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1Epidemiology and Health Promotion Research Group, 2Motor and Autonomic Nervous System Integration Research Group, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015; 3Graduate School of Humanities and Sciences, Ochanomizu University, Bunkyo, Tokyo 112-8610; and 4Section for Human Neurophysiology, Research Center for Frontier Medical Engineering, Chiba University, Chiba 263-8522, Japan
Submitted 2 October 2003; accepted in final form 8 April 2004
| ABSTRACT |
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| INTRODUCTION |
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| METHODS |
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The animals used in these studies were pathogen-free, male Fischer 344/DuCrj rats. After weaning, the rats could access food (ordinary commercial pellets) only 3 day/wk (Monday, Wednesday, and Friday: 3 x 24 h/week). They were housed three per cage and maintained on a 12:12 light-dark schedule (lights on at 0600) at 22°C. At the time of the experiments, the rats were 4 (n = 8), 7(n = 10), 12 (n = 8), 21/22 (n = 8), 27 (n = 12), 31 (n = 8), or 36 (n = 11) months of age. The body weight of these DR rats was
60% of that for ad-libitum-fed (AL) rats at the age of 24 mo. In rats maintained under these conditions, the incidence of diseases such as nephrosis and various cancers is lower, and the mean survival time of the rats in the same facility was 1,080 days, which is substantially longer compared with 860 days for AL rats (Dr. Kuramoto, personal communication). All rats used appeared healthy (judged from food intake and mobility) and had no visible subcutaneous tumors.
Surgical and experimental procedures
Two days before the final experiment, the rat was anesthetized with pentobarbital sodium (Nembutal, 3545 mg/kg ip) or halothane in a mixture of nitrous oxide and oxygen (2:1), and the nerve innervating the MG muscle in the right leg was freed from the surrounding tissues. A fresh solution of horseradish peroxidase (HRP; 40%, 0.10.5 µl) was injected into the nerve to the MG muscle near the entry to the muscle using a glass micropipette and a pressure system. The wound was sutured, and the rat was returned to the cage. In the final experiments, the rat was anesthetized with pentobarbital sodium (3550 mg/kg) administered intraperitoneally. The MG muscle of the left leg was dissected from the surrounding tissues but was not separated from the lateral gastrocnemius muscle to maintain good blood circulation. The nerve to the MG muscle was also freed of the surrounding tissues for recording action potentials of axons to the MG muscle. Except for the MG muscle, each of the hind-limb muscles was denervated by sectioning of the nerves. The lumbosacral spinal cord was exposed by a laminectomy. The leg and lumbosacral spine were immobilized in a metal frame by means of clamps. The distal tendon of the MG muscle was attached to an isometric strain gauge (BG-300 or BG-1000, Kulite) with a small steel hook. The exposed portions of the spinal cord and limb were covered by pools of mineral oil. Heating pads and radiant heat kept the body temperature and the oil pools at 3638°C (for the rectal and spinal cord) or at 3537°C (for the leg). Blood pressure and expired CO2 level were monitored throughout the experiment. In some experiments, 4% Ficoll (Pharmacia Fine Chemicals) solution in lactated Ringer solution (Otsuka Pharmaceuticals) was infused to maintain the blood pressure. After registering the mechanical properties of the whole muscle, as well as of individual motor units, the muscle was quickly excised bilaterally, fixed at about the middle of the physiological length, and frozen in isopentane cooled in liquid N2. The muscle specimens were stored in a deep freezer. Finally, the rats were perfused transcardially with warmed physiological saline (300 ml) followed by a cooled fixative (700 ml of a mixture of 1.25% gultaraldehyde and 1% paraformaldehyde in phosphate buffer) after a supplemental dose of pentobarbital, if necessary. The lumbar spinal cord was removed and immersed in 30% sucrose solution overnight for histological analysis.
Mechanical properties of the muscle
Before registering mechanical properties of individual motor units, the muscle length was adjusted so as to produce the maximum whole muscle tetanic tension. Subsequently individual motor-unit tension was registered at this muscle length. Motor units were isolated by stimulating single MG axons in finely dissected ventral root filaments. The ventral roots of the lower lumbar segments (usually L4 and L5) were sectioned at a point near the entry to the cord. The peripherally cut end was dissected and placed on a pair of bipolar stimulating electrodes (the cathode was always distal). The criteria for determining a single-unit activity were an all-or-none mechanical twitch, an all-or-none action potential from the electromyographic (EMG) recordings, and a single or bi- or triphasic action potential from the MG nerve. Mechanical and electrical responses of motor units were recorded during the following sequence of stimulation paradigms: single-pulse activation; short (0.6 or 1.6 s) trains of pulses at various frequencies producing unfused or fused tetani; alternation between single pulses and short (0.45 s) trains of pulses at 200 pulses/s, causing posttetanic potentiation (or depression) of the twitch response; and trains of pulses composed of 13 pulses recurring at 40 pulses/s. Trains were repeated every 1 s for
2 min to assess the sensitivity to fatigue. The electrical activity of the active motor units was recorded with fine flexible stainless steel wire electrodes (100 µm in diameter) bared of insulation at the tip and hooked into the MG or adjacent muscles (usually the lateral gastrocnemius and the plantaris). Motor axon action potentials were recorded from the MG nerve at the popliteal fossa with a pair of bipolar electrodes. Conduction velocity was calculated by the latency to action potential recorded from the MG nerve, using the conduction distance from the ventral root stimulation site. Motor units were classified into three categories: types FF, FR, and S, using the following physiological parameters: presence or absence of the sag phenomenon and the fatigue index. As has been stated elsewhere (Kanda and Hashizume 1989
, 1992
), the maximum tension produced by each train of pulses did not decline constantly for the type F units in the fatigue test. The peak tension produced by the first train of pulses was usually the largest because of the effective summation during the first few pulses. Tension declined during the next couple of trials then became larger because of potentiation until it reached a plateau and finally declined gradually toward the end of this procedure. The fatigue index was defined as the ratio of maximum tension produced during the 120th tetanus (i.e., 2 min of stimulation) to the tension output during the plateau phase. The fatigue index values for distinguishing between the type FF and FR units in the present experiments were 0.5 for the 4- to 31-mo-old groups and 0.6 for 36-mo-old rats (see RESULTS and DISCUSSION). Usually in the case of the type S units, the ratio of tension produced during the 120th tetanus to that produced during the first tetanus was taken as the fatigue index because tension declined constantly or did not change apparently.
The peak tension produced by a twitch contraction was increased after stimulation by a train of pulses at high frequency. If a single stimulus and a train were repeated at a certain interval, the tension of the twitch contraction gradually increased and reached a plateau. The ratio of plateau level to the initial twitch was designated as the "posttetanic potentiation" or PTP in these experiments. The magnitude of the PTP is expressed as the ratio of the maximum tetanic tension after 200-Hz intermittent stimulation to the initial twitch contraction.
Histochemical and morophological analysis of muscle fibers
After storage in a deep freezer (75°C), the muscle was cut into cross-sectional blocks that were
5-mm thick. Sections were cut from these blocks at a 1015 µm thickness in a cryostat and stained for myofibrillar ATPase at pH 9.4 to distinguish the type I and II muscle fibers. Several serial sections were cut at consecutive 100 µm to 1-mm intervals and reconstructed to show the fiber composition in the mid-belly portion. This process was necessary to estimate the number of type I muscle fibers making up the muscle, because individual sections did not contain all of these fibers. In some muscles, the type II fibers were further subdivided into three groups, type IIa, IIx, and IIb muscle fibers. The type IIa fibers were stained darkly for ATPase following alkaline preincubation at pH 10.4 and lightly for ATPase following acid preincubation at pH 4.6; the type IIb were stained intermediately for ATPase both at pH 10.4 and pH 4.6; and the type IIx were stained darkly for ATPase at pH 10.4 and intermediately at pH 4.6. (K. Kanda and S. Asaki, unpublished data; see also De Ruiter et al. 1996
; Larsson et al. 1993
; Lind and Kernell 1991
). Cross-sectional area of individual type I (>200 fibers/muscle) and type II muscle fibers (>500 fibers/muscle) were measured using an image analysis program (National Institutes of Health image, ver. 1.62). The type II muscle fibers were measured in two different regions of the muscle: the red (the mid-belly portion) and white (the caudo-medial portion) regions. The prevalence of different types of muscle fibers in the red region were 18.7% for the type I, 21.2% for the type IIa, 54.3% for the type IIx, and 5.8% for the type IIb fibers. Those in the white region were 25.5% for the type IIx, and 75.5% for the type IIb fibers. We observed some small and angulated fibers that were scattered in the muscle of aged rats. However, the number of those fibers and the number of rats in which those fibers were observed were limited. Furthermore, it was hard to distinguish whether those fibers were functioning. Therefore we included these fibers for measuring cross-sectional area. Three to four muscles (i.e., rats) of each age group were measured. No correction was made for the pinnation of the muscle.
The estimation of the total number of muscle fibers and the specific tension were as follows. The mean muscle fiber length was measured in rats used in other experiments. Two rats in each age group were fixed with 10% formaline. The knee and ankle angles were maintained at about 120 and 90° during fixation, respectively. The MG muscle was removed and sectioned longitudinally and in parallel with muscle fibers at about a 2-mm thickness. These sections were teased so that individual muscle fibers might be identified from their origin to the end apponeurosis under an operating microscopy. The fiber length was measured at its proximal, medial, and distal portions and then averaged. The total fiber cross-sectional area (CSA) of each muscle was calculated using these values (the formula: muscle mass divided by the product of length and density of the muscle fibers). The density of the skeletal muscle was taken as 1,060 kg m3 (Brooks and Faulkner 1988
; Kadhiresan et al. 1996
). The mean specific tension of the muscle fibers was determined by dividing tetanic tension by the total fiber CSA.
Histological analysis of the motor nucleus
The spinal segments were identified by the insertion of the dorsal roots and the cord was trimmed to include the L4S1 segment. Serial sections (40 µm in thickness) were cut horizontally and processed by the TMB method. Sections containing labeled neurons were photographed and printed on transparent film. Individual HRP-labeled neurons were identified and counted under microscopic observations with the aid of photomontage maps. In parts of the experiments, this process was possible through a computer assisted image analyzer (i.e., Neurolucida; MicroBrightField). Cross-sectional area of soma was also measured for each identified motoneuron. The number of
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-motoneurons were estimated from the size distribution in each rat.
Data analyses
The data of the mechanical properties of muscle units were pooled in each age group. As for the cross-sectional area of muscle fibers, the mean value was calculated for each rat, and then the mean value for each age group was obtained. The effect of aging and the difference between the motor unit types were examined by a two-factor ANOVA, and group comparisons were made initially using ANOVA, and subsequent post hoc comparisons were made with the Bonferroni/Dunn procedure. The criterion for accepting statistical significance was P < 0.05.
| RESULTS |
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The body mass, the wet weight of the MG muscle, and the maximum tetanic tension produced by indirect electrical stimulation of the muscle nerve for each age group are summarized in Table 1. The body weight increased up to the age of 21/22 mo and then tended to decrease thereafter, although the difference between the 36- and 21/22-mo-old rats was not statistically significant. The wet weight of the MG muscle also increased greatly from 4 to 7 mo of age, remained unchanged
27 mo, and then declined at 36 mo of age. The maximum tension output increased up to the age of 21/22 mo in parallel with the body weight change. Thereafter, it decreased by 42.1% from 21/22 to 36 mo of age (Fig. 1A).
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The estimated total number of muscle fibers in each age group shown in Table 1 are generally consistent with those of previous reports (Kadhiresan et al. 1996
; Kanda and Hashizume 1989
). The changes in the total number of muscle fibers with age seems to be rather small; the decrease was
3.8% from 4 to 36 mo of age, and this difference was not statistically significant. The direct count of the total number of the type I fibers showed that this remained constant throughout the ages examined (Fig. 2A).
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36 mo of age. A two-factor ANOVA (age x fiber type) for type II fibers in adult and aged groups indicated an age effect: F(4,22) = 10.281. The magnitude of atrophy tended to be greater for the type II fibers in the white region (the majority were IIb fibers) compared with the type II fibers in the red region (the majority were IIa and IIx fibers) because only type II fibers in the white region in 36-mo-old rats were smaller than those in 7-, 12-, or 21/22-mo-old rats (Fig. 2B). We also noticed an increased irregularity in the arrangement of muscle fibers in aged rats. The mean specific tension of muscle fibers declined with age by
30% from 4 to 36 mo of age (Table 1). Motoneuron number, size, and axonal conduction velocity
The number of retrogradely labeled motoneurons in each age group is shown in Fig. 3A. A two-factor ANOVA (age x motoneuron) indicated an age effect: F(6,80) = 20.263, and an interaction: F(6,80) = 10.316. The number of presumed
-motoneurons in the young to middle age (4- to 21/22-mo old) groups were not different from each other. It decreased
27 mo of age, and this trend seemed to be accelerated with advancing age. Presumed
-motoneurons decreased preferentially without any change in the number of presumed
-motoneurons. The mean soma CSA increased greatly from 4 to 7 mo of age and tended to increase further in the 36-mo-old rats.
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-motoneurons gradually increased
21/22 mo of age and thereafter declined irrespective of the motor-unit type (Fig. 3B). A two-factor ANOVA (age x unit type) indicated a age effect: F(6,794) = 97.549, a type effect: F(2,794) = 46.467, and an interaction: F(12,794) = 8.258. The decrease with advancing age was greater for FR and FF units compared with that for the type S units, and at the age of 36 mo, the conduction velocity of the type S units was faster than those of the type FF and FR units, whereas in younger (4- to 27-mo-old) rats values for the type FF and FR motor units were faster than that of the type S motor units. An analysis for only type FF and FR units showed no unit-type effect or interaction. The mean conduction velocity value of type FR units was consistently faster than type FF units in young and adult (4- to 21/22-mo-old) rats, whereas in old (
27 mo) rats the relation was reversed. Mechanical properties of individual motor units
The mechanical properties of a total of 822 motor units (4-mo: 113 units in 6 rats; 7-mo:107 units in 6 rats; 12-mo:131 units in 5 rats; 21/22-mo: 111 units in 6 rats; 27-mo: 189 units in 10 rats; 31-mo: 89 units in 6 rats; and 36-mo: 82 units in 7 rats) were investigated in this study. Motor units could be classified into three categories: type FF, FR and S units using the "sag" property and fatigability. Figure 4 shows the frequency distribution of the fatigue index of each age group. The units distributed bimodally with a clear trough. Fatigable and fatigue-resistant motor units were separated according to this distribution pattern. Thus the fatigue index value distinguishing between the type FR and FF was 0.5 for the 4- to 31-month-old groups, and it was 0.6 for the 36-mo-old group because the distribution was shifted toward the right. The latter might be justified by the findings that motor units with a fatigue index <0.1 were not found in 36-mo-old rats and that the mean fatigue index of units assigned to the type FR did not show a tendency to decline with age. The mean fatigue index for the type FF motor units from 4 to 31 mo of age was similar (0.1080.171) but that in 36-mo-old rats was 0.394, which was greater than those in other age groups.
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17.8%. Because the mean number of motor units (i.e., number of
-motoneurons) in the same age group was 96, the number of type S motor units could be considered 17. The number of type S units was also calculated from the values for the mean tetanic tension, the number of type I muscle fibers, the mean cross-sectional area of type I fibers, and the specific tension. The specific tension was considered the same as the average value for all fibers composing the muscle, that is, the value estimated from the whole muscle tension and the total cross-sectional area. The number of type S units obtained in this way were 16.9 for 4, 17.1 for 7, 16.9 for 12, 17.3 for 21/22, 17.0 for 27, 17.0 for 31, and 17.0 for 36 mo of age. Thus the number of type S units estimated were very consistent in the young groups. The number of type S units appeared to remain very much unaltered up until the age of 36 mo. This suggests the preferential loss of fast-twitch motor units because the total number of motor units decreased. The numbers of type FF and FR units were then estimated by the ratio of observed type FR to FF units. The decrease in the number of the type FR (43 in 4-mo-old rats to 28 in 36-mo-old rats) was greater than that of the type FF units (35 in 4-mo-old rats to 26 in 36-mo-old rats). As for the initial twitch contraction (i.e., twitch contraction before PTP) of type FR and FF units, a two-factor ANOVA (age x unit type) revealed an age effect: F(6,609) = 12.649 and an interaction: F(6,609) = 2.838. A regression analysis indicated an increasing trend of twitch contraction time with age for type FR and S units but not for type FF units (Fig. 5A). The magnitude of PTP was the greatest for the type FR units (3.43.7), then for the type FF units (2.22.4), and smallest for the type S units (1.21.3) in young rats. The PTP was gradually weakened with age after 21/22 mo of age and was very little for all units at the age of 36 mo (1.2 ± 0.1 for type FR units, 1.2 ± 0.1 for type FF units, 0.9 ± 0.1 for type S units; Fig. 5B). A two-factor ANOVA (age x unit type) for type FF and FR units indicated an age effect: F(6,605) = 31.974, a type effect: F(1,605) = 61.643, and an interaction: F(6,605) = 4.727.
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36 mo old. The type FR and FF units tended to decrease in tension from 22 to 27 mo of age but thereafter remained unaltered. These findings were quite different from the trend of the whole muscle tension output, which was greatly decreased. The distribution of tetanic tensions in each age group demonstrated an increase in the number of small units and also units producing very large tension appeared among the units in aged, especially 36-mo-old rats. The twitch/tetanus ratio is shown in Fig. 5C. A two-factor ANOVA (age x unit type) indicate an effect of age: F(6,794) = 3.479, an effect of unit type: F(2,794) = 719.634, and an interaction: F(12,794) = 3.483. The twitch/tetanus ratio of type S units increased greatly from 31 to 36 mo of age, whereas those of type FF and FR units decreased. | DISCUSSION |
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The change in the tension produced by individual motor units was minimal compared with the great decline in the whole muscle tension of the aged rat. The CSA of type II muscle fibers seemed to start declining at early senescent age. The specific tension also decreased with age. These two changes may cause the decline in the tension output by the whole muscle as well as individual motor units. The maintenance of the motor-unit tension clearly indicates that some units acquired extra-muscle fibers that were probably once denervated due to death of innervating motoneuron. In some of these units, this process reduces or even exceeds a decrease in tension due to muscle fiber atrophy and a decrease in the specific tension. Recapturing of denervated muscle fibers and remodeling of motor units in the aged have been reported repeatedly in human subjects (Campbell et al. 1973
; Stålberg and Thiele 1975
) and in experimental animals (Einsiedel and Luff 1992
; Kadhiresan et al. 1996
; Kanda and Hashizume 1989
; Larsson 1995
). Using the glycogen depletion technique and the computer-assisted method, Ansved et al. (1991)
found some characteristics in spatial reorganization of motor-unit fibers due to a denervation-reinnervation process. However, the extent of denervation-reinnervation process in the whole muscle has not been well documented. The present findings that the total number of muscle fibers did not change and that motor-unit tension in very old rats did not differ from that in young rats suggest that a large proportion of fibers are recaptured and survived. Enlargement of motor units was also supported by the estimated innervation ratios that were calculated from the values of mean tetanic tension produced by motor units, mean cross-sectional area of muscle fibers of corresponding types and the specific tension. Appearance of a decline in tension from 21/22 to 27 mo of age for type FF and FR units might indicate that the capture of extra-muscle fibers and the subsequent recovery of the contractile function of reinnervated muscle fibers take time to overwhelm the effects of atrophy and a decrease in specific tension. This remodeling of the motor units may be related to findings of Masakado et al. (1994)
, who reported that the variance in the relationship between the motor-unit tension and recruitment threshold was greater in the elderly subject compared with younger ones (but see also Spiegel et al. 1996
). Erim et al. (1999)
also observed a disturbance of the onionskin phenomenon in the relationship between firing rate and recruitment threshold in a human muscle.
The twitch contraction time of the type FR and S units tended to become longer with age although we did not find such a difference in previous experiments (Kanda and Hashizume 1989
; Kanda et al. 1986
; Pettigrew and Noble 1991
; but see also Larsson and Ansved 1988
; Larsson et al. 1991
; Thompson and Brown 1999
). Among many factors, the process of excitation-contraction coupling (E-C coupling) is considered to influence the time-to-peak twitch contraction (see for review Burke 1981
). The aging effect on sarcoplasmic reticulum and the E-C coupling process has been reported previously (De Coster et al. 1981
; De Luca and Camerino 1992
; Gonzalez et al. 2000
; Larsson and Salviati 1989
; Margreth et al. 1999
; Narayanan et al. 1996
; Plant and Lynch 2003
). Interestingly, Narayanan et al. (1996)
reported that the rate of ATP-supported Ca2+ uptake by the sarcoplasmic reticulum was lower in the aged rat compared with the adult for the soleus muscle, but not for the gastrocnemius muscle. They also found that the time-to-peak tension was prolonged for the soleus in the aged but not for the gastrocnemius. Thus the present study might indicate that there is a similar difference in the aging effect between fast and slow fibers within the MG muscle. The difference might also reflect the differential effect of aging on twitch time and PTP between the type FR and FF motor units found in the present experiment.
An increased fatigue index for the type FF units in 36-mo-old rats was quite impressive. This trend was also noticed in 31-mo-old rats (Fig. 4F). Kadhiresan et al. (1996)
reported a similar finding that the fast-intermediate (FI) motor units (i.e., motor units with fatigue indices between 0.5 and 0.75 in their definition) were sampled only in muscles of old rats. Possible explanations for this change are as follows. First, type FF units captured many muscle fibers that once belonged to type FR units (i.e., type IIa and IIx fibers). These re-captured fibers keep their fatigue-resistant properties and raise the fatigue index of type FF units. Second, muscle fibers transform from the type IIb to type IIx in old muscle (Larsson et al. 1991
). Motor units consisted of type IIx fibers are more fatigue resistant than motor units of type IIb fibers in the young rats (De Ruiter et al. 1996
; Larsson et al. 1991
; Kanda, unpublished observation). Thus the type FF motor units in 36-mo-old rats become more fatigue resistant. Finally, the type IIb fibers become more fatigue resistant because of an increased duty cycle of the type FF units. Zajac and Faden (1985)
suggested that the recruitment order of motor units in the cat was in the order of the magnitude of tetanic tension and/or motor unit types (i.e., in order of S, FR, and FF). According to this recruitment pattern and the little change in tension demand to the muscle, the high-threshold type FF units in the aged rats might be more frequently recruited and thereby increasing their activity. This may increase the fatigue resistance of the type FF motor units.
Overall, the least degenerative age-related changes were found among the type S units, and the strongest changes were found among the type FR units. The difference between the type S units and type F (including both type FF and FR units) is especially interesting because reactive oxygen radicals are considered to be a major cause of cell damage with age (Sohal and Weindruch 1996
). Type S units are the most active among the three types of motor units (Hennig and Lømo 1985
). The type S motoneurons and type I muscle fibers, therefore might produce more reactive oxygen species compared with the other types. Nevertheless, it seems that the type S motor units survive well. This indicates that the type S motoneurons and type I muscle fibers might have a stronger antioxidant function compared with type FF and FR units.
In the present experiments, we used dietary-restricted (DR) rats (see METHODS) because the incidence of various diseases in those rats were lower and they lived longer compared with ad-libitum-fed (AF) rats. It was therefore relatively easy to produce aged rats. In the present experiment, the motor units in DR rats were not compared with those in AF rats in detail. However, we noted some differences between the present experiments and the previous experiments in which AF rats were used. There was an increase in the number of type I muscle fibers and the maximum tetanic tension produced by the type S motor units was less extensive in the aged, DR rats compared with that of the AF rats. This difference was consistent with the findings in our previous experiments in which rats were randomly assigned to DR or AF groups and raised under different feeding condition (Kanda 2002
). The difference in the degree of motoneuronal loss (Kanda 2002
), the amount of muscle activity (Goodrick et al. 1983
; Yu et al. 1985
), and the plasma level of neurotrophic factors such as IGF-I (Breese et al. 1991
; Tomita et al. 2001
) and corticosteroid hormone (Everitt et al. 1985
; Sabatino et al. 1991
) between DR and AF rats may lead to the distinctive changes observed in these two group of rats (see Hall 1990
; Ishii et al.1994
; Scheff and DeKosky 1983
; Streppel et al. 2002
; Tam et al. 2001
). However, further study is needed to explain the difference in aging between the AF and DR rats.
The MG muscle mass became much bigger from 4 to 7 mo of age, maintained its level from 12 to 22 mo, and thereafter declined. In parallel with this change, the muscle strength, the maximum tetanic tension produced by electrical stimulation of the muscle nerve, became altered. The number of innervating motoneurons remained constant up until 21/22 mo of age and thereafter decreased rapidly. Thus the senescence changes both in the muscle and innervating motoneurons seem to progress in parallel and may be accelerated with age. Studies on the human neuromuscular system have demonstrated that changes become evident at 5060 yr of age (Campbell et al. 1973
; Massa et al. 1992
; Stålberg and Fawcett 1982
; Stålberg and Thiele 1975
; Tomlinson and Irving 1977
), and its progress should be considered exponential rather than linear with age after maturation. These findings indicate that age-related changes in the neuromuscular system of both rats and humans are generally similar when looking at the progress with relative age to their life span. Thus age-related changes in rat motor units deserves further study to understand the mechanisms for human sarcopenia and muscle weakness occurring in the aged.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Address for reprint requests and other correspondence: K. Kanda, The Vocational School of Acupuncture and Judo Therapy, 5, Samoncho, Shinjuku-ku, Tokyo 160-0017, Japan (E-mail: kanda{at}ssjs.ac.jp).
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