A good example of cell intrinsic metabolic programming upon physiological stimulation occurs in skeletal muscle. Skeletal muscle consists of oxidative (type I) and glycolytic (type II) fibers, which differ in their metabolic abilities. Oxidative muscle fibers have a high mitochondrial density; hence, they prefer oxidative phosphorylation for ATP production. They also contain more lipid droplets and rely on FAO. Glycolytic muscle fibers have a low mitochondrial density and rely predominantly on the breakdown of stored glycogen by glycolysis for their ATP production........
As such, regular physical exercise is a classic example of how metabolic flexibility is regulated by transcription factors. During acute exercise, an increased AMP/ATP ratio, sensed by AMPK, increases transcription, translation, and activity of the transcriptional coactivator PPAR gamma coactivator 1-alpha (PGC1α..........
The increase of mitochondrial biogenesis and FAO improves insulin sensitivity. The role of PGC1α in metabolic flexibility is underlined by observations that basal PGC1α skeletal muscle expression is reduced in sedentary subjects (49)