ADP RECOVERY AFTER A BRIEF ISCHEMIC EXERCISE IN NORMAL AND DISEASED HUMAN MUSCLE - A P-31 MRS STUDY

The pattern of cytosolic ADP recovery after exercise has not been full y characterized in human skeletal muscle, ADP recovery after brief, is chemic exercise was studied by (31)phosphorus magnetic resonance spect roscopy in calf muscles of 33 normal control subjects, four patients w ith McArdle's disease and 13 patients with mitochondrial myopathy. In normal muscle, the half-time for the initial ADP decline was 0.18+/-0. 07 min and was unaffected by the pH or the metabolic state at the end of exercise, ADP decreased to below rest values during the second min of recovery in 27 out of 33 control subjects, There aas a significant (p < 0.001) linear correlation for both the size (r=0.65) and duration (r=0.64) of this ADP undershoot with intracellular pH, Phosphocreatin e resynthesis continued during the ADP undershoot, ADP undershoot was also found in patients with mitochondrial diseases (in 11 out of 13), but not McArdle's disease (six patients), Thus ADP recovery follows a complex time course that is partly dependent on pH. Only the initial A DP recovery is independent of pH, which makes it suitable for comparat ive assessment of muscle mitochondrial function in vivo, As phosphocre atine recovery continues during the ADP undershoot, mitochondrial regu lation must be different from that at the onset of recovery, These obs ervations are consistent with variable, changing regulators of mitocho ndrial metabolism in human skeletal muscle.