Article Text

Download PDFPDF
C34T mutation of the AMPD1 gene in an elite white runner
  1. A Lucia1,
  2. M A Martin2,
  3. J Esteve-Lanao1,
  4. A F San Juan1,
  5. J C Rubio2,
  6. J Oliván1,
  7. J Arenas2
  1. 1Universidad Europea de Madrid, Madrid, Spain
  2. 2Hospital 12 de Octubre, Madrid
  1. Correspondence to:
 Professor Lucia
 Department of Physiology, Universidad Europea de Madrid, Madrid 28670, Spain; alejandro.lucia{at}


The case is reported of an elite, male, white endurance runner (28 years of age), who is one of the best non-African runners in the world despite carrying the C34T mutation in the gene (AMPD1) that encodes the skeletal muscle specific isoform of AMP deaminase, an enzyme that plays an important role in muscle metabolism. The frequency of the mutant allele in sedentary white people is 8–11%. Previous research has shown that this mutation, at least in homozygotes, can impair the exercise capacity of untrained people and their trainability. The maximum oxygen uptake of the study subject was exceptionally high (83.6 ml/kg/min), whereas his ammonia and lactate concentrations at high submaximal running speeds were lower than those of other world class runners who are not carriers of the mutation. The partial metabolic deficiency of the study subject is possibly compensated for by his exceptionally favourable anthropometric characteristics (body mass index 18.2 kg/m2).

  • AMPD, adenosine monophosphate deaminase
  • o2max, maximal oxygen uptake
  • AMP deaminase
  • ammonia
  • endurance
  • genetics
  • maximum oxygen uptake

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: none declared