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J Physiol Volume 586, Number 5, 1447-1459, March 1, 2008 DOI: 10.1113/jphysiol.2007.143073
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SKELETAL AND MUSCLE EXCERCISE

Effect of dexamethasone on skeletal muscle Na+,K+ pump subunit specific expression and K+ homeostasis during exercise in humans

Nikolai Nordsborg1, Jakob Ovesen1, Martin Thomassen1, Mathias Zangenberg1, Christian Jøns1, F. Marcello Iaia1, Jens Jung Nielsen1 and Jens Bangsbo1

1 Copenhagen Muscle Research Centre, Department of Exercise and Sport Sciences, University of Copenhagen, Universitetsparken 13, 2100 Copenhagen, Denmark

The effect of dexamethasone on Na+,K+ pump subunit expression and muscle exchange of K+ during exercise in humans was investigated. Nine healthy male subjects completed a randomized double blind placebo controlled protocol, with ingestion of dexamethasone (Dex: 2 x 2 mg per day) or placebo (Pla) for 5 days. Na+,K+ pump catalytic {alpha}1 and {alpha}2 subunit expression was ~17% higher (P < 0.05) and the structural β1 and β2 subunit expression was ~6–8% higher (P < 0.05) after Dex compared with Pla. During one-legged knee-extension for 10 min at low intensity (LI; 18.6 ± 1.0 W), two moderate intensity (51.7 ± 2.4 W) exercise bouts (MI1: 5 min; 2 min recovery; MI2: exhaustive) and two high-intensity (71.7 ± 2.5 W) exercise bouts (HI1: 1 min 40 s; 2 min recovery; HI2: exhaustive), femoral venous K+ was lower (P < 0.05) in Dex compared with Pla. Thigh K+ release was lower (P < 0.05) in Dex compared with Pla in LI and MI, but not in HI. Time to exhaustion in MI2 tended to improve (393 ± 50 s versus 294 ± 41 s; P = 0.07) in Dex compared with Pla, whereas no difference was detected in HI2 (106 ± 10 s versus 108 ± 9 s). The results indicate that an increased Na+,K+ pump expression per se is of importance for thigh K+ reuptake at the onset of low and moderate intensity exercise, but less important during high intensity exercise.

(Received 16 August 2007; accepted after revision 26 December 2007; first published online 3 January 2008)
Corresponding author N. Nordsborg: University of Copenhagen, Department of Exercise and Sport Sciences, Section for Human Physiology, Universitetsparken 13, 2100 Copenhagen, Denmark. Email: nnordsborg{at}ifi.ku.dk







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