Real-time imaging of mitochondrial redox reveals increased mitochondrial oxidative stress associated with amyloid β aggregates in vivo in a mouse model of Alzheimer's disease

BACKGROUND

Reactive oxidative stress is a critical player in the amyloid beta (Aβ) toxicity that contributes to neurodegeneration in Alzheimer's disease (AD). Damaged mitochondria are one of the main sources of reactive oxygen species and accumulate in Aβ plaque-associated dystrophic neurites in the AD brain. Although Aβ causes neuronal mitochondria reactive oxidative stress in vitro, this has never been directly observed in vivo in the living mouse brain. Here, we tested for the first time whether Aβ plaques and soluble Aβ oligomers induce mitochondrial oxidative stress in surrounding neurons in vivo, and whether this neurotoxic effect can be abrogated using mitochondrial-targeted antioxidants.

METHODS

We expressed a genetically encoded fluorescent ratiometric mitochondria-targeted reporter of oxidative stress in mouse models of the disease and performed intravital multiphoton microscopy of neuronal mitochondria and Aβ plaques.

RESULTS

For the first time, we demonstrated by direct observation in the living mouse brain exacerbated mitochondrial oxidative stress in neurons after both Aβ plaque deposition and direct application of soluble oligomeric Aβ onto the brain, and determined the most likely pathological sequence of events leading to oxidative stress in vivo. Oxidative stress could be inhibited by both blocking calcium influx into mitochondria and treating with the mitochondria-targeted antioxidant SS31. Remarkably, the latter ameliorated plaque-associated dystrophic neurites without impacting Aβ plaque burden.

CONCLUSIONS

Considering these results, combination of mitochondria-targeted compounds with other anti-amyloid beta or anti-tau therapies hold promise as neuroprotective drugs for the prevention and/or treatment of AD.

Increased mitochondrial calcium levels associated with neuronal death in a mouse model of Alzheimer's disease

Mitochondria contribute to shape intraneuronal Ca2+ signals. Excessive Ca2+ taken up by mitochondria could lead to cell death. Amyloid beta (Aβ) causes cytosolic Ca2+ overload, but the effects of Aβ on mitochondrial Ca2+ levels in Alzheimer's disease (AD) remain unclear. Using a ratiometric Ca2+ indicator targeted to neuronal mitochondria and intravital multiphoton microscopy, we find increased mitochondrial Ca2+ levels associated with plaque deposition and neuronal death in a transgenic mouse model of cerebral β-amyloidosis. Naturally secreted soluble Aβ applied onto the healthy brain increases Ca2+ concentration in mitochondria, which is prevented by blockage of the mitochondrial calcium uniporter. RNA-sequencing from post-mortem AD human brains shows downregulation in the expression of mitochondrial influx Ca2+ transporter genes, but upregulation in the genes related to mitochondrial Ca2+ efflux pathways, suggesting a counteracting effect to avoid Ca2+ overload. We propose lowering neuronal mitochondrial Ca2+ by inhibiting the mitochondrial Ca2+ uniporter as a novel potential therapeutic target against AD.

Vasomotion as a Driving Force for Paravascular Clearance in the Awake Mouse Brain

Paravascular drainage of solutes, including β-amyloid (Aβ), appears to be an important process in brain health and diseases such as Alzheimer's disease (AD) and cerebral amyloid angiopathy (CAA). However, the major driving force for clearance remains largely unknown. Here we used in vivo two-photon microscopy in awake head-fixed mice to assess the role of spontaneous vasomotion in paravascular clearance. Vasomotion correlated with paravascular clearance of fluorescent dextran from the interstitial fluid. Increasing the amplitude of vasomotion by means of visually evoked vascular responses resulted in increased clearance rates in the visual cortex of awake mice. Evoked vascular reactivity was impaired in mice with CAA, which corresponded to slower clearance rates. Our findings suggest that low-frequency arteriolar oscillations drive drainage of solutes. Targeting naturally occurring vasomotion in patients with CAA or AD may be a promising early therapeutic option for prevention of Aβ accumulation in the brain.

In vivo detection of tau fibrils and amyloid β aggregates with luminescent conjugated oligothiophenes and multiphoton microscopy

The detection of amyloid beta deposits and neurofibrillary tangles, both hallmarks of Alzheimer's disease (AD), is key to understanding the mechanisms underlying these pathologies. Luminescent conjugated oligothiophenes (LCOs) enable fluorescence imaging of these protein aggregates. Using LCOs and multiphoton microscopy, individual tangles and amyloid beta deposits were labeled in vivo and imaged longitudinally in a mouse model of tauopathy and cerebral amyloidosis, respectively. Importantly, LCO HS-84, whose emission falls in the green region of the spectrum, allowed for the first time longitudinal imaging of tangle dynamics following a single intravenous injection. In addition, LCO HS-169, whose emission falls in the red region of the spectrum, successfully labeled amyloid beta deposits, allowing multiplexing with other reporters whose emission falls in the green region of the spectrum. In conclusion, this method can provide a new approach for longitudinal in vivo imaging using multiphoton microscopy of AD pathologies as well as other neurodegenerative diseases associated with protein aggregation in mouse models.

Cortical cross-frequency coupling predicts perceptual outcomes

Functional networks are comprised of neuronal ensembles bound through synchronization across multiple intrinsic oscillatory frequencies. Various coupled interactions between brain oscillators have been described (e.g., phase-amplitude coupling), but with little evidence that these interactions actually influence perceptual sensitivity. Here, electroencephalographic (EEG) recordings were made during a sustained-attention task to demonstrate that cross-frequency coupling has significant consequences for perceptual outcomes (i.e., whether participants detect a near-threshold visual target). The data reveal that phase-detection relationships at higher frequencies are dependent on the phase of lower frequencies, such that higher frequencies alternate between periods when their phase is either strongly or weakly predictive of visual-target detection. Moreover, the specific higher frequencies and scalp topographies linked to visual-target detection also alternate as a function of lower-frequency phase. Cross-frequency coupling between lower (i.e., delta and theta) and higher frequencies (e.g., low- and high-beta) thus results in dramatic fluctuations of visual-target detection.

Visual object processing as a function of stimulus energy, retinal eccentricity and Gestalt configuration: a high-density electrical mapping study

To reveal the fundamental processes underlying the different stages of visual object perception, most studies have manipulated relatively complex images, such as photographs, line drawings of natural objects, or perceptual illusions. Here, rather than starting from complex images and working backward to infer simpler processes, we investigated how the visual system parses and integrates information contained in stimuli of the most basic variety. Simple scatterings of a few points of light were manipulated in terms of their numerosity, spatial extent, and organization, and high-density electrophysiological recordings were made from healthy adults engaged in an unrelated task. We reasoned that this approach permitted an uncontaminated view of the spatio-temporal dynamics of the related neural processes. We were guided in our predictions by the "frame-and-fill" model for object perception, whereby fast inputs to the dorsal stream of the visual "where" system first frame the spatial extent of visual objects, which are subsequently "filled-in" by the slower activation of the ventral stream of the visual "what" system. Our findings were consistent with this view, showing a rapidly-onsetting effect of spatial extent in dorsal stream sources, and later-onsetting effects due to dot number and symmetry, which were deemed to be more closely tied to the details of object identity, from ventral stream sources. This collection of observations provides an important baseline from which to understand the spatio-temporal properties of basic visual object perception, and from which to test dysfunction of this system in clinical populations.

Evidence for restricted muscle blood flow during speed skating

INTRODUCTION

We have previously hypothesized restricted muscle blood flow during speed skating, secondary to the high intramuscular forces intrinsic to the unique posture assumed by speed skaters and to the prolonged duty cycle of the skating stroke.

METHODS

To test this hypothesis, we studied speed skaters (N = 10) during submaximal and maximal cycling and in-line skating, in both low (knee angle = 107 degrees) and high (knee angle = 112 degrees) skating positions (CE vs SkL vs SkH). Supportive experiments evaluated muscle desaturation and lactate accumulation during on-ice speed skating and muscle desaturation during static exercise at different joint positions.

RESULTS

Consistent with the hypothesis were reductions during skating in VO2peak (4.28 vs 3.83 vs 4.26 L x min(-1)), the VO2 at 4 mmol x L(-1) blood lactate (3.38 vs 1.93 vs 3.31 L x min(-1)), and cardiac output during maximal exercise (33.2 vs 25.3 vs 25.6 L x min(-1)). The reduction in maximal cardiac output was not attributable to differences in HRmax (197 vs 192 vs 193 b x min(-1)) but to a reduction in SVmax (172 vs 135 vs 134 mL x beat(-1)). The reduction in SV appeared to be related to an increased calculated systemic vascular resistance (354 vs 483 vs 453 dynes x s(-1) x cm(-1)). During maximal skating there was also a greater % O2 desaturation of the vastus lateralis based on near infrared spectrophotometry (50.3 vs 74.9 vs 60.4% of maximal desaturation during cuff ischemia). The results were supported by greater desaturation with smaller knee angles during static exercise and by greater desaturation and accelerated blood lactate accumulation during on-ice speed skating in the low vs high position. The results of this study support the hypothesis that physiological responses during speed skating are dominated by restriction of blood flow, attributable either to high intramuscular forces, the long duty cycle of the skating stroke, or both.

Overtraining and glycogen depletion hypothesis

Low muscle glycogen levels due to consecutive days of extensive exercise have been shown to cause fatigue and thus decrements in performance. Low muscle glycogen levels could also lead to oxidation of the branched chain amino acids and central fatigue. Therefore, the questions become, can low muscle glycogen not only lead to peripheral and central fatigue but also to overtraining, and if so can overtraining be avoided by consuming sufficient quantities of carbohydrates? Research on swimmers has shown that those who were nonresponsive to an increase in their training load had low levels of muscle glycogen and consumed insufficient energy and carbohydrates. However, cyclists who increased their training load for 2 wk but also increased carbohydrate intake to maintain muscle glycogen levels still met the criteria of over-reaching (short-term overtraining) and might have met the criteria for overtraining had the subjects been followed for a longer period of time. Thus, some other mechanism than reduced muscle glycogen levels must be responsible for the development and occurrence of overtraining.

Physiological effects of technique and rolling resistance in uphill roller skiing

OBJECTIVE

The double pole technique (DP) has been shown to be more economical than the V1 skate technique (V1 ) on flat terrain. The objective of the present study was to compare these two techniques during uphill roller skiing. In addition, the physiological effects of changing roller ski rolling resistance was examined for V1.

METHODS

Five female and five male competitive cross-country skiers roller skied 4-min bouts on a 5.2% incline while physiological measurements were made.

RESULTS

Oxygen uptake (VO2) values averaged 8% greater (P = 0.0004) with V1, whereas rating of perceived exertion (RPE) and blood lactate concentrations were higher (P < or = 0.002) with DP. Doubling the dynamic friction coefficient of the roller skis, which increased external power output by 16-17%, resulted in VO2 values with V1 that averaged 13% higher (P = 0.0006). This magnitude of change in roller ski rolling resistance did not cause a statistical change in the relationship of VO2 with RPE.

CONCLUSIONS

These findings suggest that 1) grade has little effect on relative economies of DP and V1, possibly because of a lower effectiveness of force application with V1 when going uphill, and 2) large differences in roller ski rolling resistance should have no effect on the cardiovascular training adaptations that result from uphill roller skiing with V1.

Athletic performance in relation to training load

Athletic performance generally is thought to improve with increases in training load. However, few data exist showing the quantitative relationship between training load and performance. We followed 56 athletes (16 runners; 40 cyclists/speed skaters) during 12 weeks of training. We recorded index performances (3.2 km time trial or 5 or 10 km bicycle ergometry) after 6 weeks of baseline training and 6 weeks of a self-selected training increases. Training load was quantitated as the product of intensity (global rating of perceived exertion (RPE)) and the duration (time) of each training session. Load was expressed as the weekly average over the 6 weeks preceding each index performance. We also recorded the duration of high intensity training (RPE>5, hard) (inten). From 6 to 12 weeks, performance improved 12.95 +/- 3.83 to 12.66 +/- 3.00 min (p < .01). Training time (345 +/- 282 to 355 +/- 273 min/wk) and inten (61 +/- 88 to 71 +/- 91 min/wk) did not change significantly, although RPE (3.8 +/- 0.7 to 4.0 +/- 0.8) and load (1242 +/- 957 to 1386 +/- 978) increased significantly. No strong correlations existed between changes in performance and changes in any training measure (TIME, r = -0.031, RPE, r = -0.039, LOAD, r = 0.29, INTEN, r = 0.025.) Data suggest that improved performance in events of 7-20 minutes duration in response to intensified training is primarily dependent upon increases in total load and overall RPE during training and; that a 10-fold increase in training load may be associated with an approximately 10% improvement in performance. These data suggest the possibility of understanding the training responses of athletes on a quantitative basis.

Overtraining following intensified training with normal muscle glycogen

The purpose of this study was to determine if consumption of appropriate amounts of carbohydrate during a period of increased exercise training would protect the athletes from becoming overtrained. Eight male competitive cyclists were monitored and tested during three training periods: a) normal training (moderate intensity, long duration, 7 d, NORM); b) overtraining (high intensity training, 15 d, OVER); and c) recovery (minimal training, 6 d, REC). Throughout the training 160 g of liquid carbohydrate were consumed within the first 2 h after the daily exercise bout. Mean dietary intake (NORM = 13.7 +/- 1.6, OVER = 14.1 +/- 1.0 MJ.d-1) and carbohydrate percent (NORM = 64.0 +/- 2.1, OVER = 67.4 +/- 2.5%) were not different during the different training periods. Similarly, resting muscle glycogen levels were not different (NORM = 530.9 +/- 42.5, OVER = 571.2 +/- 27.5 mumol.g-1 dry weight). Five criteria were used to determine if overtraining occurred in a subject (decreased maximal workload, maximal heart rate, ratio of maximal lactate to rating of perceived exertion (HLa:RPE), and resting plasma cortisol levels, increased affirmative response to a daily questionnaire). All subjects met at least three of the five criteria and thus were classified as overtrained. Therefore, short-term overtraining may occur even when resting muscle glycogen levels are maintained.

The bloodless lactate profile

The blood lactate profile (HLa-P) is an accepted method of evaluating athletes and providing a basis for the prescription of training intensity. For both logistic and public health reasons HLa-P is less than optimal. In this study we evaluate the relative velocity or the %HR-max, obtained during a training session, as alternatives to HLa-P. Competitive speed skaters (N = 20) performed HLa-P consisting of 5.2000 m/400 m at incremental velocities ranging from very slow to maximal (time = 3.0-5.0 min). Blood lactate measured during a 60-s interval following each repetition was used to construct HLa-P and to predict the velocity associated with steady state (HLa = 4.0-6.5 mmol.l-1). Relative velocity was calculated relative to the velocity of the maximal trial. A plot of relative velocity and %HRmax vs HLa demonstrated that HLa = 4.0-6.5 mmol.l-1 occurred at a relative velocity of 78-88% (R2 = 0.807) and at 84-92 %HRmax (R2 = 0.748). In a separate training session the relative velocity and %HRmax models were cross validated by having the subjects skate 9.2000 m/400 m at constant velocity. HLa changes during the training session defined the presence/absence of steady state (delta HLa < 1.0 mM from trial 3 to 9). Comparing the velocity during the training session vs the velocity predicted from HLa-P, relative velocity model and %HRmax model allowed a test of the accuracy of bloodless means of defining steady state. HLa-P correctly predicted 81% of training session HLa responses, the relative velocity model correctly predicted 78%, and the %HRmax model correctly predicted 68%.(ABSTRACT TRUNCATED AT 250 WORDS)

Effect of an abdominal binder during wheelchair exercise

The purpose of this study was to determine whether use of an abdominal binder would affect oxygen uptake, trunk range of motion, and duration of the stroke phase during wheelchair propulsion. The subjects were six paraplegic wheelchair athletes with T1-T6 injuries and no abdominal muscle function. Each subject performed two trials, one while wearing the binder and one without the binder. Each trial consisted of submaximal and maximal exercise tests conducted on wheelchair rollers. Oxygen uptake was determined by open circuit spirometry while heart rate was determined by telemetry. Max VO2 values averaged 2.51 l.min-1 while average maximum heart rate values were 190 b.min-1. A 3-D video-based motion analysis system was used to obtain kinematic parameters of wheelchair propulsion. In general, 30% of the cycle time was comprised of the stroke phase, while 70% was comprised of the recovery phase across speeds. There were no statistically significant effects of the abdominal binder on any of the cardiovascular or kinematic variables at submaximal or maximal levels of exercise. Under the conditions of this laboratory investigation, it appears that an abdominal binder does not alter physiological or selected biomechanical measures in highly trained athletes.

Effects of specific versus cross-training on running performance

The cross-training (XT) hypothesis suggests that despite the principle of specificity of training, athletes may improve performance in one mode of exercise by training using another mode. To test this hypothesis we studied 30 well-trained individuals (10 men, 20 women) in a randomized longitudinal trail. Subjects were evaluated before and after 8 weeks of enhanced training (+10%/week), accomplished by adding either running (R) or swimming (XT) to baseline running, versus continued baseline running (C). Both R (-26.4s) and XT (-13.2s) improved time trial (3.2 km) performance, whereas C did not (-5.4s). There were no significant changes during treadmill running in maximum oxygen uptake (VO2peak; -0.2, -6.0, and +2.7%), steady state submaximal VO2 at 2.68 m.s-1 (-1.2, -3.3 and +0.2 ml.kg-1.min-1), velocity at VO2peak (+0.05, +0.25 and +0.09 m.s-1) or accumulated O2 deficit (+11.2, -6.1 and +9.4%) in the R, XT or C groups, respectively. There was a significant increase in velocity associated with a blood lactate concentration of 4 mmol.l-1 in R but not in XT or C (+0.32, +0.07 and +0.08 m.s-1). There were significant changes in arm crank VO2peak (+5%) and arm crank VO2 at 4 mmol.l-1 (+6.4%) in XT. There was no significant changes in arm crank VO2peak (+1.3 and -7.7%) or arm crank VO2 at 4 mmol.l-1 (+0.8 and +0.4%) in R or C, respectively. The data suggest that muscularly non-similar XT may contribute to improved running performance but not to the same degree as increased specific training.

A simplified approach to estimating the maximal lactate steady state

The exercise intensity associated with an elevated but stable blood lactate (HLa) concentration during constant load work (the maximal steady state, MSS) has received attention as a candidate for the "optimal" exercise intensity for endurance training. Identification of MSS ordinarily demands direct measurement of HLa or respiratory metabolism. The purpose of this study was to test the ability of heart rate (HR) to identify MSS during steady state exercise, similar to that used in conventional exercise prescription. Trained runners (n = 9) and cyclists (n = 12) performed incremental and steady state exercise. MSS was defined as the highest intensity in which blood lactate concentration increased < 1.0 mM from minutes 10 to 30. The next higher intensity workbout completed was defined as > MSS. HR models related to the presence or absence of steady state conditions were developed from the upper 95% confidence interval of MSS and the lower 95% confidence interval of > MSS. Cross validation of the model to predict MSS was performed using 21 running and 45 cycling exercise bouts in a separate group. Using the MSS upper 95% confidence interval model 84% and 76% of workbouts were correctly predicted in cyclists and runners, respectively. Using the > MSS lower 95% confidence interval model, 76% and 81% of workbouts were correctly predicted in cyclists and runners, respectively. Prediction errors tended to incorrectly predict non-steady state conditions when steady state had occurred (16/26) (62%). We conclude that use of these simple HR models may predict MSS with sufficient accuracy to be useful when direct HLa measurement is not available.

Fixed time versus fixed distance protocols for the blood lactate profile in athletes

Laboratory studies of blood lactate accumulation often use a fixed time protocol to define the onset (4 mM) of blood lactate accumulation (OBLA) or other indices of blood lactate concentration. For practical reasons, field studies with athletes often use a fixed distance protocol to accomplish the same goal. Whether these variations of protocol are comparable has not been established. We studied 10 subjects in the laboratory during fixed time (4 minute) and fixed distance (2 km) exercise protocols on a racing bicycle attached to a wind load simulator. The fixed distance studies required 3-6 minutes to complete. We also studied the subjects during fixed distance (2 km) rides in the field. In the laboratory there were no systematic differences in the velocity (34.3 4.6 vs 34.2 +/- 4.6 km.hr-1), VO2 (2.78 +/- 0.60 vs 2.84 +/- 0.62 liters.min-1), or heart rate (159 +/- 16 vs 155 +/- 14 beats.min-1) at OBLA in the fixed time vs fixed distance protocols. The correlation coefficients for velocity (r = 0.97), VO2 (r = 0.97) and heart rate (r = 0.94) further indicate the similarity of results. In the field study there was a significant difference in velocity (29.9 +/- 4.8 vs 34.2 +/- 4.6 km.hr-1) but not heart rate (155 +/- 18 vs 155 +/- 15 beats.min-1) at OBLA versus the fixed distance laboratory study. The correlations for velocity (r = 0.47) and heart rate (r = 0.93) support these data. The results suggest that the practical modification of the lactate profile technique of using fixed distance versus fixed time exercise stages does not systematically influence the outcome, at least for exercise stage durations approximating 4 minutes.

Physiological responses during simulated competition

Laboratory studies with competitive athletes often use graded exercise protocols to elicit physiologic responses. This pattern of power output is different than ordinarily employed by athletes during competition. To understand the physiologic responses during competition, we studied 24 athletes (speed skaters, cyclists, triathletes) during simulated competition, a 5-km time trial on a racing bicycle attached to a windload simulator, and during cycle ergometer graded exercise testing (N = 8). During the time trial the velocity pattern was similar to real world competitions, and the subjects indicated that the time trial was perceptually similar to competition. Physiologic responses were of significantly greater magnitude vs graded exercise (VO2max: 3.46 +/- 0.73 vs 3.27 +/- 0.79 l.min-1; VEmax: 138 +/- 27 vs 119 +/- 22 l.min-1; HRmax 184 +/- 11 vs 175 +/- 11 beats x min-1; HLa 14.8 +/- 3.7 vs 11.9 +/- 2.1 mM). All physiologic measures increased steadily throughout the time trial (km 0, 1, 2, 3, 4, and 5: VO2 = 1.03, 2.95, 3.42, 3.69, 3.82, and 3.92 l.min-1; HR = 93, 175, 181, 185, 189, and 194 beats.min-1; VE = 31, 99, 120, 129, 145, and 156 l.min-1; HLa = 2.9, 5.6, 7.2, 9.2, 10.6, and 13.5 mM). In six subjects (speed skaters), the peak values observed during time trial for HR (188 +/- 6 vs 191 +/- 5 beats.min-1) and HLa (16.4 +/- 3.1 vs 17.0 +/- 4.2 mM) were not significantly different than observed during real world competition.(ABSTRACT TRUNCATED AT 250 WORDS)

Carbohydrate consumption prior to repeated bouts of high-intensity exercise

Rapid depletion of muscle glycogen occurs during activities greater than 100% of maximal oxygen uptake. While carbohydrate ingestion prior to an endurance event has been shown to be beneficial, the effects of carbohydrate ingestion on repeated bouts of high-intensity exercise are not known. Therefore, the purpose of this study was to determine if carbohydrate ingestion prior to repeated bouts of high-intensity, short-duration exercise would improve performance. Ten well-trained male cyclists performed two experimental rides, one 15 min after consumption of 5.0 ml.kg-1 body weight of a 19.7% carbohydrate drink and one following a placebo. The experimental ride consisted of four 1.6 km timed performance rides separated by 4.8 km steady-state rides at 80% of maximal oxygen uptake (between the last two performance rides the steady-state rides were 1.6 km at 80% and 1.6 km at 90%). Blood glucose levels were significantly increased following both the ingestion of the carbohydrate beverage and the performance of the exercise bout. Total exercise time following ingestion of the experimental drink [mean (SD); 25.6 (3.3) min] was not different from that following ingestion of the placebo [25.2 (3.3) min]. Similarly, the sum of all four timed performance rides following ingestion of the experimental drink [6.8 (0.9) min] was not different from that following ingestion of the placebo [6.6 (0.9) min]. In the present study, carbohydrate ingestion 15 min prior to exercise increased blood glucose levels, although performance time was not affected.

Effect of pacing strategy on cycle time trial performance

Despite interest in competitive strategy by coaches and athletes, there are no systematically collected data regarding the effect of differences in pacing strategy on the outcome of middle distance (2-4 min duration) events. In this study different pacing strategies were evaluated using a 2-km time trial on a bicycle attached to a wind load simulator. Well-trained subjects (N = 9) performed five separate time trials with the pace during the first 50% of the trial experimentally constrained within the usual real world range from very slow (approximately 55% of best time) to very fast (approximately 48% of best time). Serial VO2 was measured to estimate the oxidative contributions to the trial and accumulated O2 deficit and postexercise blood lactate measured to estimate the anaerobic contribution to the trial. The evenly paced trial (first 1 km = 50.9% final time) produced the fastest total time. The starting pace to final time relationship was described by a U shaped second order polynomial curve with the nadir for final time at a starting pace of 51% of best total time. There were no systematic differences in serial VO2, accumulated O2 deficit, or postexercise lactate that could account for the pacing related variations in performance. The data support the concept of relatively even pacing in middle distance events with negative consequences for even small variations in this strategy.

Exercise responses to in-line skating: comparisons to running and cycling

A comparison of the physiological responses to in-line skating with the more traditional modes of exercise training has not been reported. The purpose of this study was to examine the physiological responses to in-line skating compared with running and cycling. Nine trained volunteers (2 male, 7 female) performed 3-6 submaximal (30-90% VO2max) workloads with each exercise mode. Oxygen uptake, heart rate and blood lactate were measured during each trial. Across the spectrum of oxygen uptakes studied, heart rate was higher with in-line skating than with cycling or running. At a lactate concentration of 4 mM, oxygen uptake was less for in-line skating and cycling than for running. Therefore, while in-line skating may be an effective mode of aerobic exercise, the training adaptations for in-line skating at 4 mM lactate may not be as great as for running, and at a given HR may be less than for running and cycling.

A physiological/psychological indicator of over-reaching during intensive training

Many indicators of over-reaching and over-training have been proposed, using both physiological and psychological techniques. Field testing of athletes has led us to believe that a decrease in the ratio of blood lactate concentration to ratings of perceived exertion indicates a fatigued and/or over-reached state following intensive training. The purpose of this study, therefore, was to test the hypothesis that a decrease in the ratio of blood lactate concentration to ratings of perceived exertion would indicate an over-reached state. Seven well-trained male cyclists performed two weeks each of: normal (moderate) training, overtraining and recovery. During each time period an incremental exercise test was performed to maximal effort with blood lactate concentration (HLa) and ratings of perceived exertion (RPE) obtained for each workload. All seven subjects became over-reached during the two week period of intensive interval training. The ratio of HLa:RPE (multiplied by 100) decreased with all workloads following both one (mean decrease 29.1 +/- 3.0%) and two (mean decrease 48.7 +/- 2.5%) weeks of overtraining. However, only the decrease at the maximal workload was statistically significant. Examining the individual data revealed that at maximal workload all seven subjects had HLa:RPE ratios of less than 100 when over-reached. The ease and speed at which the HLa:RPE ratio can be determined may make it useful for coaches and athletes in monitoring intensive exercise training and recovery.

Electromyographic analysis of four popular abdominal exercises

This study was designed to evaluate the effects of four specific sit-up exercises on muscular activity of the rectus abdominis. Pairs of surface electrodes were placed unilaterally on four quadrants of the rectus abdominis, delimited by tendinous inscriptions, in four male subjects. Electromyographic (EMG) recordings were taken while the subjects performed four different abdominal exercises. Each abdominal exercise was hypothesized to have a specific effect on one of the four quadrants of the rectus abdominis. The four exercises analyzed were: 1) long lying crunch, 2) bent knee crunch, 3) leg raise, and 4) vertical leg crunch. Analysis of the standardized EMG recordings demonstrated no significant differences in the mean muscle activity between the four different quadrants, in the mean muscle activity between the four different exercises, and in interactions between the exercises and the quadrants of the rectus abdominis. We conclude that none of the four abdominal exercises studied are specific for strengthening individual muscle quadrants of the rectus abdominis.

A new approach for the determination of ventilatory and lactate thresholds

In order to determine the ventilatory threshold (VT) and the lactate threshold (LT) in a reliable way, a new method is proposed and compared with conventional methods. The new method consists of calculating the point that yields the maximal distance from a curve representing ventilatory and metabolic variables as a function of oxygen uptake (VO2) to the line formed by the two end points of the curve (Dmax method). Male cyclists (n = 8) performed two incremental exercise tests a week apart. Ventilatory/metabolic variables were measured and blood was sampled for later lactate measurement during each workload and immediately after exercise. No statistical differences were observed in the threshold values (expressed as absolute oxygen uptake; VO2) determined by the Dmax method and the conventional linear regression method (according to O2 equivalent; EqO2) and venous blood at the onset of blood lactate (OBLA), while VT assessed with the conventional linear method (according to the slope of CO2 output; Vslope) yielded significantly lower threshold values. Similar results were obtained from the reproducibility test. Thus, the Dmax method appears to be an objective and reliable method for threshold determination, which can be applied to various ventilatory or metabolic variables yet yield similar results. The results also showed that breathing frequency can be used to determine VT.

Physiological changes in male competitive cyclists after two weeks of intensified training

To study the physiological response to heavy training, seven male competitive cyclists intensified their normal training program for two weeks (IIT) in order to achieve a state of short-term overtraining. The subjects underwent a graded cycle ergometer test to exhaustion, an outdoor 8.5 km time trial and a computerized test to study reaction time and visual perception, before, during and after the two weeks of intensified training and after two weeks of recovery. Furthermore subjects kept a daily log in the form of a questionnaire. After two weeks of IIT all subjects showed symptoms of overtraining: the general state of well being declined as indicated by the questionnaire while performances on time trial (mean +/- SEM: 830 +/- 14 sec-871 +/- 19 sec), contests and maximal power output (mean +/- SEM: 336 7 watt-310 +/- 5 watt) declined significantly. Maximal (mean +/- SEM 11.8 +/- 1.1 mmol.l-1-5.9 +/- 0.5 mmol.l-1) and submaximal lactate values were significantly lowered during ergometer test after the IIT, while the workload at the 4 mmol point increased significantly (mean +/- SEM 234 +/- 10 watt-267 +/- 13 watt). Sleeping heart rate increased significantly (mean +/- SEM 49.5 +/- 9.3 BPM-54.3 +/- 8.8 BPM). Maximal heart rate (mean +/- SEM 185 +/- 3 BPM-178 +/- 2 BPM, mean heart rate during the time trial (mean +/- SEM 178 +/- 2 BPM-169 +/- 2 BPM) and VO2max (mean +/- SEM 4801 +/- 121 ml.min-1-4409 +/- 101 ml.min-1) were all significantly lowered by the IIT.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of chronic intense exercise training on the leukocyte response to acute exercise

Circulatory leukocytes vary significantly in response to acute bouts of exercise. However, little is known concerning the adaptability of this response to chronic intense exercise training. We investigated the circulating leukocytic response to acute exercise in trained athletes during a 28-day intense exercise training program. On day 0, 14, 28 and two days after cessation of the increased training, eight trained male athletes (VO2max greater than 60 ml.kg-1.min-1) were subjected to a 20-km bicycle ergometer time trial. Blood samples were drawn before (PRE, for resting baseline values) and five minutes after (POST, response to acute exercise) the time trial. Beginning on day 0, athletes were instructed to increase the duration of their training 50%. The intense exercise training, which lasted 28 days, was verified weekly. Acute bouts of exercise caused a significant increase (p less than 0.05) in circulating white blood cells, lymphocytes, polymorphonuclear neutrophils and monocytes. The baseline resting values and the magnitude of the response to the acute bouts of exercise in the above parameters were not different during the 28 days of chronic intense exercise training or 2 days after cessation of training as compared to the values observed on day 0. Similarly there was a significant increase (p less than 0.05) in cortisol levels in response to the acute bouts of exercise during the chronic intense exercise training, but the increases were not different from that observed under baseline conditions. These results lead to the conclusion that chronic intense exercise training does not alter the circulating leukocytic response to acute exercise.

Muscle glycogen loading with a liquid carbohydrate supplement

This study compared two high carbohydrate (CHO) diets in 14 male runners for effects on muscle glycogen deposition, endurance, and sensations of gastrointestinal discomfort. Muscle glycogen was measured in the vastus lateralis at rest and run time to exhaustion at 75% VO2max was measured following 3-1/2 days on a 50% CHO diet. After 14 days the subjects consumed a 20% CHO diet and continued training to reduce glycogen. During the next 3-1/2 days, subjects ran less and consumed a 90% CHO diet emphasizing pasta and rice (Pasta, n = 7) or lesser amounts of pasta and rice supplemented by a maltodextrin beverage (Supplement, n = 7). Glycogen was again measured, followed by a second run to exhaustion. Compared to the 50% CHO diet, Pasta increased muscle glycogen by 27.1 +/- 12.2 mmoles/kg muscle (M +/- SE; P < 0.05) and run time by 15.7 +/- 5.9 min; Supplement increased glycogen by 43.2 +/- 13.5 mmoles/kg (P < 0.05) and run time by 29.0 +/- 7.4 min (P < 0.05). Total glycogen concentrations and run times were not significantly different for Pasta versus Supplement. Subjects reported less gastrointestinal discomfort and greater overall preference for Supplement than for Pasta. Thus, glycogen loading can be accomplished at least as effectively and more comfortably by substituting a maltodextrin drink for some of the pasta and rice in a glycogen loading diet.

Nutritional, physiological, and menstrual status of distance runners

Amenorrheic runners (AR; N = 8), regularly menstruating runners (RMR; N = 9), and regularly menstruating sedentary controls (RMSC; N = 7) were compared for plasma progesterone levels, plasma lipid levels, menstrual cycle characteristics, physical characteristics, and nutritional adequacy to determine whether exercise training was the major factor associated with menstrual cycle disturbances. Plasma progesterone levels were significantly lower in the AR group subjects than those found during either the follicular or luteal phases of the menstrual cycle for either the RMR or the RMSC subjects. The RMR subjects had a shorter luteal phase length relative to their cycle length than did the RMSC subjects. The AR subjects consumed significantly less fat, red meat, and total calories than did the RMR subjects, while the RMSC subjects consumed significantly less total calories than did the RMR subjects. Serum LDL-C was significantly higher in the AR subjects when compared to that of the RMR subjects, while serum HDL-C was significantly higher for both the AR and RMR subjects when compared to that obtained for the RMSC subjects. The nutritional inadequacy would appear to separate the AR from the RMR, and, thus, the exercise training performed by the athletes at the time of the present investigation alone does not appear to be the major factor associated with athletic amenorrhea.

Influence of dietary iron source on measures of iron status among female runners

The purpose of the present investigation was to determine whether female runners who consume a modified vegetarian diet are predisposed to iron deficiency. Two groups of female runners who were matched for age, weight, aerobic capacity, miles run per week, and number of pregnancies were obtained for this study. One group (N = 9) regularly consumed a modified vegetarian diet (MV, less than 100 g red meat.wk-1), while the other group (N = 9) consumed a diet which included red meat (RM). Serum ferritin values were significantly (P less than 0.05) lower for the MV group (X +/- SE, 7.4 +/- 1.4 ng.100 ml-1) than for the RM group (19.8 +/- 4.2 ng.100 ml-1). Total iron binding capacity (TIBC) of the serum was also significantly different between the two groups of subjects (MV, 366.5 +/- 12.2 micrograms.100 ml-1; RM, 327.2 +/- 9.6 micrograms.100 ml-1). While dietary iron intake was comparable for the two groups (MV, 14.7 +/- 2.0 mg.d-1; RM, 14.0 +/- 2.2 mg.d-1, the bioavailability of the dietary iron was significantly different (MV, 0.66 +/- 0.08 mg.d-1; RM, 0.91 +/- 0.10 mg.d-1). As the presence of heme iron (from meat, fish, and poultry) increases the bioavailability of dietary iron, the results of the present investigation suggest that vegetarian athletes have altered iron status due to the form in which their dietary iron is consumed.

Evaluation of contact lenses by microbial enumeration and protein determination

Contact lenses worn for varying periods of time (from 1 to 48 months) were subjected to microbiological examination by plate counts and protein determination. Seventy percent of the lenses displayed bacterial colony counts below 120 colony-forming units (CFU)/lens, 28 percent were in the range of 140 to 9060 CFU/lens, and one lens was contaminated with greater than 6 x 10(4) CFU/lens. Fungal contaminants were detected in three lens specimens in the range of 220 to 760 CFU/lens. Protein accumulation showed wide variation of up to 1.2 mg of protein per lens. Statistical analysis indicated highly significant associations (p less than 0.001) between the bacterial colony counts obtained with three different media. Some significant associations were found between the protein concentration and bacterial counts. The data did not indicate statistically significant relations between the above variables and either the water content or the length of wear of the contact lenses.

Normalization of the blood lactate profile in athletes

The power output-blood lactate or velocity-blood lactate relationship, the lactate "profile", is a widely used method for the evaluation of athletes. Recent observations have suggested a shift in the blood lactate profile when athletes are fatigued, as at training camps. This study was designed to determine whether the blood lactate profile could be corrected for progressive muscle glycogen depletion by normalizing for the peak exercise blood lactate concentration. Ten well-trained subjects performed incremental cycle ergometer exercise followed by supramaximal exercise (Wingate test) following 3 days of usual and 3 days of heavier than usual training. Following heavier than usual training, blood lactate accumulation was reduced during submaximal exercise such that the power output associated with a lactate concentration of 4 mM was significantly increased (3.08 vs 3.51 W/kg). The maximal blood lactate concentration was also reduced (14.8 vs 12.7 mM) although average supramaximal power output was unchanged (9.03 vs 8.92 W/kg). When the submaximal blood lactate concentrations were normalized for the maximal blood lactate concentration, there were no significant differences in the power output associated with 20% (2.6 vs 2.7 W/kg), 25% (3.1 vs 3.2 W/kg), or 30% (3.3 vs 3.5 W/kg) of maximal lactate. The results suggest that normalization based on peak exercise blood lactate may be a useful strategy for circumventing one of the primary practical barriers to the use of the blood lactate profile in athletes.

Effects of refrigeration on daily microbial bioburden of hydrogel lenses

Microbial bioburden of contact lenses was evaluated in connection with lens care by refrigeration. Subjects wore new hydrogel contact lenses for approximately 8 hours. The microbial bioburden initially and after an overnight refrigeration of the lens was evaluated with the use of viable counts on three different media. No major changes in viable counts were observed resulting from this method of storage. Scanning electron microscopy indicated the presence of foreign material on both new and worn lenses, presumed to be debris from lens manufacture and mucoid deposits from daily wear. Microbial colonization was not apparent and single bacterial cells could not be discerned on the micrographs.

Validity of optical pachometry measurements made with contact lenses in situ

Traditionally changes in corneal thickness associated with contact lens wear have been measured with optical pachometers after the lenses are removed from the cornea. In studies of corneal response to the extended wearing of hydrogel and silicone elastomer contact lenses, optical pachometry measurements may be improved by uninterrupted lens wear during the measurements. Using four flexible lens types differing in design and thickness, a single observer made pachometric measurements both with and without the lenses in place on eight subjects. This study demonstrates that valid and reliable measures of corneal thickness may be made without removing flexible lenses from the eye.

Comparison of oxygen tension measurement methodologies: further studies

The oxygen quantifying techniques of Hill and Rasson and Fatt have been compared by Roscoe and Wilson, who have also derived an "average" equivalent oxygen percentage (EOP) calibration equation. This study provides additional data which support their conclusions. Eight subjects wore three different hydrogel contact lens types of various center thicknesses and oxygen transmissibilities. Open-eyelid oxygen polarographic data were taken for each of these lenses worn by the subjects. The "average" EOP calibration equation was used to calculate the EOP values. The relation between center thickness and the ratio of the oxygen tension values derived by the two methods agrees relatively well with that found previously.

Optical pachometry measurements: reliability and variability

Polymethyl methacrylate (PMMA) lenses of known thickness were measured by one investigator with a pachometer. This experienced pachometrist held variation in thickness measurements to within 1% over time. The measurements were repeatable with a SD less than 1%. The data indicate that measured corneal thickness changes should be greater than 1 to 2% to be considered true changes in thickness.

Myofibrillar protein degradation after eccentric exercise

Male rats were run downhill for 90 minutes (nonexhaustive). Following the exercise, muscle protein degradation was increased, as determined by urinary 3-methylhistidine. However, minimal changes were observed in the relative percentage of the minor myofibrillar proteins and in the protease calcium activated factor in the long head of the triceps brachii muscle (eccentrically exercised) following the exercise bout.

Corneal thickness changes associated with daily and extended contact lens wear

Human corneal thickness was measured during daily wear of hydrogel contact lenses and then during the initial 2 weeks extended wear of hyper-thin (0.035 mm), low water content (38.6%), hydrogel lenses (polymacon). Results show that subjects wearing standard thickness (0.12 mm) and ultra-thin (0.07 mm) hydrogel lenses of low water content for daily wear will exhibit a diurnal swelling of the cornea. Subjects wearing hyper-thin (0.035 mm) low minus power hydrogel contact lenses of low water content for extended wear will exhibit overnight (closed eye) swelling of the cornea followed by a deswelling throughout the day (open eye). The degree of swelling and deswelling can vary greatly among individual subjects.