Lira VA, Benton CR, Yan Z, Bonen A. PGC-1␣ regulation by exercise training and its influences on muscle function and insulin sensitivity. Am J Physiol Endocrinol Metab 299: E145-E161, 2010. First published April 6, 2010; doi:10.1152/ajpendo.00755.2009.-The peroxisome proliferator-activated receptor-␥ (PPAR␥) coactivator-1␣ (PGC-1␣) is a major regulator of exercise-induced phenotypic adaptation and substrate utilization. We provide an overview of 1) the role of PGC-1␣ in exercise-mediated muscle adaptation and 2) the possible insulin-sensitizing role of PGC-1␣. To these ends, the following questions are addressed. 1) How is PGC-1␣ regulated, 2) what adaptations are indeed dependent on PGC-1␣ action, 3) is PGC-1␣ altered in insulin resistance, and 4) are PGC-1␣-knockout and -transgenic mice suitable models for examining therapeutic potential of this coactivator? In skeletal muscle, an orchestrated signaling network, including Ca 2ϩ -dependent pathways, reactive oxygen species (ROS), nitric oxide (NO), AMP-dependent protein kinase (AMPK), and p38 MAPK, is involved in the control of contractile protein expression, angiogenesis, mitochondrial biogenesis, and other adaptations. However, the p38␥ MAPK/PGC-1␣ regulatory axis has been confirmed to be required for exercise-induced angiogenesis and mitochondrial biogenesis but not for fiber type transformation. With respect to a potential insulinsensitizing role of PGC-1␣, human studies on type 2 diabetes suggest that PGC-1␣ and its target genes are only modestly downregulated (Յ34%). However, studies in PGC-1␣-knockout or PGC-1␣-transgenic mice have provided unexpected anomalies, which appear to suggest that PGC-1␣ does not have an insulin-sensitizing role. In contrast, a modest (ϳ25%) upregulation of PGC-1␣, within physiological limits, does improve mitochondrial biogenesis, fatty acid oxidation, and insulin sensitivity in healthy and insulin-resistant skeletal muscle. Taken altogether, there is substantial evidence that the p38␥ MAPK-PGC-1␣ regulatory axis is critical for exerciseinduced metabolic adaptations in skeletal muscle, and strategies that upregulate PGC-1␣, within physiological limits, have revealed its insulin-sensitizing effects. endurance exercise; angiogenesis; mitochondria; fatty acid metabolism; glucose SKELETAL MUSCLE IS HIGHLY ADAPTABLE to changes in contractile activity and to changes in the substrate/endocrine milieu. Although the molecular bases for these adaptive responses had remained uncertain for many years, the peroxisome proliferator-activated receptor-␥ (PPAR␥) coactivator 1␣ (PGC-1␣) has revealed itself to be a major regulator of exercise-induced phenotypic adaptation and substrate utilization. In the present paper, we provide an overview and perspective on the mechanisms by which PGC-1␣ is regulated by endurance exercise training as well as on the influence of PGC-1␣ on fiber type transformation, angiogenesis, mitochondrial biogenesis, lipid metabolism, and insulin sensitivity.The first part of this review examines 1) the pathways involved...