Yamazaki Toshiaki
Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kanazawa University, Kanazawa 920-0942, Japan.
J Jpn Phys Ther Assoc. 2005;8(1):9-20. doi: 10.1298/jjpta.8.9.
The present study was undertaken to evaluate the effects of intermittent weight-bearing (IWB) combined with β 2-agonist clenbuterol (Cb) medication for suppressing muscle atrophy during progressive disuse atrophy. Male Wistar rats (age: 8weeks, body weight: 232 ± 14 g) were divided into a control group (CON) and an experimental group. The experimental group was further subdivided into a Cb medication group under normal conditions and a hindlimb unweighting (HU) treatment group. The HU treatment group was composed of four groups: HU treatment-only, HU treatment + IWB, HU treatment + Cb medication and HU treatment + IWB + Cb medication. IWB was performed by temporarily removing the suspension device for one hour daily. On Day 14, bilateral soleus muscle (SOL) and extensor digitorum longus muscle (EDL) were extracted. Muscles from the right side were used for the measurement of contractile properties (physiological functional evaluations). Muscles from the left side were used for histochemical and biochemical analysis. During HU, IWB combined with Cb medication worked to preserve the wet weight and relative weight of SOL as compared to CON. Its contractile properties were affected by weight-bearing, while the cross-sectional area of type I fiber and protein concentration were affected by Cb. This combined therapy had marked effects on the morphology of EDL, particularly on the cross-sectional area of type II fiber. The protein concentration and contractile properties of EDL were unaffected by this combined therapy. The effect of a combination of IWB and Cb medication was specific to fiber-type and region. The data suggested that 1) IWB was effective on functional aspects such as contractile properties and useful for physical therapy, 2) Cb medication exerted the atrophy-suppressive effect in morphological parameters and manifested less effect on functional aspects. The results in this study indicated the possibility of elevating the efficacy of IWB by Cb medication in SOL.
本研究旨在评估间歇性负重(IWB)联合β2激动剂克伦特罗(Cb)药物治疗对渐进性废用性萎缩期间肌肉萎缩的抑制作用。雄性Wistar大鼠(年龄:8周,体重:232±14 g)分为对照组(CON)和实验组。实验组进一步细分为正常条件下的Cb药物治疗组和后肢去负荷(HU)治疗组。HU治疗组由四组组成:仅HU治疗、HU治疗+IWB、HU治疗+Cb药物治疗和HU治疗+IWB+Cb药物治疗。IWB通过每天暂时移除悬吊装置1小时来进行。在第14天,提取双侧比目鱼肌(SOL)和趾长伸肌(EDL)。右侧肌肉用于收缩特性测量(生理功能评估)。左侧肌肉用于组织化学和生化分析。在HU期间,与CON相比,IWB联合Cb药物治疗可维持SOL的湿重和相对重量。其收缩特性受负重影响,而I型纤维的横截面积和蛋白质浓度受Cb影响。这种联合治疗对EDL的形态有显著影响,特别是对II型纤维的横截面积。EDL的蛋白质浓度和收缩特性不受这种联合治疗的影响。IWB和Cb药物联合治疗的效果因纤维类型和部位而异。数据表明:1)IWB对收缩特性等功能方面有效,对物理治疗有用;2)Cb药物在形态学参数方面发挥萎缩抑制作用,对功能方面的影响较小。本研究结果表明,Cb药物可提高IWB对SOL的疗效。