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Oxidative capacity and ageing in human muscle

Kevin E. Conley*†‡, Sharon A. Jubrias* and Peter C. Esselman§

MS 0518 Received 4 January 2000; accepted after revision 24 March 2000.

	ABSTRACT

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1. This study determined the decline in oxidative capacity per volume of human vastus lateralis muscle between nine adult (mean age 38·8 years) and 40 elderly (mean age 68·8 years) human subjects (age range 25-80 years). We based our oxidative capacity estimates on the kinetics of changes in creatine phosphate content ([PCr]) during recovery from exercise as measured by ³¹P magnetic resonance (MR) spectroscopy. A matched muscle biopsy sample permitted determination of mitochondrial volume density and the contribution of the loss of mitochondrial content to the decline in oxidative capacity with age.

2. The maximal oxidative phosphorylation rate or oxidative capacity was estimated from the PCr recovery rate constant (k_PCr) and the [PCr] in accordance with a simple electrical circuit model of mitochondrial respiratory control. Oxidative capacity was 50 % lower in the elderly vs. the adult group (0·61 ± 0·04 vs. 1·16 ± 0·147 mM ATP s^-1).

3. Mitochondrial volume density was significantly lower in elderly compared with adult muscle (2·9 ± 0·15 vs. 3·6 ± 0·11 %). In addition, the oxidative capacity per mitochondrial volume (0·22 ± 0·042 vs. 0·32 ± 0·015 mM ATP (s %)^-1) was reduced in elderly vs. adult subjects.

4. This study showed that elderly subjects had nearly 50 % lower oxidative capacity per volume of muscle than adult subjects. The cellular basis of this drop was a reduction in mitochondrial content, as well as a lower oxidative capacity of the mitochondria with age.

	INTRODUCTION

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Muscle and whole body maximal aerobic performance decline with age in humans (Buskirk & Hodgson, 1987; Brooks & Faulkner, 1994). The loss of muscle mass is an important contributor to this decline (Proctor & Joyner, 1997), but the role of oxidative capacity per muscle mass is less clear. Age-related changes in volume-specific oxidative capacity have been inferred from both in vitro and in vivo measurements of muscle oxidative properties. For example, a decline in marker enzyme activity in muscle biopsies and a slower recovery rate from exercise indicate a reduced capacity for oxidative phosphorylation in elderly muscle (Coggan et al. 1993; McCully et al. 1993; Papa, 1996). However, it is unclear how these relative measures of aerobic properties relate to the muscle's capacity for oxidative phosphorylation. What is needed is a quantitative measure of oxidative capacity to determine the contribution of muscle properties to the decline in maximal oxygen consumption and aerobic performance with age.

Two tools have the potential for allowing a determination of muscle oxidative capacity in vivo. First are magnetic resonance (MR) methods that make possible non-invasive assessment of the change in muscle energetics in vivo. These methods allow us to measure changes in metabolites, such as creatine phosphate (PCr), during muscle activity. The greater change in [PCr] for a given steady-state exercise rate normalized to muscle mass in the elderly indicates a lower muscle oxidative capacity compared with the young (Coggan et al. 1993; McCully et al. 1993). We can now use the recovery of [PCr] after exercise to quantify the change in oxidative properties of muscle with age (Blei et al. 1993; Walter et al. 1997).

The second tool allowing us to determine oxidative capacity in muscle is the model of the control of oxidative phosphorylation presented by Meyer et al. (Meyer, 1988, 1989; Paganini et al. 1997). These workers have shown that a simple electrical circuit model links the change in [PCr] with exercise to the mitochondrial oxidative phosphorylation rate. Human and rodent studies have shown that the rate constant describing [PCr] recovery following exercise (k_PCr) is proportional to the oxidative enzyme activity of muscle (McCully et al. 1993; Paganini et al. 1997). At full PCr depletion ([PCr]), the model predicts that the mitochondria should be working at their oxidative capacity. Thus the PCr level and the dynamics following exercise provide a means of estimating muscle oxidative capacity in vivo.

The purpose of this study was to determine the oxidative capacity of muscle and how it differs between adult and elderly groups. We evaluated muscle properties using ³¹P MR spectroscopy during electrical stimulation and recovery of the vastus lateralis muscle. Specifically, the [PCr] dynamics during recovery was used to quantify the k_PCr of each subject and, along with [PCr] at rest ([PCr]_rest), was used to estimate oxidative capacity. This estimate was compared with an independent method based on mitochondrial volume density determined from muscle biopsies taken at the site of the MR acquisition. Our main finding was a 50 % reduction in oxidative capacity between the adult and elderly groups, half of which was due to reduced mitochondrial volume density and the remaining half to reduced mitochondrial function.

	METHODS

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Subjects

An adult group consisted of nine subjects (6 males, 3 females) ranging in age from 25 to 48 years (38·8 ± 7·9 years, mean ± S.D.). An elderly group consisted of 40 subjects (18 male, 22 female) ranging in age from 65 to 80 years (68·8 ± 5·9 years). Body mass was not significantly different between the two groups (adult 69·8 ± 2·8 kg, elderly 72·1 ± 2·2 kg, means ± S.E.M.). Subjects were not involved in a formal exercise training programme, were in good health and had no significant cardiac, neurological or musculoskeletal disease. Nine of the elderly female subjects were receiving hormone replacement therapy. Subjects' activity profiles ranged from housework, yardwork, and occasional walks to aerobic activities several times per week. All subjects voluntarily gave informed, written consent. The study was undertaken in accordance with the Declaration of Helsinki and was approved by the University of Washington Human Subjects Review Committee.

Stimulation and recovery protocol

Experimental protocol. We used the dynamics of [PCr] and pH during stimulation to estimate glycolytic H⁺ production and during aerobic recovery from exercise to measure ATP supply and estimate oxidative capacity. Spectral data were collected at 6 s intervals over an 8 min period using the following protocol.

Control period (60 s, 10 spectra): baseline data were obtained during resting conditions to establish initial metabolite peak areas and pH under partially saturating nuclear MR data acquisition conditions.

Stimulation period (120 s, 20 spectra): a 3 Hz electrical stimulation period was used to decrease [PCr]. Glycolytic H⁺ production was determined from the [PCr] and pH changes as previously reported (Conley et al. 1997, 1998).

Aerobic recovery (300 s, 50 spectra): upon cessation of stimulation, the extent and time course of the aerobic PCr recovery was followed and used as the basis of the oxidative phosphorylation determinations.

Muscle stimulation. We activated the quadriceps muscles by transcutaneous electrical stimulation of the femoral nerve, as previously described (Blei et al. 1993; Conley et al. 1997, 1998). Briefly, a 3 cm × 4 cm cathode was placed over the femoral nerve just below the inguinal ligament in the femoral triangle, and a 7·5 cm × 12·5 cm anode was placed on the posterolateral hip. We used EMG to monitor muscle activation and establish the maximal stimulating voltage. The active electrode was placed over the belly of the vastus lateralis muscle and the reference electrode at the tendon just above the patella. The application of a series of single stimulations (duration 150-350 µs) of increasing intensity allowed us to determine the intensity that evoked the maximum EMG response for each subject. During the experiment, stimulations of supramaximal intensity (1·3-1·5 times maximal) were delivered for 2 min at 3 Hz.

Magnetic resonance determinations

A General Electric 1·5 T Signa imager/spectrometer was used for all studies. A 9 cm diameter surface coil tuned to the phosphorus frequency (25·9 MHz) was placed over the vastus lateralis muscle of the thigh. The B₁ field homogeneity was optimized by off-resonance proton shimming on the muscle water peak. The unfiltered PCr line-width (full width at half-maximal height) was typically 4-8 Hz. Each subject had a high resolution control ³¹P MR spectrum of the resting muscle taken under conditions of fully relaxed nuclear spins (16 free-induction decays (FID) with a 16 s interpulse delay) using a spectral width of ±1250 Hz and 2048 data points. Measurement of changes in [PCr], [ATP], [P_i] and pH during and following stimulation were made using a standard 1 pulse experiment with partially saturated nuclear spins (1·5 s interpulse delay). Four FIDs were averaged per spectrum, yielding a time resolution of 6 s. These rapidly acquired spectra typically had a 40:1 signal-to-noise ratio for the PCr peak. No attempt was made to gate the signal acquisition to the electrical stimulation, but artifacts due to movement were reduced by stabilizing the limb during the contractions. The FIDs were Fourier-transformed into spectra and analysed as previously described (Blei et al. 1993; Conley et al. 1997). The area corresponding to each spectral peak was expressed relative to the ATP peak, which was calibrated using the ATP concentration measured in the muscle. For missing [ATP] values, literature values were used for the two youngest subjects (< 30 years old; Harris et al. 1975) or the average values for each group. The free ADP level was calculated from the creatine kinase equilibrium (Lawson & Veech, 1979) corrected for the effects of pH (Golding et al. 1995). The chemical shift () of the P_i peak relative to PCr (-2·54 parts per million (p.p.m.)) referenced to phosphoric acid (0 p.p.m.) was used to calculate pH (Taylor et al. 1983).

Calculations

The linear model of oxidative phosphorylation described by Meyer et al. (Meyer, 1989; Foley & Meyer, 1993; Paganini et al. 1997) was used. The first step in using this model is to fit the recovery of [PCr] from exercise to the resting level using a monoexponential equation taken from a resistance-capacitance (RC) circuit:

[PCr]t = [PCr]0 + [PCr] (1 - exp(-tkPCr)),

(1)

where the levels at time t and the beginning of recovery are [PCr]_t and [PCr]₀, respectively; k_PCr is the rate constant of PCr recovery (k_PCr = 1/time constant ()) and [PCr] = [PCr]_rest - [PCr]₀. The initial rate of change of PCr is given by the following derivative of eqn (1):

d[PCr]/dt = kPCr[PCr] exp(-tkPCr).

(2)

The instantaneous rate at t = 0 reduces the equation to:

d[PCr]/dt = kPCr[PCr].

(3)

This equation predicts the oxidative phosphorylation rate (d[PCr]/dt) at any given [PCr] based on the characteristic k_PCr of each muscle. To estimate oxidative capacity, we assumed that [PCr]_rest reflects the maximum range of change in [PCr] (i.e. [PCr]_max = [PCr]_rest - 0). Thus, an estimate of the oxidative capacity of the muscle comes from the characteristic k_PCr of that muscle and [PCr]_rest in eqn (3).

Oxidative capacity per mitochondrial volume. The average oxidative capacity of mitochondria has been measured as the whole body maximum oxygen consumption divided by the total mitochondrial volume of the musculature (see Hoppeler, 1990). This method yielded a oxidative capacity of between 4 and 5 ml O₂ min^-1 (ml mitochondria)^-1, which averages 27 µmol ATP min^-1 (ml mitochondria)^-1 for a P/O₂ (phosphorylation to oxidation ratio of mitochondrial respiration) of 6. An independent estimate of the maximal rate of mitochondrial respiration comes from isolated mitochondrial studies (Schwerzmann et al. 1989). Since muscle oxidizes >85 % pyruvate at the maximal oxygen uptake rate (_O2,max, see Brooks & Mercier, 1994; Connett & Sahlin, 1996), the substrate pair best suited for comparison with in vivo mitochondria is pyruvate and malate (Schwerzmann et al. 1989). This substrate pair yielded a maximum oxidative rate of 17 µmol ATP min^-1 (ml mitochondria)^-1 (2·7 ml O₂ min^-1 (ml mitochondria)^-1) at 30°C, when corrected for a P/O₂ of 6 and 0·7 ml H₂O per ml tissue (Sjøgaard & Saltin, 1982). Correcting the rate to 37°C (assuming a doubling of rate with each 10°C, i.e. Q₁₀ = 2) yields 27 µmol ATP min^-1 (ml mitochondria)^-1. Thus isolated mitochondria and in vivo mitochondria have the same maximum oxidative rate per mitochondrial volume. This value is used to estimate muscle oxidative capacity based on mitochondrial volume density.

Glycolysis. We have previously shown how to quantify glycolytic ATP production based on the H⁺ generated during muscle stimulation (Conley et al. 1998). The glycolytic H⁺ generated was quantified from the change in PCr and pH through stimulation:

H+ = pHtot + (-)PCr,

(4)

where pH and PCr are the changes in pH and PCr during exercise, _tot is the buffering capacity of the individual's muscle, and is the proton stoichiometric coefficient of the coupled Lohman reaction, as previously described (Conley et al. 1997; Kushmerick, 1997). Glycolytic ATP synthesis is related to H⁺ production by the ATP/H⁺ stoichiometry of glycogenolysis and glycolysis (i.e. 1·5 ATP/H⁺).

Tissue analysis

We used the Bergstrom needle biopsy technique to acquire tissue from the mid-thigh level of the right vastus lateralis muscle. A 25 mg piece was immersion fixed in glutaraldehyde, processed for electron microscopy, and morphometrically analysed as previously described (Hoppeler et al. 1981). Any remaining tissue was freeze-clamped immediately after collection and stored at -80°C prior to HPLC metabolite analysis (Wiseman et al. 1992). Metabolite concentrations were expressed per volume of cell water by assuming 0·7 ml intracellular water (g muscle mass)^-1, as found for human muscle biopsy samples (Sjøgaard & Saltin, 1982).

Statistics

We used Student's two-tailed paired and unpaired t tests to determine differences between groups and standard linear regression methods for analysis of correlations. Statistical significance was defined at the 0·05 level.

	RESULTS

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We took three steps to achieve the goal of evaluating the change in oxidative capacity with age. First, ³¹P MR spectroscopy was used to quantify the metabolite levels in resting muscle, during stimulation and through recovery. Second, we used the PCr recovery from exercise to estimate the muscle oxidative capacity. Finally, we evaluated the contribution of a loss of mitochondrial volume density and mitochondrial function to the change in oxidative capacity with age.

Metabolite levels and dynamics

Our first step was to quantify the metabolite levels using a combination of HPLC analysis of muscle biopsies and the peak areas in the ³¹P MR spectra.

Resting levels. A stack plot of the dynamics of PCr and ATP through recovery is shown for a typical experiment in Fig. 1. The metabolite peak areas and concentrations shown in Table 1 were similar in the muscles of the two groups with the exception of a significantly higher [PCr]/[ATP] in the elderly vs. adult groups. There was good agreement between the [PCr]/[ATP] determined by MR vs. that determined by HPLC from biopsies at the same location in elderly muscle (P > 0·28, paired t test, n = 24). We found no significant change in [PCr] with age, but [ATP] did decline significantly at a rate of 0·048 mM year^-1.

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Figure 1. Stack plot of every third 31P NMR spectrum during rest, stimulation and recovery in an elderly individual The abscissal scale references PCr to a chemical shift () of -2·54 p.p.m. Pi, inorganic phosphate.

Table 1. Metabolite levels determined by HPLC from muscle biopsies of the vastus lateralis and by MR of the same muscle

Dynamics. The changes in metabolite levels and pH during stimulation and recovery for the two groups are shown in Fig. 2. The metabolite and pH levels at rest, at the end of stimulation and the change with stimulation for each group are shown in Table 2.

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Figure 2. Metabolite levels as a function of time during the stimulation and recovery experiment Symbols indicate means and error bars indicate S.E.M. Double-headed arrows indicate the duration of stimulation. , adult subjects; , elderly subjects.

Table 2. Metabolite levels determined by MR at rest and at the end of stimulation

Oxidative phosphorylation rate

Our next step was to determine the oxidative phosphorylation rate and estimate the oxidative capacity. We compared the initial rate of oxidative phosphorylation estimated from the monoexponential fit of the PCr recovery to that measured directly. The time constant () of the monoexponential fit of this recovery is shown for adult and elderly individuals in Fig. 3 (vertical dashed lines). The rate constant (k_PCr) is the inverse of , and along with the [PCr] achieved at the end of exercise (i.e. [PCr] = [PCr]_rest - [PCr]_stim), was used to estimate the initial recovery rate according to eqn (3). Our direct measurement of oxidative ATP synthesis was based on initial change in [PCr] (0·23 ± 0·02 mM ATP s^-1) minus the glycolytic ATP synthesis (0·033 ± 0·004 mM ATP s^-1), which we have found persists for a few seconds into recovery (Crowther et al. 1999). The initial recovery rate estimated from the monoexponential PCr recovery (eqn (3); 0·19 ± 0·012 mM ATP s^-1) did not significantly differ from the direct measurement of oxidative ATP synthesis (0·20 ± 0·017 mM ATP s^-1; P > 0·5, paired t test, n = 48). The change in k_PCr with age is shown in Fig. 4 to significantly decrease between 25 and 80 years. The product of k_PCr and [PCr]_rest yields the oxidative capacity in eqn (3). This calculation reveals a 50 % lower oxidative capacity in the elderly (0·61 ± 0·04 mM ATP s^-1, n = 32) vs. the adult group (1·16 ± 0·147 mM ATP s^-1, n = 9). Figure 5 shows the decline in oxidative capacity with age.

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Figure 3. [PCr] recovery following stimulation Continuous lines are monoexponential fits to the data for an adult () and an elderly () subject. The vertical dashed lines denote the time constant for each recovery.

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Figure 4. [PCr] recovery rate constant (kPCr) as a function of age The line represents the regression equation: y = -0·0005x + 0·057 (r2 = 0·35). Symbols as in Fig. 2.

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Figure 5. Oxidative capacity as a function of age The line represents the regression equation: y = -0·017x + 1·777 (r2= 0·34). Symbols as in Fig. 2.

Oxidative and mitochondrial properties vs. age

Our final step was to evaluate the structural basis for the decline in oxidative capacity with age by determining the mitochondrial volume density (V_V(mt,f)) from biopsies taken at the same site as the MR determinations. The two groups significantly differed in V_V(mt,f), oxidative capacity, and oxidative capacity/V_V(mt,f) as shown in Fig. 6. A significant negative correlation of oxidative capacity/V_V(mt,f) with age (P < 0·01) confirmed the loss of mitochondrial function apparent between the two groups in Fig. 6. These results indicate that accompanying the loss of oxidative capacity in elderly muscle is a reduced V_V(mt,f) and lower mitochondrial function. Thus reductions in both the quantity and quality of mitochondria underlie the loss of oxidative capacity between adult and elderly muscle.

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Figure 6. Oxidative capacity, mitochondrial volume density (VV(mt,f)) and oxidative capacity/VV(mt,f) in the adult and elderly groups Values are means ± S.E.M. and asterisks denote significant difference from the adult values. , adult subjects; , elderly subjects.

A direct comparison between the mitochondrial volume and MR estimates of oxidative properties is possible with the mitochondrial oxidative capacity in vivo (0·45 µmol ATP s^-1 (ml mitochondria)^-1; see Methods for details). The oxidative capacity estimated from V_V(mt,f) yielded no significant difference from that estimated by the MR method for the adult subjects (0·98 ± 0·03 vs. 1·14 ± 0·13 mM ATP s^-1; P > 0·32, paired t test, n = 5). This comparison indicates that on average the MR method provides an estimate of oxidative capacity similar to that based on the muscle mitochondrial content and oxidative capacity of mitochondria in vivo.

A similar comparison of methods for the elderly subjects shows that the estimate based on V_V(mt,f) was significantly higher than the MR value for the elderly subjects (0·78 ± 0·04 vs. 0·61 ± 0·04 mM ATP s^-1; P < 0·002, n = 27). These results confirm the lower oxidative capacity per mitochondrial volume for the elderly vs. adult muscle shown in Fig. 6.

	DISCUSSION

Top Abstract Introduction Methods Results Discussion References

The goal of this study was to determine how oxidative capacity changes with age in muscle. To achieve this goal, we estimated oxidative capacity per muscle volume using MR measurements of [PCr] dynamics following exercise and compared these estimates to the mitochondrial content of matched biopsy samples. The end result was a measure of the decline in oxidative capacity between adult and elderly muscle and the contribution of the loss of mitochondrial content vs. function to this decline with age.

Oxidative recovery

A clear indication of the change in oxidative properties between adult and elderly muscle is the twofold difference in the time course of PCr recovery from exercise shown in Fig. 3. The rate constant of recovery (k_PCr, the inverse of , shown as the dashed lines in Fig. 3) represents this oxidative response time. The initial phosphorylation rate predicted from k_PCr agrees with a direct measure of the PCr recovery rate. The rate constant also provides a measure of oxidative properties when the control of oxidative phosphorylation in muscle is viewed analogously to an electrical circuit (Meyer, 1988, 1989; Paganini et al. 1997). The rate constant (k) of an electrical circuit is characteristic of the resistance (R) and capacitance (C) (where, 1/k = RC). In the analogous circuit in muscle, mitochondria set the 'resistance' and total creatine sets the 'capacitance'. Since the total creatine (C in the muscle circuit) did not differ between the two groups (Table 1), k_PCr will vary with the mitochondrial content of muscle (R in the muscle circuit) and therefore with oxidative properties.

Two results support the notion that k_PCr is a characteristic of the oxidative properties of mitochondria in muscle. First, k_PCr is independent of [PCr] to 50 % PCr depletion in a number of rodent and human muscles (Paganini et al. 1997; Walter et al. 1997). Only at low pH levels does k_PCr vary in a given muscle, because [H⁺] significantly affects the creatine kinase equilibrium thereby altering the link between [PCr] and oxidative phosphorylation (Paganini et al. 1997; Walter et al. 1997). Over the pH values found in this experiment (7·1-6·9; Table 2), however, the rate constant of PCr recovery (k_PCr) remains constant. Second, k_PCr is proportional to oxidative enzyme activity in both human and animal muscle (McCully et al. 1993; Paganini et al. 1997), which indicates that k_PCr is determined by the mitochondrial properties of the muscle. In support of this link is the parallel decline of k_PCr and oxidative enzyme activity with age in human vastus lateralis (McCully et al. 1993). Such an age-related loss of oxidative properties is indicated in this study by the significant reduction in k_PCr with age (Fig. 4).

Can we estimate oxidative capacity of the muscle knowing k_PCr? The maximum oxidative phosphorylation rate is expected when the signal activating mitochondrial respiration is maximal. The electrical analog model shown in eqn (3) predicts a maximum rate when [PCr] is maximal. Since [PCr]_rest sets the upper limit, [PCr]_max is reached when [PCr] drops to zero. Richardson et al. (1995) measured [PCr] at the oxidative capacity using a procedure to exercise only the quadriceps muscles while simultaneously measuring the oxygen consumption across the exercising leg up to the maximum oxygen consumption of the limb. They found that [PCr] was close to zero (i.e. 3 mM) at the highest aerobic work rate. Confirmation that the muscles were working at or close to their oxidative capacity came from the ADP levels in the muscles at the highest workloads. The [PCr], [ATP] and pH levels at _O2,max result in [ADP] above 230 µM (creatine kinase equilibrium constant, 166 M^-1; Lawson & Veech, 1979). This [ADP] is > 90 % of the level needed to achieve maximum oxygen consumption in isolated mitochondria (Mootha et al. 1997), which indicates that the quadriceps were operating close to the mitochondrial maximum in the experiment of Richardson et al. (1995). Thus the maximum [PCr] possible during aerobic exercise is the range represented by [PCr]_rest and zero. We can therefore estimate oxidative capacity from the product of [PCr]_rest and k_PCr according to eqn (3). Since we found no change in [PCr]_rest with age, the oxidative capacity will vary in proportion to k_PCr (Fig. 5).

Muscle vs. mitochondrial oxidative capacity

Does this estimate of the muscle's oxidative capacity reflect the true capacity of mitochondria? To answer this question, an independent measure of mitochondrial oxidative capacity is needed to evaluate our MR estimates. The maximum oxygen consumption of mammalian mitochondria has been measured in vivo in running animals at their aerobic capacity (see Hoppeler, 1990 and Methods). These data provide an independent measure of oxidative capacity that can be derived from V_V(mt,f). A direct comparison between these methods for the adult subjects in this study revealed no significant difference between the mitochondrial and MR estimates of the oxidative capacity (0·98 ± 0·03 vs. 1·14 ± 0·13 mM ATP s^-1, respectively; P > 0·32, paired t test, n = 5). In contrast, the mitochondrial value was significantly greater than the MR estimate in the elderly subjects (0·78 ± 0·04 vs. 0·61 ± 0·04 mM ATP s^-1, respectively; P < 0·002, n = 27). These results indicate a lower oxidative capacity of elderly compared with adult mitochondria and suggest that the loss of muscle oxidative capacity per muscle volume reflects not only mitochondrial volume loss but also the reduced capacity of the mitochondria themselves.

Adult vs. elderly oxidative capacity

The lower oxidative capacity per mitochondrial volume of the elderly vastus lateralis compared with the adult group shown in Fig. 6 is consistent with a lower mitochondrial oxidative enzyme activity with age. The 30 % difference in oxidative capacity per mitochondrial volume seen for our subject groups is similar to the 30-40 % reductions in both mitochondrial respiration rates (Trounce et al. 1989; Cooper et al. 1992; Boffoli et al. 1994) and mitochondria-specific oxidative enzyme activities (Cooper et al. 1992; Boffoli et al. 1994; Rooyackers et al. 1996) that have been demonstrated in old vs. younger subjects. However, Papa (1996) showed that this activity loss is not equally shown by all enzymes, which may explain the failure to find an age-related decline in oxidative capacity using single enzyme assays of muscle biopsy tissue (e.g. Houmard et al. 1998). In addition, the large variance inherent in the individual decline in oxidative capacity (Fig. 5) means that the age-related change may be missed in small sample sizes or in groups close in age.

The reduction in mitochondrial function with age may be caused by a number of factors, such as mitochondrial DNA mutations (Cooper et al. 1992; Boffoli et al. 1994; Michikawa et al. 1999), oxidative damage by reactive oxygen species (Papa, 1996), or reduced synthesis of mitochondrial proteins (Rooyackers et al. 1996). Brierly et al. (1997a,b) suggest that the reduction in mitochondrial function seen in elderly subjects is not directly caused by an ageing process per se. They report that there was no difference in mitochondrial respiration rates between endurance-trained subjects whether young or old. This suggests that reduced mitochondrial function in the sedentary elderly may be due to physical inactivity rather than ageing itself. However, a significant decline in mitochondrial function and mitochondrial volume density was found in the study reported here (Fig. 6) despite the fact that all of our subjects were recreationally active. Thus, moderate levels of activity are not sufficient to eliminate either the loss of mitochondrial oxidative capacity or of mitochondrial content with age. The end result is a decline of nearly half of the muscle oxidative capacity between adults and elderly subjects due to reduced mitochondrial content as well as a significantly lower oxidative capacity per mitochondrial volume.

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Acknowledgements

Thanks go to Elizabeth Egan, Barbara Inglin, Chris Mogadam and Rudy Stuppard for their participation in these studies. M. Elaine Cress, Greg Crowther, Martin Kushmerick, Ron Meyer and Ib Odderson provided helpful input, advice or assistance. This work was supported by the University of Washington Clinical Research Center facility grant no. M01-RR00037, Diabetes Endocrinology Research Center grant no. 5-P30-DK17047, and NIH grants AG-10853, AR-41928 and HL-07403.

Corresponding author

K. E. Conley: Department of Radiology, Box 357115, University of Washington Medical Center, Seattle, WA 98195-7115, USA.

Email: kconley{at}u.washington.edu

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