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Control of acetylcholine receptors in skeletal muscle.

An ACh receptor is the molecular entity that, in its native habitat, possesses the binding sites for ACh and all the other components required to generate the ion channels mediating the ACh response. Narrower definitions of an ACh receptor (as the binding site for ACh or the polypeptide chain that is folded to form the binding site) could lead to semantic arguments about receptor structure. Experimentally, ACh receptors are defined by their total function (when electrophysiological tests are used) or by ligand binding. There is no evidence that the ligand-binding portions of ACh receptors ever exist in vivo without the associated channel-forming mechanism and vice versa. Most data are consistent with the idea that detergent-solubilized glycoproteins retaining the ACh binding sites of the receptor also include the channel-forming components, although it appears that the mechanism is prone to denaturation or proteolytic damage. Studies of receptor-rich membranes and of solubilized receptor glycoprotein have not yet yielded a totally satisfactory image of receptor structure. Most evidence favors an ACh receptor composed of three or four different types of glycosylated polypeptide chains organized into a unit of aggregate molecular weight about 300,000--400,000 daltons. Plasma membranes are dynamic structures in two different ways. First, their constituent molecules are in rapid thermal motion and, when these molecules are not tethered to extramembranous structures or mired in large aggregates, they fairly rapidly change their position in the plane of the lipid bilayer. Second, all membrane components are continually being synthesized and degraded. Acetylcholine receptors participate in both aspects of this dynamism. In this review it is proposed that the number and the distribution of ACh receptors in skeletal muscle are controlled by modulation of receptor metabolism and modulation of associations between receptor molecules or between receptors and other, as yet unidentified, elements in neuromuscular junctions and at extrajunctional sites where receptors are clustered. The arrangements of receptors in skeletal muscle and the total number of receptors in skeletal muscle may be regulated by separate mechanisms. Clusters of ACh receptors apparently can form spontaneously in extrajunctional areas of denervated muscles and in tissue-cultured embryonic muscle. Such clusters may be positionally stable and the receptor molecules in them may be highly restricted in mobility. Nevertheless, these receptors have average lifetimes on the order of 20 h, just like the nonclustered, mobile extrajunctional receptors. Receptor clusters also form at sites of innervation. In the chick embryo the junctional receptor molecules remain short-lived. The metabolism of ACh receptors is highly regulated. The biosynthesis of receptors commences during myogenesis at about the time myogenic cells become competent to fuse. Later, biosynthesis is dramatically repressed by muscle activity and possibly by other factors...

Acetylcholine↗

Signaling pathways in activity-dependent fiber type plasticity in adult skeletal muscle.

Adult fast- and slow-twitch skeletal muscle fibers exhibit characteristic differences in functional properties due to differences in the isoforms and quantities of expression of most muscle proteins. However, these differences may be reversed by chronic electrical stimulation of denervated muscle with the pattern typical of the other fiber type. Here, we review three possible signaling pathways that may contribute to fast to slow fiber type transformation. The first pathway involves cytosolic activation of the Ca(2+) sensitive posphatase calcineurin (CaN) due to elevated cytosolic [Ca(2+)], resulting in dephosphorylation of cytoplasmic NFATc, translocation of dephosphorylated NFATc from cytoplasm into the nucleus and activation of slow fiber gene expression by NFATc in the nucleus. The second pathway involves elevated intranuclear [Ca(2+)] causing the activation of nuclear calmodulin dependent protein kinase, which phosphorylates HDAC within the nucleus and thereby permits nuclear efflux of HDAC, thus decreasing the HDAC suppression of MEF2 activation of slow fiber gene expression. The third possible pathway involves nuclear entry of CaN, dephosphorylation of intranuclear MEF2 and consequent increased activation of slow fiber type gene expression by dephosphorylated MEF2. Evidence for the first two pathways from our studies on adult fast twitch skeletal muscle fibers is briefly reviewed.

Adult↗

Motoneurons reinnervate skeletal muscle after ventral root implantation into the spinal cord of the cat.

By use of intracellular recording and staining with horseradish peroxidase it was found that alpha and probably also gamma motoneurons were able to reinnervate ventral root implants after an avulsion of ventral roots at the spinal cord surface in the cat. The reinnervation of the implant was achieved after an initial growth of new axons in central nervous system tissue. Reinnervating neurons could be excited or inhibited by segmental reflex activity and their axons could conduct nerve impulses. The character of muscle twitch responses elicited by electrical stimulation of implanted roots strongly indicated that denervated muscles were reinnervated by new motor axons via the implant.

Action Potentials↗

Blood flow in "red" and "'white" calf muscles in cats during isometric and isotonic exercise.

Muscle blood flow was measured with the radioactive microspheres technique in plantar flexors of seven cats. Right leg performed rhythmic isotonic and left leg sustained isometric contractions. Flows were determined at rest, during stimulation periods, and immediately after 90 sec of high frequency stimulation. During isotonic contraction, flow to m. soleus (a "red muscle") increased progressively as stimulation increased: 0.06 +/- 0.02, 0.21 +/- 0.05, 0.42 +/- 0.12, and 0.26+/- 0.06 ml/min/g during rest, 10 Hz, 50 Hz, and after 50 Hz stimulation frequencies, respectively. Corresponding values for gastrocnemius medialis were 0.06 +/- 0.01, 0.38 +/- 0.05, 0.27 +/- 0.03, and 0.28 +/- 0.06 (x +/- S.E.). These last values were characteristic also for the other "'white" muscles investigated: gastrocnemius lateralis, and plantaris. During sustained isometric exercise at 5 and 25 Hz stimulation frequency the patterns were similar, except that higher flows were observed, and during recovery flows actually increased again in the "white" muscles. Blood pressure did not change. Resting flows were similar in innervated and denervated muscles. These data demonstrate that during isotonic as well as isometric exercise there is an increased resistance to flow with increasing muscle tension in "white" but not in "red" muscles. This supports the notion that a condition of relative ischaemia exists in "white" muscles during both isometric and isotonic contractions which is more pronounced during isometric exercise. The results corroborate previous studies on isometric exercise and suggest that the pattern during isotonic exercise is similar.

Animals↗

Extracellular-matrix molecules expressed by innervatable muscle.

Embryonic and adult muscle express distinct complements of proteins. Transplant experiments have shown that embryonic and denervated muscles can form synapses with foreign neurites, while normal innervated mature muscles cannot, except at the synaptic area. To identify molecular differences between 'innervatable' embryonic muscle and 'non-innervatable' mature muscle, we used a differential immunization method to make monoclonal antibodies that recognize antigens present in embryonic muscle rather than normal mature muscle. Four independent monoclonal antibodies that stain embryonic and mature muscle sections differentially have been obtained. One stains the entire embryonic muscle cell surface but only the synaptic area in mature muscle; 3 stain the entire embryonic muscle cell surface but do not stain mature muscle. The antibodies also stain other embryonic tissues at several stages. The antigens are concentrated in basal laminae and in an extracellular-matrix (ECM) fraction, indicating that they are ECM molecules. The temporal expression of all 4 antigens in developing muscle is coincident with muscle innervation. All antigens exhibit temporal and tissue distributions different from those of any reported muscle proteins, suggesting that novel antigens underlie these patterns. These results confirm that the immature muscle ECM has a distinct molecular composition, and suggest that the presence of these antigens may be part of the molecular basis for the innervatability of embryonic muscle.

Animals↗

Effects of denervation on the distribution of peanut agglutinin binding molecules in frog muscles.

The extracellular matrix has been shown to play an important role in the differentiation of neuromuscular junctions during reinnervation in frogs. Peanut agglutinin, a lectin, is known to specifically bind to some glycoconjugates in the extracellular matrix at the frog neuromuscular junction and myotendinous junction. In order to determine if innervation has any role in regulating the specific binding of peanut agglutinin at neuromuscular junctions and myotendinous junctions, the distribution of peanut agglutinin binding was examined in muscles chronically denervated for various periods. Short-term denervated muscles (less than or equal to 2 months) showed no changes in peanut binding agglutinin binding at neuromuscular junctions and no extrajunctional binding. In contrast, long-term denervation (greater than 2 months - 7.5 months) resulted in altered peanut agglutinin distribution and a substantial reduction or a total loss in its binding at denervated neuromuscular junctions; binding at myotendinous junctions was not affected. Results of electron microscopic studies suggest that the presence of Schwann cells at denervated endplates delays the loss of peanut agglutinin binding. Reinnervation restores normal peanut agglutinin binding at neuromuscular junctions following long-term denervation. This report demonstrates that although the distribution of peanut agglutinin binding molecules is unchanged short-term denervation, intact innervation is necessary for the long-term maintenance of these molecules at neuromuscular junctions.

Animals↗

Muscle preservation using an implantable electrical system after nerve injury and repair.

The value of continuous electrical stimulation of denervated muscles after nerve injury and repair has been clearly shown in a series of laboratory experiments in three animal models. This experimental background, which showed improved muscle preservation and better functional results, evolved into a clinical study that included 15 patients with peripheral nerve injuries in the upper extremities, 3 patients with brachial plexus injuries, and three patients with facial nerve paralysis. Improved functional results were obtained using this implantable system, which were similar to those achieved with the animal experiments. All patients had muscle stimulation for extended periods ranging from 127 to 346 days. Analysis of the results showed satisfactory nerve regeneration on clinical examination and with electromyographic studies. Functional muscle analysis varied somewhat from patient to patient, but every patient had a satisfactory to excellent recovery. The results from this study have clearly shown the benefits of continuous muscle stimulation using an implantable electrical system after nerve injury and repair expansion of the project to a larger patient cohort is indicated.

Adolescent↗

Expression of two neuronal nicotinic receptor subunits in innervated and denervated adult rat muscle.

The presence of transcripts coding for various alpha and beta subunits of neuronal acetylcholine receptors was investigated using polymerase chain reaction (PCR) on RNA extracted from innervated and denervated adult rat muscles. The results indicate that mRNAs coding for the neuronal alpha 4 and beta 2 subunits are expressed by adult muscles. Unlike avian embryonic muscle tissue, mRNA coding for alpha 7 and beta 4 subunit was undetectable. Denervation did not significantly modify the expression levels of the alpha 4 and beta 2 subunit-specific mRNAs. The results complement our previous immunohistochemical data and suggest that neuronal acetylcholine receptors are expressed by adult muscle tissue and may play a role in the control of muscle function.

Age Factors↗

Contractile responses of rat plantaris muscles following partial denervation, and the influence of daily exercise.

The study was designed to determine the influence of increased daily neuromuscular activity on the sprouting response of motoneurones following partial denervation. Female Sprague-Dawley rats had one hindlimb partially denervated by transecting lumbar radicular nerve L4, and were subsequently subjected to a daily programme of increased activity, including grid climbing and voluntary wheel exercise, for 9 days. Functional sprouting was estimated on day 10 by comparing the L5-evoked plantaris muscle forces, measured in situ, with those of the contralateral L5. Comparisons were made between responses from exercised and non-exercised rats. Tetanic (200 Hz) contribution of L5 axons to plantaris muscle force doubled during the period following partial denervation, but did not attain the equivalent of whole muscle tetanic tension of normal controls. Twitch: tetanic ratios were elevated, and tetanic contractions "fatigued" to a greater extent in partially denervated muscles, signifying limitations on the part of each sprouting motoneurone to tetanically activate its enlarged complement of muscle fibres. No influence of daily exercise following the lesion on any of these functional indices of motoneurone sprouting was evident. Increased daily neuromuscular activity, performed within the restrictions imposed by the neuromuscular deficit, does not influence motoneurone sprouting responses. This is in contrast to the enhancement of sprouting previously reported for motoneurones of rats subjected to intense, prolonged, daily exercise preceding the partial denervation, and when neurones remaining following partial denervation are electrically stimulated for relatively short periods of time (1 h), the day of the lesion.

Animals↗

Projection pattern and target selection of Clione limacina motoneurons sprouting within an intact environment.

In the pteropod mollusc Clione limacina, two groups of locomotor motoneurons, located in the pedal ganglion, innervate the dorsal and ventral muscle layers of the ipsilateral wing through the wing nerve. Separate branches of this nerve go either only to the dorsal muscle layer or only to the ventral one. In the present study, growth of novel neurites of the wing motoneurons was induced by cutting the wing nerve. In addition, all other peripheral nerves and connectives of the pedal ganglion were cut, except for the pedal commissure to the contralateral pedal ganglion. Thus, the neurites were allowed to grow only towards the contralateral pedal ganglion. We have found that the novel neurites, entering the contralateral pedal ganglion, were capable of growing everywhere inside the central nervous system (CNS) and into any peripheral nerve. However, they preferred the wing nerve. This finding suggests that the preference is caused by the guiding cues in the wing nerve or the attractive influence of the wing muscles. Because the contralateral pedal ganglion and nerves were left intact, the growth direction of the new neurites could be determined only by factors permanently existing in the CNS, rather than induced by nerve injury or muscle denervation. Within the wing nerve, the neurites could not discriminate between the nerve branches going to the dorsal and ventral muscle layers. They formed synapses on muscles of both layers, despite the fact that the muscles were innervated by their own motoneurons.

Animals↗

[Degeneration of the afferent fibers simulating the effects of motor denervation on skeletal muscle].

Degeneration of afferent nerve fibres was induced in rats in order to observe its effects on the properties of the extra-junctional membrane of soleus muscle fibres. In one approach, removal of dorsal root ganglia L4 and L5 was accomplished in preparations with intact or impulse-blocked (with tetrodotoxin containing cuffs around the sciatic nerve) efferent innervation. Spike resistance to tetrodotoxin developed in the inactive deafferented preparations earlier and to a greater extent than in control, that is only impulse-blocked, preparations. In another series of experiments, efferent denervation alone proved to be less effective than the association of efferent and afferent denervation. On the other hand, section of the afferent fibres central to the dorsal root ganglia was without effect. These results are consistent with the interpretation that products of nerve degeneration contribute together with inactivity to the development of the extrajunctional membrane changes observed in skeletal muscle after denervation.

Acetylcholine↗

Effect of systemic endotoxin on skeletal muscle vascular conductance during high and low adrenergic tone.

The objective of this study was to determine the role of adrenergic tone on the peripheral vascular decompensation reported to occur during systemic endotoxemia. An in situ constant-flow double-canine gracilis muscle (GM) preparation allowed one GM to serve as an innervated control (GMc) for the contralateral denervated muscle (GMe). Group I (n = 9): normal inherent vascular tone; Group II (n = 7): adrenergic tone elevated by bilateral common carotid artery ligation. The GMc Group II vascular conductance was significantly lower than GMe at .0485 +/- .004 ml/min/100 g/mm Hg and .0636 +/- .005 ml/min/100 g/mm Hg respectively. GM denervation had no significant effect on Group I conductance suggesting a low level of baseline intrinsic adrenergic tone; however, denervation did increase the vascular conductance by more than 30% from .0485 +/- .004 to .0638 +/- .008 ml/min/100 g/mm Hg in Group II. A 2 mg/kg dose of endotoxin was infused i.v. over 30 min and data collected over an additional 60 min. The endotoxin caused a decrease in MAP from 129 +/- 5 to 73 +/- 6 mm Hg in Group I and from 177 +/- 16 to 92 +/- 14 mm Hg in Group II. both the GMc and GMe Group I GMs showed an initial increase in conductance to 115 +/- 9 and 117 +/- 8% respectively at 5 min followed by a reduction to 82 +/- 9 and 101 +/- 10% at 60 min. Group II (GMe) showed a significantly increased conductance following denervation to 125% which increased insignificantly to 140 +/- 15% at 60 min, while conductances either remained at about 100% or decreased slightly to 88 +/- 7% in the innervated Group II GMc. The data suggest that the baseline level of vascular tone may not be an important factor when evaluating the effect of systemic endotoxemia on the skeletal muscle peripheral vasculature.

Adrenergic Fibers↗

Influence of histaminergic receptors on denervated canine gracilis muscle vascular tone during endotoxemia.

The purpose of this study was to determine if endogenously released histamine and its non-neural interaction with the H1- and H2-histaminergic receptors in the peripheral vasculature can account for the decompensatory loss of peripheral vascular tone associated with the hypotension occurring during endotoxemia. A denervated in situ constant flow double canine gracilis muscle preparation that permitted one muscle to serve as a control (GMc) for the contralateral experimental muscle (GMe) was used. Endotoxemia was induced by intravenous infusion of 2 mg.kg-1.30 min-1 endotoxin. The specific H1 and H2 antagonists diphen-hydramine and cimetidine were infused either together or separately in both high and low dosages into the GMe. Blockades were validated by intra-arterial injection of histamine or the specific agonists betahistine for H1 and dimaprit for H2 receptors. The results suggest that the high-dose diphenhydramine produced a nonspecific dilation not seen with the lower dose. Because both the blocked and unblocked vascular beds exhibited the same degree of vasodilation after endotoxin, these studies do not support the hypothesis that endogenously released histamine is responsible for the loss of vascular tone. These studies do verify, however, that a nonneurally mediated loss of skeletal muscle vascular tone is an important factor to consider in the overall cardiovascular hypotension occurring during endotoxin shock.

Adenosine↗

Intranervous regeneration. The study of motor axon reflexes.

More than 1000 motor axon reflexes (ARs) have been studied. The AR often has a long latency and the first excited branch almost always has the fastest conduction velocity. Sometimes the potentials of the two branches are recorded at the same needle placement, giving the appearance in the EMG tracing of a coupling discharge. Stimulation of the axons in the muscle produces more ARs than stimulation of the nerve trunk. ARs are recorded in denervated muscles but never in normal subjects. All kinds of lower motor neuron lesions produce ARs. They are more frequent in the Charcot-Marie-Tooth syndrome and hereditary neuropathy with liability to pressure palsies where the axonal lesions are mainly located at the traditional sites of entrapment. The possibility of neurolysis in some of these cases has to be considered. Obstetrical brachial plexus palsies furnish many ARs linking two muscles, thus explaining the associated contractions in these cases.

Electromyography↗

Contractile properties of clenbuterol-treated mdx muscle are enhanced by low-intensity swimming.

The beta 2-agonist clenbuterol has potent anabolic properties in normal and denervated muscle and, as such, may be of use in muscle wasting diseases such as muscular dystrophy. However, potential side effects such as the transformation of the fiber type pool toward increased proportions of fast-twitch fibers must be balanced with the beneficial anabolic properties. In the present report, we clearly show that extensor digitorum longus and soleus muscles from dystrophic mdx mice exposed to a combination of clenbuterol and low-intensity endurance swimming exercise did not undergo the slow- fast-twitch fiber transformations caused by clenbuterol administration alone, yet increases in the force-generating capacity of the soleus (30-40%) that resulted from the clenbuterol treatment were maintained after the swimming program. The increased sensitivity of dystrophin-deficient dystrophic muscle to clenbuterol and low-intensity exercise that is evident in this study may have therapeutic implications in the treatment of muscle wasting diseases.

Animals↗

Reconstruction of peripheral nerves: the phenomenon of bilateral reinnervation of muscles originally innervated by unilateral motoneurons.

It is well known that after reconstruction of sectioned peripheral nerves in adult mammals, denervated muscles are reinnervated by the axotomized motoneurons lying in the original motonucleus. It is less well known that these muscles can also be reinnervated by uninjured motoneurons lying in the homologous contralateral motonucleus. Therefore, after nerve reconstruction, bilateral motoneuron reinnervation of muscles can occur. Contralateral motoneurons sprout axons that cross the midline, grow in the reconstructed nerve, and reach muscle targets. This phenomenon was observed after reconstruction of several different peripheral nerves in adult mammals, including the oculomotor nerve in guinea pigs and the facial and sciatic nerves in rats. The retrograde axonal transport of horseradish peroxidase was used for the study of the organization of the brainstem and spinal cord motonuclei. Horseradish peroxidase was injected into the medial rectus muscle, the stylohyoid muscle, and the trunk of the sciatic nerve. The distance between the homologous motonuclei of both sides influenced the occurrence of this phenomenon. In fact, bilateral reinnervation of muscles after nerve reconstruction was found in 36% (sciatic nerve), 50% (facial nerve), and 100% (oculomotor nerve) of the operated animals. The total number of contralateral motoneurons found were 14% (oculomotor nerve), 8% (facial nerve), and 5% (sciatic nerve). Bilateral reinnervation of muscles was evoked by both immediate and delayed peripheral nerve repair and was a stable phenomenon, seen between 3 and 21 months after facial nerve reconstruction.

Animals↗

Regeneration after cardiotoxin injury of innervated and denervated slow and fast muscles of mammals. Myosin isoform analysis.

The regeneration of adult rat and mouse slow (soleus) and fast (sternomastoid) muscles was examined after the degeneration of myofibers had been achieved by a snake venom cardiotoxin, under experimental conditions devised to spare as far as possible the satellite cells, the nerves, and the blood vessels of the muscles. Three days after the injury, no myosin was detectable in selected portions of the muscles. New myosins of embryonic, neonatal, and adult types started to be synthesized during the following two days. Adult myosins thus appeared more precociously than in development, which implies that the synthesis of myosin isoforms during regeneration does not entirely 'recapitulate' the sequence of myosin transitions observed during normal development. Two weeks after the injury, the isomyosin electrophoretic pattern displayed by regenerated muscles was already the same as that of control muscles; the normal adult pattern was therefore expressed more rapidly in regenerating than in developing muscles. Except for the synthesis of the slow isoform which was generally inhibited in denervated muscles, the same types of myosins were expressed during the early stages of regeneration in denervated as in innervated muscles; long-term denervation prevented however the qualitative and quantitative recovery of the normal myosin pattern.

Animals↗

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