Limits to sustainable muscle performance: interaction between glycolysis and oxidative phosphorylation
Kevin E. Conley1,2,3,*,
William F. Kemper2 and
Gregory J. Crowther2
1 Department of Radiology,
2 Department of Physiology and Biophysics and
3 Department of Bioengineering, University of Washington Medical Center, Seattle, WA 98195-7115, USA

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Fig. 1. Maximal power output of human legs as a function of time during cycling. The symbols represent the highest power output that can be sustained for a given time (adapted from) (Wilkie, 1985). The upper left diagram illustrates that high power outputs cannot be sustained because the source of ATP (phosphocreatine, PCr) generates by-products that inhibit contraction (inorganic phosphate, Pi and H+). The upper right diagram illustrates that the continuous supply of ATP allows lower power outputs to be sustained.
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Fig. 2. ATP, H+ and O2 balances illustrating the integration of the major mass and energy fluxes in muscle.
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Fig. 3. Stack plot of magnetic resonance spectra showing inorganic phosphate (Pi), phosphocreatine (PCr) and ATP levels at rest, during exercise and through recovery in human quadriceps muscle. Reproduced with permission from The Physiological Society.
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Fig. 4. Diagram of the reciprocal changes in phosphocreatine level ([PCr]) and [ADP] that occur via the creatine kinase reaction during exercise (A) and the effect of the rise in [ADP] with exercise (red curve and arrowhead) on mitochondrial oxidative phosphorylation (B). Data in A are unpublished results from human ankle dorsiflexor muscles, and data in B are from isolated mammalian heart mitochondria (Mootha et al., 1997).
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Fig. 5. The central position of ADP in muscle energetics. The ADP level is the signal for oxidative phosphorylation, which reflects both the balance of ATP supply to demand via phosphocreatine ([PCr]) and the balance of H+ production versus efflux via pH in accord with the creatine kinase reaction (equation 2).
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Fig. 7. [ADP] calculated from the creatine kinase reaction (equation 2) as a function of phosphocreatine concentration, [PCr], at two pH levels. The solid arrow indicates the effect of a change in [PCr] at pH7.2 on [ADP]. The broken arrow indicates the change in [PCr] needed to maintain [ADP] with a reduction in pH from 7.2 to 6.5.
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© The Company of Biologists Ltd 2001