Matsumoto Yoko, Nakano Jiro, Oga Satoshi, Kataoka Hideki, Honda Yuichiro, Sakamoto Junya, Okita Minoru
Department of Rehabilitation, Saiseikai Nagasaki Hospital, Nagasaki, Japan.
Unit of Physical and Occupational Therapy, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Ultrasound Med Biol. 2014 Jul;40(7):1578-86. doi: 10.1016/j.ultrasmedbio.2013.12.031. Epub 2014 Mar 6.
This study examined the effects of therapeutic pulsed ultrasound (US) on the development of disuse muscle atrophy in rat gastrocnemius muscle. Male Wistar rats were randomly distributed into control, immobilization (Im), sham US, and US groups. In the Im, sham US and US groups, the bilateral ankle joints of each rat were immobilized in full plantar flexion with a plaster cast for a 4-wk period. The pulsed US (frequency, 1 MHz; intensity, 1.0 W/cm(2); pulsed mode 1:4; 15 min) was irradiated to the gastrocnemius muscle in the US group over a 4-wk immobilization period. The pulsed US irradiation delivered only non-thermal effects to the muscle. In conjunction with US irradiation, 5-bromo-2'-deoxyuridine (BrdU) was injected subcutaneously to label the nuclei of proliferating satellite cells 1 h before each pulsed US irradiation. Immobilization resulted in significant decreases in the mean diameters of type I, IIA and IIB muscle fibers of the gastrocnemius muscle in the Im, sham US and US groups compared with the control group. However, the degrees of muscle fiber atrophy for all types were significantly lower in the US group compared with the Im and sham US groups. Although the number of capillaries and the concentrations of insulin-like growth factor and basic fibroblast growth factor did not change in the muscle, the number of BrdU-positive nuclei in the muscle was significantly increased by pulsed US irradiation in the US group. The results of this study suggest that pulsed US irradiation inhibits the development of disuse muscle atrophy partly via activation of satellite cells.
本研究考察了治疗性脉冲超声(US)对大鼠腓肠肌废用性肌肉萎缩发展的影响。雄性Wistar大鼠被随机分为对照组、固定组(Im)、假超声组和超声组。在Im组、假超声组和超声组中,每只大鼠的双侧踝关节用石膏固定于全足底屈曲位4周。在4周的固定期内,对超声组的腓肠肌进行脉冲超声照射(频率1MHz;强度1.0W/cm²;脉冲模式1:4;15分钟)。脉冲超声照射仅对肌肉产生非热效应。在超声照射的同时,在每次脉冲超声照射前1小时皮下注射5-溴-2'-脱氧尿苷(BrdU)以标记增殖卫星细胞的细胞核。与对照组相比,固定导致Im组、假超声组和超声组腓肠肌I型、IIA型和IIB型肌纤维的平均直径显著减小。然而,与Im组和假超声组相比,超声组所有类型的肌纤维萎缩程度均显著降低。尽管肌肉中的毛细血管数量、胰岛素样生长因子和碱性成纤维细胞生长因子浓度没有变化,但超声组中脉冲超声照射使肌肉中BrdU阳性细胞核的数量显著增加。本研究结果表明,脉冲超声照射部分通过激活卫星细胞来抑制废用性肌肉萎缩的发展。