PMID- 31641211 OWN - NLM STAT- MEDLINE DCOM- 20210802 LR - 20220323 IS - 1476-5497 (Electronic) IS - 0307-0565 (Linking) VI - 44 IP - 4 DP - 2020 Apr TI - Mitochondrial DNA copy number associates with insulin sensitivity and aerobic capacity, and differs between sedentary, overweight middle-aged males with and without type 2 diabetes. PG - 929-936 LID - 10.1038/s41366-019-0473-2 [doi] AB - BACKGROUND/OBJECTIVES: Increased risk of type 2 diabetes mellitus (T2DM) is linked to impaired muscle mitochondrial function and reduced mitochondrial DNA copy number (mtDNA(num)). However, studies have failed to control for habitual physical activity levels, which directly influences both mtDNA copy number and insulin sensitivity. We, therefore, examined whether physical conditioning status (maximal oxygen uptake, V̇O(2max)) was associated with skeletal muscle mitochondrial volume and mtDNA(num), and was predictive of T2DM in overweight, middle-aged men. METHODS: Whole-body physiological (ISI-insulin sensitivity index, HOMA-IR, V̇O(2max)) and muscle biochemical/molecular (vastus lateralis; mtDNA(num), mitochondrial and glycolytic enzymes activity, lipid content and markers of lipid peroxidation) measurements were performed in three groups of overweight, middle-aged male volunteers (n = 10 per group): sedentary T2DM (ST2DM); sedentary control (SC) and non-sedentary control (NSC), who differed in aerobic capacity (ST2DM < SC < NSC). RESULTS: mtDNA(num) was greater in NSC versus SC and ST2DM (P < 0.001; P < 0.001), and less in ST2DM versus SC (P < 0.01). Across all groups, mtDNA(num) positively correlated with ISI (P < 0.001; r = 0.688) and V̇O(2max) (normalised to free fat mass; r = 0.684, P < 0.001), and negatively correlated to HOMA-IR (r = -0.544, P < 0.01). The activity of mitochondrial enzymes (GluDH, CS and beta-HAD) was greater in NSC than ST2DM (P < 0.01, P < 0.001 and P < 0.05) and SC (P < 0.05, P < 0.01 and P < 0.05), but similar between ST2DM and SC. Intramuscular-free fatty acids, triglycerides and malondialdehyde contents were similar between ST2DM and SC. CONCLUSIONS: Body composition and indices of muscle mitochondrial volume/function were similar between SC and ST2DM. However, mtDNA(num) differed and was positively associated with ISI, HOMA-IR and V̇O(2max) across all groups. Collectively, the findings support the contention that habitual physical activity is a key component of T2DM development, possibly by influencing mtDNA(num). FAU - Constantin-Teodosiu, Dumitru AU - Constantin-Teodosiu D AUID- ORCID: 0000-0002-8448-5564 AD - MRC/ARUK Centre for Musculoskeletal Ageing Research, National Institute for Health Research Nottingham Biomedical Research Centre, School of Life Sciences, Nottingham University Medical School, Nottingham, NG7 2UH, UK. tim.constantin@nottingham.ac.uk. FAU - Constantin, Despina AU - Constantin D AD - MRC/ARUK Centre for Musculoskeletal Ageing Research, National Institute for Health Research Nottingham Biomedical Research Centre, School of Life Sciences, Nottingham University Medical School, Nottingham, NG7 2UH, UK. FAU - Pelsers, Maurice M AU - Pelsers MM AD - NUTRIM School for Nutrition and Translational Research in Metabolism, Department of Human Biology and Movement Sciences, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Verdijk, Lex B AU - Verdijk LB AD - NUTRIM School for Nutrition and Translational Research in Metabolism, Department of Human Biology and Movement Sciences, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - van Loon, Luc AU - van Loon L AUID- ORCID: 0000-0003-4435-0101 AD - NUTRIM School for Nutrition and Translational Research in Metabolism, Department of Human Biology and Movement Sciences, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Greenhaff, Paul L AU - Greenhaff PL AD - MRC/ARUK Centre for Musculoskeletal Ageing Research, National Institute for Health Research Nottingham Biomedical Research Centre, School of Life Sciences, Nottingham University Medical School, Nottingham, NG7 2UH, UK. LA - eng GR - MR/K00414X/1/MRC_/Medical Research Council/United Kingdom GR - MR/P021220/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191022 PL - England TA - Int J Obes (Lond) JT - International journal of obesity (2005) JID - 101256108 RN - 0 (DNA, Mitochondrial) SB - IM MH - DNA Copy Number Variations/genetics MH - DNA, Mitochondrial/*genetics MH - *Diabetes Mellitus, Type 2/complications/genetics MH - Exercise Tolerance/*genetics MH - Humans MH - Insulin Resistance/*genetics MH - Male MH - Middle Aged MH - *Overweight/complications/genetics EDAT- 2019/10/24 06:00 MHDA- 2021/08/03 06:00 CRDT- 2019/10/24 06:00 PHST- 2019/04/12 00:00 [received] PHST- 2019/09/30 00:00 [accepted] PHST- 2019/09/19 00:00 [revised] PHST- 2019/10/24 06:00 [pubmed] PHST- 2021/08/03 06:00 [medline] PHST- 2019/10/24 06:00 [entrez] AID - 10.1038/s41366-019-0473-2 [pii] AID - 10.1038/s41366-019-0473-2 [doi] PST - ppublish SO - Int J Obes (Lond). 2020 Apr;44(4):929-936. doi: 10.1038/s41366-019-0473-2. Epub 2019 Oct 22.