Sep 2026· Proceedings of the National Academy of Sciences of the United States of America· Vol 123 40, pp.
e2525555123
· 2 citations· 41 references
Medicine
TL;DR
MetaboliSim is an open-source software tool that simulates muscle energy metabolism in a virtual human parameterized by four physiological inputs: V̇O2max (oxidative capacity), vLamax (glycolytic capacity), body mass, and active muscle mass, which test Mader's equations against experimentally established phenomena of exercise metabolism.
Abstract
Energy metabolism matches adenosine triphosphate (ATP) resynthesis to hydrolysis even during abrupt transitions such as exercise onset. In 1984, Alois Mader proposed a mechanistic model that captures this regulation through 33 coupled differential equations linking oxidative phosphorylation, glycolysis, and the phosphocreatine shuttle via adenosine diphosphate (ADP), phosphate, and pH feedback. Despite its potential, broader adoption has been limited by closed-source implementations and key publications available only in German. Here, we present MetaboliSim, an open-source software tool that simulates muscle energy metabolism in a virtual human parameterized by four physiological inputs: V̇O2max (oxidative capacity), vLamax (glycolytic capacity), body mass, and active muscle mass. Using MetaboliSim, we test Mader's equations against 10 experimentally established phenomena of exercise metabolism, including ATP homeostasis under fatigue, transient pH alkalinization, glycogen-dependent lactate thresholds, intensity-dependent fat oxidation, the V̇O2 slow component, and work-rate-dependent exhaustion, without altering any equation or constant within the model. Mader's model qualitatively reproduces all 10 phenomena, generating similarly shaped response curves; absolute values depend on individual parameterization rather than being universally matched. The characteristic inverted-U of fat oxidation and the exercise intensity-dependent V̇O2 kinetics, for example, both emerge from the same equation system. A Sobol sensitivity analysis (S01) reveals a calibration hierarchy: V̇O2max and body mass drive power predictions; vLamax and buffer capacity drive metabolite predictions. That a compact, 40-year-old equation system accounts for this breadth of metabolic phenomena suggests that a small number of regulatory feedback loops may suffice to explain a wide range of metabolic responses to exercise. MetaboliSim is freely available to enable independent testing, empirical calibration, and refinement.
It is shown that ketone-supported brain slices can sustain energetically demanding neural function beyond that supported by endogenous fuel reserves alone, and this results broaden the understanding of cerebral fuel flexibility.
Rachel Ricks, Dallin S. Nevers, Tyler Poulos et al.· Cellular and molecular neuro...· 0 citations
BACKGROUND
Maximal lactate accumulation rate (vLamax) is commonly used as a surrogate of anaerobic glycolytic power. Conventional protocols calculate vLamax as a mean rate over a fixed sprint window after subtracting an alactic phase, even though glycolytic flux rises, peaks, and declines within seconds. Fixed-duration...
Katharina Dunst, B. Meixner· European Journal of Applied...· 0 citations
Muscles use large amounts of ATP during exercise. Three processes are widely recognized as important for maintaining muscle ATP with exercise. They include the phosphagen system, glycolysis, and mitochondrial oxidative phosphorylation. The goal of the current study was to evaluate the role of new purine synthesis in ma...
David A. Reiter, G. Kilic-Berkmen, Saketh Gudimetla et al.· Molecular Genetics and Metab...· 0 citations
AIMS
In 1932, Hans Krebs and Kurt Henseleit introduced a bicarbonate-based solution for liver perfusion containing only 5.55 mM glucose. This bicarbonate-based Krebs-Henseleit buffer (KHB) has been frequently modified over many years but typically includes only glucose as a substrate, often to hyperglycaemic levels. Ho...
Zoe Hoare, Yu-Jin Chung, E. Waters et al.· Cardiovascular Research· 0 citations
Adenosine triphosphate (ATP) signaling through the P2X7 receptor is an emerging determinant of mitochondrial energy metabolism and physical fitness, and the receptor is increasingly targeted pharmacologically for its role in inflammation. Whether systemic P2X7 antagonism affects aerobic capacity and the structural ad...
Naiara de Souza Santos, I. Fabro, Ana Paula Pinto de Araújo et al.· ACS Pharmacology & Trans...· 0 citations
ABSTRACT The concept of ‘metabolic structure’, which considers metabolism as a stable, genetically encoded architecture with enzymes occupying fixed control positions, is indispensable but incomplete, and it obscures metabolism's true nature. I propose redefining metabolism as a dynamic field of emergent biochemical fl...
Jacques Fantini· Bioessays· 0 citations
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