Hypoxaemia increases the accumulation of inosine monophosphate (IMP) in human skeletal muscle during submaximal exercise

The effect of hypoxaemia on the muscle content of inosine monophosphate (IMP) during short-term, low-intensity exercise has been investigated. Six men cycled twice for 5 min at 120 +/- 6 W (mean +/- SE), which corresponded to approximately 50% of their maximal normoxic O2 uptake, breathing air (N) on one occasion and 11% O2 in N2 (H) on the other. Oxygen uptake at the end of the exercise period was similar between treatments. No significant difference was observed between H and N in the muscle metabolite contents at rest. Muscle content of phosphocreatine (PCr) decreased and lactate increased during exercise. Post-exercise PCr during H was 80% of the value during N (P greater than 0.05) and post-exercise muscle lactate was fourfold higher during H than during N (P less than 0.001). Post-exercise muscle content of ADP was significantly higher during H than during N (P less than 0.01), while ATP and AMP remained constant under both H and N exercise (P greater than 0.05 H vs N). IMP was not detectable in pre-exercise muscle samples (less than 0.01 mmol kg-1 dry wt) but increased during N exercise (0.03 +/- 0.01 mmol kg-1 dry wt, wt, P less than 0.05) and even more during H exercise (0.16 +/- 0.05 mmol kg-1 dry wt, P less than 0.05, H vs N). Post-exercise IMP was negatively related to PCr (r = -0.90) and positively related to lactate (r = 0.88). It is concluded that hypoxaemia results in an enhanced accumulation of IMP during submaximal exercise and that the IMP level is related to the degree of anaerobic energy utilization.