The Role of Erythrocytic Acetylcholinesterase in Hormonal Regulation of Adaptation to Physical Exercise

Acetylcholinesterase (AchE) activity in erythrocytes and blood levels of cortisol and insulin were investigated in athletes training under different bioenergetic conditions (sprinters, middle-distance runners, and marathoners). The groups of sprinters and marathoners had a decreased enzyme activity compared to nonathletes (p < 0.05). In response to a standard exercise, load AchE activity increased in the groups of middle-distance runners and marathoners. A relationship was observed between the level of AchE activity and the cortisol-to-insulin ratio in the blood. This ratio is specific to the type of bioenergetic conditions and increases in the following order: controls, middle-distance runners, sprinters, and marathoners. In vitro experiments revealed an effect of insulin on AchE activity. This effect was significantly lower in sprinters than in the control group. A reduction in AchE activity and an increase in the cortisol-to-insulin ratio are considered as factors increasing metabolic turnover in athletes, mainly, lipid turnover. This mechanism ensures effective mobilization of substrates at the start of physical exercise and their recovery after. The observed relationship between the insulin level and the AchE activity may prove to be a mechanism of regulation of the insulin level. This relationship may change during adaptation to physical exercise, as in the case of sprinters, when the sensitivity of AchE to the inhibitory effect of insulin is decreased. A high blood level of cortisol and insulin is a distinctive feature of sprinters, which provides for a higher turnover of carbohydrates. In marathoners, low AchE activity leads to an increased effect of acetylcholine, which is manifested by an increased cortisol level and a decreased insulin level, thus providing for a higher lipid turnover.