Carbon monoxide, skeletal muscle oxidative stress, and mitochondrial biogenesis in humans.

Given that the physiology of heme oxygenase-1 (HO-1) encompasses mitochondrial biogenesis, we tested the hypothesis that the HO-1 product, carbon monoxide (CO), activates mitochondnal biogenesis in skeletal muscle and enhances maximal oxygen uptake (VO2max) in humans. In 10 healthy subjects, we biopsied the vastus lateralis and performed VO2max tests followed by blinded randomization to air or CO breathing (1 h/day at 100 parts/million for 5 days), a contralateral muscle biopsy on day 5, and repeat VO2max testing on day 8. Six independent subjects underwent CO breathing and two muscle biopsies without exercise testing. Molecular studies were performed by real-time RT-PCR, Western blot analysis, and immunochemistry. After VO2max testing plus CO breathing, significant increases were found in mRNA levels for nuclear respiratory factor-1, peroxisome proliferator-activated receptor-γ co- activator-1 aα mitochondrial transcription factor-A (Tfam), and DNA polymerase -γ (Polγ) with no change in mitochondnal DNA (mtDNA) copy number or VO2max. Levels of myosin heavy chain I and nuclear- encoded HO-1, superoxide dismutase-2, citrate synthase, mitofusin- and -2, and mitochondrial-encoded cytochrome oxidase subunit-1(COX-I) and ATPase-6 proteins increased significantly. None of these responses were reproduced by VO2max testing alone, whereas CO alone increased Tfam and Pol-γ mRNA, and COX-I, ATPase-6, mitofusin-2, HO-1, and superoxide dismutase protein. These findings provide evidence linking the HO/CO response involved in mitochondrial biogenesis in rodents to skeletal muscle in humans through a set of responses involving regulation of the mtDNA transcriptosome and mitochondrial fusion proteins autonomously of changes in exercise capacity. [ABSTRACT FROM AUTHOR]