sachinwalla usyd research
TRANSCRIPT
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1H-MRS:muscle
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1H-MRS:effect of starvation on IMCL
72 h starvation n = 6 endurance trained men
Results Vastus lateralis IMCL starvation
Plasma [FFA] starvation
Conclusion Healthy response to starvation
involves increased adiposelipolysis. Resulting increase inFFAs leads significantaccumulation of IMCL.Suggests an adaptive responsewhen muscle substrate
availability (glycogen)challenged
J Physiology ,2002 283-1185
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1H-MRS:effect of diet CHO on IMCL and
exercise
Low CHO/high fat diet n = 6 endurance trained men
48 h low CHO diet vs. normalhigh CHO
3 h cycling exercise (MRS pre-and post-)
Results Vastus lateralis IMCL low CHO
Vastus lateralis IMCL reducedduring exercise in bothconditions
Net change in IMCL greater inlow CHO associated with
higher fat oxidation duringexercise
J Applied Physiology ,2003 94 136
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1H-MRS:hepatic lipid composition
Hepatic 1H-MRS n = 27 men
Lean
Obese
Obese with hepatic steatosis (NAFLD)
Results Lipid methylene resonance vs.
other resonances increased inNAFLD
Conclusion Hepatic lipid saturation can be
inferred non-invasively
Saturation increases in NAFLD
Hepatology 2008 , -47 1513
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1H-MRS:hepatic lipid & exercise training
Hepatic 1H-MRS n = 19 obese adults NAFLD
Previously sedentary
4 weeks supervised exercise
trainingResults
Hepatic lipid in exercise-trained vs. placebo (mean21%)
Associated with lower visceraladiposity (MRI)
Despite no weight loss
Conclusion Regular exercise ameliorates
Hepatology 2009 , -50 1105
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31 - :MRS( )uscle exercise apparatus
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1
2
4 5
1 - Pi
2 - PCr
3 - Gamma ATP
4 - Alpha ATP
5 - Beta ATP
3
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Stop Exercise
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31P-MRS:muscle metabolism
Pilot Study 1 Trained (n = 1),
moderately trained (n =2) and sedentary men (n
= 1) (25-40yrs) 30, 45, 60% MVC
3 s:1 s work:rest 60, 120, 180, 210 sec
(12 workloads)Pilot Study 2
Control vs. 6 days creatineloading
Cross-over (n = 4)
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Post-processing ADP, PCr raw data
best fit (sum of squares)
concentrations
based on ATP 8.1 mmol/L
[TCr] = 0.61 x [PCr]
[ADP] = [ATP] x {([TCr]/[PCr])-1}/KCK[H+])
31 - :M R Su scle m e ta b o lism
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30% 3 min
60% 3 min
31 :M R S (u scle m e ta b o lism d u rin g)xe rcise
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30% 3 min
60% 3 min
31 :M R S ( -u scle m e ta b o lism p o st)xe rcise
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30% 3 min
60% 3 min
31 :M R S ( -u scle m e ta b o lism p o st)xe rcise
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Results:change in [PCr]
ADP(Cr)
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Results:change in pH
ADP(Cr)
Results:
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Results:effect of training status (Vinit vs
ADP)
ADP(Cr)
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Results:effect of training status
ADP(Cr)
Results:
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Results:effect of training status (PCr
resyn. Vs [ADP])
ADP(Cr)
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Results:in vivo mitochondrial kinetics
Mitochondrial kinetics Skinned Fibres
Supraphysiological ADP
Zoll et al 2002
Conclusion By varying exercise dose,
relationship between end-ex ADP and initial PCrresynthesis rate obtained
Suggest non-invasivemeasure of musclemitochondrial sensitivity
This pilot in vivo data ?
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Background:creatine / PCr shuttle
Tonkonogi & Sahlin1998
J Physiol 510: 279-286
Cr/PCr shuttle inmitochondrialrespiration
Skinned muscle fibres ADP (with/without
Cr)
Conclusion Mito respiration rate at
K u zn e tso v e t a l 1 9 9 6
Results:
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Results:creatine supplementation(PCr
resyn. Vs [ADP])
ADP(Cr)