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Miyamoto T, Watanabe K, Fukuda K, Moritani T. Near-infrared Spectroscopy of Vastus Lateralis Muscle during Incremental Cycling Exercise in patients with Type 2 Diabetes. Phys Ther Res 2020; 23:23-30. [PMID: 32850275 DOI: 10.1298/ptr.e9984] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Accepted: 09/21/2019] [Indexed: 11/23/2022]
Abstract
PURPOSE It is clinically important to elucidate the precise mechanism of exercise intolerance in patients with type 2 diabetes (T2DM). The aim of this study was to examine whether there is a difference in the time course change of the oxygenation in the vastus lateralis (VL) muscle during submaximal incremental cycling exercise between patients with T2DM and age-matched healthy subjects. METHODS Nine elderly men with T2DM and 10 age-matched healthy men (CON) participated in this study. All participants performed an incremental cycling exercise.Total, deoxygenated and oxygenated hemoglobin/myoglobin in the VL muscle were assessed using near-infrared spectroscopy, and cardiorespiratory response was also evaluated during the exercise. RESULTS There were no significant differences in the time course changes of deoxygenated hemoglobin/myoglobin between groups ( p > 0.05). However, the oxygenated hemoglobin/myoglobin in T2DM was significantly higher than that in CON at an intensity above ventilatory threshold during the incremental cycling exercise ( p< 0.05). CONCLUSION This study suggests that patients with T2DM had early limitation of oxygen extraction and lower capacity of oxygenated myoglobin dissociation in the VL muscle. The fact that patients with T2DM showed different oxygen kinetics in a peripheral tissue from healthy subjects may partly explain the potential mechanisms of exercise intolerance in T2DM.
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Affiliation(s)
| | - Kohei Watanabe
- School of International Liberal Studies, Chukyo University
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Niess F, Schmid AI, Bogner W, Wolzt M, Carlier P, Trattnig S, Moser E, Meyerspeer M. Interleaved 31 P MRS/ 1 H ASL for analysis of metabolic and functional heterogeneity along human lower leg muscles at 7T. Magn Reson Med 2019; 83:1909-1919. [PMID: 31846116 PMCID: PMC7065182 DOI: 10.1002/mrm.28088] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 10/16/2019] [Accepted: 10/28/2019] [Indexed: 12/16/2022]
Abstract
PURPOSE MR offers the unique possibility to noninvasively investigate cellular energy metabolism via 31P MRS, while blood perfusion, which provides oxygen and substrates to the tissue, is accessible by arterial spin labeling (ASL) 1H MRI. Because metabolic and hemodynamic parameters are linked, it would be desirable to study them simultaneously. A 3D-resolved method is presented that allows such measurements with high spatiotemporal resolution and has the potential to discern differences along an exercising muscle. METHODS Multi-voxel localized 31 P MRS was temporally interleaved with multi-slice pASL 1H MRI. Phosphorus spectra were collected from two adjacent positions in gastrocnemius medialis (GM) during rest, submaximal plantar flexion exercise and recovery, while perfusion and T 2 * -weighted axial images were acquired at the same time. Seventeen healthy volunteers (9 f / 8 m) were studied at 7 T. RESULTS An increase of postexercise perfusion and T 2 * -weighted signal in GM positively correlated with end-exercise PCr depletion and pH drop. At proximal positions functional and metabolic activity was higher than distally, that is, perfusion increase and peak T 2 * -weighted signal, end-exercise PCr depletion, end-exercise pH, and PCr recovery time constant were significantly different. An NOE-induced SNR increase of approximately 20 % (P < .001), at rest, was found in interleaved 31 P spectra, when comparing to 31 P-only acquisitions. CONCLUSIONS A technique for fast, simultaneous imaging of muscle functional heterogeneity in ASL, T 2 * and acquisition of time-resolved 31 P MRS data is presented. These single exercise recovery experiments can be used to investigate local variations during disease progression in patients suffering from vascular or muscular diseases.
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Affiliation(s)
- Fabian Niess
- Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.,High Field MR Center, Medical University of Vienna, Vienna, Austria
| | - Albrecht Ingo Schmid
- Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.,High Field MR Center, Medical University of Vienna, Vienna, Austria
| | - Wolfgang Bogner
- High Field MR Center, Medical University of Vienna, Vienna, Austria.,Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Michael Wolzt
- Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria
| | | | - Siegfried Trattnig
- High Field MR Center, Medical University of Vienna, Vienna, Austria.,Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Ewald Moser
- Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.,High Field MR Center, Medical University of Vienna, Vienna, Austria
| | - Martin Meyerspeer
- Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.,High Field MR Center, Medical University of Vienna, Vienna, Austria
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Abstract
In this review, we present an overview of the applications and computed parameters of electromyography (EMG) and near-infrared spectroscopy (NIRS) methods on patients in clinical practice. The eligible studies were those where both techniques were combined in order to assess muscle characteristics from the electrical and hemodynamic points of view. With this aim, a comprehensive screening of the literature based on related keywords in the most-used scientific data bases allowed us to identify 17 papers which met the research criteria. We also present a brief overview of the devices designed specifically for muscular applications with EMG and NIRS sensors (a total of eight papers). A critical analysis of the results of the review suggests that the combined use of EMG and NIRS on muscle has been only partially exploited for assessment and evaluation in clinical practice and, thus, this field shows promises for future developments.
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Eiken FL, Pedersen BL, Bækgaard N, Eiberg JP. Diagnostic methods for measurement of peripheral blood flow during exercise in patients with type 2 diabetes and peripheral artery disease: a systematic review. INT ANGIOL 2019; 38:62-69. [PMID: 30860342 DOI: 10.23736/s0392-9590.18.04051-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
INTRODUCTION Measurement of systolic ankle and to some extent toe pressure in patients suffering from combined type 2 diabetes mellitus (T2DM) and peripheral arterial disease (PAD) face several obstacles due to complex changes in the vascular bed. The aim of this review was to address the current literature on blood flow during exercise in patients with PAD and T2DM and assess the feasibility of these methods to diagnose and grade arterial insufficiency. EVIDENCE ACQUISITION A systematic review of the PubMed and EMBASE databases, supplemented by hand searching was performed according to PRISMA guidelines. Clinical studies evaluating methods to investigate peripheral blood flow in patients with PAD and T2DM during exercise were included. EVIDENCE SYNTHESIS In total nine eligible studies consisting of 1105 non-diabetic PAD patients, 336 diabetic PAD patients, 161 diabetic patients without PAD and 69 healthy controls were included in the review. Near-infrared spectroscopy (NIRS) was described in three studies, transcutaneous oxygen pressure measurement (TcpO2) in two and the following methods described in single studies: thermodilution, contrast enhanced ultrasound (CEUS), scintigraphy and TcpO2 in combination with ultrasound. These studies shows that patients with PAD and T2DM compared with patients with only PAD suffers different atherosclerotic lesions characterised by increased arterial stiffness and microcirculation abnormalities, not well differentiated by pressure measurement alone. Investigating patients with PAD and T2DM during exercise reveals that NIRS, TcpO2, CEUS, and scintigraphy have distinct advantages over ankle and toe-pressure. CONCLUSIONS Using methods like NIRS, TcpO2, CEUS and scintigraphy, peripheral blood flow during exercise can be measured at a detailed level and potentially improve future severity grading in patients with combined T2DM and PAD.
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Affiliation(s)
- Frederik L Eiken
- Department of Vascular Surgery, Rigshospitalet 3111, Copenhagen, Denmark
| | - Brian L Pedersen
- Department of Vascular Surgery, Rigshospitalet 3111, Copenhagen, Denmark -
| | - Niels Bækgaard
- Department of Vascular Surgery, Rigshospitalet 3111, Copenhagen, Denmark
| | - Jonas P Eiberg
- Department of Vascular Surgery, Rigshospitalet 3111, Copenhagen, Denmark.,Copenhagen Academy of Medical Education and Simulation (CAMES), Rigshospitalet, Copenhagen, Denmark.,University of Copenhagen, Copenhagen, Denmark
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A single dose of beetroot juice improves endothelial function but not tissue oxygenation in pregnant women: a randomised clinical trial. Br J Nutr 2018; 120:1006-1013. [PMID: 30229712 DOI: 10.1017/s0007114518002441] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Beetroot juice (BJ) consumption has been associated with improved cardiovascular health owing to an increase in NO bioconversion. This study evaluates the effect of BJ consumption on macrovascular endothelial function (flow-mediated dilation (FMD)) and muscle oxygen saturation (StO2) parameters in pregnant women within a randomised, crossover, double-blind design in which twelve pregnant women consumed a single dose (140 ml) of BJ or placebo (PLA). Urinary nitrate was assessed before (T0) and 150 min after BJ/PLA consumption. FMD was used to evaluate macrovascular endothelial function, and near-IR spectroscopy was used to evaluate muscle StO2 parameters during the occlusion and reperfusion phases, which were taken at baseline (PRE) and 120 and 140 min after BJ/PLA consumption, respectively. A significant increase in urinary nitrate was observed at 150 min after BJ consumption when compared with T0 (BJ: 0·20 (sd 0·13) v. T0: 0·02 (sd 0·00), P=0·000) and PLA intervention (PLA: 0·02 (sd 0·00), P=0·001). FMD improved after BJ consumption when compared with PRE (BJ: 11·00 (sd 1·67) v. PRE: 5·53 (sd 1·17), P=0·000) and PLA (5·34 (sd 1·31), P=0·000). No significant difference between PLA and PRE in FMD (P=1·000) was observed. In StO2 parameters, a difference was not observed after BJ consumption compared with PRE and PLA intervention. The data demonstrate that a single dose of 140 ml of BJ consumption improves macrovascular endothelial function, but not StO2 parameters.
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Lejay A, Laverny G, Paradis S, Schlagowski AI, Charles AL, Singh F, Zoll J, Thaveau F, Lonsdorfer E, Dufour S, Favret F, Wolff V, Metzger D, Chakfe N, Geny B. Moderate Exercise Allows for shorter Recovery Time in Critical Limb Ischemia. Front Physiol 2017; 8:523. [PMID: 28790926 PMCID: PMC5524729 DOI: 10.3389/fphys.2017.00523] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Accepted: 07/07/2017] [Indexed: 12/25/2022] Open
Abstract
Whether and how moderate exercise might allow for accelerated limb recovery in chronic critical limb ischemia (CLI) remains to be determined. Chronic CLI was surgically induced in mice, and the effect of moderate exercise (training five times per week over a 3-week period) was investigated. Tissue damages and functional scores were assessed on the 4th, 6th, 10th, 20th, and 30th day after surgery. Mice were sacrificed 48 h after the last exercise session in order to assess muscle structure, mitochondrial respiration, calcium retention capacity, oxidative stress and transcript levels of genes encoding proteins controlling mitochondrial functions (PGC1α, PGC1β, NRF1) and anti-oxidant defenses markers (SOD1, SOD2, catalase). CLI resulted in tissue damages and impaired functional scores. Mitochondrial respiration and calcium retention capacity were decreased in the ischemic limb of the non-exercised group (Vmax = 7.11 ± 1.14 vs. 9.86 ± 0.86 mmol 02/min/g dw, p < 0.001; CRC = 7.01 ± 0.97 vs. 11.96 ± 0.92 microM/mg dw, p < 0.001, respectively). Moderate exercise reduced tissue damages, improved functional scores, and restored mitochondrial respiration and calcium retention capacity in the ischemic limb (Vmax = 9.75 ± 1.00 vs. 9.82 ± 0.68 mmol 02/min/g dw; CRC = 11.36 ± 1.33 vs. 12.01 ± 1.24 microM/mg dw, respectively). Exercise also enhanced the transcript levels of PGC1α, PGC1β, NRF1, as well as SOD1, SOD2, and catalase. Moderate exercise restores mitochondrial respiration and calcium retention capacity, and it has beneficial functional effects in chronic CLI, likely by stimulating reactive oxygen species-induced biogenesis and anti-oxidant defenses. These data support further development of exercise therapy even in advanced peripheral arterial disease.
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Affiliation(s)
- Anne Lejay
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Physiologie et Explorations Fonctionnelles Respiratoires, Hôpitaux Universitaires de StrasbourgStrasbourg, France.,Service de Chirurgie Vasculaire et Transplantation Rénale, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Gilles Laverny
- Institut de Génétique et Biologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique UMR7104/Institut National de la Santé et de la Recherche Médicale U964, Université de StrasbourgStrasbourg, France
| | - Stéphanie Paradis
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France
| | - Anna-Isabel Schlagowski
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France
| | - Anne-Laure Charles
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Physiologie et Explorations Fonctionnelles Respiratoires, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - François Singh
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France
| | - Joffrey Zoll
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Physiologie et Explorations Fonctionnelles Respiratoires, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Fabien Thaveau
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Chirurgie Vasculaire et Transplantation Rénale, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Evelyne Lonsdorfer
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Physiologie et Explorations Fonctionnelles Respiratoires, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Stéphane Dufour
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Faculté des Sciences du Sport, Université de StrasbourgStrasbourg, France
| | - Fabrice Favret
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Faculté des Sciences du Sport, Université de StrasbourgStrasbourg, France
| | - Valérie Wolff
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Unité Neurovasculaire, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Daniel Metzger
- Institut de Génétique et Biologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique UMR7104/Institut National de la Santé et de la Recherche Médicale U964, Université de StrasbourgStrasbourg, France
| | - Nabil Chakfe
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Chirurgie Vasculaire et Transplantation Rénale, Hôpitaux Universitaires de StrasbourgStrasbourg, France
| | - Bernard Geny
- Université de Strasbourg, Fédération de Médecine Translationnnelle, Equipe d'Accueil 3072, Mitochondrie, Stress Oxydant et Protection Musculaire, Institut de PhysiologieStrasbourg, France.,Service de Physiologie et Explorations Fonctionnelles Respiratoires, Hôpitaux Universitaires de StrasbourgStrasbourg, France
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Dipla K, Triantafyllou A, Grigoriadou I, Kintiraki E, Triantafyllou GA, Poulios P, Vrabas IS, Zafeiridis A, Douma S, Goulis DG. Impairments in microvascular function and skeletal muscle oxygenation in women with gestational diabetes mellitus: links to cardiovascular disease risk factors. Diabetologia 2017; 60:192-201. [PMID: 27722775 DOI: 10.1007/s00125-016-4129-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 09/15/2016] [Indexed: 01/11/2023]
Abstract
AIMS/HYPOTHESIS Gestational diabetes mellitus (GDM) is a risk factor for the development of endothelial dysfunction and cardiovascular disease. However, in vivo microvascular endothelial function in GDM has not been investigated. This study aimed to examine, using near-infrared spectroscopy (NIRS), whether: (1) there are differences in microvascular reactivity and skeletal muscle oxygen consumption (m[Formula: see text]) at rest and during exercise between GDM and uncomplicated pregnancies; and (2) there is an association of NIRS indices with macrovascular function and cardiovascular disease risk factors. METHODS Twenty-nine pregnant women (13 with GDM and 16 women with uncomplicated pregnancy, 28 ± 2 gestational weeks) underwent arterial stiffness (pulse wave velocity [PWV]) and 24 h ambulatory BP (24 h BP) evaluation. NIRS continuously monitored, non-invasively, changes in muscle oxygenated and deoxygenated haemoglobin and tissue O2 saturation index (TSI, %) during arterial occlusion/reperfusion and intermittent handgrip exercise. m[Formula: see text] and vascular reactivity indices were calculated. RESULTS During occlusion and reperfusion, women with GDM exhibited slower TSI response (occlusion slope: -0.06 ± 0.02 vs -0.10 ± 0.04, in GDM and controls, respectively; reperfusion slope: 0.65 ± 0.26 vs 1.05 ± 0.41, respectively), lower m[Formula: see text] (1.3 ± 1.2 vs 3.8 ± 2.3 μmol l-1 min-1) and blunted hyperaemia (ΔTSI 6.8 ± 2.9 vs 9.5 ± 3.4) compared with controls (p < 0.01). Despite similar handgrip strength in the GDM and control groups (29.1 ± 8.1 vs 26.2 ± 10.4 kg, respectively), during repeated forearm contractions, women with GDM presented a blunted TSI response (6.5 ± 3.9 vs 19.2 ± 10.9; p < 0.01) and a reduced capacity to maintain the predetermined handgrip (23.4 ± 2.9 vs 27.4 ± 3.8%, p < 0.05). NIRS indices correlated with PWV, 24 h BP and blood glucose concentration earlier in pregnancy (r = 0.40-0.60; p < 0.05). CONCLUSIONS/INTERPRETATION Women with GDM exhibited a characteristic blunted TSI curve, showing alterations in muscle oxygenation and microvascular responsiveness compared with women with uncomplicated pregnancies. These alterations were manifested during exercise and possibly contribute to the reduced exercise tolerance in GDM. NIRS indices correlated with macrovascular indices (arterial stiffness) and 24 h BP.
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Affiliation(s)
- Konstantina Dipla
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Ippokratous 22, Agios Ioannis, Serres, 62110, Greece.
| | - Areti Triantafyllou
- Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Iris Grigoriadou
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Ippokratous 22, Agios Ioannis, Serres, 62110, Greece
| | - Evangelia Kintiraki
- Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynaecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Georgios A Triantafyllou
- Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Pavlos Poulios
- Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ioannis S Vrabas
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Ippokratous 22, Agios Ioannis, Serres, 62110, Greece
| | - Andreas Zafeiridis
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Ippokratous 22, Agios Ioannis, Serres, 62110, Greece
| | - Stella Douma
- Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Dimitrios G Goulis
- Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynaecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Cree-Green M, Gupta A, Coe GV, Baumgartner AD, Pyle L, Reusch JEB, Brown MS, Newcomer BR, Nadeau KJ. Insulin resistance in type 2 diabetes youth relates to serum free fatty acids and muscle mitochondrial dysfunction. J Diabetes Complications 2017; 31:141-148. [PMID: 27839922 PMCID: PMC5395421 DOI: 10.1016/j.jdiacomp.2016.10.014] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 09/14/2016] [Accepted: 10/10/2016] [Indexed: 12/15/2022]
Abstract
AIMS Insulin resistance (IR) correlates with mitochondrial dysfunction, free fatty acids (FFAs), and intramyocellular lipid (IMCL) in adults with type 2 diabetes (T2D). We hypothesized that muscle IR would relate to similar factors in T2D youth. METHODS Participants included 17 youth with T2D, 23 normal weight controls (LCs), and 26 obese controls (OBs) of similar pubertal stage and activity level. RESULTS T2D and OB groups were of similar BMI. T2D youth were significantly more IR and had higher calf IMCL and serum FFA concentrations during hyperinsulinemia. ADP time constant (ADPTC), a blood-flow dependent mitochondrial function measure, was slowed and oxidative phosphorylation rates lower in T2D. In multiple linear regression of the entire cohort, lack of FFA suppression and longer ADPTC, but not IMCL or HbA1c, were independently associated with IR. CONCLUSION We found that elevated FFAs and mitochondrial dysfunction are early abnormalities in relatively well-controlled youth with T2D. Further, post-exercise oxidative metabolism appears affected by reduced blood flow, and is not solely an inherent mitochondrial defect. Thus, lowering FFAs and improving mitochondrial function and blood flow may be potential treatment targets in youth with T2D.
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Affiliation(s)
- Melanie Cree-Green
- Division of Pediatric Endocrinology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, 80045; Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045.
| | - Abhinav Gupta
- Division of Pediatric Endocrinology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, 80045
| | - Gregory V Coe
- Division of Pediatric Endocrinology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, 80045
| | - Amy D Baumgartner
- Division of Pediatric Endocrinology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, 80045
| | - Laura Pyle
- Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045; Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, 80045
| | - Jane E B Reusch
- Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045; Division of Endocrinology, Metabolism and Diabetes, University to Colorado Anschutz Medical Campus, Aurora, CO, 80045; Veterans Affairs Medical Center, Aurora, CO, 80012
| | - Mark S Brown
- Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045
| | | | - Kristen J Nadeau
- Division of Pediatric Endocrinology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, 80045; Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045
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10
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Valkovič L, Chmelík M, Meyerspeer M, Gagoski B, Rodgers CT, Krššák M, Andronesi OC, Trattnig S, Bogner W. Dynamic 31 P-MRSI using spiral spectroscopic imaging can map mitochondrial capacity in muscles of the human calf during plantar flexion exercise at 7 T. NMR IN BIOMEDICINE 2016; 29:1825-1834. [PMID: 27862510 PMCID: PMC5132121 DOI: 10.1002/nbm.3662] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 09/19/2016] [Accepted: 09/28/2016] [Indexed: 05/06/2023]
Abstract
Phosphorus MRSI (31 P-MRSI) using a spiral-trajectory readout at 7 T was developed for high temporal resolution mapping of the mitochondrial capacity of exercising human skeletal muscle. The sensitivity and localization accuracy of the method was investigated in phantoms. In vivo performance was assessed in 12 volunteers, who performed a plantar flexion exercise inside a whole-body 7 T MR scanner using an MR-compatible ergometer and a surface coil. In five volunteers the knee was flexed (~60°) to shift the major workload from the gastrocnemii to the soleus muscle. Spiral-encoded MRSI provided 16-25 times faster mapping with a better point spread function than elliptical phase-encoded MRSI with the same matrix size. The inevitable trade-off for the increased temporal resolution was a reduced signal-to-noise ratio, but this was acceptable. The phosphocreatine (PCr) depletion caused by exercise at 0° knee angulation was significantly higher in both gastrocnemii than in the soleus (i.e. 64.8 ± 19.6% and 65.9 ± 23.6% in gastrocnemius lateralis and medialis versus 15.3 ± 8.4% in the soleus). Spiral-encoded 31 P-MRSI is a powerful tool for dynamic mapping of exercising muscle oxidative metabolism, including localized assessment of PCr concentrations, pH and maximal oxidative flux with high temporal and spatial resolution.
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Affiliation(s)
- Ladislav Valkovič
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Department of Biomedical Imaging and Image‐Guided TherapyMedical University of ViennaViennaAustria
- Christian Doppler Laboratory for Clinical Molecular MR ImagingViennaAustria
- Department of Imaging Methods, Institute of Measurement ScienceSlovak Academy of SciencesBratislavaSlovakia
- Oxford Centre for Clinical Magnetic Resonance Research (OCMR)University of OxfordOxfordUK
| | - Marek Chmelík
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Department of Biomedical Imaging and Image‐Guided TherapyMedical University of ViennaViennaAustria
- Christian Doppler Laboratory for Clinical Molecular MR ImagingViennaAustria
| | - Martin Meyerspeer
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Center for Medical Physics and Biomedical EngineeringMedical University of ViennaViennaAustria
| | - Borjan Gagoski
- Fetal Neonatal Neuroimaging and Developmental Science CenterBoston Children's HospitalBostonMassachusettsUSA
| | - Christopher T. Rodgers
- Oxford Centre for Clinical Magnetic Resonance Research (OCMR)University of OxfordOxfordUK
| | - Martin Krššák
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Department of Biomedical Imaging and Image‐Guided TherapyMedical University of ViennaViennaAustria
- Christian Doppler Laboratory for Clinical Molecular MR ImagingViennaAustria
- Division of Endocrinology and Metabolism, Department of Internal Medicine IIIMedical University of ViennaViennaAustria
| | - Ovidiu C. Andronesi
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General HospitalHarvard Medical SchoolBostonMassachusettsUSA
| | - Siegfried Trattnig
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Department of Biomedical Imaging and Image‐Guided TherapyMedical University of ViennaViennaAustria
- Christian Doppler Laboratory for Clinical Molecular MR ImagingViennaAustria
| | - Wolfgang Bogner
- High‐Field MR CentreMedical University of ViennaViennaAustria
- Department of Biomedical Imaging and Image‐Guided TherapyMedical University of ViennaViennaAustria
- Christian Doppler Laboratory for Clinical Molecular MR ImagingViennaAustria
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11
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Zak RB, Shute RJ, Heesch MWS, La Salle DT, Bubak MP, Dinan NE, Laursen TL, Slivka DR. Impact of hot and cold exposure on human skeletal muscle gene expression. Appl Physiol Nutr Metab 2016; 42:319-325. [PMID: 28177744 DOI: 10.1139/apnm-2016-0415] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Many human diseases lead to a loss of skeletal muscle metabolic function and mass. Local and environmental temperature can modulate the exercise-stimulated response of several genes involved in mitochondrial biogenesis and skeletal muscle function in a human model. However, the impact of environmental temperature, independent of exercise, has not been addressed in a human model. Thus, the purpose of this study was to compare the effects of exposure to hot, cold, and room temperature conditions on skeletal muscle gene expression related to mitochondrial biogenesis and muscle mass. Recreationally trained male subjects (n = 12) had muscle biopsies taken from the vastus lateralis before and after 3 h of exposure to hot (33 °C), cold (7 °C), or room temperature (20 °C) conditions. Temperature had no effect on most of the genes related to mitochondrial biogenesis, myogenesis, or proteolysis (p > 0.05). Core temperature was significantly higher in hot and cold environments compared with room temperature (37.2 ± 0.1 °C, p = 0.001; 37.1 ± 0.1 °C, p = 0.013; 36.9 ± 0.1 °C, respectively). Whole-body oxygen consumption was also significantly higher in hot and cold compared with room temperature (0.38 ± 0.01 L·min-1, p < 0.001; 0.52 ± 0.03 L·min-1, p < 0.001; 0.35 ± 0.01 L·min-1, respectively). In conclusion, these data show that acute temperature exposure alone does not elicit significant changes in skeletal muscle gene expression. When considered in conjunction with previous research, exercise appears to be a necessary component to observe gene expression alterations between different environmental temperatures in humans.
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Affiliation(s)
- Roksana B Zak
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Robert J Shute
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Matthew W S Heesch
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - D Taylor La Salle
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Matthew P Bubak
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Nicholas E Dinan
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Terence L Laursen
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Dustin R Slivka
- Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA.,Exercise Physiology Laboratory, School of Health, Physical Education, and Recreation, University of Nebraska-Omaha, Omaha, NE 68182, USA
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12
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Heesch MW, Shute RJ, Kreiling JL, Slivka DR. Transcriptional control, but not subcellular location, of PGC-1α is altered following exercise in a hot environment. J Appl Physiol (1985) 2016; 121:741-9. [PMID: 27445305 DOI: 10.1152/japplphysiol.01065.2015] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 07/19/2016] [Indexed: 12/18/2022] Open
Abstract
The purpose of this study was to determine mitochondrial biogenesis-related mRNA expression, binding of transcription factors to the peroxisome proliferator-activated receptor-γ coactivator 1-α (PGC-1α) promoter, and subcellular location of PGC-1α protein in human skeletal muscle following exercise in a hot environment compared with a room temperature environment. Recreationally trained males (n = 11) completed two trials in a temperature- and humidity-controlled environmental chamber. Each trial consisted of cycling in either a hot (H) or room temperature (C) environment (33 and 20°C, respectively) for 1 h at 60% of maximum wattage (Wmax) followed by 3 h of supine recovery at room temperature. Muscle biopsies were taken from the vastus lateralis pre-, post-, and 3 h postexercise. PGC-1α mRNA increased post (P = 0.039)- and 3 h postexercise in C (P = 0.002). PGC-1α, estrogen-related receptor-α (ERRα), and nuclear respiratory factor 1 (NRF-1) mRNA was all lower in H than C post (P = 0.038, P < 0.001, and P = 0.030, respectively)- and 3 h postexercise (P = 0.035, P = 0.007, and P < 0.001, respectively). Binding of cAMP response element-binding protein (CREB) (P = 0.005), myocyte enhancer factor 2 (MEF2) (P = 0.047), and FoxO forkhead box class-O1 (FoxO1) (P = 0.010) to the promoter region of the PGC-1α gene was lower in H than C. Nuclear PGC-1α protein increased postexercise in both H and C (P = 0.029) but was not different between trials (P = 0.602). These data indicate that acute exercise in a hot environment blunts expression of mitochondrial biogenesis-related mRNA, due to decreased binding of CREB, MEF2, and FoxO1 to the PGC-1α promoter.
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Affiliation(s)
| | - Robert J Shute
- School of Health, Physical Education, and Recreation, University of Nebraska at Omaha, Omaha, Nebraska; and
| | - Jodi L Kreiling
- Department of Chemistry, University of Nebraska at Omaha, Omaha, Nebraska
| | - Dustin R Slivka
- School of Health, Physical Education, and Recreation, University of Nebraska at Omaha, Omaha, Nebraska; and
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13
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Cheung CL, Lam KSL, Cheung BMY. Diabetes is associated with increased risks of low lean mass and slow gait speed when peripheral artery disease is present. J Diabetes Complications 2016; 30:306-11. [PMID: 26684167 DOI: 10.1016/j.jdiacomp.2015.11.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Revised: 11/12/2015] [Accepted: 11/12/2015] [Indexed: 12/25/2022]
Abstract
AIMS The aim of the current study was to evaluate the independent relationship of diabetes and PAD with lean mass and gait speed. METHODS This was a cross-sectional study of the U.S. population in 1999 through 2004, including 4769 participants aged ≥40 years of the National Health and Nutrition Examination Survey 1999-2004. Appendicular lean mass divided by body mass index (ALMBMI) and gait speed were analyzed. Low lean mass was defined as ALMBMI <0.512 in women and <0.789 in men, whereas mobility impairment was defined as gait speed <0.8m/s. RESULTS In the fully adjusted model, participants with both diabetes and PAD had a higher odds of low lean mass (OR=2.21; 95% CI: 1.07-4.57) and mobility impairment (OR=4.8; 95% CI: 1.93-11.97) when compared with participants with neither diabetes nor PAD. No significant association of "with diabetes without PAD" or "with PAD without diabetes" with low lean mass or mobility impairment was observed. Participants with diabetes and PAD had significantly lower ALMBMI and gait speed when compared with all other participants. CONCLUSIONS People with both diabetes and PAD had a higher likelihood of low lean mass and mobility impairment; such association was not observed in people with either diabetes or PAD alone.
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Affiliation(s)
- Ching-Lung Cheung
- Pharmacogenomics and Precision Therapeutics Laboratory, Department of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong; Department of Medicine, The University of Hong Kong, Pokfulam, Hong Kong; Research Centre of Heart, Brain, Hormone & Healthy Aging, The University of Hong Kong, Pokfulam, Hong Kong; Centre for Genomic Sciences, The University of Hong Kong, Pokfulam, Hong Kong; The State Key Laboratory of Pharmaceutical Biotechnology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
| | - Karen S L Lam
- Department of Medicine, The University of Hong Kong, Pokfulam, Hong Kong; Research Centre of Heart, Brain, Hormone & Healthy Aging, The University of Hong Kong, Pokfulam, Hong Kong; The State Key Laboratory of Pharmaceutical Biotechnology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
| | - Bernard M Y Cheung
- Department of Medicine, The University of Hong Kong, Pokfulam, Hong Kong; Research Centre of Heart, Brain, Hormone & Healthy Aging, The University of Hong Kong, Pokfulam, Hong Kong; The State Key Laboratory of Pharmaceutical Biotechnology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
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14
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Bohovych I, Chan SS, Khalimonchuk O. Mitochondrial protein quality control: the mechanisms guarding mitochondrial health. Antioxid Redox Signal 2015; 22:977-94. [PMID: 25546710 PMCID: PMC4390190 DOI: 10.1089/ars.2014.6199] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 12/20/2014] [Indexed: 12/20/2022]
Abstract
SIGNIFICANCE Mitochondria are complex dynamic organelles pivotal for cellular physiology and human health. Failure to maintain mitochondrial health leads to numerous maladies that include late-onset neurodegenerative diseases and cardiovascular disorders. Furthermore, a decline in mitochondrial health is prevalent with aging. A set of evolutionary conserved mechanisms known as mitochondrial quality control (MQC) is involved in recognition and correction of the mitochondrial proteome. RECENT ADVANCES Here, we review current knowledge and latest developments in MQC. We particularly focus on the proteolytic aspect of MQC and its impact on health and aging. CRITICAL ISSUES While our knowledge about MQC is steadily growing, critical gaps remain in the mechanistic understanding of how MQC modules sense damage and preserve mitochondrial welfare, particularly in higher organisms. FUTURE DIRECTIONS Delineating how coordinated action of the MQC modules orchestrates physiological responses on both organellar and cellular levels will further elucidate the current picture of MQC's role and function in health, cellular stress, and degenerative diseases.
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Affiliation(s)
- Iryna Bohovych
- Department of Biochemistry, University of Nebraska-Lincoln, Lincoln, Nebraska
- Nebraska Redox Biology Center, University of Nebraska-Lincoln, Lincoln, Nebraska
| | - Sherine S.L. Chan
- Department of Drug Discovery and Biomedical Sciences, Medical University of South Carolina, Charleston, South Carolina
| | - Oleh Khalimonchuk
- Department of Biochemistry, University of Nebraska-Lincoln, Lincoln, Nebraska
- Nebraska Redox Biology Center, University of Nebraska-Lincoln, Lincoln, Nebraska
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15
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Francia P, Gulisano M, Anichini R, Seghieri G. Diabetic foot and exercise therapy: step by step the role of rigid posture and biomechanics treatment. Curr Diabetes Rev 2014; 10:86-99. [PMID: 24807636 PMCID: PMC5750747 DOI: 10.2174/1573399810666140507112536] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Revised: 05/02/2014] [Accepted: 05/05/2014] [Indexed: 12/16/2022]
Abstract
Lower extremity ulcers represent a serious and costly complication of diabetes mellitus. Many factors contribute to the development of diabetic foot. Peripheral neuropathy and peripheral vascular disease are the main causes of foot ulceration and contribute in turn to the growth of additional risk factors such as limited joint mobility, muscular alterations and foot deformities. Moreover, a deficit of balance, posture and biomechanics can be present, in particular in patients at high risk for ulceration. The result of this process may be the development of a vicious cycle which leads to abnormal distribution of the foot's plantar pressures in static and dynamic postural conditions. This review shows that some of these risk factors significantly improve after a few weeks of exercise therapy (ET) intervention. Accordingly it has been suggested that ET can be an important weapon in the prevention of foot ulcer. The aim of ET can relate to one or more alterations typically found in diabetic patients, although greater attention should be paid to the evaluation and possible correction of body balance, rigid posture and biomechanics. Some of the most important limitations of ET are difficult access to therapy, patient compliance and the transitoriness of the results if the training stops. Many proposals have been made to overcome such limitations. In particular, it is important that specialized centers offer the opportunity to participate in ET and during the treatment the team should work to change the patient's lifestyle by improving the execution of appropriate daily physical activity.
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Affiliation(s)
| | | | | | - Giuseppe Seghieri
- Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla, 3 - 50134 Florence, Italy.
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16
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Pellegrin M, Bouzourène K, Poitry-Yamate C, Mlynarik V, Feihl F, Aubert JF, Gruetter R, Mazzolai L. Experimental peripheral arterial disease: new insights into muscle glucose uptake, macrophage, and T-cell polarization during early and late stages. Physiol Rep 2014; 2:e00234. [PMID: 24744903 PMCID: PMC3966252 DOI: 10.1002/phy2.234] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Accepted: 01/20/2014] [Indexed: 01/28/2023] Open
Abstract
Peripheral arterial disease (PAD) is a common disease with increasing prevalence, presenting with impaired walking ability affecting patient's quality of life. PAD epidemiology is known, however, mechanisms underlying functional muscle impairment remain unclear. Using a mouse PAD model, aim of this study was to assess muscle adaptive responses during early (1 week) and late (5 weeks) disease stages. Unilateral hindlimb ischemia was induced in ApoE−/− mice by iliac artery ligation. Ischemic limb perfusion and oxygenation (Laser Doppler imaging, transcutaneous oxygen pressure assessments) significantly decreased during early and late stage compared to pre‐ischemia, however, values were significantly higher during late versus early phase. Number of arterioles and arteriogenesis‐linked gene expression increased at later stage. Walking ability, evaluated by forced and voluntary walking tests, remained significantly decreased both at early and late phase without any significant improvement. Muscle glucose uptake ([18F]fluorodeoxyglucose positron emission tomography) significantly increased during early ischemia decreasing at later stage. Gene expression analysis showed significant shift in muscle M1/M2 macrophages and Th1/Th2 T cells balance toward pro‐inflammatory phenotype during early ischemia; later, inflammatory state returned to neutrality. Muscular M1/M2 shift inhibition by a statin prevented impaired walking ability in early ischemia. High‐energy phosphate metabolism remained unchanged (31‐Phosphorus magnetic resonance spectroscopy). Results show that rapid transient muscular inflammation contributes to impaired walking capacity while increased glucose uptake may be a compensatory mechanisms preserving immediate limb viability during early ischemia in a mouse PAD model. With time, increased ischemic limb perfusion and oxygenation assure muscle viability although not sufficiently to improve walking impairment. Subsequent decreased muscle glucose uptake may partly contribute to chronic walking impairment. Early inflammation inhibition and/or late muscle glucose impairment prevention are promising strategies for PAD management. e00234 Mechanisms responsible for functional muscle impairment in peripheral artery disease patients remain unknown. Our results show that both pro‐inflammatory T cells and macrophages are implicated in early peripheral ischemia whereas late ischemia is associated with impaired muscle glucose uptake in a mouse model of peripheral arterial disease (PAD).
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Affiliation(s)
- Maxime Pellegrin
- Division of Angiology, University Hospital of Lausanne, Lausanne, Switzerland
| | - Karima Bouzourène
- Division of Angiology, University Hospital of Lausanne, Lausanne, Switzerland
| | - Carole Poitry-Yamate
- Centre d'Imagerie Biomédicale, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Vladimir Mlynarik
- Centre d'Imagerie Biomédicale, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - François Feihl
- Division of Clinical Pathophysiology, University Hospital of Lausanne, Lausanne, Switzerland
| | | | - Rolf Gruetter
- Centre d'Imagerie Biomédicale, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Lucia Mazzolai
- Division of Angiology, University Hospital of Lausanne, Lausanne, Switzerland
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17
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Togliatto G, Trombetta A, Dentelli P, Cotogni P, Rosso A, Tschöp MH, Granata R, Ghigo E, Brizzi MF. Unacylated ghrelin promotes skeletal muscle regeneration following hindlimb ischemia via SOD-2-mediated miR-221/222 expression. J Am Heart Assoc 2013; 2:e000376. [PMID: 24308935 PMCID: PMC3886736 DOI: 10.1161/jaha.113.000376] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Background Surgical treatment of peripheral artery disease, even if successful, does not prevent reoccurrence. Under these conditions, increased oxidative stress is a crucial determinant of tissue damage. Given its reported antioxidant effects, we investigated the potential of unacylated‐ghrelin (UnAG) to reduce ischemia‐induced tissue damage in a mouse model of peripheral artery disease. Methods and Results We show that UnAG but not acylated ghrelin (AG) induces skeletal muscle regeneration in response to ischemia via canonical p38/mitogen‐actived protein kinase signaling UnAG protected against reactive oxygen species–induced cell injuries by inducing the expression of superoxide dismutase‐2 (SOD‐2) in satellite cells. This led to a reduced number of infiltrating CD68+ cells and was followed by induction of the myogenic process and a reduction in functional impairment. Moreover, we found that miR‐221/222, previously linked to muscle regeneration processes, was up‐regulated and negatively correlated with p57Kip2 expression in UnAG‐treated mice. UnAG, unlike AG, promoted cell‐cycle entry in satellite cells of mice lacking the genes for ghrelin and its receptor (GHSR1a). UnAG‐induced p38/mitogen‐actived protein kinase phosphorylation, leading to activation of the myogenic process, was prevented in SOD‐2–depleted SCs. By siRNA technology, we also demonstrated that SOD‐2 is the antioxidant enzyme involved in the control of miR‐221/222–driven posttranscriptional p57Kip2 regulation. Loss‐of‐function experiments targeting miR‐221/222 and local pre–miR‐221/222 injection in vivo confirmed a role for miR‐221/222 in driving skeletal muscle regeneration after ischemia. Conclusions These results indicate that UnAG‐induced skeletal muscle regeneration after ischemia depends on SOD‐2–induced miR‐221/222 expression and highlight its clinical potential for the treatment of reactive oxygen species–mediated skeletal muscle damage.
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18
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Slivka D, Heesch M, Dumke C, Cuddy J, Hailes W, Ruby B. Effects of post-exercise recovery in a cold environment on muscle glycogen, PGC-1α, and downstream transcription factors. Cryobiology 2013; 66:250-5. [PMID: 23438722 DOI: 10.1016/j.cryobiol.2013.02.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Revised: 02/11/2013] [Accepted: 02/12/2013] [Indexed: 01/22/2023]
Abstract
PURPOSE The purpose of this investigation was to determine the impact of post-exercise environmental cold exposure on muscle glycogen, PGC-1α, and downstream transcription factors. METHODS Eight males cycled for 1h and recovered in either 7 °C (cold) or 20 °C (room temp) environment for 4h. Muscle biopsies were obtained pre, post, and 4h post exercise for the analysis of muscle glycogen and mRNA. During recovery participants consumed 1.8 g kg⁻¹ of body weight of an oral dextrose solution immediately following the post biopsy and 2h into recovery. Blood samples were obtained post exercise and at 30, 60, 120, 150, 180, and 240 min post exercise for the analysis of serum glucose and insulin AUC. RESULTS Oxygen uptake was lower during room temp than during cold recovery (0.40 ± 0.05 L x min⁻¹ vs. 0.80 ± 0.12 L x min⁻¹; p<0.01). There was no effect of temperature on muscle glycogen recovery or glucose AUC. However, insulin AUC was greater during the room temp trial compared to the cold trial (5139 ± 1412 vs. 4318 ± 1272, respectively; p=0.025). PGC-1α gene expression was higher (p=0.029), but ERRα and NRF2 were lower (p=0.019 and p=0.046, respectively) after recovery in the cold. There were no differences in NRF1 (p=.173) or TFAM (p=0.694). CONCLUSIONS This investigation shows no effect of a cold recovery environment on glycogen re-synthesis but does demonstrate reduced ERRα and NRF2 mRNA despite elevations in PGC-1α mRNA when recovery post-exercise takes place in a cold environment.
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Affiliation(s)
- Dustin Slivka
- School of Health Physical Education and Recreation, University of Nebraska at Omaha, Omaha, NE, USA.
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19
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Noll E, Bouitbir J, Collange O, Zoll J, Charles A, Thaveau F, Diemunsch P, Geny B. Local but not Systemic Capillary Lactate is a Reperfusion Biomarker in Experimental Acute Limb Ischaemia. Eur J Vasc Endovasc Surg 2012; 43:339-40. [DOI: 10.1016/j.ejvs.2011.12.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2011] [Accepted: 12/15/2011] [Indexed: 11/17/2022]
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20
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Mansour Z, Bouitbir J, Charles AL, Talha S, Kindo M, Pottecher J, Zoll J, Geny B. Remote and local ischemic preconditioning equivalently protects rat skeletal muscle mitochondrial function during experimental aortic cross-clamping. J Vasc Surg 2012; 55:497-505.e1. [DOI: 10.1016/j.jvs.2011.07.084] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2011] [Revised: 07/21/2011] [Accepted: 07/21/2011] [Indexed: 11/30/2022]
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21
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Hamaoka T, McCully KK, Niwayama M, Chance B. The use of muscle near-infrared spectroscopy in sport, health and medical sciences: recent developments. PHILOSOPHICAL TRANSACTIONS. SERIES A, MATHEMATICAL, PHYSICAL, AND ENGINEERING SCIENCES 2011; 369:4591-604. [PMID: 22006908 DOI: 10.1098/rsta.2011.0298] [Citation(s) in RCA: 66] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Near-infrared spectroscopy (NIRS) has been shown to be one of the tools that can measure oxygenation in muscle and other tissues in vivo. This review paper highlights the progress, specifically in this decade, that has been made for evaluating skeletal muscle oxygenation and oxidative energy metabolism in sport, health and clinical sciences. Development of NIRS technologies has focused on improving quantification of the signal using multiple wavelengths to solve for absorption and scattering coefficients, multiple pathlengths to correct for the influence of superficial skin and fat, and time-resolved and phase-modulated light sources to determine optical pathlengths. In addition, advances in optical imaging with multiple source and detector pairs as well as portability using small wireless detectors have expanded the usefulness of the devices. NIRS measurements have provided information on oxidative metabolism in various athletes during localized exercise and whole-body exercise, as well as training-induced adaptations. Furthermore, NIRS technology has been used in the study of a number of chronic health conditions. Future developments of NIRS technology will include enhancing signal quantification. In addition, advances in NIRS imaging and portability promise to transform how measurements of oxygen utilization are obtained in the future.
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Affiliation(s)
- Takafumi Hamaoka
- Faculty of Sport and Health Science, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu, Shiga 525-8577, Japan.
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22
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Effect of postconditioning on mitochondrial dysfunction in experimental aortic cross-clamping. Br J Surg 2011; 98:511-6. [DOI: 10.1002/bjs.7384] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2010] [Indexed: 12/19/2022]
Abstract
Abstract
Background
Cross-clamping of the aorta during abdominal aortic aneurysm surgery induces muscle ischaemia with resultant morbidity. This study tested whether ischaemic postconditioning would decrease mitochondrial dysfunction in skeletal muscle by reducing oxidative stress.
Methods
Three groups (9 rats each) underwent surgery, including a control group without ischaemia and an ischaemia–reperfusion group that had 3 h ischaemia induced by aortic clamping and collateral vessel ligation, followed by 2 h of reperfusion. The third group had ischaemia for 3 h then underwent postconditioning comprising three short intervals of ischaemia–reperfusion at the onset of reperfusion. Activity of complexes I, II, III and IV of the mitochondrial respiratory chain was monitored in gastrocnemius muscle, along with oxidative stress measured by dihydroethidium (DHE) staining and antioxidant defence determined by measurement of glutathione levels.
Results
Ischaemia–reperfusion alone caused a significant reduction in maximal oxidative capacity (−31·8 per cent; P = 0·002), activity of complexes II, III and IV (−34·5 per cent; P = 0·007) and complex IV activity (−30·6 per cent; P = 0·039). It also increased reactive oxygen species (DHE staining increased to 223·1 per cent of control value; P = 0·027) and reduced antioxidant defence (glutathione level − 28·6 per cent; P = 0·039). Postconditioning counteracted these deleterious effects by increasing mitochondrial complex I, II, III and IV activities, restoring muscle DHE staining and preserving glutathione content.
Conclusion
Ischaemic postconditioning protects skeletal muscle mitochondria against ischaemia–reperfusion injury by reducing oxidative stress and preserving antioxidant defence in an experimental model. Mitochondrial protection to reduce reperfusion injury in clinical vascular surgery may be warranted.
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Makimura H, Stanley TL, Sun N, Connelly JM, Hemphill LC, Hrovat MI, Systrom DM, Grinspoon SK. Increased skeletal muscle phosphocreatine recovery after sub-maximal exercise is associated with increased carotid intima-media thickness. Atherosclerosis 2010; 215:214-7. [PMID: 21185022 DOI: 10.1016/j.atherosclerosis.2010.11.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 11/26/2010] [Indexed: 01/24/2023]
Abstract
BACKGROUND The association between skeletal muscle mitochondrial function and CVD risk in healthy subjects is unknown. METHODS Forty subjects were evaluated for CVD risk with lipid profile, oral glucose tolerance test and measurement of carotid intima-media thickness (cIMT). Skeletal muscle mitochondrial function was determined by phosphocreatine recovery after sub-maximal exercise with (31)Phosphorous-MRS and represented as τPCr. RESULTS τPCr was positively associated with age (r=+0.41; P=0.009) and cIMT (r=+0.50; P=0.001) on univariate analyses. In multivariate regression analysis controlling for age, the association between τPCr and cIMT remained significant (β=0.003; P=0.03). This association remained significant after controlling for traditional risk factors for CVD including age, gender, tobacco use, BMI, blood pressure, cholesterol and fasting glucose in a combined model (β=0.003; P=0.04; R(2)=0.53; P=0.008 for overall model). CONCLUSIONS These data suggest a novel association between skeletal muscle τPCr and increased cIMT, independent of age or traditional CVD risk factors.
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Affiliation(s)
- Hideo Makimura
- Program in Nutritional Metabolism and Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
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24
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Trattnig S, Friedrich KM, Bogner W, Welsch GH. Advanced musculoskeletal MRI at ultra-high field (7 T). ACTA ACUST UNITED AC 2010. [DOI: 10.2217/iim.09.26] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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