Table 3

 Muscle metabolites at rest and exercise

COPD patients (n = 18)Healthy controls (n = 8)
RestExercise induced change (95% CI)RestExercise induced change (95% CI)
PCr, phosphocreatine; ATP, adenosine triphosphate; ADP, adenosine diphosphate; AMP, adenosine monophosphate; IMP, inosine monophosphate; TAN pool, total adenine nucleotide pool.
Resting figures are mean (SD) values. Mean (95% confidence interval) changes are shown. Negative values denote a decrease after exercise.
All units are mmol/kg dry wt. Symbols of statistical significance for resting values refer to comparisons between COPD and control groups using the unpaired Student’s t test. Symbols of statistical significance for the response to exercise refer to within subject comparison of metabolite changes using the paired Student’s t test. There were no statistically significant differences in the exercise induced changes in metabolites between the COPD and control groups.
*p<0.01; †p<0.05; ‡p = 0.053; §p = 0.063.
PCr67.9 (17.1)−38.1 (−48.3 to −27.9)*55.4 (12.7)−30.6 (−45.5 to −15.8)*
Lactate2.3 (1.5)25.7 (12.4 to 39.0)*7.5 (4.7)*42.1 (26.8 to 57.4)*
ATP19.5 (4.5)−4.3 (−7.0 to −1.6)*24.1 (4.9)†−4.8 (−9.7 to 0.08)‡
ADP2.67 (0.87)0.53 (−0.03 to 1.09)3.1 (1.2)−0.03 (−0.84 to 0.79)
AMP0.03 (0.03)0.03 (−0.02 to 0.08)0.24 (0.17)*−0.02 (−0.21 to 0.18)
TAN pool22.2 (5.2)−3.7 (−6.8 to −0.7)†27.4 (6.0)†−4.8 (−10 to 0.3)§
IMP0.14 (0.06)2.03 (0.64 to 3.42)*0.28 (0.09)*1.6 (0.42 to 2.79)*
Inosine0.73 (1.05)−0.26 (−0.75 to 0.24)2.06 (0.30)*−0.17 (−0.58 to 0.24)
Xanthine0.07 (0.03)−0.01 (−0.03 to 0.01)0.38 (0.08)*−0.02 (−0.15 to 0.10)