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PGC-1α regulation by exercise training and its influences on muscle function and insulin sensitivity
Journal article   Open access   Peer reviewed

PGC-1α regulation by exercise training and its influences on muscle function and insulin sensitivity

Vitor A Lira, Carley R Benton, Zhen Yan and Arend Bonen
American journal of physiology: endocrinology and metabolism, Vol.299(2), pp.E145-E161
08/01/2010
DOI: 10.1152/ajpendo.00755.2009
PMCID: PMC2928513
PMID: 20371735
url
https://doi.org/10.1152/AJPENDO.00755.2009View
Published (Version of record) Open Access

Abstract

The peroxisome proliferator-activated receptor-gamma (PPARgamma) coactivator-1alpha (PGC-1alpha) is a major regulator of exercise-induced phenotypic adaptation and substrate utilization. We provide an overview of 1) the role of PGC-1alpha in exercise-mediated muscle adaptation and 2) the possible insulin-sensitizing role of PGC-1alpha. To these ends, the following questions are addressed. 1) How is PGC-1alpha regulated, 2) what adaptations are indeed dependent on PGC-1alpha action, 3) is PGC-1alpha altered in insulin resistance, and 4) are PGC-1alpha-knockout and -transgenic mice suitable models for examining therapeutic potential of this coactivator? In skeletal muscle, an orchestrated signaling network, including Ca(2+)-dependent pathways, reactive oxygen species (ROS), nitric oxide (NO), AMP-dependent protein kinase (AMPK), and p38 MAPK, is involved in the control of contractile protein expression, angiogenesis, mitochondrial biogenesis, and other adaptations. However, the p38gamma MAPK/PGC-1alpha regulatory axis has been confirmed to be required for exercise-induced angiogenesis and mitochondrial biogenesis but not for fiber type transformation. With respect to a potential insulin-sensitizing role of PGC-1alpha, human studies on type 2 diabetes suggest that PGC-1alpha and its target genes are only modestly downregulated (< or =34%). However, studies in PGC-1alpha-knockout or PGC-1alpha-transgenic mice have provided unexpected anomalies, which appear to suggest that PGC-1alpha does not have an insulin-sensitizing role. In contrast, a modest ( approximately 25%) upregulation of PGC-1alpha, within physiological limits, does improve mitochondrial biogenesis, fatty acid oxidation, and insulin sensitivity in healthy and insulin-resistant skeletal muscle. Taken altogether, there is substantial evidence that the p38gamma MAPK-PGC-1alpha regulatory axis is critical for exercise-induced metabolic adaptations in skeletal muscle, and strategies that upregulate PGC-1alpha, within physiological limits, have revealed its insulin-sensitizing effects.
Adaptation, Physiological - physiology Animals Biological Transport, Active - physiology Diabetes Mellitus, Type 2 - metabolism Exercise - physiology Glucose - metabolism Heat-Shock Proteins - physiology Humans Insulin Resistance - physiology Lipid Metabolism - physiology Mice Muscle, Skeletal - physiology Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha Physical Fitness - physiology Transcription Factors - physiology

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