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a Department of Physiology, University of Texas Health Science Center, San Antonio
Roger J.M. McCarter, Department of Physiology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284 E-mail: mccarter{at}uthscsa.edu.
Decision Editor: John A. Faulkner, PhD
| Abstract |
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DECREASED physical activity and loss of muscle mass are characteristic features of advancing age (1)(2). Mechanisms involved in this loss have not been identified, but decreased physical activity is widely believed to be an important contributing factor. Associated with this decrease in skeletal muscle mass is also a decrease in endurance characteristics in elderly persons (3). With regard to the muscles of mastication, investigation of the mechanistic basis of these effects has been hampered by the absence of a suitable animal model, because studies involving maximum isometric contractions in vivo elicit pain and fatigue in healthy individuals (4). However, masseter muscles are too thick to survive in vitro. We have therefore identified a branch of this muscle that is sufficiently thin in Fischer 344 (F344) rats to survive in vitro and to maintain function for several hours. This branch, the anterior deep masseter (ADM) muscle, has a similar fiber composition to that of the whole masseter muscle. Using this preparation in vitro we have demonstrated that muscle-twitch characteristics and specific tension-generating capabilities of the ADM muscles of male F344 rats do not decline with increasing age (5)(6)(7).
Muscle fatigue in elderly persons may be the result of alterations in several different mechanisms. Traditionally, fatigue has been defined as the failure to maintain a required or expected force (8). However, causes of fatigue probably involve several factors and multiple sites along the path of muscle activation, from the central nervous system to the myosin cross bridges of the thick filaments of muscle fiber (9)(10). Masticatory muscle function is more complex than that of limb skeletal muscle because it is affected by sensory information regarding pressure and noxious stimuli at the teeth and gums (11). Because of its inherent complexity, it is necessary to isolate those aspects of mastication that might reflect only aging of muscle tissue through the use of muscle preparations in vitro. The goal of the present investigation was to determine if the endurance of rat masseter muscles changes with age and, if so, to investigate mechanisms of altered fatigability. In particular, we tested the hypothesis that masseter muscles of rats are more fatigable with advancing age and that this increase in fatigue is associated with compromised mechanisms of excitation-contraction (E-C) coupling. Given the well-known preference of elderly persons for soft-textured foods (12)(13)(14) and the equally well established effects of decreased activity on muscle function (2), a further goal of this study was to characterize the effects on endurance of a soft-texture diet.
| Materials and Methods |
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For the determination of the effects of altered workload on masseter muscle function, we used male specific-pathogenfree F344 rats (46, 12, and 24 mo) that had been maintained in the barrier facility of the UTHSCSA Aging Research Group. These barrier-raised animals were fed powdered rat chow from the time of weaning (34 weeks old) onwards (Purina SR Vitamin-fortified RP 101). Rats were sacrificed the same day as removal from the barrier facility. Although the compositions of the hard-pellet diet (HD) and the soft-powdered diet (SD) feed were slightly different, these differences previously have been shown to have no significant effect on muscle fiber composition in F344 rats (16).
Masseter Muscle Preparation
Animals were weighed and then anesthetized with methoxyflurane prior to sacrifice by decapitation. ADM muscles were carefully dissected bilaterally using a dissecting microscope to reveal an origin at the rostral maxillary portion of the zygomatic arch and an insertion on the masseteric ridge of the mandible. Muscles were placed in oxygenated (95% O2 and 5% CO2) pH 7.4 Ringer's solution (in mmol/l: 115.0 NaCl, 5.0 KCl, 0.65 MgSO4, Na2H2PO4, 25.0 NaHCO3, 2.5 CaCl2, 11.0 glucose, and 0.021 d-tubocurarine chloride), except for those specimens collected for potassium contracture experiments. Each muscle preparation was carefully trimmed of damaged fibers to a width of approximately 2 to 3 mm. Stainless steel rings (size 0 surgical wire, Ethicon, Somerville, NJ) were tied with silk thread to the maxillary bony fragment at one end and the mandibular myotendinous junction at the other end. This preparation was used for determination of contractile properties, caffeine responses, high-potassium responses, and pH measurements as described later. For the determination of Na+/K+-adenosine triphosphatase (ATPase) content, the bony attachment sites of the ADM were removed following microscopic dissection. These preparations were then frozen in liquid nitrogen and stored at -80°C until used for the determination of Na+/K+-ATPase.
Measurement of Muscle Contractile Properties
Muscle preparations were mounted in a horizontal muscle bath (40-ml volume) between two parallel platinum-plate electrodes. The muscle bath contained curarized, oxygenated Ringer's solution at room temperature (23°C). The maxillary end of the ADM preparations was connected to a fixed rod and the mandibular end to a force transducer (model 352, Cambridge Technology, Inc, Aurora Scientific, Richmond Hill, Ontario, Canada). Isometric properties were measured with the muscle held at a fixed length in response to supramaximal stimulation. Output of the force transducer was displayed on a computer screen using an analog to digital converting system and compatible software (Scope V3.6, AD Instruments, Inc, Mountain View, CA). A Grass S88 AstroMed, Inc., Warwick, RI stimulator in series with a stereo power amplifier (ADCOM 2200, East Brunswick, NJ) provided supramaximal electrical pulses of a 0.25-millisecond duration to the parallel electrodes surrounding the muscle preparations. For development of maximal tetanic tension, muscles were stimulated at a frequency of 80 Hz and a train duration of 500 milliseconds at optimal length (Lo). Lo was defined as the length at which the muscle developed maximal twitch (Pt) and maximal tetanic (Po) tension. Lo was measured for each preparation to a precision of ±0.1 mm with a micrometer eyepiece mounted directly above the preparation. All preparations were stimulated at 10 Hz above and 10 Hz below 80 Hz to verify the optimal stimulation frequency. An index of fatigue was determined by stimulating a muscle preparation ten times every 30 seconds for 8 seconds, at a frequency of 80 Hz. Maximal tetanic tension obtained in the tenth tetanus divided by maximal tension obtained in the first tetanus was defined as the index of fatigue (Fi). A muscle that has high fatigability would therefore be indicated by an Fi approaching 0, whereas an Fi close to 1.0 would indicate a more fatigue-resistant muscle. Following every fatigue protocol, muscle preparations were allowed to recover for 5 minutes in oxygenated (95% O2 and 5% CO2) pH 7.4 Ringer's solution. After a 5-minute recovery period, muscle preparations were supramaximally stimulated to determine recovery isometric twitch and tetanic tension.
Stability of the Preparation In Vitro
Maximum isometric tension of all muscle preparations, measured at the start of each experiment, varied from 21 to 28 N/cm2, well within the range of performance expected for healthy mammalian skeletal muscle (17). Experiments typically had a duration of 1 hour, commencing approximately 20 minutes after termination of the animal. In control experiments, with tension measured every 10 minutes, the maximum tension declined less than 10% over a period of 2 hours. We are thus confident that these preparations from rats of all ages consisted of intact muscle fibers that remained viable throughout the course of each experiment.
In addition, following the strenuous high-frequency fatigue protocol used in this study, recovery tension in randomly chosen ADM preparations from all experimental SD and HD groups (n = 3) displayed a mean percentage of Po recovery of 90% ± 7%, by 30 minutes postfatigue. These results confirm the remarkable viability of this mammalian muscle preparation over several hours in vitro.
Determination of Na+/K+-ATPase Concentrations
Quantification of the concentration of Na+/K+-ATPase in muscles was determined by measurements of bound [3H]oubain as described by Notgaard and colleagues, Kjeldsen, and Green and colleagues (18)(19)(20). Following these methods, muscles that had not been subjected to any other experimental procedures were removed and kept frozen at -80°C until the time of assay. Each muscle sample was then cut into three portions, each weighing 2 to 8 mg. These portions were placed into glass tubes for two 10-minute prewashes at 0°C, with continuous gassing to ensure agitation. The prewash was a tris-sucrose buffer containing vanadate (in mmol/l: 10 Tris HCl, 1.0 MgSO4, 250 sucrose, and 1.0 vanadate; pH 7.3). Vanadate was utilized in this technique because, in the absence of ATP, it facilitates the binding of [3H]oubain to the Na+/K+-ATPase (21). Samples were then incubated in the same buffer with the addition of [3H]oubain (2.0 µCi) and unlabeled oubain (5 x 10-6 mol/l final concentration) for 30 minutes at 37°C. After 30 minutes, samples were transferred to fresh [3H]oubain buffer and allowed to incubate an additional 30 minutes to allow [3H]oubain distribution in tissue samples to reach a steady state (19). Unbound oubain was then removed by washing the samples four times, for 30 minutes each, in the previously described ice-cold buffer. Next, samples were blotted and weighed. Samples underwent 16 hours of extraction in 0.5 ml of 5% trichloroacetic acid at room temperature (23°C). Scintillation cocktail was added to the vials prior to measurement of [3H] radioactivity. The isotopic purity was 96% to 99%, as determined by the supplier (Amersham-Buckinghamshire, UK) using chromatographic techniques. Unspecific retention and/or binding was determined in each experiment by running a set of samples in hot incubation buffer that contained an excess (10-3 mol/l) of unlabeled oubain. Bound 3H radioactivity was calculated and expressed as relative uptake (ml/g of wet-muscle weight). Relative uptake of 3H radioactivity (minus relative uptake of 3H radioactivity representing unspecific binding) was then multiplied by the concentration of oubain in the incubation medium to express specific activity (i.e., binding of oubain to Na+/K+ pumps per unit of muscle mass) in pmol/g wet-weight of muscle.
Potassium Contractures
Maximum K+ contracture tension was elicited using a method similar to that of Cairns and Dulhunty (22). Bilateral ADM muscles were removed from each experimental animal. Fine dissection of the ADM muscle was performed in the low chloride ion [Cl-] solutions, and preparations equilibrated additional time to allow a total of 1-hour equilibration in oxygenated low [Cl-] solutions. Low [Cl-] solutions were a modified Krebs solution containing the following (in mmol/l): 2.0 N-tris [hydroxylmethyl] methyl-2-aminoethanesulfonic acid; 2-([2-hydroxy-1, 1-tris (hydroxy methyl)-ethyl]amino) ethane sulfonic acid (TES), 1.0 MgSO4, 40.25 Na2SO4, 1.75 K2SO4, 170 sucrose, 11 glucose, and 0.021 curare; pH 7.4. Lo, Pt , and Po were determined for every muscle preparation in a low [Cl-] bathing medium. One side was used to evaluate prefatigue K+ contracture tension. The contralateral side was used to evaluate postfatigue contracture tension. K+ contractures were elicited with a 200 mmol/l [K+] oxygenated solution warmed to 37°C, which contained the following (in mmol/l): 100 K2SO4, 8 CaCl2, 2.0 TES, 1.0 MgSO4, 11 glucose, and .021 curare; pH 7.4. Pre- and postfatigue contracture tensions are reported as a fraction of Pt and Po.
Caffeine Treatment
Both ADM muscles were removed from each experimental animal. All muscle preparations were dissected and maintained at room temperature (23°C) in curarized, oxygenated Ringer's solution. Lo, Pt , and Po were established for all preparations before treatment with caffeine. One ADM muscle was used to determine the potentiating effects of caffeine on maximum twitch and tetanic tension without establishing Fi. Contralateral ADM muscles were used to determine the effects of caffeine on 5-minute recovery of twitch and tetanus tension after determining Fi. Caffeine treatment consisted of a 5-minute exposure to a 37°C Ringer's solution with the addition of a 32-mmol/l concentration of caffeine. Measurements of contractile properties were determined using stimulation parameters as previously described. Pre- and postfatigue caffeine potentiations are reported as percentages of Pt and Po obtained in caffeine-free Ringer's solution at the start of the experiment.
pH Measurements
Cellular responses of muscle preparations to fatigue were monitored by using a muscle homogenate technique that gives a reliable estimate of average intracellular pH (pHi) (23)(24)(25). Resultant measurements are not significantly different from other commonly used techniques for determining pHi (23)(24)(25)(26)(27). Bilateral ADM muscles were dissected and prepared for determination of contractile properties as described previously. Contractile properties were determined for one preparation. Within the first 20 seconds following the determination of Fi, the muscle preparation was removed from the muscle bath; the metal rings and bone were cut from the preparation; and the preparation was blotted dry and frozen in liquid nitrogen. The contralateral preparation was maintained in oxygenated Ringer's solution for the duration of the experiment at which time it too was frozen in liquid nitrogen. Samples were then freeze dried, dissected free of connective tissue, and powdered. A portion of the sample (1.52 mg) was homogenized at 0°C in a solution containing 145-mmol/l KCl, 10-mmol/l NaCl, and 10-mmol/l NaFl (pH 7.2), at a dilution of 30 mg of dry muscle weight per ml of homogenizing solution. NaFl was added to prevent further glycolytic reactions during handling. pH measurements were then made using a microelectrode connected to a pH/ion analyzer (model M1-415, Microelectrode, Inc, Bedford, NH), as described by Mannion and colleagues (24). The response of the ADM muscle pHi to fatigue was calculated as the difference in pH between the ipsilateral fatigued ADM and the contralateral nonfatigued ADM from the same experimental animal.
Data Analysis
A one-way analysis of variance (ANOVA) was used to analyze HD experimental data and SD experimental data separately. Tukey-Kramer multiple comparisons tests were used to determine if changes in the independent variable (age of rat) caused significant differences in the dependent variables (fatigue index and percentage of tetanic tension recovery), first within the HD and then within the SD group. Significance was assumed at p < .05. For fatigue-index data, a lack-of-fit test was used to determine the appropriateness of a straight-line model for both HD and SD group data. Resultant p values (together with the absence of any overall significant difference with age in the SD group) supported the use of straight-line models for both HD and SD fatigue data. Significance was assumed at p < .05. Both HD and SD age groups were then combined and analyzed using a one-way ANOVA for the fatigue-index dependent variable. The Tukey-Kramer multiple comparisons test was used to test for significant differences ( p < .05) among all groups (28). Bonferroni adjustments to the Tukey-Kramer multiple comparisons tests between the 5-month HD and 5-month SD, and between the 5-month HD and 24-month HD, assumed significant differences at p < .025.
All other statistical comparisons consisted of one-way ANOVA analysis of 5-month HD versus 24-month HD groups (age = independent variable). In addition, one-way ANOVA was used to analyze 5-month HD versus 5-month SD groups (diet = independent variable). Unequal variances were further analyzed using Levene and Bartlett's tests ( p < .05). Student t tests were used to detect significant difference at p < .05.
| Results |
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Fi from muscles of young HD and SD animals and from old HD and SD animals are shown in Fig. 1. This figure depicts the age-related changes in fatigability found in HD-ADM preparations combined with SD-ADM preparations. ADM muscles from young HD rats were found to be significantly less fatigable than their young SD counterparts. Moreover, all SD-ADM muscles were significantly more fatigable than young HD-ADM muscles and had fatigability similar to that of old HD-ADM muscles.
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Effects of High-Potassium Solutions
Table 2 shows data gained from exposing ADM muscles to Ringer's solutions containing high concentrations of K+. Contracture tensions induced by this method of membrane depolarization were normalized to peak twitch and peak tetanic tension elicited by electrical stimulation and recorded prior to exposure to high potassium solutions. Postfatigue twitch and tetanic tension was significantly less than prefatigue tension in both experimental HD groups. There were no significant differences in pre- to postcontracture tension changes between young and old groups (i.e., membrane responses to depolarization were similar in young and old HD-ADM muscles).
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Effects of Caffeine Potentiation
Table 3 contains data from caffeine potentiation experiments. Responses are reported as percentages of peak twitch and tetanic tensions. Young and old HD-ADM showed significantly greater twitch responses after exposure to a solution of 32-mmol/l caffeine than precaffeine twitch responses. There was no significant difference between net potentiation in twitch responses of old and young groups. There were no significant potentiating effects of caffeine on maximum tetanic tensions of either young or old ADM muscle preparations. This confirms that the supramaximal stimulation parameters were sufficient to elicit maximal calcium release when characterizing ADM isometric contractile properties.
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Young SD-ADM muscle exhibited significantly greater twitch responses when exposed to 32-mmol/l caffeine in unfatigued muscles (data not shown; t test, p < .05). But, there was no significant difference in net potentiation of twitch responses between SD-ADM and HD-ADM muscles. Again, caffeine had no significant potentiating effects on maximum tetanic tensions of SD- or HD-ADM muscle preparations (Table 3 ).
Recovery twitch and tetanic tension responses were significantly greater in ADM muscles that had been treated with caffeine, compared with noncaffeine treatment in 5-month-old SD rats. However, when young SD- and young HD-ADM muscles were compared, caffeine did not have significantly different postfatigue potentiating effects.
pH Measurements
Table 4 presents results of pHi measurements of HD rats. Data reported are pHi prefatigue and pHi postfatigue. The pre- to postfatigue decreases in pHi are reported as mean change in pHi. There was a significant decrease in pHi due to fatigue of ADM muscles in both young and old HD animals. However, there was no age-related difference in the mean change in pHi.
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| Discussion |
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The concentration of Na+/K+-ATPase pumps in skeletal muscle is affected by a number of physiological factors. Among these are developmental changes (33), thyroid hormone (T3) levels (34), and increased activity as well as decreased activity (20)(34)(35). Although numerous studies on rodents and humans show trends toward decreases in [3H]oubain binding with increasing age in various skeletal muscles, none have shown significant declines. The results of the present study are important because they show an age-associated decline in Na+/K+-ATPase pumps with increasing age in the ADM muscle. Yet, food consumption measurements in our laboratory showed no significant difference in food consumed per day between 5- and 24-month-old HD rats (data not shown). This suggests that decreased masseter muscle activity was not responsible for the decline in functional activity of Na+/K+-ATPase. And, recent investigations on thyroid hormone levels in aged rodents have revealed no significant decrease in T3 levels (biologically active hormone) with increasing age. However, current research points to a decreased responsiveness of various tissues in aging F344 rats to thyroid hormone (36)(37). Studies also show that epinephrine and norepinephrine stimulate active Na+-K+ transport in muscle cells by 100% (38)(39)(40). Moreover, this increased Na+-K+ transport in muscle cells occurs at physiological concentrations of these catecholamines (38)(39). Thyroid hormone is the major endocrine factor responsible for the synthesis of proteins associated with the Na+/K+-ATPase pump. These facts, taken together with data gained from the results of the current investigation, suggest the possibility of decreased sensitivity of aging ADM muscles of the F344 rats to thyroid hormone stimulation and concomitant decline in Na+/K+-ATPase concentrations. The correlation between increased fatigability and decreased Na+/K+-ATPase pump concentration suggests that there is a decreased ion-pumping capacity in aging F344 ADM muscles. This loss of pumping capacity is not manifested as a decrease in aged ADM muscle performance under normal brief physiological conditions because the usual safety factor of redundant Na+/K+ pumps, so often found in biological systems, safeguards against this. However, it does reflect an age-related loss of potential for sustained activity of the ADM under extreme conditions.
It is well established that the dihydropyridine receptors (DHP) located in the transverse (T-) tubules of the sarcolemma are involved in E-C coupling as voltage sensors. In the experiments conducted in this study, exposure of ADM muscles to high extracellular potassium solutions caused the DHP receptor to sense a change in membrane potential. Subsequent calcium release from the sarcoplasmic reticulum (SR) caused the development of tension known as contracture tension. Prefatigue and postfatigue contractures were not different when young and old ADM muscles were compared. These data thus support the conclusion that there is no difference in response of the voltage sensors to artificial depolarization, regardless of animal age or state of fatigue.
The use of caffeine allows the investigator to bypass depolarization-induced release of calcium from the SR during E-C coupling and to focus on the release of caffeine-sensitive pools of calcium through the ryanodine receptor calcium channels of the SR. Present results demonstrated that there was no difference in the potentiating effects of caffeine on twitch responses of the young and old ADM muscles. This indicates that, under physiological conditions, calcium handling was as effective in the aged ADM as in young ADM muscles. However, after submitting these muscle preparations to the high-frequency fatigue protocol, and allowing 5 minutes recovery in oxygenated caffeine solutions, differences emerged. The potentiating effects of caffeine on recovery tension were significantly less in aged muscles when compared with young muscles. Hence, under the conditions created by 80-Hz stimulation, calcium reuptake or release appeared to be compromised in fatigued aging muscle. There are several ways that resequestration could be affected: a small pool of Ca+1 might accumulate in the T-tubule (41); the concentration of the cytosolic Ca+1-binding protein, parvalbumin, might be increased; finally, and most likely, the activity of the SR re-uptake pump, Ca+1-ATPase, might be reduced in the aging ADM. Increased age-related fatigability would then reflect a compromised re-uptake or release of calcium by the SR in ADM muscles, although evidence on this point is ambiguous (1).
Finally, a major metabolic byproduct that accumulates in the myoplasm during sustained contractile activity is the hydrogen ion. It has been shown that increases in intracellular hydrogen ions ([H+]i) cause decreases in Ca+1 sensitivity of the myofilaments in single-fiber experiments (42). Fitts (9) has postulated that free H+ may also inhibit Ca+1 binding to the DHP receptor of the T-tubule. Ultimately, this would result in a reduced calcium transient and perhaps loss of tension during fatiguing stimulation of skeletal muscles. Any or all of these phenomena may occur during the high-frequency fatigue protocol of the ADM muscles. However, data from the current study argue against this theory as an explanation for changes in ADM muscle with age. Evidently, the higher fatigability of aged ADM muscles when compared with young ADM muscles is not the result of a greater increase in myoplasmic acidity.
Central to any discussion involving aging skeletal muscle is the issue of whether structural and/or functional changes are the consequence of muscular inactivity. Therefore, it is important to differentiate between aging and the effects of decreased activity per se on the muscle. With regard to the masseter muscle, animals fed an SD provide a model of decreased chewing activity, since there is no need to break up pellets of food. In the current study, significant differences in responses were elicited during steps of E-C coupling in the aging model but not in the altered activity model. Hence, it can be concluded that age and altered activity represent different structural or compositional changes in the experimental muscles. To return to the hypothesis of this study, the present investigation demonstrated that masseter muscles of rats are more fatigable with advancing age and that this increase in fatigability is associated with compromised mechanisms of E-C coupling. Specifically, this age-related increase in fatigability was associated with a decrease in Na+/K+-ATPase concentration and a decrease in release of caffeine-sensitive SR calcium pools by fatigued muscles. Eating an SD versus an HD was associated with an increase in fatigability, but this did not increase with age. It is possible that differences between SD- and HD-ADM muscles represent fiber-type transitions. Future research should be directed toward detailed analysis of intermediate muscle-fiber types, investigations of Na+/K+-ATPase concentration in T-tubular membranes and investigations of calcium transients in the aged and altered activity models of ADM muscles.
| Acknowledgments |
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Received November 26, 1999
Accepted August 24, 2000
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