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Clinical Trial
. 2003 Dec 1;553(Pt 2):611-25.
doi: 10.1113/jphysiol.2003.052431. Epub 2003 Sep 26.

Intramyocellular lipids form an important substrate source during moderate intensity exercise in endurance-trained males in a fasted state

Affiliations
Clinical Trial

Intramyocellular lipids form an important substrate source during moderate intensity exercise in endurance-trained males in a fasted state

Luc J C van Loon et al. J Physiol. .

Abstract

Both stable isotope methodology and fluorescence microscopy were applied to define the use of intramuscular triglyceride (IMTG) stores as a substrate source during exercise on a whole-body as well as on a fibre type-specific intramyocellular level in trained male cyclists. Following an overnight fast, eight subjects were studied at rest, during 120 min of moderate intensity exercise (60 % maximal oxygen uptake capacity (VO2,max)) and 120 min of post-exercise recovery. Continuous infusions of [U-13C]palmitate and [6,6-2H2]glucose were administered at rest and during subsequent exercise to quantify whole-body plasma free fatty acid (FFA) and glucose oxidation rates and the contribution of other fat sources (sum of muscle- plus lipoprotein-derived TG) and muscle glycogen to total energy expenditure. Fibre type-specific intramyocellular lipid content was determined in muscle biopsy samples collected before, immediately after and 2 h after exercise. At rest, fat oxidation provided 66 +/- 5 % of total energy expenditure, with FFA and other fat sources contributing 48 +/- 6 and 17 +/- 3 %, respectively. FFA oxidation rates increased during exercise, and correlated well with the change in plasma FFA concentrations. Both the use of other fat sources and muscle glycogen declined with the duration of exercise, whereas plasma glucose production and utilisation increased (P < 0.001). On average, FFA, other fat sources, plasma glucose and muscle glycogen contributed 28 +/- 3, 15 +/- 2, 12 +/- 1 and 45 +/- 4 % to total energy expenditure during exercise, respectively. Fluorescence microscopy revealed a 62 +/- 7 % net decline in muscle lipid content following exercise in the type I fibres only, with no subsequent change during recovery. We conclude that IMTG stores form an important substrate source during moderate intensity exercise in endurance-trained male athletes following an overnight fast, with the oxidation rate of muscle- plus lipoprotein-derived TG being decreased with the duration of exercise.

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Figures

Figure 2
Figure 2. Plasma and breath enrichment data
Plasma [6,6-2H2]glucose and [U-13C]palmitate enrichment (expressed in tracer/tracee ratio; TTR) at rest and during exercise (A) and 13CO2 enrichment in the expired breath (expressed in TTR) following [U-13C]palmitate infusion and following [1,2-13C] acetate infusion in the acetate recovery trial (B). Data are means ± s.e.m.; * significantly different from values at t = 60 or 105 during the resting period and the exercise trial, respectively (P < 0.05).
Figure 6
Figure 6. Plasma metabolite concentrations at rest, during prolonged submaximal exercise and during 2 h of post-exercise recovery
Data provided are means ± s.e.m.; * significant increase over time within the resting, exercise and/or post-exercise recovery period; ∧ significant decrease over time within the resting, exercise and/or post-exercise recovery period (P < 0.05).
Figure 1
Figure 1. Immunohistochemistry
Digitally captured images of one single field-of-view (×240 magnification) taken from a muscle cross-section obtained from a pre-exercise muscle biopsy sample showing the epifluorescence signal as recorded using a DAPI UV excitation filter for laminin (showing the cell membranes in blue; A), a fluorescein isothiocyanate (FITC) excitation filter for myosin heavy chains (showing the type I muscle fibres in green; B) and a Texas red excitation filter for the oil red O signal (showing the intramyocellular lipid droplets in red; C). D, the oil red O signal obtained in Fig. 1C after applying the intensity threshold (showing the lipid droplets in white), which was subsequently used for data processing and quantitative analysis.
Figure 3
Figure 3. Plasma glucose and palmitate kinetics
Plasma glucose rate of appearance (Ra) and disappearance (Rd) (A) and plasma palmitate Ra, Rd and rate of oxidation (Rox) (B) during prolonged submaximal endurance cycling exercise (expressed in µmol kg−1 min−1). Plasma glucose Ra and Rd and palmitate Ra, Rd and Rox substantially increased during exercise (P < 0.001). Data are means ± s.e.m.; * significantly higher than value at t = 120 min (P < 0.05).
Figure 4
Figure 4. Substrate source utilisation during exercise
Substrate utilisation (expressed in kJ min−1) over time during prolonged submaximal exercise. Plasma FFA and glucose oxidation rates significantly increased over time, with the oxidation rates of other fat sources (sum of muscle- and lipoprotein-derived TG) and muscle glycogen being decreased over time (P < 0.001).
Figure 5
Figure 5. Intramyocellular lipid content
Mean fibre type-specific intramyocellular lipid content (expressed as percentage of area lipid stained) before exercise, immediately after exercise and following 2 h of post-exercise recovery as determined by quantitative fluorescence microscopy on oil red O stained muscle cross-sections (A). Data provided are means ± s.e.m.; * significantly lower than pre-exercise values; ∧ significantly higher than type II muscle fibres (P < 0.05). Individual results showing average intramyocellular lipid content in the type I muscle fibres before, after and 2 h after exercise (B).

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