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Am J Physiol Endocrinol Metab 294: E607-E614, 2008. First published January 8, 2008; doi:10.1152/ajpendo.00729.2007
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Insulin-resistant muscle is exercise resistant: evidence for reduced response of nuclear-encoded mitochondrial genes to exercise

Elena De Filippis,1 Guy Alvarez,2 Rachele Berria,2 Kenneth Cusi,2 Sarah Everman,1 Christian Meyer,3 and Lawrence J. Mandarino1

1Center for Metabolic Biology, Arizona State University, Tempe, Arizona; 2University of Texas Health Science Center at San Antonio, San Antonio, Texas; and 3Carl T. Hayden Veterans Affairs Medical Center, Phoenix, Arizona

Submitted 19 November 2007 ; accepted in final form 4 January 2008

Mitochondrial dysfunction, associated with insulin resistance, is characterized by low expression of peroxisome proliferator-activated receptor-{gamma} coactivator-1{alpha} (PGC-1{alpha}) and nuclear-encoded mitochondrial genes. This deficit could be due to decreased physical activity or a decreased response of gene expression to exercise. The objective of this study was to investigate whether a bout of exercise induces the same increase in nuclear-encoded mitochondrial gene expression in insulin-sensitive and insulin-resistant subjects matched for exercise capacity. Seven lean and nine obese subjects took part. Insulin sensitivity was assessed by an 80 mU·m–2·min–1 euglycemic clamp. Subjects were matched for aerobic capacity and underwent a single bout of exercise at 70 and 90% of maximum heart rate with muscle biopsies at 30 and 300 min postexercise. Quantitative RT-PCR and immunoblot analyses were used to determine the effect of exercise on gene expression and protein abundance and phosphorylation. In the postexercise period, lean subjects immediately increased PGC-1{alpha} mRNA level (reaching an eightfold increase by 300 min postexercise) and protein abundance and AMP-dependent protein kinase phosphorylation. Activation of PGC-1{alpha} was followed by increase of nuclear respiratory factor-1 and cytochrome c oxidase (subunit VIc). However, in insulin-resistant subjects, there was a delayed and reduced response in PGC-1{alpha} mRNA and protein, and phosphorylation of AMP-dependent protein kinase was transient. None of the genes downstream of PGC-1{alpha} was increased after exercise in insulin resistance. Insulin-resistant subjects have a reduced response of nuclear-encoded mitochondrial genes to exercise, and this could contribute to the origin and maintenance of mitochondrial dysfunction.

insulin resistance; mitochondrial function; exercise; peroxisome proliferator-activated receptor-{gamma} coactivator-1{alpha}; AMP-dependent protein kinase



Address for reprint requests and other correspondence: L. J. Mandarino, Center for Metabolic Biology, Arizona State University, P. O. Box 873704 Tempe, AZ 85287-3704 (e-mail: Lawrence.Mandarino{at}asu.edu)







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