratios (e.g., [PCr]/[ATP]) might be used to distinguish between slow-twitch (type I, low [PCr]/[ATP]) and fast-twitch (type II, high [PCr]/[ATP]) fibers of muscle by using 31P-MRS at rest. However, we could see no evidence between the subjects that a high resting [PCr]/[ATP] corresponded to a greater magnitude of the slow components of either [PCr] or VO2.

It may also be inferred that those subjects who expressed a split [Pi] peak may manifest greater "local" fatigue and hence a greater VO2 slow component. It has been clearly demonstrated, in vitro, that the diprotonated form of Pi (H2PO<UP><SUB>4</SUB><SUP>−</SUP></UP>) is a potent inducer of fatigue (31) and that the ratio of monoprotonated to diprotonated Pi is sensitive to pH over the physiological range. That is, assuming a dissociation constant of 6.75 for H2PO<UP><SUB>4</SUB><SUP>−</SUP></UP> (e.g., Ref. 16), at a pH of ~6.5 about 65% of the Pi would be in the H2PO<UP><SUB>4</SUB><SUP>−</SUP></UP> form compared with about 30% at a pH of 7.1. Hence, it may be hypothesized that the five subjects who expressed a region of Pi at a low pH value may have a greater number of fatiguing muscle fibers. If the VO2 slow component reflects a progressive recruitment of muscle fibers with relatively slow kinetics, then these five subjects might be expected to manifest either an earlier onset of the VO2 slow component or a VO2 slow component of greater magnitude. This, however, was not apparent from our findings.

We have demonstrated that neither the time course nor the presence of the splitting of the Pi peak is a functional correlate of the VO2 slow component during high-intensity exercise. However, the pH distribution we observed (estimated from the chemical shift of the Pi peak) appears to be more complex than a simple peak doublet, suggesting that Pi splitting may not uniquely reflect the activity of oxidative or glycolytic muscle fibers per se. Rather, we feel that Pi peak splitting is more likely to reflect heterogeneous contributions to force production within the exercising muscle. We have, however, demonstrated that a kinetically similar component of the VO2 slow component is evident in the exercising muscle in the form of increased [PCr] metabolism. As such, although the mechanism controlling the VO2 slow component remains conjectural, our findings add further weight to the suggestion that the VO2 slow component originates from the exercising muscle and that progressive recruitment of muscle fibers that possess lower oxidative efficiency and higher [PCr] utilization at this high-intensity work rate may be contributory.


    ACKNOWLEDGEMENTS

The authors thank Dr. Dominick McIntyre at St George's Hospital Medical School for the design of computer program to assist with data analysis in part of this study.


    FOOTNOTES

Research was supported by The Wellcome Trust Grant 058420. H. B. Rossiter was supported by an International Prize Travelling Fellowship, The Wellcome Trust. F. A. Howe and J. R. Griffiths are supported by Cancer Research, UK, Grant SP 1971/0405.

Address for reprint requests and other correspondence: B. J. Whipp, CESAME, West Med Bldg., Glasgow Univ., Glasgow, G12 8QQ, United Kingdom (E-mail: bwhipp{at}rei.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.

August 30, 2002;10.1152/japplphysiol.00446.2002

Received 20 May 2002; accepted in final form 27 August 2002.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
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A. M. Jones, D. P. Wilkerson, F. DiMenna, J. Fulford, and D. C. Poole
Muscle metabolic responses to exercise above and below the "critical power" assessed using 31P-MRS
Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2008; 294(2): R585 - R593.
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J. Physiol.Home page
A. M. Jones, D. P. Wilkerson, and J. Fulford
Muscle [phosphocreatine] dynamics following the onset of exercise in humans: the influence of baseline work-rate
J. Physiol., February 1, 2008; 586(3): 889 - 898.
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J. Appl. Physiol.Home page
N. Lai, G. M. Saidel, B. Grassi, L. B. Gladden, and M. E. Cabrera
Model of oxygen transport and metabolism predicts effect of hyperoxia on canine muscle oxygen uptake dynamics
J Appl Physiol, October 1, 2007; 103(4): 1366 - 1378.
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J. Appl. Physiol.Home page
D. S. DeLorey, J. M. Kowalchuk, A. P. Heenan, G. R. duManoir, and D. H. Paterson
Prior exercise speeds pulmonary O2 uptake kinetics by increases in both local muscle O2 availability and O2 utilization
J Appl Physiol, September 1, 2007; 103(3): 771 - 778.
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J. Appl. Physiol.Home page
C. Ferguson, B. J. Whipp, A. J. Cathcart, H. B. Rossiter, A. P. Turner, and S. A. Ward
Effects of prior very-heavy intensity exercise on indices of aerobic function and high-intensity exercise tolerance
J Appl Physiol, September 1, 2007; 103(3): 812 - 822.
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Am. J. Physiol. Cell Physiol.Home page
N. M. A. van den Broek, H. M. M. L. De Feyter, L. d. Graaf, K. Nicolay, and J. J. Prompers
Intersubject differences in the effect of acidosis on phosphocreatine recovery kinetics in muscle after exercise are due to differences in proton efflux rates
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
A. M. Jones, D. P. Wilkerson, N. J. Berger, and J. Fulford
Influence of endurance training on muscle [PCr] kinetics during high-intensity exercise
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2007; 293(1): R392 - R401.
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J. Appl. Physiol.Home page
R. A. Howlett, C. A. Kindig, and M. C. Hogan
Intracellular PO2 kinetics at different contraction frequencies in Xenopus single skeletal muscle fibers
J Appl Physiol, April 1, 2007; 102(4): 1456 - 1461.
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J. Appl. Physiol.Home page
N. J. A. Berger, I. T. Campbell, D. P. Wilkerson, and A. M. Jones
Influence of acute plasma volume expansion on VO2 kinetics, VO2peak, and performance during high-intensity cycle exercise
J Appl Physiol, September 1, 2006; 101(3): 707 - 714.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
S. Keslacy, S. Matecki, J. Carra, F. Borrani, R. Candau, C. Prefaut, and M. Ramonatxo
Effect of inspiratory threshold loading on ventilatory kinetics during constant-load exercise
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 2005; 289(6): R1618 - R1624.
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J. Appl. Physiol.Home page
S. C. Forbes, G. H. Raymer, J. M. Kowalchuk, and G. D. Marsh
NaHCO3-induced alkalosis reduces the phosphocreatine slow component during heavy-intensity forearm exercise
J Appl Physiol, November 1, 2005; 99(5): 1668 - 1675.
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J. Appl. Physiol.Home page
R. Beneke, M. Hutler, M. Jung, and R. M. Leithauser
Modeling the blood lactate kinetics at maximal short-term exercise conditions in children, adolescents, and adults
J Appl Physiol, August 1, 2005; 99(2): 499 - 504.
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J. Appl. Physiol.Home page
D. S. DeLorey, J. M. Kowalchuk, and D. H. Paterson
Adaptation of pulmonary O2 uptake kinetics and muscle deoxygenation at the onset of heavy-intensity exercise in young and older adults
J Appl Physiol, May 1, 2005; 98(5): 1697 - 1704.
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J. Appl. Physiol.Home page
S. G. Fawkner and N. Armstrong
Longitudinal changes in the kinetic response to heavy-intensity exercise in children
J Appl Physiol, August 1, 2004; 97(2): 460 - 466.
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L. J. Haseler, C. A. Kindig, R. S. Richardson, and M. C. Hogan
The role of oxygen in determining phosphocreatine onset kinetics in exercising humans
J. Physiol., August 1, 2004; 558(3): 985 - 992.
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Exp PhysiolHome page
Y. Fukuba, Y. Ohe, A. Miura, A. Kitano, M. Endo, H. Sato, M. Miyachi, S. Koga, and O. Fukuda
Dissociation between the time courses of femoral artery blood flow and pulmonary VO2 during repeated bouts of heavy knee extension exercise in humans
Exp Physiol, May 1, 2004; 89(3): 243 - 253.
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J. Appl. Physiol.Home page
M. Endo, S. Tauchi, N. Hayashi, S. Koga, H. B. Rossiter, and Y. Fukuba
Facial cooling-induced bradycardia does not slow pulmonary V.O2 kinetics at the onset of high-intensity exercise
J Appl Physiol, October 1, 2003; 95(4): 1623 - 1631.
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J. Appl. Physiol.Home page
H. B. Rossiter, S. A. Ward, F. A. Howe, D. M. Wood, J. M. Kowalchuk, J. R. Griffiths, and B. J. Whipp
Effects of dichloroacetate on VO2 and intramuscular 31P metabolite kinetics during high-intensity exercise in humans
J Appl Physiol, September 1, 2003; 95(3): 1105 - 1115.
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