[gibala, cochran et al, 2014] intermittent and continuous high-intensity exercise induce similar...

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1 Intermittent and continuous high-intensity exercise induce similar acute but different chronic 1 muscle training adaptations 2 Andrew J.R. Cochran 1 , Michael E. Percival 1 , Steven Tricarico 1 , Jonathan P. Little 1 , Naomi 3 Cermak 1 , Jenna B. Gillen 1 , Mark A. Tarnopolsky 2 , and Martin J. Gibala 1 4 5 1 Exercise Metabolism Research Group, Department of Kinesiology, McMaster University, 6 Hamilton, Ontario, Canada; 2 Department of Pediatrics and Medicine, Division of Neuromuscular 7 and Neurometabolic Disorders, McMaster University, McMaster University Medical Centre, 8 Hamilton, Ontario, Canada. 9 10 11 Correspondence : Martin J. Gibala, Ph.D. 12 Department of Kinesiology 13 McMaster University 14 1280 Main St. West 15 Hamilton, ON L8S 4K1 16 Canada 17 Phone: 905-525-9140 x23591 18 Fax: 905-523-6011 19 E-mail: [email protected] 20 21 ) at MCMASTER UNIV on February 16, 2014 ep.physoc.org Downloaded from Exp Physiol (

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  • 1

    Intermittent and continuous high-intensity exercise induce similar acute but different chronic 1

    muscle training adaptations 2

    Andrew J.R. Cochran1, Michael E. Percival1, Steven Tricarico1, Jonathan P. Little1, Naomi 3

    Cermak1, Jenna B. Gillen1, Mark A. Tarnopolsky2, and Martin J. Gibala1 4

    5

    1Exercise Metabolism Research Group, Department of Kinesiology, McMaster University, 6

    Hamilton, Ontario, Canada; 2Department of Pediatrics and Medicine, Division of Neuromuscular 7

    and Neurometabolic Disorders, McMaster University, McMaster University Medical Centre, 8

    Hamilton, Ontario, Canada. 9

    10

    11 Correspondence: Martin J. Gibala, Ph.D. 12

    Department of Kinesiology 13 McMaster University 14 1280 Main St. West 15 Hamilton, ON L8S 4K1 16 Canada 17 Phone: 905-525-9140 x23591 18 Fax: 905-523-6011 19 E-mail: [email protected] 20

    21

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    New Findings 22

    What is the central question of this study? 23

    How important is the interval in high-intensity interval training? 24

    What is the main finding and its importance? 25

    The intermittent nature of high-intensity interval training (HIIT) is important for 26

    maximizing skeletal muscle adaptations to this type of exercise, at least when a relatively 27

    small total volume of work is performed in an "all out" manner. The protein signalling 28

    responses to an acute bout of HIIT were generally not predictive of training-29

    induced outcomes. Nonetheless, a single session of exercise lasting

  • 3

    High-intensity interval training (HIIT) performed in an all-out manner (e.g., repeated Wingate 42

    Tests) is a time-efficient strategy to induce skeletal muscle remodelling towards a more oxidative 43

    phenotype. A fundamental question that remains unclear, however, is whether the intermittent or 44

    pulsed nature of the stimulus is critical to the adaptive response. In Study 1, we examined 45

    whether the activation of signalling cascades linked to mitochondrial biogenesis was dependent 46

    on the manner in which an acute high-intensity exercise stimulus was applied. Subjects 47

    performed either 4 x 30 s Wingate Tests interspersed with 4 min of rest (INT), or a bout of 48

    continuous exercise (CONT) that was matched for total work (67 7 kJ) and which required ~4 49

    min to complete as fast as possible. Both protocols elicited similar increases in markers of 50

    AMPK and p38 MAPK activation, and PGC-1 mRNA expression (main effects for time, 51

    P0.05). In Study 2, we determined whether 6 wk of the CONT protocol (3 d/wk) would 52

    increase skeletal muscle mitochondrial content similar to what we have previously reported after 53

    6 wk of INT. Despite similar acute signalling responses to the CONT and INT protocols, training 54

    with CONT did not increase the maximal activity or protein content of a range of mitochondrial 55

    markers. However, peak oxygen uptake (VO2peak) was higher after CONT training (45.7 5.4 to 56

    48.3 6.5 mLkg-1min-1; p < 0.05) and 250 kJ time trial performance was improved (26:32 57

    4:48 to 23:55 4:16 min:sec, p < 0.001) in our recreationally-active participants. We conclude 58

    that the intermittent nature of the stimulus is important for maximizing skeletal muscle 59

    adaptations to low-volume, all-out HIIT. Despite the lack of skeletal muscle mitochondrial 60

    adaptations, our data show that a training program based on a brief bout of high-intensity 61

    exercise, which lasted

  • 4

    Introduction 66

    High-intensity interval training (HIIT) characterized by short bursts of relatively 67

    intense exercise interspersed by periods of recovery within a given training session stimulates 68

    mitochondrial biogenesis in skeletal muscle and remodelling towards a more oxidative 69

    phenotype (Burgomaster, et al. , 2005, Gibala, et al. , 2006, Perry, et al. , 2008, Talanian, et al. , 70

    2007). HIIT performed using brief all-out or supramaximal work efforts (e.g., repeated 71

    Wingate Tests) appears to be a particularly potent training stimulus. For example, subjects who 72

    trained three days per week using 4-6 x 30 sec bursts of all-out cycling interspersed by 4 min of 73

    recovery (for a total of only 2-3 min of intense exercise within a ~20 min session), showed 74

    metabolic adaptations including increased mitochondrial content that was similar to those who 75

    performed 40-60 min of continuous moderate-intensity training per session, 5 d per week 76

    (Burgomaster, et al. , 2008). It is therefore possible to stimulate rapid adaptations in skeletal 77

    muscle that are comparable to traditional endurance training with a relatively small dose of HIIT, 78

    provided the exercise stimulus is very intense and applied in an intermittent manner 79

    (Burgomaster, et al. , 2008, Gibala, et al. , 2006). 80

    Exercise-induced mitochondrial biogenesis is influenced by relative work intensity, 81

    duration and volume, but the precise role of the various factors remains unclear. Using a 82

    continuous exercise protocol, Egan et al. (Egan, et al. , 2010) showed that selected signalling 83

    proteins linked to mitochondrial biogenesis were phosphorylated to a greater extent following 84

    higher intensity exercise (~36 min at 80% VO2peak) compared to a work-matched bout of lower 85

    intensity exercise (~70 min at 39% VO2peak). These data are consistent with the notion that higher 86

    intensities may be more effective for stimulating mitochondrial biogenesis, at least when a 87

    relatively large volume of exercise (~1700 kJ) is performed. In contrast, Boyd et al. (Boyd, et al. 88

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

  • 5

    , 2013) recently reported that the increase in skeletal muscle mitochondrial content after 6 wk of 89

    HIIT was similar when subjects trained three times per week using a protocol that consisted of 90

    10 x 1 min cycling efforts at either 70% or 100% of peak power output (PPO). Finally, another 91

    recent study by Edge et al. (Edge, et al. , 2013) considered the role of the rest interval in the 92

    skeletal muscle adaptive response to HIIT. These authors found that 15 sessions of 6-10 x 2 min 93

    efforts at ~90-110 of pre-training PPO increased muscle Na+-K+-ATPase content and 94

    phosphocreatine resynthesis, however manipulating the rest period during training (such that 95

    either 1 or 3 min of recovery was permitted between efforts, with total work matched between 96

    groups), did not affect these changes. 97

    Another fundamental question relates to the importance of the interval in HIIT, i.e., 98

    whether the intermittent or pulsatile nature of this training strategy (and characteristic alternating 99

    hard/easy pattern) is fundamental to the adaptive response. In the present investigation, we 100

    sought to further investigate whether skeletal muscle adaptation to brief, all-out exercise was 101

    dependent on the manner in which the stimulus was applied. In Study 1, we first examined the 102

    acute response of selected signalling proteins we have examined previously in our all-out HIIT 103

    model to determine whether exercise intermittency altered exercise-induced activation of 104

    proteins involved in mitochondrial biogenesis. We hypothesized that an acute bout of low-105

    volume all-out exercise would activate signalling cascades linked to mitochondrial biogenesis to 106

    a similar extent, regardless of whether the exercise was performed in an intermittent (INT) or 107

    continuous (CONT) manner. After establishing that both protocols elicited similar acute 108

    signalling responses in the preliminary study, we subsequently conducted a 6 wk training study 109

    (Study 2) to determine if training with the CONT protocol would induce skeletal muscle 110

    adaptations similar to what we have previously shown after training with the INT protocol. We 111

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    hypothesized that CONT training would elicit skeletal muscle adaptations including increased 112

    mitochondrial content, similar to what we have previously shown after 6 wk of INT training 113

    (Burgomaster, et al. , 2008). 114

    115

    Methods 116

    Ethical approval 117

    All experimental procedures were approved by the Hamilton Integrated Research Ethics 118

    Board, and conformed in all respects with the Declaration of Helsinki. All subjects completed 119

    routine medical screening and provided written informed consent prior to study participation. 120

    Subjects 121

    A total of 17 subjects volunteered to participate in the two studies (Table 1). Eight 122

    subjects took part in the acute investigation (Study 1), which involved a repeated measures 123

    design to evaluate the skeletal muscle metabolic response to an acute bout of high-intensity 124

    exercise matched for total work but performed in an intermittent (INT) or continuous manner 125

    (CONT). Nine subjects took part in the training study (Study 2), which examined skeletal muscle 126

    remodelling in response to 6 wk of training using the CONT protocol. All subjects were young 127

    healthy individuals who were habitually active but not specifically trained in any sport. 128

    Study 1 - Acute Investigation 129

    Pre-Experimental Procedures 130

    VO2peak and peak aerobic power output (Wpeak) were initially determined during a ramp 131

    protocol to volitional fatigue on an electromagnetically-braked cycle ergometer (Lode Excalibur 132

    Sport, Groningen, the Netherlands) using an online gas collection system (Moxus modular 133

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

  • 7

    oxygen uptake system, AEI technologies, Pittsburgh, PA, USA) as we have previously described 134

    (Cochran, et al. , 2010). Specifically, participants began cycling for 2 min at 50 W, followed by a 135

    progressive increase in power demand at the rate of 1 W every 2 sec. Thereafter, subjects 136

    participated in a minimum of two familiarization trials on separate days using the same 137

    electronically-braked cycle ergometer employed during the main phase of the study (Velotron, 138

    RacerMate Inc., Seattle, WA) in order to become acquainted with the exercise protocols. Due to 139

    the nature of the experimental design, all subjects performed the INT exercise protocol during 140

    their first familiarization visit. This was necessary in order to determine the total amount of work 141

    needing to be performed during the CONT exercise protocol for a given subject. 142

    The INT protocol consisted of 4 x 30 sec all-out sprints, performed against a resistance 143

    equivalent to 7.5% of body mass (i.e. repeated Wingate Tests), interspersed with 4 min of 144

    recovery, as we have previously described (Burgomaster, et al. , 2005). A computer with 145

    appropriate software (Velotron Wingate Software v1.0) was interfaced with the ergometer and 146

    permitted the appropriate load to be applied for each subject. Total work output, peak power and 147

    mean power were calculated and recorded by an online data acquisition system. 148

    For the CONT protocol, subjects performed the same total volume of work as in the INT 149

    exercise session, but as a single, continuous, all-out effort. The ergometer was interfaced with 150

    software (Velotron Coaching Software v1.5) that linked power output directly to pedalling 151

    cadence, while quantifying total work done in real-time. Subjects were instructed to complete 152

    their designated amount of work as quickly as possible by maintaining the highest pedalling 153

    cadence possible. Between 50 and 100 rpm, power output corresponded with a range of 75 to 154

    500 W. Cycling was terminated immediately upon completion of the designated amount of work. 155

    Experimental Trials 156

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    The main experiment consisted of two trial days separated by at least one week. Trials 157

    were conducted in a randomized, counterbalanced manner with half the subjects starting with the 158

    INT protocol and the other half with the CONT protocol. Subjects were instructed to refrain 159

    from exercise for 48 h prior to each experimental trial, and to avoid caffeine and alcohol for at 160

    least 12 h before the trials. Subjects maintained individual food diaries for the 24 h period 161

    preceding the first trial, and replicated their diet during the second trial. 162

    On the day of each trial, subjects arrived at the laboratory in the morning, 60-90 min after 163

    ingesting their habitual breakfast. Food records were collected and subjects then changed into 164

    athletic apparel, and rested quietly until trial commencement. A resting needle muscle biopsy 165

    sample was obtained from the vastus lateralis of one thigh under local anesthesia (1% xylocaine) 166

    as previously described (Gibala, et al. , 2006). The muscle sample was immediately frozen in 167

    liquid nitrogen and stored at -80 C until further analyses. After resting for another 10 min, the 168

    subjects moved to the cycle ergometer and completed a standardized warm-up that consisted of 2 169

    min of unloaded cycling followed by 5 min of rest. Subjects then performed the designated 170

    exercise protocol. A second muscle biopsy was obtained immediately upon cessation of cycling, 171

    and subjects were asked to provide a rating of perceived exertion for the overall exercise 172

    protocol, using the Borg scale (Borg, 1974). Subjects then rested quietly in the laboratory for 3 173

    h, at which point a third muscle biopsy was taken. The three biopsies for a given trial were 174

    obtained from the same leg through separate incisions >2 cm apart. 175

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    176

    Study 2 - Training Study 177

    Pre-Experimental Procedures 178

    Subjects initially performed baseline VO2peak testing as described for Study 1. Thereafter, 179

    subjects undertook a series of familiarization sessions in order to become accustomed to the 180

    testing and training procedures. These sessions included a 250 kJ simulated cycling time trial 181

    (TT), a 60 min steady-state session at ~65% VO2peak, and a practice training session which was 182

    modelled after the CONT protocol employed in Study 1. TT familiarizations were repeated at 1 183

    wk intervals until participants could not further improve beyond their previous session. 184

    Consistency in performance during familiarizations were verified by t-test (p = 0.3), and the 185

    latter of two similar results were taken as baseline TT performance. Subjects completed 24 h diet 186

    records prior to each of these tests, and diets were replicated over the 24 h period preceding post-187

    training tests. 188

    250 kJ Time Trial. All chronic study participants were instructed to complete, as quickly 189

    as possible, a simulated TT consisting of 250 kJ of total work. This test was performed on the 190

    same electromagnetically-braked cycle ergometer (Velotron, RacerMate Inc., Seattle, WA) 191

    interfaced with software (Velotron Coaching Software v1.5) as training at a standardized 192

    gearing. Again, the cycle ergometer was programmed such that power outputs between 75 and 193

    500 W were directly associated with pedalling rates, and subjects were instructed to maintain the 194

    highest pedalling cadence possible. No feedback was given during the rides with the exception of 195

    work remaining, and the test was terminated immediately upon the completion of 250 kJ. 196

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    60 min steady-state ride at 65% VO2peak. Subjects cycled continuously for 60 min at an 197

    intensity designed to elicit 65% of their peak oxygen uptake. The steady-state ride was 198

    conducted on the same cycle ergometer as the VO2peak measurement (Lode Excalibur), and 199

    respiratory measurements were made at specific 5 min intervals throughout exercise using the 200

    same metabolic cart system described previously (Moxus oxygen uptake system, AEI). 201

    Skeletal Muscle Biopsy. A resting skeletal muscle biopsy was taken approximately one 202

    week following performance testing as described for Study 1. Subjects were instructed to record 203

    their diet for the 24 h preceding the biopsy, while refraining from exercise for a minimum of 48 204

    h, and abstaining from caffeine and alcohol for a minimum of 12 h pre-biopsy. Muscle samples 205

    were immediately frozen under liquid nitrogen, and subsequently stored at -80C until further 206

    analysis. Diets were replicated post-training, and a second resting biopsy was taken 72 h 207

    following the last exercise training session. 208

    Exercise training 209

    Training was performed 3 d per week for 6 wks, for a total of 18 sessions to align directly 210

    with our previous 6 wk INT study schedule. The training intervention was modelled after the 211

    CONT protocol employed in Study 1 and each session consisted of a single bout of high-212

    intensity cycling completed as quickly as possible. Based on our acute investigation and other 213

    pilot work, mean power produced over the course of 4 Wingate tests interspersed with 4 min of 214

    recovery in recreationally-active subjects averaged ~1.0 kJ per kg of body mass. Subjects were 215

    therefore assigned an initial exercise training load that corresponded to 1.0 kJ per kg body 216

    weight. Training load was subsequently increased to 1.25 kJ per kg body weight during the 217

    second half of the 6 wk intervention in order to provide progression and maintain the duration of 218

    the training session. Workload was self-selected and varied over the training session based on 219

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    pedalling cadence, with a range of 50-100 rpm corresponding to ~75-500 W. During each 220

    training session, heart rate was monitored and ratings of perceived exercise (RPE) scores were 221

    obtained based on the Borg scale (Borg, 1974). 222

    Post-training testing and procedures 223

    Post-training procedures were identical in all respects to those conducted prior to training 224

    onset, with the exception of order. Subjects first underwent a second resting skeletal muscle 225

    biopsy ~72 h post-training. This time point was chosen to evaluate training-induced changes in 226

    resting muscle. Steady-state, TT and VO2peak tests took place at 48 h intervals thereafter. Due to 227

    scheduling difficulties and travel conflicts however, we could only obtain post-training VO2peak 228

    measures on 6 of our 9 subjects. All subjects adhered to previously recorded diet records for the 229

    24 h preceding each of biopsy and testing procedures. 230

    Muscle Analysis 231

    Western Blotting. Whole cell lysates were prepared by adding ~30 mg wet muscle to ice-232

    cold RIPA buffer (50 mM HCL, 150 mM NaCl, 1 mM PMSF, 1% NP-40, 0.5% sodium 233

    deoxycholate, and 0.1% SDS) containing protease (Complete Mini, Roche Applied Science, 234

    Laval, PQ, Canada) and phosphatase inhibitors (PhosSTOP, Roche Applied Science, Laval, 235

    PQ, Canada). Samples were minced and homogenized on ice (Pro 250, Pro Scientific, Oxford, 236

    CT, USA), sonicated, and agitated end-over-end for 15 min at 4oC. Samples were then 237

    centrifuged at 15,000 g for 5 min at 4oC. The pellet was then resuspended, and following a 238

    second centrifugation at 15,000 g for 10 min, the supernatant was collected for subsequent 239

    analysis. Homogenate protein concentrations were determined using a commercial, detergent-240

    compatible, colorimetric assay (BCA protein assay, Pierce, Rockford, IL). Equal amounts of 241

    protein (5-20 g, depending on the protein of interest) were then loaded onto 7.5-12.5% SDS-242

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    PAGE gels and separated by electrophoresis for 2-2.5 hours at 100 V. Proteins were transferred 243

    to nitrocellulose membranes for 1 hr at 100 V. Ponceau S staining was performed following the 244

    transfer and was used to control for equal loading and transfer between lanes. Membranes were 245

    blocked using a 5% fat-free milk or BSA solution in TBS-T at room temperature, and incubated 246

    overnight with the appropriate primary antibodies diluted in a 3% fat-free milk or BSA in TBS-247

    T, thereafter. For Study 1, primary antibodies targeting phospho-p38 MAPK, total-p38 MAPK, 248

    phospho-acetyl-CoA carboxylase (ACC), were purchased from Cell Signaling Technology 249

    (Beverly, MA). For study 2, primary antibodies targeted against 5 separate mitochondrial 250

    protein markers including NDUFA9 (Mitosciences, MS111), Complex II 70 kDa subunit 251

    (Mitosciences, MS204), Complex III Core 2 protein (Mitosciences, MS304), cytochrome c 252

    oxidase subunit IV (COXIV; Mitosciences, MS408) and the ATP synthase subunit 253

    (Mitosciences, MS507). We also probed nitrocellulose membranes against glucose transporter 4 254

    (GLUT4; Millipore AB1345), and monocarboxylate transporters 1 and 4 (MCT1, Millipore 255

    AB3538; MCT4, Millipore AB3316). Blots were incubated in the appropriate secondary 256

    antibodies for 1 hour at RT, and visualized by chemiluminescence (Supersignal West Dura, 257

    Pierce). Signal quantification was performed using NIH Image J software. 258

    Real-time RT-PCR. Frozen wet muscle samples (~20 mg) were homogenized in TRIzol 259

    reagent (Invitrogen, Carlsbad, CA). Total RNA was isolated using the RNeasy Mini Kit in 260

    conjunction with the RNase-Free DNase Set DNA digestion (Qiagen, Mississauga, ON, Canada). 261

    RNA was then reverse transcribed using the High-Capacity cDNA Reverse Transcription Kit 262

    from Applied Biosystems (Carlsbad, CA), aliquoted, and stored at -80oC until further analysis. 263

    RT-PCR reactions for PGC-1 mRNA expression were run using forward (5-CAT CAA AGA 264

    AGC CCA GGT ACA-3) and reverse (5-GGA CTT GCT GAG TTG TGC ATA-3) primers in 265

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    combination with SYBR green/ROX fluorescence chemistry (PerfeCTa, Quanta Biosciences). 266

    Reactions were run on a thermal cycler (Applied Biosystems, Carlsbad, CA), and expression 267

    levels were normalized to the housekeeper gene 2-microglobulin (Forward: 5-GGC TAT CCA 268

    GCG TAC TCC AA-3; Reverse: 5-GAT GAA ACC CAG ACA CAT AGC A -3), which was 269

    verified to be unchanged in response to our exercise interventions (data not shown). 270

    Citrate synthase maximal activity. Approximately 20 mg of wet muscle was 271

    homogenized using glass tissue pestles in 10 volumes of buffer containing 70 mM sucrose, 220 272

    mM mannitol, 10 mM HEPES (pH 7.4), supplemented with protease inhibitors (Complete 273

    Mini, Roche Applied Science, Laval, PQ, Canada). Citrate synthase (CS) maximal activity was 274

    then quantified as we have described previously (Gibala, et al. , 2006, Little, et al. , 2010). 275

    Homogenate protein content was determined via BCA method using a commercial assay (Pierce, 276

    Rockford, IL, USA) and enzyme activity expressed as mmolkg protein-1hr-1 wet weight. 277

    Statistical Analyses 278

    Exercise data from Study 1 was analyzed via paired Student's t-tests, while all muscle 279

    data from Study 1 was analyzed using a two-factor repeated-measured ANOVA, followed where 280

    appropriate by a Tukeys HSD post hoc test. All data from Study 2 was analyzed using paired 281

    Student's t-tests. The level of significance was set at P 0.05 for all analyses and all analyses 282

    were conducted using SigmaStat 3.1 software (Systat Software, Chicago, IL). All data are 283

    presented as means standard deviation (SD). 284

    285

    Results 286

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    Acute Investigation 287

    Performance data are presented in Table 2. Total work and ratings of perceived exertion 288

    were not different between trials (p=0.71, and p=0.81, respectively). Peak power output and 289

    mean power output, averaged over the four Wingate tests in the INT trial, was higher than the 290

    respective values calculated for the CONT trial. Conversely, total exercise duration in the CONT 291

    trial (~4 min) was approximately double that of the INT trial (2 min, i.e., 4 x 30s), although the 292

    latter session required a total of 14 min including recovery between intervals. 293

    Muscle glycogen content was reduced by ~25%, and muscle lactate concentration was 294

    elevated ~10-fold after exercise, with no difference between protocols (main effects for time, 295

    p

  • 15

    also unchanged after training (P 0.10), the one exception being cytochrome c oxidase subunit 4 310

    (COXIV), which showed a 20% increase (p = 0.014; Figure 5). Similarly, the protein content of 311

    GLUT4, MCT1 and MCT4 were unchanged after training (data not shown). 312

    Peak oxygen uptake was increased by 6% after training (p < 0.05; Figure 6), while time 313

    to complete 250 kJ of improved by ~9% (p < 0.001; Figure 7). There were no differences in 314

    heart rate, respiratory exchange rate or ventilation during steady-state cycling at 65% of pre-315

    training VO2peak before and after training (Table 3). 316

    317

    Discussion 318

    The overriding goal of the present study was to determine whether the characteristic pulsed 319

    nature of high-intensity interval exercise is critical to maximize adaptation to this type of 320

    training. While training using brief intermittent bursts of all out exercise is a potent stimulus to 321

    induce skeletal muscle remodelling towards a more oxidative phenotype (Burgomaster, et al. , 322

    2008, Gibala, et al. , 2006), it is unclear if the alternating pattern of hard/easy effort is 323

    fundamental to the training response. The results of our acute investigation (Study 1) showed 324

    that both INT and CONT protocols elicited similar increases in signalling cascades linked to 325

    mitochondrial biogenesis, including the protein phosphorylation of ACC and p38 MAPK and 326

    PGC-1 mRNA expression. Despite this, a range of mitochondrial enzyme markers were 327

    generally unchanged after 6 wk of training with the CONT protocol (Study 2). This finding is in 328

    contrast to the robust increases in mitochondrial protein content and maximal enzyme activities 329

    that we have repeatedly observed after 2-6 wk of the INT training protocol (Gibala et al., 2006, 330

    Burgomaster et al., 2008). 331

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    An obvious limitation of the present work was the lack of a direct comparison between 332

    the CONT and INT protocols. With respect to our of measurements of skeletal muscle 333

    adaptation, it has been proposed that CS is one of the most appropriate indicators of 334

    mitochondrial content in human skeletal muscle, as it is highly correlated with gold-standard 335

    measures of mitochondrial content made by electron microscopy (Larsen, et al. , 2012). 336

    Interestingly, a recent review by Bishop et al (Bishop et al., 2013) suggested that training volume 337

    is more important for increasing mitochondrial content than training intensity, which may in part 338

    explain the lack of change in CS activity. CONT training also had no effect on other markers of 339

    skeletal muscle adaptation including the protein content of GLUT4, MCT1 and MCT4, which we 340

    have previously shown to be increased by INT training (Burgomaster, et al. , 2007). Overall, 341

    these data suggest that the intermittent nature of the HIIT stimulus may be important for 342

    maximizing skeletal muscle adaptations, at least when a relatively small total volume of high 343

    intensity exercise is performed in an all out manner.. Additional studies with larger sample sizes 344

    and more comprehensive assessment of physiological adaptation are warranted in order to 345

    support or refute this hypothesis. 346

    Despite the lack of change in most markers of skeletal muscle oxidative or metabolite 347

    transport capacity, 6 wk of CONT training improved time to complete 250 kJ of work. While 348

    numerous factors are involved in determining exercise performance (Coyle 2005), one factor that 349

    may have contributed to the improved performance in the present study was an enhanced whole 350

    body aerobic capacity (Bassett and Howley. , 2000), as reflected by the significant 6% increase 351

    in VO2peak after training (despite being measured in only 6 of our 9 subjects). This observation 352

    supports the idea that brief bouts of very intense exercise can improve cardiorespiratory fitness. 353

    Tjonna and associates (Tjonna, et al. , 2013) recently reported a 10% improvement in VO2peak 354

    ) at MCMASTER UNIV on February 16, 2014ep.physoc.orgDownloaded from Exp Physiol (

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    after 10 wk of training in which overweight but healthy subjects performed a single 4 min bout 355

    of continuous exercise at an intensity that elicited 90% of maximal heart rate (HRmax), three 356

    times per week. Subjects in that study performed a 10 min warm-up at 70% HRmax, followed 357

    by 4 min at 90% HRmax and 5 min cool-down at 70% HRmax, for a total time commitment of 358

    19 min (Tjonna, et al. , 2013). In the present study, subjects performed only 2 min of unloaded 359

    cycling as a warm-up, and thus our data show that VO2peak can be enhanced by a training 360

    protocol consisting of

  • 18

    that specific subunits of AMPK and p38 MAPK may play distinctive roles in the adaptive 378

    response to exercise (Birk and Wojtaszewski. , 2006, Pogozelski, et al. , 2009) and therefore it is 379

    possible that subtle differences in activation could not be resolved by our Western Blotting 380

    techniques. Our data also highlights the need for studies examining both acute and training 381

    responses within the same individuals. Indeed, we are unaware of any evidence reporting that 382

    subject-to-subject variability in either AMPK, p38 MAPK or PGC-1 are correlated with 383

    training adaptation in human muscle, and this has led some to question the purpose focusing so 384

    much research upon upstream signalling events (Timmons, 2011). Furthermore, our findings 385

    underscore that changes in mRNA expression do not necessarily confer a similar change in 386

    functional protein or enzyme activity, and that relatively little is known at present regarding the 387

    effects that different types of exercise may have on processes downstream from mRNA 388

    expression in human skeletal muscle. These factors include mRNA stability and turnover, 389

    protein translation, protein import and assembly, mitochondrial fusion/fission, and mitophagy. 390

    Any combination of these processes may be responsible for the diversion between mRNA and 391

    protein expressions. More work must be done to examine the effects that exercise intensity, 392

    duration, and factors such as intermittency may have on the intervening biological processes 393

    between mRNA content and functional protein expression. 394

    In summary, we have shown that performing a given amount of work using an all-out 395

    effort results in similar activation of signaling cascades linked to mitochondrial biogenesis, 396

    regardless of whether the exercise is performed in an intermittent or continuous manner. Despite 397

    similar acute signalling responses to the CONT and INT protocols, a range of mitochondrial 398

    enzyme markers were generally unchanged after 6 wk of training with the CONT protocol, 399

    which, although not measured in the present study, is in contrast to the robust increases we have 400

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  • 19

    previously reported after 2 and 6 wk of training with the INT protocol (Burgomaster, et al. , 401

    2008, Gibala et al., 2006). Thus, the acute responses were not necessarily predictive of training-402

    induced adaptations. Despite the lack of skeletal muscle mitochondrial adaptations, our data 403

    show that a single session of exercise lasting

  • 20

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    Competing Interests 512

    All authors declare no competing interests. 513

    514

    Author Contributions 515

    Conception and design of the experiments: AJRC, MJG, JPL, JBG and MAT. Collection, 516

    analysis and interpretation of the data: AJRC, MEP, ST, JPL, NC, JBG, MAT and MJG. Drafting 517

    the article or revising it critically for important intellectual content: AJRC, MEP, ST, JPL, NC, 518

    JBG, MAT and MJG. 519

    520

    Funding 521

    This project was supported by operating grants from the Natural Sciences and Engineering 522

    Research Council of Canada (NSERC) to MJG and MAT. AJRC was supported by a NSERC 523

    PGS-D scholarship and JPL held a NSERC CGS-D scholarship. MP held NSERC CGS-M, while 524

    NC held a NSERC PGS-D, and JG held NSERC CGS-M. The authors have no conflicts of 525

    interest to declare. 526

    527

    Acknowledgements 528

    We would like to thank our subjects for their commitment and effort, as well as Todd Prior, 529

    Adeel Safdar, and Mahmood Akhtar for their technical assistance. 530

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    Table 1. Subject characteristics for those completing acute INT versus CONT high-intensity exercise, and those completing 6 weeks of CONT-based training. Variable Acute Study Chronic Study Participants 8 men; 0 women 5 men; 4 women Age (years) 22 1 22 2 Weight (kg) 78 8 78 11 Height (cm) 181 5 173 9 VO2peak (mLkg-1min-1) 48 7 47 5 Values are mean S.D.

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    Table 2. Performance characteristics for the acute INT and CONT high-intensity exercise sessions. INT CONT Total work (kJ) 66.8 6.8 67.0 6.8 Peak power output (W) 824 126 510 101* Mean power output (W) 557 90 281 46* Work duration (min:s) 2:00 0:00 4:02 0:26* Ratings of perceived exertion 18.1 1.2 18 1.8 Values are means SD, n = 8 subjects. INT, intermittent; CONT, continuous trial. *p 0.05 versus INT.

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    Table 3. Cardiorespiratory data during cycling exercise at 65% VO2peak before and after 6 weeks of CONT-based training PRE-TR POST-TR Heart rate (beatsmin-1) 158 14 157 16 Respiratory Exchange Rate 0.87 0.04 0.86 0.02 Ventilation (Lmin-1) 55.6 8.1 54.2 6.2 VO2 (Lmin-1) 2.14 0.41 2.07 0.39 _______________________________________________________________________________________________________

    Values are means SD, n = 9 subjects. PRE-TR, pre-training; POST-TR, post-training; VO2, oxygen uptake; CONT, continuous trial.

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    Figure Legends 541

    Figure 1. Muscle glycogen (A) and lactate (B) concentrations measured before (PRE) and after 542

    (POST) performing ~67 kJ of work intermittently (INT) or continuously (CONT) at maximal 543

    effort. Values are means SEM for 8 subjects. *P

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    Figure 6. Peak oxygen uptake (VO2peak) relative to total body weight before (PRE-TR) and after 561

    (POST-TR) 6 wks of low-volume, all-out CONT training. Values are means SD for 6 subjects. 562

    *P0.05 vs pre-training. 563

    Figure 7. Total time to complete 250 kJ of mechanical work before (PRE-TR) and after (POST-564

    TR) 6 wks of low-volume, all-out CONT training. Values are means SD for 9 subjects. 565

    *P0.001 vs pre-training. 566

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