Table 1.
1. Muscle hypoxia occurs at ≈50–70% of V̇o2max |
2. Inadequate O2 ⇒ inhibition of the electron transport chain ⇒ insufficient ATP generation via oxidative phosphorylation and ↑ mitochondrial [NADH] |
3. Mitochondrial NADH build-up inhibits NADH shuttles (malate-aspartate and glycerol-phosphate) and ⇒ ↑ cytosolic [NADH] and ↓ cytosolic [NAD] |
4. ↑ Mitochondrial [NADH]/[NAD] inhibits TCA cycle ⇒ ↓ pyruvate use ⇒ ↑ mitochondrial [pyruvate] ⇒ ↑ cytosolic [pyruvate] |
5. Pyruvate becomes H+ acceptor in cytosol ⇒ ↑ HLa production |
6. Inadequate aerobic ATP generation ⇒ ↓ [ATP], ↓ [PCr] and ↑ [ADP], ↑ [Pi], ↑ [AMP] ⇒ ↑ glycolytic rate, and ↑ HLa production |
7. ↑ HLa production ⇒ ↑ muscle and blood [HLa] |
[Modified with permission from ref. 21 (Copyright 1996, Oxford University Press).]