Alperin Marianna, Tuttle Lori J, Conner Blair R, Dixon Danielle M, Mathewson Margie A, Ward Samuel R, Lieber Richard L
Department of Reproductive Medicine, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California San Diego, San Diego, CA, USA.
Int Urogynecol J. 2014 Nov;25(11):1507-15. doi: 10.1007/s00192-014-2423-9. Epub 2014 Jun 11.
Pelvic floor muscles (PFM) are deleteriously affected by vaginal birth, which contributes to the development of pelvic floor disorders. To mechanistically link these events, experiments using animal models are required, as access to human PFM tissue is challenging. In choosing an animal model, a comparative study of PFM design is necessary, since gross anatomy alone is insufficient to guide the selection.
Human PFM architecture was measured using micromechanical dissection and then compared with mouse (n = 10), rat (n = 10), and rabbit (n = 10) using the Architectural Difference Index (ADI) (parameterizing a combined measure of sarcomere length-to-optimal-sarcomere ratio, fiber-to-muscle-length ratio, and fraction of total PFM mass and physiological cross-sectional area (PCSA) contributed by each muscle). Coccygeus (C), iliocaudalis (IC), and pubocaudalis (PC) were harvested and subjected to architectural measurements. Parameters within species were compared using repeated measures analysis of variance (ANOVA) with post hoc Tukey's tests. The scaling relationships of PFM across species were quantified using least-squares regression of log-10-transformed variables.
Based on the ADI, rat was found to be the most similar to humans (ADI = 2.5), followed by mouse (ADI = 3.3). When animals' body mass was regressed against muscle mass, muscle length, fiber length, and PCSA scaling coefficients showed a negative allometric relationship or smaller increase than predicted by geometric scaling.
In terms of muscle design among commonly used laboratory animals, rat best approximates the human PFM, followed by mouse. Negative allometric scaling of PFM architectural parameters is likely due to the multifaceted function of these muscles.
盆底肌肉(PFM)会因阴道分娩而受到有害影响,这会促使盆底功能障碍的发展。由于获取人类PFM组织具有挑战性,因此需要使用动物模型进行实验,以便从机制上联系这些事件。在选择动物模型时,有必要对PFM设计进行比较研究,因为仅靠大体解剖不足以指导选择。
使用微机械解剖测量人类PFM结构,然后使用结构差异指数(ADI)(参数化肌节长度与最佳肌节比率、纤维与肌肉长度比率以及每条肌肉贡献的总PFM质量和生理横截面积(PCSA)的组合测量值)与小鼠(n = 10)、大鼠(n = 10)和兔子(n = 10)进行比较。采集尾骨肌(C)、髂尾肌(IC)和耻骨尾骨肌(PC)并进行结构测量。使用重复测量方差分析(ANOVA)和事后Tukey检验比较物种内的参数。使用对数10转换变量的最小二乘回归对跨物种PFM的缩放关系进行量化。
基于ADI,发现大鼠与人类最相似(ADI = 2.5),其次是小鼠(ADI = 3.3)。当将动物体重与肌肉质量、肌肉长度、纤维长度和PCSA缩放系数进行回归分析时,发现肌肉长度、纤维长度和PCSA缩放系数呈现负异速生长关系,即增长幅度小于几何缩放预测值。
在常用实验动物的肌肉设计方面,大鼠最接近人类PFM,其次是小鼠。PFM结构参数的负异速生长缩放可能是由于这些肌肉的多方面功能所致。