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Division of Pulmonary/Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center Burns and Allen Research Institute, Cedars-Sinai Medical Center, University of California, Los Angeles School of Medicine, Los Angeles, California 90048; and Departments of Anesthesiology and Physiology and Biophysics, Mayo Clinic, Rochester, Minnesota 55905
Received 20 June 1995; accepted in final form 27 June 1996.
Lewis, Michael I., Thomas J. Lorusso, Wen-Zhi Zhan, and Gary
C. Sieck. Interactive effects of denervation and malnutrition on
diaphragm structure and function. J. Appl.
Physiol. 81(5): 2165-2172, 1996.
The purpose of
this study was to examine the interactive effects of unilateral
denervation (DN) and prolonged malnutrition (MN) on the structure and
function of the diaphragm muscle (Dia). Four groups of
rats were studied: control (Con), MN, DN, and DN-MN. MN
began 2 wk after DN and lasted 4 wk. In both the DN and DN-MN groups,
the relative loss in Dia weight exceeded the relative change in body
weight. Compared with the Con group, Dia specific force was reduced by
~40% in both the DN and DN-MN groups but was unaffected in the MN
group. Dia fatigue resistance improved in all experimental groups but
to a greater extent in the DN and DN-MN groups. In both the DN and
DN-MN groups, ~50% of Dia fibers were classified as type IIc,
whereas fiber type proportions did not change in the MN group. In the
DN group, only type IIb/x fibers atrophied, whereas all fiber types
atrophied in the MN and DN-MN groups. We conclude that in the DN-MN
group the reduction in specific force combined with the reduction in total cross-sectional area of the muscle significantly curtails Dia
force-generating capacity.
diaphragm contractility; diaphragm fiber type proportions; diaphragm fiber cross-sectional area
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