Greising Sarah M, Mantilla Carlos B, Medina-Martínez Juan S, Stowe Jessica M, Sieck Gary C
Department of Physiology and Biomedical Engineering, Mayo Clinic, College of Medicine, Rochester, Minnesota; and.
Department of Physiology and Biomedical Engineering, Mayo Clinic, College of Medicine, Rochester, Minnesota; and Department of Anesthesiology, Mayo Clinic, College of Medicine, Rochester, Minnesota.
Am J Physiol Lung Cell Mol Physiol. 2015 Jul 1;309(1):L46-52. doi: 10.1152/ajplung.00064.2015. Epub 2015 May 1.
To perform a range of ventilatory and nonventilatory behaviors, the diaphragm muscle (DIAm) must be able to generate sufficient forces throughout the lifespan. We hypothesized that sarcopenia impacts DIAm force generation and thus limits performance of expulsive, higher force, nonventilatory behaviors. Male and female mice (n = 79) at 6 and 24 mo of age (100 vs. 70-75% survival, respectively) were used to examine transdiaphragmatic pressure (Pdi) generation across motor behaviors in vivo and in vitro DIAm specific force. We found a significant effect of age on maximum Pdi (20-41% decline during tracheal occlusion and bilateral phrenic nerve stimulation), maximum DIAm specific force (30% decline), and DIAm fatigue resistance (15% increase). There were no differences between sexes in these age effects on DIAm performance. These results support our hypothesis that sarcopenia primarily impacts higher force, nonventilatory motor behaviors of the DIAm. Such functional limitations may have negative implications in the ability of the DIAm to generate forces needed for airway clearance in old age and thereby contribute to age-related respiratory complications.
为了执行一系列通气和非通气行为,膈肌(DIAm)必须在整个生命周期中都能够产生足够的力量。我们假设肌肉减少症会影响DIAm的力量产生,从而限制呼气、更高力量的非通气行为的表现。使用6个月和24个月大的雄性和雌性小鼠(n = 79,分别有100%和70 - 75%的存活率)来检测体内跨运动行为的经膈压力(Pdi)产生以及体外DIAm比力。我们发现年龄对最大Pdi(气管闭塞和双侧膈神经刺激期间下降20 - 41%)、最大DIAm比力(下降30%)和DIAm抗疲劳能力(增加15%)有显著影响。在这些年龄对DIAm表现的影响方面,两性之间没有差异。这些结果支持了我们的假设,即肌肉减少症主要影响DIAm更高力量的非通气运动行为。这种功能限制可能对DIAm在老年时产生气道清理所需力量的能力产生负面影响,从而导致与年龄相关的呼吸并发症。