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American Journal of Physiology - Regulatory, Integrative and Comparative Physiology logoLink to American Journal of Physiology - Regulatory, Integrative and Comparative Physiology
. 2009 Mar 4;296(5):R1512–R1517. doi: 10.1152/ajpregu.90901.2008

Effect of physiological levels of caffeine on Ca2+ handling and fatigue development in Xenopus isolated single myofibers

Joelle I Rosser 1, Brandon Walsh 1, Michael C Hogan 1
PMCID: PMC2689837  PMID: 19261915

Abstract

The purpose of the present study was to determine whether exposure to exogenous physiological concentrations of caffeine influence contractility, Ca2+ handling, and fatigue development in isolated single Xenopus laevis skeletal muscle fibers. After isolation, two identical contractile periods (separated by 60-min rest) were conducted in each single myofiber (n = 8) at 20°C. During the first contractile period, four fibers were perfused with a noncaffeinated Ringer solution, while the other four fibers were perfused with a caffeinated (70 μM) Ringer solution. The order was reversed for the second contractile period. The single myofibers were stimulated during each contractile period at increasing frequencies (0.16, 0.20, 0.25, 0.33, 0.50, and 1.0 tetanic contractions/s), with each stimulation frequency lasting 2 min until fatigue ensued, defined in this study as a fall in tension development to 66% of maximum. Tension development and free cytosolic [Ca2+] (fura-2 fluorescence spectroscopy) were simultaneously measured. There was no significant difference in the peak force generation, time to fatigue, cytosolic Ca2+ levels, or relaxation times between the noncaffeinated and caffeinated trials. These results demonstrate that physiological levels of caffeine have no significant effect on Xenopus single myofiber contractility, Ca2+ handling, and fatigue development, and suggest that any ergogenic effects of physiological levels of caffeine on muscle performance during contractions of moderate to high intensity are likely related to factors extraneous to the muscle fiber.

Keywords: exercise, contraction, relaxation, E-C coupling, muscle


numerous studies have demonstrated that caffeine ingestion results in a distinct improvement in endurance activities (6, 15, 16, 17, 36). It has been suggested (see Ref. 43) that caffeine-induced improvements in exercise performance are facilitated via increased free fatty acid utilization (7, 40), central and peripheral nervous system activation (9), and by a direct effect on skeletal muscle (33). There is some evidence (32, 44) that the direct effect of caffeine on skeletal muscle in improving endurance performance may be due to an increase in force output for a given neural input. Furthermore, some studies also indicate that caffeine may assist in short-term power activity (5, 42, 48), while other studies do not support this conclusion (4, 8, 18, 19, 20).

Most studies that have investigated the effects of caffeine on muscle performance have been performed using human subjects, in which it is difficult to deduce the specific effects of caffeine, or in isolated muscle preparations using caffeine concentrations that are toxic to humans (2, 10, 22, 38). Studies using intact, isolated single muscle fibers (1, 2) have shown that high concentrations of caffeine (5 mM) can increase Ca2+ release from the sarcoplasmic reticulum (SR), increase tension development in single tetanic contractions, and interestingly, almost completely reestablish maximum tension development in fatigued single myofibers by restoring calcium release from the SR to nonfatigued levels (21, 47). Figure 1 illustrates this latter effect in a representative single fiber that has been stimulated to fatigue (i.e., severe contraction-induced reduction in tension development); demonstrating that acute and rapid exposure to a supraphysiological concentration (5 mM) of caffeine to the solution surrounding the fatigued myofiber causes an immediate increase in Ca2+ release from the SR and thereby restores force development to prefatigue levels. Similar findings have been demonstrated in studies that use isolated muscle fibers to delineate mechanisms of fatigue in skeletal muscle (2, 45, 47), and it has been suggested (32) that this effect of caffeine on intracellular Ca2+ handling may be one possible mechanism for the beneficial effect of caffeine on muscle performance. Although it is clear that high levels of caffeine can strongly influence muscle function and contractility, it remains less certain what effect physiological levels of caffeine have on intracellular responses in working muscle (see Ref. 21).

Fig. 1.

Fig. 1.

Cytosolic [Ca2+] (top) and tension development (bottom) in a single muscle fiber during tetanic contractions of increasing frequency leading to fatigue. Five millimoles of caffeine was applied to the fiber at the time point indicated during the fatigue run, and both peak [Ca2+]c and tension development were immediately restored.

The objective of the current study was to examine the effects of a physiological concentration of caffeine (70 μM) on contractility, calcium handling, and fatigue in isolated single skeletal muscle fibers. Many of the confounding variables present in whole muscle and human studies are easily controlled in the isolated single-fiber preparation. In particular, neurological considerations are removed so that intracellular properties of myofibers can be investigated independently from the well-known effects of caffeine on the nervous system. Given that caffeine ingestion improves human endurance performance, and that large doses of caffeine can dramatically restore contractility in fatigued single fibers (see Fig. 1), we tested the hypothesis that physiological concentrations of caffeine would improve contractile performance in single Xenopus skeletal muscle fibers through alterations in intracellular Ca2+ handling.

METHODS

Experimental preparation.

Adult female Xenopus laevis were doubly pithed and decapitated. Lumbrical muscles II-IV were removed, and single living muscle fibers were microdissected from the muscle. Dissections and experiments were performed in Ringer solution (112 mM NaCl, 1.87 mM KCl, 0.82 mM CaCl2, 2.38 mM NaHCO3, 0.07 mM NaH2PO4, 1.0 mM EGTA) at 20°C and 7.0 pH. All procedures were approved by the University of California-San Diego Animal Care and Use Committee and conform to National Institutes of Health standards.

Following dissection, platinum clips were attached to the tendons, and the fibers were mounted in a glass chamber and placed on the stage of an inverted microscope configured for epi-illumination.

Tetanic contractions were induced by direct stimulation (50 impulses/s of 1 ms duration at 9 V, with a train duration of 250 ms) with platinum-conducting electrodes on either side of the fiber, using a Grass S48 stimulator (Quincy, MA). Force development was measured with a force transducer system (Aurora Scientific, Model 400A; Aurora, Ontario, Canada). A Biopac Systems MP100WSW (Santa Barbara, CA) A-D converter was used to transform the analog force signal, and the digital data were collected and analyzed with AcqKnowledgeIII 3.2.6 software (Biopac Systems).

Experimental protocol.

The fatigue-inducing contraction bout utilized in the present study consisted of a series of increasing stimulation frequencies (0.16, 0.20, 0.25, 0.33, 0.50, and 1.0 contractions/s), with each stimulation frequency lasting 2 min. Fatigue was determined as the time point at which the tension development had declined to 66% of the maximum developed tension in that contractile run, and the contractile bout was terminated at this point. Each fiber (n = 8) performed two separate contractile bouts: one in noncaffeinated Ringer solution (control); the other in 70 μM caffeinated Ringer solution. To avoid an order effect, the initial experimental condition was randomized, with half (n = 4) of the fibers exposed to noncaffeinated Ringer solution during the first bout, and the other half exposed to caffeinated Ringer solution during the first bout. Fibers rested for 60 min in Ringer solution between fatigue runs. We have previously shown that 60 min between these contractile periods to allow complete recovery of the single myofibers (41). The caffeinated Ringer solution was perfused into the chamber 5 min before the caffeine fatigue run and was replaced with noncaffeinated Ringer solution 5 min after the run. During each fatigue run, measures of tension development and free cytosolic Ca2+ concentration ([Ca2+]c) were simultaneously collected.

Ca2+ fluorescence.

Relative [Ca2+]c was obtained using fluorescence spectroscopy. Fibers were pressure injected with the Ca2+ indicator fura-2 (Molecular Probes, F-1200). Injected fibers were illuminated with two rapidly alternating (20 Hz) excitation wavelengths of 340 nm and 380 nm, and the resulting fluorescence emissions at 510 nm were divided (340 nm/380 nm) to obtain the Ca2+-dependent signal, as we have done previously (28, 41). Fluorescence was measured with a Photon Technology International illumination and detection system (DeltaScan model), integrated with a Nikon inverted microscope with a 40× Fluor objective.

Measurements.

All waveform analyses were performed using AcqKnowledgeIII software. Tension development during each contraction was compared with the highest peak tension within that contractile run and reported as relative tension. Relative [Ca2+]c measurements were standardized in a similar fashion. Five individual 340/380 nm excitation ratios (peak [Ca2+]c) were averaged at each measurement time point and compared with the average of the five highest ratios within that run. Relative resting [Ca2+]c measurements (340/380 nm baseline) were averaged in a similar fashion and compared with the lowest resting levels within that run.

Statistics.

Two-way repeated-measures ANOVA was performed for the statistical analysis. Results are reported as means ± SE. In all analyses, the 0.05 level of significance was used.

RESULTS

Figure 2 illustrates a typical fatigue run in which force and relative free cytosolic Ca2+ concentration ([Ca2+]c) were simultaneously measured for a single muscle fiber bathed in both caffeinated and noncaffeinated solutions. Multiple aspects of contractile performance were analyzed, including peak tension, time to fatigue (defined as 66% of peak tension), and relaxation times at peak and fatigue time points. The Ca2+ ratio (a higher ratio corresponding to higher levels of cytosolic Ca2+) and the change in the baseline of the calcium throughout a fatigue run were measured; five adjacent contractions were averaged for all of the calcium calculations.

Fig. 2.

Fig. 2.

A: Cytosolic [Ca2+] (top) and force development (bottom) in a representative single muscle fiber bathed in 70 μM caffeine Ringer solution during tetanic contractions of increasing stimulation frequency leading to fatigue. B: [Ca2+]c and force in the same fiber after a 60-min rest period while bathed in noncaffeinated Ringer solution during the fatigue run.

Peak tension.

A comparison of the peak tension generated during caffeinated and noncaffeinated runs revealed no significant difference between the two runs. The average peak tension generated for caffeinated and noncaffeinated runs was 0.88 ± 0.55 mV and 0.84 ± 0.45 mV, respectively. There was no significant difference in peak tension development between caffeinated and noncaffeinated treatments within the same fiber.

Muscle fatigue.

Similarly, there was no significant variation in time to fatigue between caffeinated and noncaffeinated conditions. The average times to fatigue in caffeinated and noncaffeinated runs were 566 ± 125 and 548 ± 120 s, respectively (Fig. 3). There was wide variation among different fibers, but relative consistency between trials involving the same fiber.

Fig. 3.

Fig. 3.

Mean time until the fatigue time point (defined as the point at which force generated had decreased to 66% of the initial maximum force) during the fatigue runs. There was no statistically significant difference in time to fatigue between caffeinated and noncaffeinated trials.

Relaxation time.

The elapsed time between the end time point of peak tension development for a contraction and the point at which the developed tension returned to 33% of its baseline was used as a measure of relaxation time. The average relaxation times during the contraction inducing peak tension of caffeinated and noncaffeinated runs were 0.12 ± 0.05 and 0.11 ± 0.4 s, respectively. At the fatigue time point, caffeinated and noncaffeinated relaxation times of 0.33 ± 0.15 and 0.27 ± 0.08 s were not significantly different from each other; however, these relaxation times were significantly greater than the relaxation times at the peak contractile time points (Fig. 4).

Fig. 4.

Fig. 4.

Mean relaxation time (elapsed time between the end time point of the maximum force of a contraction and the point at which the force returned to 33% of its baseline) of contractions at the peak tension and at the point of fatigue in caffeinated and control trials. Relaxation times were significantly slower at the point of fatigue (significant difference *P < 0.001) compared with the initial maximum force, but there was no statistically significant difference in relaxation times between caffeinated and noncaffeinated treatments at the two time points.

Calcium.

The calcium ratios, which provide relative indexes of [Ca2+]c, during contractions at the peak tension time point at the beginning of the contractile work bout were not significantly different between caffeinated and noncaffeinated runs (2.18 ± 0.84 and 2.05 ± 0.64, respectively). In addition, the ratios during the contracted state at the point of fatigue were identical with respective averages of 1.16 ± 0.51 and 1.16 ± 0.50 (Fig. 5), but this fatigue [Ca2+]c was significantly less than the [Ca2+]c measured at the peak tension time point. Baseline cytosolic Ca2+ (i.e., the [Ca2+]c during the time the fiber is in the relaxed state between contractions) was increased significantly at the fatigue time point relative to the baseline cytosolic Ca2+ at the beginning of the work bout in both the caffeinated (53 ± 0.14%) and noncaffeinated runs (47 ± 0.18%; not significantly different between the caffeinated vs. noncaffeinated treatments). This change in Ca2+ handling during the relaxation time between consecutive contractions can be seen clearly in the Fig. 2, top, with cytosolic Ca2+ baseline levels clearly not being restored to prefatigue levels as fatigue ensued. Finally, there was no significant difference in the force/Ca2+ ratio (an index of myofilament sensitivity to Ca2+) between the caffeinated (0.53 ± 0.06) and noncaffeinated (0.51 ± 0.05) runs at any time point, and this ratio did not significantly change from the peak tension time point to the fatigue time point.

Fig. 5.

Fig. 5.

Mean cytosolic calcium levels during the contractile phase of the contraction/relaxation cycle at the time of peak tension and at the fatigue time point for caffeinated and control trials. The cytosolic [Ca2+] was significantly less at the fatigue time point (significant difference *P < 0.001) compared to Ca2+ levels at the maximum force time point, but there was no statistically significant difference in [Ca2+]c between caffeinated and noncaffeinated treatments at the two time points.

DISCUSSION

The results of this present study, using a Xenopus isolated single skeletal muscle fiber model, showed no significant excitation/contraction effects of exposure to a physiological extracellular concentration of caffeine (70 μM) on contractile characteristics, time to fatigue, or calcium handling during a fatiguing contractile period.

Caffeine and muscle function.

Human studies have repeatedly demonstrated caffeine's ergogenic effects on athletic performance. Several studies have demonstrated an increase in muscle endurance (increased time to fatigue) in athletes given a dose of caffeine prior to exercise compared with both control and placebo groups (6, 7, 17, 36, 48). However, the effect of caffeine on muscle contractility and function during moderate-to-high intensity exercise remains less clear (17, 36, 43). While some studies reveal little or no significant improvement in high-intensity performance with the ingestion of caffeine (4, 19, 20), other studies have shown an increase in this variable (5, 42, 44, 48). For example, Greer et al. (19, 20) showed that subjects given a high dose of caffeine had no marked improvement in performance during a 30-s Wingate test, whereas Wiles et al. (48), using highly trained athletes, demonstrated a significant increase in performance time, speed, and power performed during a 1-km cycling time-trial in the caffeine group compared with both the placebo and the control groups. Beck et al. (5) also reported that caffeine ingestion increased strength in certain tests but showed no ergogenic effect in other strength tests. One proposed reason for this discrepancy in results is relative dosage between individuals and activity paradigms.

Researchers have proposed several possible mechanisms to explain the ergogenic effects of caffeine in humans during exercise. Several studies have shown that caffeine enhances fatty acid utilization (6, 7, 17, 18), that may be particularly important in endurance exercise. Furthermore, it is widely recognized that caffeine has distinct neurological effects. Caffeine has a similar structure to adenosine, which inhibits neurotransmitter release and slows neurological firing rates. Thus, competitive inhibition of adenosine receptors by caffeine (34) increases the activity of dopamine receptors (12, 23, 27). The neuronal mechanism explains why ingestion of caffeine results in quicker responses to stimuli, heightened arousal states, and reduced rates of perceived effort (6, 37). If this neuronal mechanism is primarily responsible for improved performance, then the fact that adenosine receptors have only been found in slow-twitch oxidative fibers (31) may help explain why endurance training consistently improves with the ingestion of caffeine, whereas studies focused on strength training yield mixed results. Finally, some studies have suggested that caffeine directly affects skeletal muscle fibers by increasing calcium release or by increasing myofibril Ca2+ sensitivity (27, 32, 38, 44).

Caffeine and contractility.

During skeletal muscle fatigue, contraction and relaxation times are increased and peak tension is decreased (1, 11). It has also been demonstrated that the onset of fatigue is associated with decreased calcium release by the SR (3). Intracellular caffeine concentrations above a certain threshold have been shown to result in an increase in the open probability of the ryanodine channel (29) and thereby lead to changes in intracellular Ca2+ handling during contractions. Thus, it has been suggested that caffeine may enhance muscle contractility by increasing the release of calcium ions, decreasing reuptake of calcium ions, or increasing myofibril sensitivity to calcium ions (21, 32, 44).

To test the direct effect of caffeine on muscle function, several studies have used isolated and electrically stimulated whole muscle under varying conditions. It has been demonstrated that a large dose of caffeine, directly applied to isolated whole muscle, has the effect of increasing muscle tension as a result of increasing calcium release from the SR (14, 26, 38), although this dramatic effect of high levels of caffeine on severely fatigued blood-perfused whole muscle is not universal (22). However, these studies were performed using millimolar concentrations of caffeine, well above the level that would be toxic to humans (17, 27). Rather, the plasma caffeine concentration of caffeine in humans is usually between 20 and 50 micromolar with an upper limit of 70 micromolar (17). Furthermore, it has been demonstrated in whole muscle that decreasing the concentration of caffeine results in a drastic reduction in the ability of caffeine to rescue contractile function in fatigued muscle (35). Thus, although the results from studies using supraphysiological concentrations of caffeine do offer some insights about the potential effects that caffeine can have on muscles and, in particular, shed light on the mechanisms of muscle fatigue, these studies do not adequately describe the effects of caffeine in an exercising human.

There have been very few other studies examining the effects of physiological levels of caffeine on isolated muscle function. In one study (24), the application of 70 μM caffeine did not significantly affect force, work, or power in whole mouse muscles subjected to work loops. However, a separate study by the same laboratory suggested a small increase (2–3%) in peak force and work but no changes in the pattern of fatigue or recovery after caffeine exposure (25). Our present study used physiological levels of caffeine (70 μM) on isolated single muscle fibers to more closely investigate the cellular responses of physiological caffeine application. This model allowed muscle fibers to be subjected to a standard fatigue run of increasing contraction frequency, similar to human exercise. Furthermore, the present study measured both tension and calcium handling simultaneously to examine the proposed mechanisms of caffeine directly on myofibers, independently of neurological considerations. While the results of the present study demonstrated great variability in tension generation and calcium handling between fibers, the single fiber model allows each fiber to be used as its own control. The results of the current study demonstrated that caffeine, at physiological levels (70 μM), had no significant effect on peak tension or time to fatigue. Although there was a significant difference in relaxation time between peak tension development and at the point of fatigue, there was no significant difference in the magnitude of that change between caffeinated and noncaffeinated runs. Thus, these results demonstrate that exposure to physiological concentrations of caffeine does not significantly alter peak tension development, endurance (time to fatigue), and the pattern of fatigue in these Xenopus single fibers. It should be noted, however, that although the Ca2+ handling and response to caffeine in single intact fibers are similar between mammalian and amphibian fibers, it remains unknown as to whether in mammalian fibers at 37°C, there may be some direct cellular effect at the caffeine concentrations used in this study, that was not seen at room temperature in these amphibian fibers.

Caffeine and calcium handling.

One of the mechanisms proposed for caffeine's effects on muscle contractility has been increased calcium release by the SR (see Ref. 21). It has been well established that increased calcium release results in greater generation of muscle tension (1, 13, 30). There is also evidence that caffeine increases the number and duration of open SR calcium channels (30, 29). Thus, it is reasonable to conclude that caffeine increases force by increasing calcium release. However, no studies, excluding the present study, have simultaneously measured force generation and cytosolic [Ca2+] in single fibers exposed to physiological levels of caffeine. The results of this current study showed the characteristic decrease in peak [Ca2+]c as fatigue developed throughout each contractile bout (see Fig. 5). However, there was no significant difference in peak or baseline [Ca2+]c between caffeinated and noncaffeinated trials, again indicating that exposure to physiological concentrations of caffeine did not alter Ca2+-handling properties and subsequent contractile performance in these Xenopus myofibers at 20°C.

With the onset of fatigue in the present study, the baseline level of cytosolic calcium steadily increased as calcium accumulated in the cytosol faster than it could be pumped back into the SR, resulting in slowing of the myofilament relaxation time (see Fig. 2). However, the increase in baseline [Ca2+] in the fatigued state, even though substantial, was not sufficient to impede total relaxation of force generation to resting levels between stimulation time points (see Fig. 2). Allen and Westerblad (2) indicated that 5 mM caffeine can slow the calcium pumps, and thereby slow the reuptake of calcium, thus increasing the baseline level of calcium more drastically in caffeinated surroundings. In the present study, the caffeine treatment did not have a significantly different effect on baseline calcium at either the start and end of fatigue runs compared with the noncaffeinated treatment, indicating that low micromolar concentrations of caffeine do not cause a substantial change in either calcium release or calcium pump activity. A caffeine-related increase in calcium release, combined with slower calcium pumping, would cause an accumulation of calcium in the cytosol, which has been shown to decrease calcium release (46). It is possible that this negative feedback stabilizes the calcium levels when caffeine is administered in low doses (<70 μM) but can be overwhelmed with large doses of caffeine (millimolar concentrations). Finally, there is generally a strong correlation between calcium release and force generation (force/Ca2+ ratio) that is indicative of the myofilament sensitivity to Ca2+ (45). In the present study, we found no difference in the force/Ca2+ ratio between the caffeine and noncaffeine conditions at either the peak time point or the fatigue time point, indicating that this level of caffeine did not influence myofilament sensitivity to Ca2+.

Perspectives and Significance

In conclusion, the results of the present study demonstrated no effect of exposure to a physiological concentration of caffeine (70 μM) on fatigue, contractility, and calcium handling in isolated Xenopus single myofibers at 20°C. These results suggest that any ergogenic effects of physiological levels of caffeine on muscle performance during contractions of moderate to high intensity are likely related to factors extraneous to the muscle fiber itself. However, even though the bioenergetic response to caffeine of amphibian and mammalian muscle is similar, extrapolation of these present results to the in vivo human exercise response needs further examination.

GRANTS

This study was supported by National Institutes of Health grant AR40155.

REFERENCES

  • 1.Allen DG, Lee JA, Westerblad H. Intracellular calcium and tension during fatigue in isolated single muscle fibres from Xenopus laevis. J Physiol 415: 433–458, 1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Allen DG, Westerblad H. The effects of caffeine on intracellular calcium, force and the rate of relaxation of mouse skeletal muscle. J Physiol 487: 331–342, 1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Allen DG, Lamb GD, Westerblad H. Impaired calcium release during fatigue. J Appl Physiol 104: 296–305, 2008. [DOI] [PubMed] [Google Scholar]
  • 4.Beck TW, Housh TJ, Malek MH, Mielke M, Hendrix R. The acute effects of a caffeine-containing supplement on bench press strength and time to running exhaustion. J Strength Cond Res 22: 1654–1558, 2008. [DOI] [PubMed] [Google Scholar]
  • 5.Beck TW, Housh TJ, Schmidt RJ, Johnson GO, Housh DJ, Coburn JW, Malek MH. The acute effects of a caffeine-containing supplement on strength, muscular endurance, and anaerobic capabilities. J Strength Cond Res 20: 506–510, 2006. [DOI] [PubMed] [Google Scholar]
  • 6.Chesley A, Howlett RA, Heigenhauser GJ, Hultman E, Spriet LL. Regulation of muscle glycogenolytic flux during intense aerobic exercise after caffeine ingestion. Am J Physiol Regul Integr Comp Physiol 275: R596–R603, 1998. [DOI] [PubMed] [Google Scholar]
  • 7.Costill DL, Dalsky GP, Fink WJ. Effects of caffeine ingestion on metabolism and exercise performance. Med Sci Sports 10: 155–158, 1978. [PubMed] [Google Scholar]
  • 8.Crowe MJ, Leicht AS, Spinks WL. Physiological and cognitive responses to caffeine during repeated, high intensity exercise. Int J Sport Nutr Exerc Metab. 16: 528–544, 2006. [DOI] [PubMed] [Google Scholar]
  • 9.Davis JM, Zhao Z, Stock HS, Mehl KA, Buggy J, Hand GA. Central nervous system effects of caffeine and adenosine on fatigue. Am J Physiol Regul Integr Comp Physiol 284: R399–R404, 2003. [DOI] [PubMed] [Google Scholar]
  • 10.Delay M, Ribalet B, Vergara J. Caffeine potentiation of calcium release in frog skeletal muscle fibres. J Physiol 375: 535–559, 1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Fitts RH Cellular mechanisms of muscle fatigue. Physiol Rev 74: 49–94, 1994. [DOI] [PubMed] [Google Scholar]
  • 12.Fredholm BB Connection between caffeine, adenosine receptors and dopamine. Coffee reduces the risk of Parkinson disease. Lakartidningen 101: 2552–2555, 2004. [PubMed] [Google Scholar]
  • 13.Fryer MW, Neering IR. Actions of caffeine on fast- and slow-twitch muscles of the rat. J Physiol 416: 435–454, 1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Germinario E, Esposito A, Megighian A, Midrio M, Betto R, Danieli-Betto D. Effects of modulators of sarcoplasmic Ca2+ release on the development of skeletal muscle fatigue. J Appl Physiol 96: 645–649, 2004. [DOI] [PubMed] [Google Scholar]
  • 15.Graham TE, Spriet LL. Performance and metabolic responses to high caffeine dose during prolonged exercise. J Appl Physiol 71: 2292–2298, 1991. [DOI] [PubMed] [Google Scholar]
  • 16.Graham TE, Spriet LL. Metabolic, catecholamine, and exercise performance responses to various doses of caffeine. J Appl Physiol 78: 867–874, 1995. [DOI] [PubMed] [Google Scholar]
  • 17.Graham TE Caffeine, coffee and ephedrine: impact on exercise performance and metabolism. Can J Appl Physiol 26 Suppl: S103–S119, 2001. [PubMed] [Google Scholar]
  • 18.Greer F, Friars D, Graham TE. Comparison of caffeine and theophylline ingestion: exercise metabolism and endurance. J Appl Physiol 89: 1837–1844, 2000. [DOI] [PubMed] [Google Scholar]
  • 19.Greer F, McLean C, Graham TE. Caffeine, performance, and metabolism during repeated Wingate exercise tests. J Appl Physiol 85:1502–8, 1998. [DOI] [PubMed] [Google Scholar]
  • 20.Greer F, Morales J, Coles M. Wingate performance and surface EMG frequency variables are not affected by caffeine ingestion. Appl Physiol Nutr Metab 31: 597–603, 2006. [DOI] [PubMed] [Google Scholar]
  • 21.Herrmann-Frank A, Lüttgau DG, Stephenson HC. Caffeine and excitation-contraction coupling in skeletal muscle: a stimulating story. J Muscle Res Cell Motil 20: 223–237, 1999. [DOI] [PubMed] [Google Scholar]
  • 22.Howlett RA, Kelley KM, Grassi B, Gladden LB, Hogan MC. Caffeine administration results in greater tension development in previously fatigued canine muscle in situ. Exp Physiol 90: 873–879, 2005. [DOI] [PubMed] [Google Scholar]
  • 23.Huang ZL, Qu WM, Eguchi N, Chen JF, Schwarzschild MA, Fredholm BB, Urade Y, Hayaishi O. Adenosine A2A, but not A1, receptors mediate the arousal effect of caffeine. Nat Neurosci 8: 858–859, 2005. [DOI] [PubMed] [Google Scholar]
  • 24.James RS, Wilson RS, Askew GN. Effects of caffeine on mouse skeletal muscle power output during recovery from fatigue. J Appl Physiol 96: 545–552, 2004. [DOI] [PubMed] [Google Scholar]
  • 25.James RS, Kohlsdorf T, Cox VM, Navas CA. 70 microM caffeine treatment enhances in vitro force and power output during cyclic activities in mouse extensor digitorum longus muscle. Eur J Appl Physiol 95: 74–82, 2005. [DOI] [PubMed] [Google Scholar]
  • 26.Jones DA, Howell S, Roussos C, Edwards RH. Low-frequency fatigue in isolated skeletal muscles and the effects of methylxanthines. Clin Sci (Lond) 63: 161–167, 1982. [DOI] [PubMed] [Google Scholar]
  • 27.Kalmar JM, Cafarelli E. Effects of caffeine on neuromuscular function. J Appl Physiol 87: 801–808, 1999. [DOI] [PubMed] [Google Scholar]
  • 28.Kindig CA, Stary CM, Hogan MC. Effect of dissociating cytosolic calcium and metabolic rate on intracellular Po2 kinetics in single frog myocytes. J Physiol 562: 527–534, 2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Kong H, Jones PP, Koop A, Zhang L, Duff HJ, Chen SR. Caffeine induces Ca2+ release by reducing the threshold for luminal Ca2+ activation of the ryanodine receptor. Biochem J 414: 441–452, 2008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Lee JA, Westerblad H, Allen DG. Changes in tetanic and resting [Ca2+]i during fatigue and recovery of single muscle fibres from Xenopus laevis. J Physiol 433: 307–326, 1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 31.Lynge J, Hellsten Y. Distribution of adenosine A1, A2A and A2B receptors in human skeletal muscle. Acta Physiol Scand 169: 283–290, 2000. [DOI] [PubMed] [Google Scholar]
  • 32.Meyers BM, Cafarelli E. Caffeine increases time to fatigue by maintaining force and not by altering firing rates during submaximal isometric contractions. J Appl Physiol 99: 1056–1063, 2005. [DOI] [PubMed] [Google Scholar]
  • 33.Mohr T, Van Soeren M, Graham TE, Kjaer M. Caffeine ingestion and metabolic responses of tetraplegic humans during electrical cycling. J Appl Physiol 85: 979–985, 1998. [DOI] [PubMed] [Google Scholar]
  • 34.Nehlig A, Daval JL, Debry G. Caffeine and the central nervous system: mechanisms of action, biochemical, metabolic and psychostimulant effects. Brain Res Brain Res Rev 17: 139–170, 1992. [DOI] [PubMed] [Google Scholar]
  • 35.Pagala M, Ravindran K, Amaladevi B, Namba T, Grob D. Potassium and caffeine contractures of mouse muscles before and after fatiguing stimulation. Muscle Nerve 17: 852–859, 1994. [DOI] [PubMed] [Google Scholar]
  • 36.Paluska SA Exercise and caffeine. Curr Sports Med Rep 2: 213–219, 2003. [DOI] [PubMed] [Google Scholar]
  • 37.Plaskett CJ, Cafarelli E. Caffeine increases endurance and attenuates force sensation during submaximal isometric contractions. J Appl Physiol 91: 1535–1544, 2001. [DOI] [PubMed] [Google Scholar]
  • 38.Reading SA, Murrant CL, Barclay JK. Positive inotropism in mammalian skeletal muscle in vitro during and after fatigue. Can J Physiol Pharmacol 82: 249–261, 2004. [DOI] [PubMed] [Google Scholar]
  • 39.Rousseau E, Ladine J, Liu QY, Meissner G. Activation of the Ca2+ release channel of skeletal muscle sarcoplasmic reticulum by caffeine and related compounds. Arch Biochem Biophys 267: 75–86, 1988. [DOI] [PubMed] [Google Scholar]
  • 40.Spriet LL, MacLean DA, Dyck DJ, Hultman E, Cederblad G, Graham TE. Caffeine ingestion and muscle metabolism during prolonged exercise in humans. Am J Physiol Endocrinol Metab 262: E891–E898, 1992. [DOI] [PubMed] [Google Scholar]
  • 41.Stary CM, Hogan MC. Impairment of Ca2+ release in single Xenopus muscle fibers fatigued at varied extracellular Po2. J Appl Physiol 88: 1743–1748, 2000. [DOI] [PubMed] [Google Scholar]
  • 42.Stuart GR, Hopkins WG, Cook C, Cairns SP. Multiple effects of caffeine on simulated high-intensity team-sport performance. Med Sci Sports Exerc 37: 1998–2005, 2005. [DOI] [PubMed] [Google Scholar]
  • 43.Tarnopolsky MA Effect of caffeine on the neuromuscular system-potential as an ergogenic aid. J Appl Physiol Nutr Metab 33: 1284–1289, 2008. [DOI] [PubMed] [Google Scholar]
  • 44.Tarnopolsky M, Cupido C. Caffeine potentiates low frequency skeletal muscle force in habitual and nonhabitual caffeine consumers. J Appl Physiol 89: 1719–1724, 2000. [DOI] [PubMed] [Google Scholar]
  • 45.Westerblad H, Allen DG. Changes of myoplasmic calcium concentration during fatigue in single mouse muscle fibers. J Gen Physiol 98: 615–635, 1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Westerblad H, Bruton JD, Allen DG, Lannergren J. Functional significance of Ca2+ in long-lasting fatigue of skeletal muscle. Eur J Appl Physiol 83: 166–174, 2000. [DOI] [PubMed] [Google Scholar]
  • 47.Westerblad H, Lannergren J. Tension restoration with caffeine in fatigued Xenopus muscle fibres of various types. Acta Physiol Scand 130: 357–358, 1987. [DOI] [PubMed] [Google Scholar]
  • 48.Wiles JD, Coleman D, Tegerdine M, Swaine IL. The effects of caffeine ingestion on performance time, speed and power during a laboratory-based 1 km cycling time-trial. J Sports Sci 24: 1165–1171, 2006. [DOI] [PubMed] [Google Scholar]

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