Spatial fiber type distribution in normal human muscle: Histochemical and tensiomyographical evaluation
Introduction
The relationship between the histochemical and contractile properties of human muscles has been established with non-invasive tensiomyography (TMG) (Dahmane et al., 2001) and with invasive measuring methods (Buchthal and Schmalbruch, 1970; Parker et al., 1984; Sica and Mc Comas, 1971; Stein et al., 1972). It has been demonstrated that there is a significant correlation between the contraction time of muscle response measured by TMG and the percentage of slow twitch muscle fibers obtained by the histochemical method. These fibers are distributed in a mosaic pattern, and the percent distribution of each fiber type can vary significantly between different regions of a muscle. Many studies have compared the fiber type arrangement in superficial and deep sites of human muscles. A difference has been reported by certain authors (Edström and Kugelberg, 1968; Elder et al. 1982; Johnson et al., 1973; Lexell et al. 1983; Nygaard, 1981; Polgar et al., 1973), but this has not been confirmed by others (Edgerton et al., 1975). The reasons as to why these authors failed to clearly show differences in the regional distribution of fiber types are multiple: the investigated groups were not homogenous concerning age, sex and health condition, the analyzed samples were too small or too few. Our study will provide information based on more data, suitably controlled (both analyzed groups were homogenous concerning age, sex, and health condition). Previous studies showed differences in regional distribution of slow or fast fiber types, but did not precisely distinguish among the different types of fast twitch fibers. The principal objective of the present study was to determine the extent to which the relative occurrence of different fiber types and subtypes varies within human limb muscles and to predict fiber type proportions with a non-invasive measurement technique (TMG).
Since TMG uses surface neuromuscular electrical stimulation (ES) for muscle activation, it can also be used for studying the influence on the motor unit (MU) recruitment order. As a result, this study also compares the recruitment order of different muscle fiber types during various stimulus intensities of twitch type (1 ms stimulus duration) ES.
Section snippets
Histochemical methods
Muscles were taken at autopsy from one group of 15 male subjects aged between 17 and 40 years, who had died suddenly. The autopsies were performed 5–24 h after death. The post-mortem time did not affect our histochemical results. On the same cadaveric material more precise fiber analysis has also been done at three different levels; (a) expression of transcripts (mRNA) for different MHC isoforms, (b) immunohistochemical demonstration of expressed MHC isoforms (protein) with specific antibodies,
Histochemical results
Sections stained to demonstrate the activity of myofibrillar adenosine triphosphatase with the calcium method at pH 9.4, and after preincubation pH 4.6 and at pH 4.3 of the BB, BR, TB, FDS, ED, BF, GCM, TA and SOL muscles, showed the well-known mosaic distribution. In all the muscles it was found that the observed distribution of both fiber types and subtypes (1, 2a, 2b and 2c) was in accordance with the expected random distribution of the fiber types and subtypes. There was thus no evidence of
Discussion
The aim of this study was to gain a deeper insight into the distribution of the fiber types 1 and 2, subdivided into subtypes 2a, 2b and 2c in the muscle cross-section using two different methods.
The difference in fiber distribution between superficial and deep sites has been anticipated from animal studies (James, 1971). Our histochemical and tensiomyographical data have clearly shown a change in the arrangement of type 1 and 2b fibers with regard to depth. Histochemical data have also shown
Acknowledgements
This study was supported by grants from the Slovenian Ministry of Education and Sport, Ministry of Science and Technology and Slovene Sport Foundation. The authors wish to thank Mr. Ivan Blažinovič, Mr. Marko Slak and Mrs. Ana Tomažinčič from the Institute of Anatomy, Medical Faculty, University of Ljubljana for their excellent technical assistance.
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