Book Reviews


Essays in Biochemistry Volume 42; The Biochemical Basis of the Health Effects of Exercise 
The Integrative Action of the Autonomic Nervous System: Neurobiology of Homeostasis

Essays in Biochemistry Volume 42
The Biochemical Basis of the Health Effects of Exercise

A Wagenmakers, Birmingham, UK: Portland Press, 2006, £21.95.
New ISBN 9781855781597

The exercise physiology field often suffers from a scientific reputation that it is inferior to reductionism; the likely misperception is the belief that exercise physiologists study only sports events. However, the book shows that a portion of exercise physiology is solid science. Any scientist interested in bench to bedside, translational medicine, molecules to patients, or integrative physiology will find no better example of these interdisciplinary efforts than the content about exercise in this book. Indeed, I have purchased a copy for my lab.

Some of the latest, in-depth knowledge of the physiological, biochemical, cellular, and molecular mechanisms by which exercise improves health is presented. The subject matter of the book is timely given that the web sites of the American Heart Association and the American Diabetes Association now list physical inactivity as risk factors for cardiovascular disease and type 2 diabetes, respectively, and that the terms “epidemic” and “pandemic” are used to describe the diseases. The back cover claims that each essay provides clear mechanistic insights into the multitude of enzymes, signaling pathways, tissues, and bodily functions that benefit from relatively modest increases in daily physical activity. The 14 essays in the book match the claims. I found those essays that I read very up-to-date. The depth and breath of the information presented is great and the reader will be challenged by the remarkable amount of molecular, cellular, physiological, and health benefits integrated by exercise. Essays average 11 pages in length so the reader can select an essay and be done in short order if their discipline is less broad than exercise, which covers all organ systems (although not all are covered in the book).

An example of the style of each essay is illustrated by the titles of subtopics in the first essay (“Signalling mechanisms in skeletal muscle, role in substrate selection and muscle adaptation”). The essay begins with an introductory background paragraph on the sources of energy supplying the 100-fold increase in ATP usage in exercising muscle and indicating that some of the molecules in the metabolic pathways form the basis for metabolic adaptations to exercise. Within the first essay, exercise is divided into the subtopics of: integration of metabolism, signaling pathways, calcium-dependent signaling, AMP-activated protein kinase, MAPKs, PKB/Akt, and adrenergic signaling. Remaining chapters follow a similar subtopic format.

Each essay is co-authored by a team of 44 co-authors from different institutions. They represent a cross-section of international experts with complimentary expertise in human physiology, biochemistry, and molecular biology. The editor of the book, Anton J.M. Wagenmakers, is a Professor of Exercise Biochemistry at the University of Birmingham, UK. His main scientific interests are the therapeutic effect of exercise and lifestyle changes on metabolism and cardiovascular physiology in chronic diseases.

Some of the essays can be grouped into themes. The various themes are the exercise/physical inactivity mechanisms that operate in skeletal muscle (Chapters 1-4 for endurance, i.e., aerobic, activities and Chapters 5-6 for resistance, i.e., strength, training); the metabolic interaction between muscle, liver, and adipose tissue (Chapter 7); the effects of cytokines and inflammation (Chapter 8); the mechanisms that exist in the endothelium of the vascular wall (Chapters 9-12); polymorphisms predisposing individuals to chronic diseases vary adaptive responses to physical activity (Chapter 13); and Chapter 14 which integrates the metabolic effects in skeletal muscle and vasculature to produce health in physically active individuals. The bullet’s summaries at the end of each essay are excellent, allowing selection of essays of interest. The 14 essays are the exercise topics of: signaling mechanisms in muscle adaptation, mitochondrial biogenesis, mechanisms of muscle insulin sensitivity, lipid metabolism, resistance exercise and the control of muscle mass, resistance training and insulin sensitivity in the elderly, fatty acid metabolism, anti-inflammatory actions, vascular nitric oxide, capillary blood flow, vascular function in obese Zucker rats, microvascular dysfunction, physical activity interactions with genes, and integration of the metabolic and cardiovascular during exercise.

The editor indicates that the book is primarily for final-year undergraduate students and postdoctorates and their teachers in biological and medical sciences, which I concur especially for those whose future plans are a career in exercise research. I agree with the editor’s recommendation that any professional who is researching exercise mechanisms would benefit from this book. I do not think, as recommended by the editor, that many medical doctors, health professionals, dieticians, and policymakers in public health would use this book because the depth of science, although they would greatly benefit from the book’s knowledge. To me, the book is a source of comprehensive essays on the topics presented and will serve as a reference source for research and teaching. In sum then, I strongly recommend this book to those using exercise in their research, whether their primary discipline is exercise or they are using exercise as a tool for the first time (many first using exercise are unacquainted with the sophistication of exercise concepts and thus make major errors in the interpretation of their sophisticated gene manipulation experiments). The book provides a wealth of mechanisms to teachers of advanced courses in exercise, and to physiology and biochemistry faculty using exercise as examples of metabolism in their lectures.

Frank Booth
University of Missouri

The Integrative Action of the Autonomic Nervous System:
Neurobiology of Homeostasis

Wilfrid Jänig, Cambridge, UK: Cambridge University Press, 2006, 610 pp., illus., index, $170.00.
ISBN: 0-521-84518-1

Ten years have elapsed since William Blessing published his treatise on The Brainstem and Bodily Homeostasis (New York, Oxford Univ. Press, 1997). Wilfrid Jänig’s new book is a worthy successor to Blessing’s volume. Although Jänig deals in most detail with the organization and control of peripheral autonomic circuits, the coordination of autonomic, respiratory and somatomotor control systems leading to adaptive responses of the organism to changes in the environment is also a major theme. The coverage is encyclopedic in scope, yet the style of presentation is such so that the book can be used as a source for courses at both introductory and advanced graduate levels. Students new to the subject will appreciate the copious number of informative schematics, summary tables and lists of conclusions used to emphasize major themes. The notes placed at the end of each chapter serve as an excellent guide to further study by advanced graduate students and investigators with special interests in the subject matter. The reference section is extensive and, for the most part, up to date.

In the 11 chapters comprising the text, Jänig demonstrates a deep familiarity with such far ranging subjects as the neurochemical and functional characteristics of different groups of peripheral autonomic neurons, synaptic and neuroeffector transmission in autonomic circuits, and the control and coordination of autonomic, respiratory and somatomotor functions by spinal, brainstem and forebrain circuits. There are also excellent chapters on visceral afferent nerves and the enteric nervous system.

The major themes presented in the text appear in the following order. First, peripheral sympathetic and parasympathetic neurons are targeting specific. Those with different targets can be distinguished from each other on the basis of their ongoing discharge patterns, responses to activation of particular sets of visceral and somatic afferent nerves, and the profile of putative peptide and non-peptide transmitters contained intracellularly. Second, for the most part, the ongoing activity of preganglionic neurons is determined by their central inputs. Since the discharge patterns of groups of peripheral autonomic neurons with different targets can be dramatically different (rhythmic versus nonrhythmic, cardiac-and/or respiratory-related or not), it follows that target specific peripheral autonomic pathways are connected to distinct sets of central circuits which under some circumstances act independently of each other. Third, the elements comprising spinal sympathetic reflex arcs serve as the building blocks for stereotypical and highly differentiated patterns of spinal sympathetic outflow that are used to support particular behavioral states. Jänig considers these patterns to be hard-wired (preprogrammed) into spinal circuits and selectively engaged by activation of their point-to-point connections with peripheral afferent and supraspinal inputs. Fourth, coordination and integration of the autonomic, respiratory and somatomotor components of behaviors such as “fight or flight” is accomplished by forebrain-induced engagement of preprogrammed, hired-wired connections among the brainstem circuits controlling these functions.

If the book has a weakness, it is the didactic mode of presentation coupled with the strong opinions rendered by the author. On certain important topics, Jänig pays little attention to views expressed by others that differ from his own. Such subjects include the origin and mechanisms responsible for resting sympathetic nerve discharge, the role of rhythmic activity generated in the brainstem in coordinating the discharges of sympathetic nerves with different targets, and the multifunctional capabilities of systems of dynamically coupled brainstem oscillators leading to the formulation of highly differentiated patterns of spinal sympathetic best suited to one or another behavioral state. Despite this criticism, my overall view of Jänig’s book is highly favorable. I am confident that the detailed and introspective presentation provided will stand as an important reference source for years to come.

Gerard L. Gebber
Michigan State University

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