Rapid fast to slow fiber transformation in response to chronic stimulation of immobilized muscles of the rabbit.

Limb immobilization causes muscle atrophy particularly of slow oxidative fibers which also suffer the greatest decrement in neural activation. In this study a fast muscle, tibialis anterior, was chronically stimulated using an activity pattern characteristic of nerve fibers to slow muscles to see whether or not this could prevent immobilization induced slow fiber atrophy. Four groups of rabbits were used: unoperated controls, stimulated (10 Hz, 8 h/day), immobilized (neutral position), and a stimulated plus immobilized group. The experimental period was 28 to 30 days or 44 to 50 days. Immobilization caused significant decrease in slow oxidative fiber area which was completely prevented by stimulation. In animals tested for the longer period there was 56% hypertrophy. In addition, the combination of stimulation and immobilization caused a two-fold increase in the number of slow oxidative fibers and greatly increased the proportion of intermediate fibers. Stimulation without immobilization had no effect. Slow fibers in stimulated immobilized muscles had a bimodal area distribution; the number of large fibers (mean area 7059 micron2) was the same as the number of slow oxidative fibers in contralateral muscles, suggesting that they were the preexisting slow fibers, and a small fiber population (mean area 3143 micron2) represented newly converted fast fibers. We conclude that slow muscle units benefit from restoration of activity by chronic stimulation. In addition, the combination of stimulation and immobilization accelerates fast to slow fiber conversion. We suggest that isometric conditions as well as enhanced glucocorticoid effects could account for these findings.