Blunted Muscle Mitochondrial Responses to Exercise Training in Older Adults With HIV

Abstract

Background: Muscle mitochondrial dysfunction associated with HIV and antiretroviral therapy (ART) may improve with exercise.

Methods: Muscle specimens obtained before and after 24 weeks of exercise in older people with HIV (PWH; n = 18; ART >2 years) and uninfected controls (n = 21) were analyzed for citrate synthase (CS) activity and complexes (C) I-V, manganese superoxide dismutase (MnSOD), peroxisome proliferator-activated receptor-γ coactivator-1 (PGC1α), and voltage-dependent anion channel 1 (VDAC1) content.

Results: Only controls had increased CS, MnSOD, PGC1α, and CIV (P ≤ .01; P < .01 vs PWH) after training.

Conclusions: The blunted mitochondrial adaptations to training in PWH suggests the need for different types of exercise-induced stimulation.

Clinical trials registration: NCT02404792.

Keywords: HIV; aging; exercise; exercise training; mitochondrial function; skeletal muscle.

© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

Figures

Figure 1.

Percent change (Mean, 95% CI) in CS activity or protein expression of mitochondrial markers, adjusted for baseline values, following 24 weeks of exercise training in men with HIV infection (PWH, circles) and uninfected controls (squares). *P