Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin, 53226, USA.
Muscle Nerve. 2014 Jan;49(1):98-107. doi: 10.1002/mus.23880. Epub 2013 Oct 4.
Stretch therapy is commonly utilized to prevent shortening maladaptation of skeletal muscle. Stretch in combination with isometric contraction prevents shortening, but the signaling mechanisms are not understood.
Using a soleus tenotomy + stretch rat model, the phosphorylation-activation of mechanosensitive kinases (Akt, p70(S6K), p38 MAPK, and ERK1/2) were measured for various stretch magnitudes, set relative to optimal soleus length (Lo).
The kinases were not activated by passive stretch until it exceeded the normal physiological range. Stretch + isometric contraction resulted in relatively strong phosphorylation, even at short lengths.
Whereas passive stretch results in kinase phosphorylation only during extreme lengthening, isometric contraction generated pronounced phosphorylation of kinases at Lo and Lo + 25%, indicating stimulation of pathways that lead to the preservation or increase of muscle length. Understanding the effects of passive and active stretch with respect to Lo and contraction is essential for predicting therapeutic outcomes and influencing optimal muscle length.
伸展疗法常用于预防骨骼肌适应不良的缩短。伸展结合等长收缩可防止缩短,但信号机制尚不清楚。
在比目鱼肌切断术+伸展大鼠模型中,测量了各种伸展幅度下机械敏感激酶(Akt、p70(S6K)、p38 MAPK 和 ERK1/2)的磷酸化激活情况,这些伸展幅度相对于最佳比目鱼肌长度(Lo)进行了设定。
激酶在伸展超过正常生理范围之前不会被被动伸展激活。伸展+等长收缩导致相对较强的磷酸化,即使在较短的长度下也是如此。
虽然被动伸展仅在极度伸展时才会导致激酶磷酸化,但等长收缩会在 Lo 和 Lo+25%处引起激酶的显著磷酸化,表明刺激了导致肌肉长度保持或增加的途径。了解 Lo 和收缩的被动和主动伸展的影响对于预测治疗效果和影响最佳肌肉长度至关重要。