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Plasma Hypoxanthine and Exercise
Abstract
During exercise, ATP is converted to ADP and AMP to supply energy for muscular contraction. It is then regenerated via various pathways of intermediary metabolism. However, with high levels of exercise, net ATP degradation in muscle occurs. In exercise and other clinical situations, adenine nucleotide degradation leads to an accumulation of degradative purine products including hypoxanthine. In an effort to monitor events of energy metabolism, we examined plasma hypoxanthine levels at various exercise intensities. Peak plasma hypoxanthine levels after maximal exercise (18.9 ± 2.6 µM, mean ± SEM) were significantly greater than resting levels (1.1 ± 0.1 µM; p < 0.001). Hypoxanthine levels after steady state exercise at 52,76, and 97% of ventilatory threshold did not exceed resting levels. However, plasma hypoxanthine rose significantly after exercise at 124% of ventilatory threshold (6.3 ± 1.0 µM; p < 0.01) and at 152% of ventilatory threshold (17.0 ± 3.6 µM; p < 0.001). Exercise at subventilatory threshold intensity (74% of ventilatory threshold) for a prolonged time period, such that total work equaled that performed at 152% of ventilatory threshold, did not elevate hypoxanthine levels (0.46 ± 0.1 µM) above resting values. We conclude that elevation of plasma hypoxanthine levels occur during exercise at intensities that exceed the ventilatory threshold and indicate that net adenine nucleotide degradation has occurred.
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“As a byproduct of purine metabolism, Hx is considered a sensitive marker of exercise intensity and physiological adaptation, with increases reported following both submaximal efforts and those exceeding the anaerobic threshold38,40.”
From Impact of a single swimming session on inflammatory response and iron homeostasis in adolescent female athletes during the luteal phase (2025) · cites this paper as [38]
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“Additionally, the sustained elevation of Hx 3 h post-exercise indicates intensified purine degradation and activation of anaerobic activity, at least after a 50-m bout, which is consistent with previous reports38]– [39.”
From Impact of a single swimming session on inflammatory response and iron homeostasis in adolescent female athletes during the luteal phase (2025) · cites this paper as [38]
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Research works printed but not linked: 12
- 10.1172/JCI107693 · DOI
- 10.1016/0009-8981(81)90108-X · DOI
- 1979, Cardiol, 9, 227
- 10.1016/0002-9149(77)90100-X · DOI
- 10.1016/0024-3205(80)90219-2 · DOI
- 10.1159/000128021 · DOI
- 10.1378/chest.88.5.763 · DOI
- 10.1016/0026-0495(80)90067-0 · DOI
- 10.1146/annurev.bi.47.070178.003255 · DOI · Paper page
- 1981, London: Pitman Medical, 1
- 1985, Sci Sports Exerc, 17, 22
- 1975, Scand J Clin Lab Invest, 35, 211
Cited by
Creatine supplementation and dynamic high-intensity intermittent exercise
Balsom, P. D., Ekblom, B., Söerlund, K., Sjödln, B., & Hultman, E. (1993) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.1993.tb00378.x · Cited by 282
Adenine nucleotide synthesis in exercising and endurance-trained skeletal muscle
Tullson, P. C., & Terjung, R. L. (1991) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.1991.261.2.c342 · Cited by 55
Mydłowska, M., Kasperska, A., Cichoń-Woźniak, J., Dziewiecka, H., Ostapiuk-Karolczuk, J., & Skarpańska-Stejnborn, A. (2025) · Scientific Reports · doi:10.1038/s41598-025-29551-9 · Cited by 2
Metadata
- Authors
- Ketai, L. H., Simon, R. H., Kreit, J. W., & Grum, C. M.
- Venue
- American Review of Respiratory Disease
- Publisher
- Oxford University Press (OUP)
- Published
- 1987-07-01
- Volume
- 136
- Issue
- 1
- Pages
- 98-101
- ISSN
- 0003-0805
- Cited by
- 61
- References
- 0
- Language
- en
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