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筋膜能够主动收缩,从而可能影响肌肉骨骼动力学:一项组织化学和力学描记学研究。

Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation.

作者信息

Schleip Robert, Gabbiani Giulio, Wilke Jan, Naylor Ian, Hinz Boris, Zorn Adjo, Jäger Heike, Breul Rainer, Schreiner Stephanie, Klingler Werner

机构信息

Department of Neuroanesthesiology, Neurosurgical Clinic, Ulm University, Günzburg, Germany.

Department of Sports Medicine and Health Promotion, Friedrich Schiller University Jena, Jena, Germany.

出版信息

Front Physiol. 2019 Apr 2;10:336. doi: 10.3389/fphys.2019.00336. eCollection 2019.

Abstract

Fascial tissues form a ubiquitous network throughout the whole body, which is usually regarded as a passive contributor to biomechanical behavior. We aimed to answer the question, whether fascia may possess the capacity for cellular contraction which, in turn, could play an active role in musculoskeletal mechanics. Human and rat fascial specimens from different body sites were investigated for the presence of myofibroblasts using immunohistochemical staining for α-smooth muscle actin ( 31 donors, 20 animals). In addition, mechanographic force registrations were performed on isolated rat fascial tissues ( = 8 to = 18), which had been exposed to pharmacological stimulants. The density of myofibroblasts was increased in the human lumbar fascia in comparison to fasciae from the two other regions examined in this study: fascia lata and plantar fascia [(2) = 14.0, < 0.01]. Mechanographic force measurements revealed contractions in response to stimulation by fetal bovine serum, the thromboxane A2 analog U46619, TGF-β1, and mepyramine, while challenge by botulinum toxin type C3-used as a Rho kinase inhibitor- provoked relaxation ( 0.05). In contrast, fascial tissues were insensitive to angiotensin II and caffeine ( < 0.05). A positive correlation between myofibroblast density and contractile response was found ( = 0.83, < 0.001). The hypothetical application of the registered forces to human lumbar tissues predicts a potential impact below the threshold for mechanical spinal stability but strong enough to possibly alter motoneuronal coordination in the lumbar region. It is concluded that tension of myofascial tissue is actively regulated by myofibroblasts with the potential to impact active musculoskeletal dynamics.

摘要

筋膜组织在全身形成一个无处不在的网络,通常被视为生物力学行为的被动贡献者。我们旨在回答一个问题,即筋膜是否可能具有细胞收缩能力,而这种能力反过来可能在肌肉骨骼力学中发挥积极作用。使用α-平滑肌肌动蛋白免疫组织化学染色法,对来自不同身体部位的人和大鼠筋膜标本进行检查,以确定肌成纤维细胞的存在(31名供体,20只动物)。此外,对分离的大鼠筋膜组织(n = 8至n = 18)进行机械力记录,这些组织已暴露于药理刺激物。与本研究中检查的其他两个区域的筋膜(阔筋膜和足底筋膜)相比,人腰筋膜中的肌成纤维细胞密度增加[χ²(2) = 14.0,P < 0.01]。机械力测量显示,胎儿牛血清、血栓素A2类似物U46619、转化生长因子-β1和美吡拉敏刺激后会引起收缩,而用作Rho激酶抑制剂的C3型肉毒杆菌毒素刺激则会引起松弛(P < 0.05)。相比之下,筋膜组织对血管紧张素II和咖啡因不敏感(P < 0.05)。发现肌成纤维细胞密度与收缩反应之间存在正相关(r = 0.83,P < 0.001)。将记录的力假设应用于人体腰部组织,预测其潜在影响低于机械脊柱稳定性阈值,但足以可能改变腰部区域的运动神经元协调。得出的结论是,肌筋膜组织的张力由肌成纤维细胞积极调节,有可能影响活跃的肌肉骨骼动力学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1694/6455047/ba4f315ac6ac/fphys-10-00336-g001.jpg

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