Increased oxidative stress and anaerobic energy release, but blunted Thr¹⁷²-AMPKα phosphorylation, in response to sprint exercise in severe acute hypoxia in humans

Abstract

-AMPactivated protein kinase (AMPK) is a major mediator of the exercise response and a molecular target to improve insulin sensitivity. To determine if the anaerobic component of the exercise response, which is exaggerated when sprint is performed in severe acute hypoxia, influences sprint exercise-elicited Thr 172 -AMPK␣ phosphorylation, 10 volunteers performed a single 30-s sprint (Wingate test) in normoxia and in severe acute hypoxia (inspired PO2: 75 mmHg). Vastus lateralis muscle biopsies were obtained before and immediately after 30 and 120 min postsprint. Mean power output and O2 consumption were 6% and 37%, respectively, lower in hypoxia than in normoxia. O2 deficit and muscle lactate accumulation were greater in hypoxia than in normoxia. Carbonylated skeletal muscle and plasma proteins were increased after the sprint in hypoxia. Thr 172 -AMPK␣ phosphorylation was increased by 3.1-fold 30 min after the sprint in normoxia. This effect was prevented by hypoxia. The NAD ϩ -to-NADH.H ϩ ratio was reduced (by 24-fold) after the sprints, with a greater reduction in hypoxia than in normoxia (P Ͻ 0.05), concomitant with 53% lower sirtuin 1 (SIRT1) protein levels after the sprint in hypoxia (P Ͻ 0.05). This could have led to lower liver kinase B1 (LKB1) activation by SIRT1 and, hence, blunted Thr 172 -AMPK␣ phosphorylation. Ser 485 -AMPK␣1/Ser 491 -AMPK␣2 phosphorylation, a known negative regulating mechanism of Thr 172 -AMPK␣ phosphorylation, was increased by 60% immediately after the sprint in hypoxia, coincident with increased Thr 308 -Akt phosphorylation. Collectively, our results indicate that the signaling response to sprint exercise in human skeletal muscle is altered in severe acute hypoxia, which abrogated Thr 172 -AMPK␣ phosphorylation, likely due to lower LKB1 activation by SIRT1.sprint; AMP-activated protein kinase; signaling; muscle; metabolism AMP-ACTIVATED PROTEIN KINASE (AMPK) is a metabolic energy sensor activated by Thr 172 phosphorylation of the ␣-subunit, mainly in response to an increase of the AMP-to-ATP ratio (25). AMPK is involved in the regulation of feeding and body weight (42), lipid metabolism (26), glucose homeostasis (62), and mitochondrial biogenesis (69) and is a key player in the adaptation to exercise training (48). AMPK␣ phosphorylation of Thr 172 increases markedly in response to sprint exercise (22), most likely due to the elevation of the AMP-to-ATP ratio (11). Whether free radicals may also play a role in contractionmediated Thr 172 -AMPK␣ phosphorylation in skeletal muscle remains controversial (41,52). In cell cultures, hypoxia and anoxia increase Thr 172 -AMPK␣ phosphorylation more through the release of free radicals than through an increase in the AMP-to-ATP ratio (15). In contrast, chronic hypoxia (5 and 12 days of exposure to 5,500 m above sea level) did not increase skeletal muscle Thr 172 -AMPK␣ phosphorylation in rats (10). The influence of the inspired O 2 fraction (FI O 2 ) on exerciseinduced Thr 172 -AMPK␣ phosphorylation has been scarcely studied in humans (63)....

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