Department of Physiology and Biomedical Engineering, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Exp Gerontol. 2013 Sep;48(9):881-7. doi: 10.1016/j.exger.2013.06.001. Epub 2013 Jun 19.
Sarcopenia, defined as muscle weakness and fiber atrophy, of respiratory muscles such as the diaphragm (DIAm) has not been well characterized. The DIAm is the main inspiratory muscle and knowledge of DIAm sarcopenia is important for establishing the effects of aging on respiratory function. We hypothesized that aging is associated with a loss of DIAm force and reduced fiber cross-sectional area (CSA), and that these changes vary across fiber types. DIAm sarcopenia was assessed in young (5 month; n = 11) and old (23 month; n = 12) wild-type mice reflecting 100 and 75% survival, respectively. In addition, DIAm sarcopenia was evaluated in BubR1(H/H) mice (n = 4) that display accelerated aging (60% survival at 5 months) as a result of expression of a hypomorphic allele (H) of the mitotic checkpoint protein BubR1. Maximum specific force (normalized for CSA) of the DIAm was 34% less in old mice and 57% lower in BubR1(H/H) mice compared to young mice. Mean CSA of type IIx and/or IIb DIAm fibers was 27% smaller in old wild-type mice and 47% smaller in BubR1(H/H) mice compared to young mice. Mean CSA of type I or IIa fibers was not different between groups. Collectively these results demonstrate sarcopenia of the DIAm in aging wild-type mice and in BubR1(H/H) mice displaying accelerated aging. Sarcopenia may limit the ability of the DIAm to accomplish expulsive, non-ventilatory behaviors essential for airway clearance. As a result, these changes in the DIAm may contribute to respiratory complications with aging.
肌肉减少症定义为呼吸肌(如膈肌)的肌肉无力和纤维萎缩,但膈肌的肌肉减少症尚未得到很好的描述。膈肌是主要的吸气肌,了解膈肌的肌肉减少症对于确定衰老对呼吸功能的影响很重要。我们假设衰老与膈肌力量的丧失和纤维横截面积(CSA)的减少有关,并且这些变化因纤维类型而异。在年轻(5 个月;n = 11)和老年(23 个月;n = 12)野生型小鼠中评估了膈肌的肌肉减少症,这分别反映了约 100%和 75%的存活率。此外,还评估了 BubR1(H/H) 小鼠(n = 4)的膈肌肌肉减少症,这些小鼠由于表达有丝分裂检查点蛋白 BubR1 的低功能等位基因(H)而表现出加速衰老(5 个月时存活率约为 60%)。与年轻小鼠相比,老年小鼠的膈肌最大比肌力(CSA 标准化)降低了 34%,BubR1(H/H) 小鼠降低了 57%。老年野生型小鼠的 IIx 和/或 IIb 型膈肌纤维的平均 CSA 减小了 27%,BubR1(H/H) 小鼠减小了 47%。I 型或 IIa 型纤维的平均 CSA 在各组之间没有差异。综上所述,这些结果表明,在衰老的野生型小鼠和表现出加速衰老的 BubR1(H/H) 小鼠中,膈肌出现了肌肉减少症。膈肌的肌肉减少症可能限制了膈肌完成气道清除所必需的有驱逐力的非通气行为的能力。因此,膈肌的这些变化可能导致衰老时的呼吸并发症。