Brickson Stacey L, McCabe Ronald P, Pala Adam W, Vanderby Ray
Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
BMC Sports Sci Med Rehabil. 2014 Apr 5;6(1):14. doi: 10.1186/2052-1847-6-14.
We developed a single stretch injury model to create damage near the musculotendinous junction (MTJ) of the gastrocnemius muscle in mice. Our hypothesis was that magnitude of muscle injury could be controlled by stepped shortening of the Achilles tendon (AT) prior to a lengthening contraction. Increased shortening would result in a greater isometric torque deficit and morphological damage 24 hours post-injury.
Sixteen mice were randomly assigned to sham or injury predicated on stepped increases in AT shortening. The AT was exposed and placed in a customized stainless steel roller-clamp system to achieve a specific level of shortening; 0 mm (resting length), 0.7 mm or 1.4 mm. Plantar flexors were stimulated to tetany with a needle electrode and then actively lengthened at 450°/sec from neutral to 75° of dorsiflexion. Passive and isometric torques were measured pre- and immediately post-injury. Isometric torque was measured again 24 h post-injury. Peak isokinetic torque was recorded during eccentric injury.
Injury resulted in decreased passive and immediate absolute isometric torque only when induced with AT shortening. The percentage of pre-injury isometric torque was significantly lower in the AT shortened groups immediately and 24 h post-injury, but was unaffected by the level of shortening. Relative isometric torque deficits were noted in the 0 mm group only 24 h post-injury. Peak isokinetic torque during injury was similar in all groups. Histological evaluation 24 h post-injury revealed increased morphological damage near the MTJ in the AT shortened groups.
Single stretch with AT shortening created morphological damage near the MTJ and isometric torque deficits immediately and 24 h post-injury, but the magnitude of damage could not be titrated with stepped increases in AT shortening. This model provides an opportunity to utilize transgenic mice in order to elucidate inflammatory mediators that promote regeneration and inhibit fibrosis in order to optimize therapeutic interventions for complete functional recovery.
我们开发了一种单一拉伸损伤模型,以在小鼠腓肠肌的肌腱结合部(MTJ)附近造成损伤。我们的假设是,在进行拉长收缩之前,通过逐步缩短跟腱(AT)可以控制肌肉损伤的程度。缩短程度增加会导致损伤后24小时等长扭矩 deficit 更大以及形态学损伤。
16只小鼠根据AT缩短的逐步增加被随机分配至假手术组或损伤组。暴露AT并将其置于定制的不锈钢滚夹系统中以达到特定的缩短水平;0毫米(静息长度)、0.7毫米或1.4毫米。用针电极刺激足底屈肌至强直,然后以450°/秒的速度从中立位主动拉长至背屈75°。在损伤前和损伤后立即测量被动和等长扭矩。损伤后24小时再次测量等长扭矩。在离心损伤期间记录峰值等速扭矩。
仅在通过AT缩短诱导损伤时,损伤才导致被动和即刻绝对等长扭矩降低。AT缩短组在损伤后即刻和24小时,损伤前等长扭矩的百分比显著降低,但不受缩短水平的影响。仅在损伤后24小时在0毫米组中观察到相对等长扭矩 deficit。损伤期间所有组的峰值等速扭矩相似。损伤后24小时的组织学评估显示,AT缩短组的MTJ附近形态学损伤增加。
AT缩短的单次拉伸在损伤后即刻和24小时在MTJ附近造成形态学损伤和等长扭矩 deficit,但损伤程度不能通过AT缩短的逐步增加来滴定。该模型为利用转基因小鼠提供了机会,以阐明促进再生和抑制纤维化的炎症介质,从而优化治疗干预措施以实现完全功能恢复。