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October 1, 1995Journal of Clinical Investigation642 citationsOpen Access

Myoglobin O2 desaturation during exercise. Evidence of limited O2 transport.

RRRussell S. RichardsonENElizabeth A. NoyszewskiKKK. Kendrick

Key Result

During incremental exercise, myoglobin desaturation was significantly greater when breathing 12% O2 (60%) compared to room air (51%), demonstrating a steep O2 gradient from blood to intracellular tissue.

Structured PICO

Does breathing hypoxic air compared to normoxic air affect myoglobin O2 desaturation and PO2 gradients during exercise in trained men?

P
Population
6 trained men
I
Intervention
Incremental isolated human quadriceps exercise while breathing 12% O2 (hypoxic)
C
Comparator
Incremental isolated human quadriceps exercise while breathing room air (normoxic)
O
Outcome
Myoglobin desaturation and PO2 gradients (arterial, femoral venous, and calculated mean capillary PO2)surrogate

The study demonstrates large PO2 gradients between blood and intracellular tissue during exercise, supporting an O2 diffusion limitation in normal human muscle.

Main Result

Absolute Event Rate: 60% vs 51%

p-value: p=<0.05

Limitations

  • Small sample size of only 6 subjects.
  • The prototype nonmetallic ergometer required appreciable internal work, making work rate comparisons to conventional ergometry difficult.
  • The calculation of muscle mass assumes the quadriceps is the only muscle mass involved in the knee-extensor exercise.
  • The deoxy-Mb spectra represent a spatial average signal and cannot provide insight into the distribution of deoxy-myoglobin at the intracellular level.
  • The calculation of diffusional conductance assumes that the only explanation for O2 remaining in femoral venous blood is diffusion limitation, ignoring potential perfusion/VO2 heterogeneity and shunt.

Abstract

The assumption that cellular oxygen pressure (PO2) is close to zero in maximally exercising muscle is essential for the hypothesis that O2 transport between blood and mitochondria has a finite conductance that determines maximum O2 consumption. The unique combination of isolated human quadriceps exercise, direct measures of arterial, femoral venous PO2, and 1H nuclear magnetic resonance spectroscopy to detect myoglobin desaturation enabled this assumption to be tested in six trained men while breathing room air (normoxic, N) and 12% O2 (hypoxic, H). Within 20 s of exercise onset partial myoglobin desaturation was evident even at 50% of maximum O2 consumption, was significantly greater in H than N, and was then constant at an average of 51 +/- 3% (N) and 60 +/- 3% (H) throughout the incremental exercise protocol to maximum work rate. Assuming a myoglobin PO2 where 50% of myoglobin binding sites are bound with O2 of 3.2 mmHg, myoglobin-associated PO2 averaged 3.1 +/- .3 (N) and 2.1 +/- .2 mmHg (H). At maximal exercise, measurements of arterial PO2 (115 +/- 4 N and 46 +/- 1 mmHg H) and femoral venous PO2 (22 +/- 1.6 N and 17 +/- 1.3 mmHg H) resulted in calculated mean capillary PO2 values of 38 +/- 2 (N) and 30 +/- 2 mmHg(H). Thus, for the first time, large differences in PO2 between blood and intracellular tissue have been demonstrated in intact normal human muscle and are found over a wide range of exercise intensities. These data are consistent with an O2 diffusion limitation across the 1-5-microns path-length from red cell to the sarcolemma that plays a role in determining maximal muscle O2 uptake in normal humans.

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Cite This Study

Richardson et al. (1995) studied Healthy, trained men (n=6). Hypoxic exercise vs. Normoxic exercise (21% O2) was evaluated on Myoglobin desaturation during maximal exercise (%) (p=<0.05). During incremental exercise, myoglobin desaturation was significantly greater when breathing 12% O2 (60%) compared to room air (51%), demonstrating a steep O2 gradient from blood to intracellular tissue.

synapsesocial.com/papers/6a0906f162c780efd627fc07https://doi.org/10.1172/jci118237
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