Symmorphosis and skeletal muscle <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">
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The concept of symmorphosis postulates a matching of structural capacity to functional demand within a defined physiological system, regardless of endurance exercise training status. Whether this concept applies to oxygen (O<sub>2sub>) supply and demand during maximal skeletal muscle O<sub>2sub> consumption (<span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span>) in humans is unclear. Therefore, in vitro skeletal muscle mitochondrial <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (<sub>Mitosub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span>, mitochondrial respiration of fibres biopsied from vastus lateralis) was compared with in vivo skeletal muscle <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> during single leg knee extensor exercise (<sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span>, direct Fick by femoral arterial and venous blood samples and Doppler ultrasound blood flow measurements) and whole-body <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> during cycling (<sub>Bodysub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span>, indirect calorimetry) in 10 endurance exercise-trained and 10 untrained young males. In untrained subjects, during KE exercise, maximal O<sub>2sub> supply (<sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">s:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML" accent="true">Q̇span>span>O<sub>2maxsub>) exceeded (462 &plusmn; 37 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>, P < 0.05) and <sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> matched (340 &plusmn; 22 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>, P > 0.05) <sub>Mitosub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (364 &plusmn; 16 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>). Conversely, in trained subjects, both <sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">s:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML" accent="true">Q̇span>span>O<sub>2maxsub> (557 &plusmn; 35 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>) and <sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (458 &plusmn; 24 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>) fell far short of <sub>Mitosub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (743 &plusmn; 35 ml kg<sup>&minus;1sup> min<sup>&minus;1sup>, P < 0.05). Although <sub>Mitosub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> was related to <sub>KEsub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (r = 0.69, P < 0.05) and <sub>Bodysub><span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> (r = 0.91, P < 0.05) in untrained subjects, these variables were entirely unrelated in trained subjects. Therefore, in untrained subjects, <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> is limited by mitochondrial O<sub>2sub> demand, with evidence of adequate O<sub>2sub> supply, whereas, in trained subjects, an exercise training-induced mitochondrial reserve results in skeletal muscle <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> being markedly limited by O<sub>2sub> supply. Taken together, these in vivo and in vitro measures reveal clearly differing limitations and excesses at <span data-equation-construct="true" class="math-equation-construct"><span data-equation-image="true" class="math-equation-image">span><span data-equation-mathml="true" class="math-equation-mathml" style="display:none">s:mml="http://www.w3.org/1998/Math/MathML">sub xmlns:w="http://www.wiley.com/namespaces/wiley" xmlns:wiley="http://www.wiley.com/namespaces/wiley/wiley" xmlns:cr="urn://wiley-online-library/content/render" xmlns="http://www.w3.org/1998/Math/MathML">V̇sub>O2sub> max sub>span>span> in untrained and trained humans and challenge the concept of symmorphosis as it applies to O<sub>2sub> supply and demand in humans.

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