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Standardized ex vivo high-resolution respirometry (HRR) measurements of mitochondrial function in permeabilized human skeletal muscle significantly underestimate in vivo metabolic rates because they are conducted at 37°C, whereas mitochondria operate at temperatures up to 10°C higher (approx. 50°C) during maximal exercise.

If you are interpreting mitochondrial function from lab tests on muscle biopsies (ex vivo), be aware that standard tests at 37°C likely underestimate true in vivo capacity. The paper suggests that mitochondrial temperature during exercise can reach ~50°C. To compare lab results with real-world metabolic performance, apply a temperature correction factor (approx. 10°C increase) to the ex vivo data.

GoodQualifiesHIGH confidence
Standard ex vivo- derived measures are lower (Z ≥ 3.01, P ≤ .0258) en masse than corresponding in vivo- derived values. Correcting respiratory values to account for mitochondrial temperatures 10°C higher than skeletal muscle temperatures at maximal exercise (~50°C): (i) transforms data to resemble (Z ≤ 0.8, P > .9999) analogous yet context- specific in vivo measures... and (ii) supports the position that maximal skeletal muscle respiratory rates exceed (Z ≥ 13.2, P < .0001) those achieved during maximal whole- body exercise
Robert A. Jacobs et al. · Acta Physiologica · 2021

Why this rating

Large sample size (n=831 participants across 23 studies) and rigorous statistical comparison between ex vivo and in vivo metrics.

Source

Contextualizing the biological relevance of standardized high‐resolution respirometry to assess mitochondrial function in permeabilized human skeletal muscle

Robert A. Jacobs et al. · Acta Physiologica · 2021

DOI 10.1111/apha.13625

narrative_review · n=831Cited 14×
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DOI resolved against Crossref · corpus check 2026-06-10

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