Blain Gregory M, Mangum Tyler S, Sidhu Simranjit K, Weavil Joshua C, Hureau Thomas J, Jessop Jacob E, Bledsoe Amber D, Richardson Russell S, Amann Markus
LAMHESS, EA 6312, University Nice Sophia Antipolis, University of Toulon, Nice, France.
Department of Exercise and Sport Science, University of Utah, Salt Lake City, UT, USA.
J Physiol. 2016 Sep 15;594(18):5303-15. doi: 10.1113/JP272283. Epub 2016 Jul 8.
The purpose of this study was to determine the role of group III/IV muscle afferents in limiting the endurance exercise-induced metabolic perturbation assayed in muscle biopsy samples taken from locomotor muscle. Lumbar intrathecal fentanyl was used to attenuate the central projection of μ-opioid receptor-sensitive locomotor muscle afferents during a 5 km cycling time trial. The findings suggest that the central projection of group III/IV muscle afferent feedback constrains voluntary neural 'drive' to working locomotor muscle and limits the exercise-induced intramuscular metabolic perturbation. Therefore, the CNS might regulate the degree of metabolic perturbation within locomotor muscle and thereby limit peripheral fatigue. It appears that the group III/IV muscle afferents are an important neural link in this regulatory mechanism, which probably serves to protect locomotor muscle from the potentially severe functional impairment as a consequence of severe intramuscular metabolic disturbance.
To investigate the role of metabo- and mechanosensitive group III/IV muscle afferents in limiting the intramuscular metabolic perturbation during whole body endurance exercise, eight subjects performed 5 km cycling time trials under control conditions (CTRL) and with lumbar intrathecal fentanyl impairing lower limb muscle afferent feedback (FENT). Vastus lateralis muscle biopsies were obtained before and immediately after exercise. Motoneuronal output was estimated through vastus lateralis surface electromyography (EMG). Exercise-induced changes in intramuscular metabolites were determined using liquid and gas chromatography-mass spectrometry. Quadriceps fatigue was quantified by pre- to post-exercise changes in potentiated quadriceps twitch torque (ΔQTsingle ) evoked by electrical femoral nerve stimulation. Although motoneuronal output was 21 ± 12% higher during FENT compared to CTRL (P < 0.05), time to complete the time trial was similar (∼8.8 min). Compared to CTRL, power output during FENT was 10 ± 4% higher in the first half of the time trial, but 11 ± 5% lower in the second half (both P < 0.01). The exercise-induced increase in intramuscular inorganic phosphate, H(+) , adenosine diphosphate, lactate and phosphocreatine depletion was 55 ± 30, 62 ± 18, 129 ± 63, 47 ± 14 (P < 0.001) and 27 ± 14% (P < 0.01) greater in FENT than CTRL. ΔQTsingle was greater following FENT than CTRL (-52 ± 2 vs -31 ± 1%, P < 0.001) and this difference was positively correlated with the difference in inorganic phosphate (r(2) = 0.79; P < 0.01) and H(+) (r(2) = 0.92; P < 0.01). In conclusion, during whole body exercise, group III/IV muscle afferents provide feedback to the CNS which, in turn, constrains motoneuronal output to the active skeletal muscle. This regulatory mechanism limits the exercise-induced intramuscular metabolic perturbation, preventing an abnormal homeostatic challenge and excessive peripheral fatigue.
本研究的目的是确定Ⅲ/Ⅳ类肌传入神经在限制耐力运动诱导的代谢紊乱中的作用,该代谢紊乱通过取自运动肌肉的肌肉活检样本进行分析。在5公里自行车计时赛期间,使用腰椎鞘内注射芬太尼减弱μ-阿片受体敏感的运动肌肉传入神经的中枢投射。研究结果表明,Ⅲ/Ⅳ类肌传入神经反馈的中枢投射会限制对运动的运动肌肉的自主神经“驱动”,并限制运动诱导的肌肉内代谢紊乱。因此,中枢神经系统可能会调节运动肌肉内的代谢紊乱程度,从而限制外周疲劳。看来,Ⅲ/Ⅳ类肌传入神经是这种调节机制中的一个重要神经环节,这可能有助于保护运动肌肉免受严重肌肉内代谢紊乱导致的潜在严重功能损害。
为了研究代谢和机械敏感的Ⅲ/Ⅳ类肌传入神经在限制全身耐力运动期间肌肉内代谢紊乱中的作用,8名受试者在对照条件(CTRL)下以及在腰椎鞘内注射芬太尼损害下肢肌肉传入神经反馈(FENT)的情况下进行了5公里自行车计时赛。在运动前和运动后立即获取股外侧肌活检样本。通过股外侧肌表面肌电图(EMG)估计运动神经元输出。使用液相和气相色谱-质谱法测定运动诱导的肌肉内代谢物变化。通过股神经电刺激诱发的股四头肌增强抽搐扭矩(ΔQTsingle)运动前到运动后的变化来量化股四头肌疲劳。尽管与CTRL相比,FENT期间运动神经元输出高21±12%(P<0.05),但完成计时赛的时间相似(约8.8分钟)。与CTRL相比,FENT期间的功率输出在计时赛的前半段高10±4%,但在后半段低11±5%(均P<0.01)。运动诱导的肌肉内无机磷酸盐、H(+)、二磷酸腺苷、乳酸和磷酸肌酸消耗的增加在FENT组比CTRL组分别高55±30%、62±18%、129±63%、47±14%(P<0.001)和27±14%(P<0.01)。FENT组后的ΔQTsingle比CTRL组更大(-52±2%对-31±1%,P<0.001),并且这种差异与无机磷酸盐(r(2)=0.79;P<0.01)和H(+)(r(2)=0.92;P<0.01)的差异呈正相关。总之,在全身运动期间,Ⅲ/Ⅳ类肌传入神经向中枢神经系统提供反馈,进而限制运动神经元对活跃骨骼肌的输出。这种调节机制限制了运动诱导的肌肉内代谢紊乱,防止异常的稳态挑战和过度的外周疲劳。