Vang Pangdra, Vasdev Amrit, Zhan Wen-Zhi, Gransee Heather M, Sieck Gary C, Mantilla Carlos B
Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, Minnesota.
Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
Physiol Rep. 2020 Jan;8(1):e14305. doi: 10.14814/phy2.14305.
Sarcopenia is the age-related decline of skeletal muscle mass and function. Diaphragm muscle (DIAm) sarcopenia may contribute to respiratory complications, a common cause of morbidity and mortality in the elderly. From 6 to 24 months (mo) of age, representing 100% and ~80% survival in C57BL/6 × 129 male and female mice, there is a significant reduction in DIAm force generation (30%) and cross-sectional area (CSA) of type IIx and/or IIb muscle fibers (~30%), impacting the ability to perform high force, non-ventilatory behaviors. To date, there is little information available regarding DIAm sarcopenia in very old age groups. The present study examined DIAm sarcopenia in C57BL/6 × 129 male and female mice at 24, 27, and 30 mo, representing ~80%, ~60%, and ~30% survival, respectively. We hypothesized that survival into older ages will show no further worsening of DIAm sarcopenia and functional impairment in 30 mo mice compared to 24 or 27 mo C57BL/6 × 129 mice. Measurements included resting ventilation, transdiaphragmatic pressure (Pdi) generation across a range of motor behaviors, muscle fiber CSA, and proportion of type-identified DIAm fibers. Maximum Pdi and resting ventilation did not change into very old age (from 24 to 30 mo). Type IIx and/or IIb fiber CSA and proportions did not change into very old age. The results of the study support a critical threshold for the reduction in DIAm force and Pdi such that survival into very old age is not associated with evidence of progression of DIAm sarcopenia or impairment in ventilation.
肌肉减少症是与年龄相关的骨骼肌质量和功能下降。膈肌(DIAm)减少症可能导致呼吸并发症,这是老年人发病和死亡的常见原因。在6至24个月龄时,C57BL/6×129雄性和雌性小鼠的存活率分别约为100%和80%,此时DIAm产生的力量(约30%)以及IIx和/或IIb型肌纤维的横截面积(CSA,约30%)显著降低,影响了执行高力量、非通气行为的能力。迄今为止,关于高龄组DIAm减少症的信息很少。本研究检测了24、27和30月龄C57BL/6×129雄性和雌性小鼠的DIAm减少症,这些月龄小鼠的存活率分别约为80%、60%和30%。我们假设,与24或27月龄的C57BL/6×129小鼠相比,活到更高龄的30月龄小鼠不会出现DIAm减少症和功能损害的进一步恶化。测量指标包括静息通气、一系列运动行为中的跨膈压(Pdi)产生、肌纤维CSA以及DIAm纤维类型识别比例。最大Pdi和静息通气在高龄阶段(从24到30月龄)没有变化。IIx和/或IIb型纤维CSA及其比例在高龄阶段没有变化。该研究结果支持DIAm力量和Pdi降低的临界阈值,即活到高龄与DIAm减少症进展或通气功能损害的证据无关。