Egan · PloS one 2013 · single-arm prospective time-series study · n=8

Time course analysis reveals gene-specific transcript and protein kinetics of adaptation to short-term aerobic exercise training in human skeletal muscle.

Cited 119 times in the scientific literature.

Level 4 - case-series / case-control

Prospective single-arm pre-post intervention study without a concurrent control group

PubMed 24069271 · doi:10.1371/journal.pone.0074098 · record verified 2026-08-30

What was done

Eight healthy, sedentary males completed 14 consecutive days of cycling for 60 minutes per day at 80% of peak oxygen consumption (VO2peak). Skeletal muscle biopsies were taken at baseline and 16 hours after exercise sessions 1, 3, 7, 10, and 14 to assess the time course of mRNA expression, protein content, and mitochondrial markers.

What was found

VO2peak increased by 17.5 ± 3.8% over the 14 days. Markers of mitochondrial adaptation (cytochrome c, COXIV expression, and citrate synthase activity) increased within the first week of training, whereas the mtDNA/nDNA ratio remained unchanged after two weeks. PGC-1α and ERRα protein accumulated during training, and a subset of genes showed transient mRNA increases after the first session before returning to baseline. Specific numeric values for transcript and protein changes were not reported in the abstract.

Why it matters

The study outlines the short-term kinetics of human skeletal muscle plasticity, showing that mitochondrial protein accumulation and enzymatic changes occur within days of initiating high-intensity aerobic exercise, prior to detectable changes in mitochondrial DNA content.

Limits

The sample size was very small (n = 8) and restricted exclusively to healthy, sedentary males. There was no non-exercising control group to account for potential confounding from repeated muscle biopsies, and the intervention was limited to a two-week timeframe.

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