Key result
Endurance exercise with blood flow restriction attenuates PGC-1α isoform expression versus moderate-intensity exercise.
Why the study?
Does low-intensity endurance exercise with blood flow restriction alter PGC-1α isoform gene expression compared to standard endurance or resistance exercise in healthy untrained males?
RCT (n=9)
Randomized, counter-balanced, cross-over
No
Does low-intensity endurance exercise with blood flow restriction alter PGC-1α isoform gene expression compared to standard endurance or resistance exercise in healthy untrained males?
p-value: p=<0.05
Endurance exercise with blood flow restriction provides an insufficient stimulus to activate PGC-1α signaling pathways governing mitochondrial and angiogenesis responses compared to moderate-to-high intensity endurance exercise.
BFR endurance exercise may not match moderate-intensity benefits for mitochondrial adaptations; challenges assumptions of equivalence in training stimuli.
INTRODUCTION: Exercise performed with blood flow restriction simultaneously enhances the acute responses to both myogenic and mitochondrial pathways with roles in training adaptation. We investigated isoform-specific gene expression of the peroxisome proliferator-activated receptor gamma coactivator 1 and selected target genes and proteins regulating skeletal muscle training adaptation. METHODS: Nine healthy, untrained males participated in a randomized, counterbalanced, crossover design in which each subject completed a bout of low-intensity endurance exercise performed with blood flow restriction (15 min cycling at 40% of V˙O2peak, BFR-EE), endurance exercise (30 min cycling at 70% of V˙O2peak, EE), or resistance exercise (4 × 10 repetitions of leg press at 70% of one-repetition maximum) separated by at least 1 wk of recovery. A single resting muscle biopsy (vastus lateralis) was obtained 2 wk before the first exercise trial (rest) and 3 h after each bout. RESULTS: Total PGC-1α mRNA abundance, along with all four isoforms, increased above rest with EE only (P < 0.05) being higher than BFR-EE (P < 0.05). PGC-1α1, 2, and 4 were higher after EE compared with resistance exercise (P < 0.05). EE also increased vascular endothelial growth factor, Hif-1α, and MuRF-1 mRNA abundance above rest (P < 0.05), whereas COXIV mRNA expression increased with EE compared with BFR-EE (P < 0.05). CONCLUSION: The attenuated expression of all four PGC-1α isoforms when EE is performed with blood flow restriction suggests this type of exercise provides an insufficient stimulus to activate the signaling pathways governing mitochondrial and angiogenesis responses observed with moderate- to high-intensity EE.
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Conceição et al. (2016) conducted an RCT in Healthy (n=9). Low-intensity endurance exercise with blood flow restriction (BFR-EE) vs. Endurance exercise (EE) and Resistance exercise (RE) was evaluated on Total PGC-1α mRNA abundance (p=<0.05). Endurance exercise performed with blood flow restriction resulted in attenuated expression of all four PGC-1α isoforms compared to moderate-intensity endurance exercise without restriction.
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