Document Detail

Effects of PDH activation by dichloroacetate in human skeletal muscle during exercise in hypoxia.
MedLine Citation:
PMID:  11001755     Owner:  NLM     Status:  MEDLINE    
During the onset of exercise in hypoxia, the increased lactate accumulation is associated with a delayed activation of pyruvate dehydrogenase (PDH; Parolin ML, Spreit LL, Hultman E, Hollidge-Horvat MG, Jones NL, and Heigenhauser GJF. Am J Physiol Endocrinol Metab 278: E522-E534, 2000). The present study investigated whether activation of PDH with dichloroacetate (DCA) before exercise would reduce lactate accumulation during exercise in acute hypoxia by increasing oxidative phosphorylation. Six subjects cycled on two occasions for 15 min at 55% of their normoxic maximal oxygen uptake after a saline (control) or DCA infusion while breathing 11% O(2). Muscle biopsies of the vastus lateralis were taken at rest and after 1 and 15 min of exercise. DCA increased PDH activity at rest and at 1 min of exercise, resulting in increased acetyl-CoA concentration and acetylcarnitine concentration at rest and at 1 min. In the first minute of exercise, there was a trend toward a lower phosphocreatine (PCr) breakdown with DCA compared with control. Glycogenolysis was lower with DCA, resulting in reduced lactate concentration ([lactate]), despite similar phosphorylase a mole fractions and posttransformational regulators. During the subsequent 14 min of exercise, PDH activity was similar, whereas PCr breakdown and muscle [lactate] were reduced with DCA. Glycogenolysis was lower with DCA, despite similar mole fractions of phosphorylase a, and was due to reduced posttransformational regulators. The results from the present study support the hypothesis that lactate production is due in part to metabolic inertia and cannot solely be explained by an oxygen limitation, even under conditions of acute hypoxia.
M L Parolin; L L Spriet; E Hultman; M P Matsos; M G Hollidge-Horvat; N L Jones; G J Heigenhauser
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of physiology. Endocrinology and metabolism     Volume:  279     ISSN:  0193-1849     ISO Abbreviation:  Am. J. Physiol. Endocrinol. Metab.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-10-12     Completed Date:  2000-10-30     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  100901226     Medline TA:  Am J Physiol Endocrinol Metab     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  E752-61     Citation Subset:  IM    
Department of Medicine, McMaster University, Hamilton, Ontario L8N 3Z5.
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MeSH Terms
Acetyl Coenzyme A / metabolism
Adenosine Diphosphate / metabolism
Adenosine Monophosphate / metabolism
Adenosine Triphosphate / metabolism
Anoxia / metabolism*
Blood Glucose
Blood Pressure
Dichloroacetate / pharmacology*
Glycogen / metabolism
Heart Rate / drug effects
Lactic Acid / blood
Muscle, Skeletal / drug effects*,  enzymology
Oxygen Consumption / drug effects
Phosphocreatine / metabolism
Phosphorylases / metabolism
Physical Exertion / drug effects*,  physiology
Pyruvate Dehydrogenase Complex / metabolism*
Respiratory Function Tests
Reg. No./Substance:
0/Blood Glucose; 0/Pyruvate Dehydrogenase Complex; 13425-80-4/Dichloroacetate; 50-21-5/Lactic Acid; 56-65-5/Adenosine Triphosphate; 58-64-0/Adenosine Diphosphate; 61-19-8/Adenosine Monophosphate; 67-07-2/Phosphocreatine; 72-89-9/Acetyl Coenzyme A; 9005-79-2/Glycogen; EC 2.4.1.-/Phosphorylases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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