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Departments of 1 Medical Chemistry and Biochemistry and of 2 Sports Medicine, University of Innsbruck Medical School, A-6020 Innsbruck, Austria; and 3 Sanofi Research Centre Montpellier, F-34184 Montpellier, France
Received 5 December 1996; accepted in final form 19 May 1997.
Sorichter, Stephan, Johannes Mair, Arnold Koller, Walter
Gebert, Daniel Rama, Charles Calzolari, Erika Artner-Dworzak, and Bernd
Puschendorf. Skeletal troponin I as a marker of exercise-induced
muscle damage. J. Appl. Physiol.
83(4): 1076-1082, 1997.
The utility of skeletal troponin I (sTnI)
as a plasma marker of skeletal muscle damage after exercise was
compared against creatine kinase (CK), myoglobin (Mb), and myosin heavy
chain (MHC) fragments. These markers were serially measured in normal
physical education teacher trainees after four different exercise
regimens: 20 min of level or downhill (16% decline) running
(intensity: 70% maximal O2
uptake), high-force eccentric contractions (70 repetitions), or
high-force isokinetic concentric contractions of the quadriceps group
(40 repetitions). Eccentrically biased exercise (downhill running and
eccentric contractions) promoted greater increases in all parameters.
The highest plasma concentration were found after downhill running
{median peaks: 309 U/l CK concentration ([CK])}, 466 µg/l Mb concentration
([Mb]), 1,021 µU/l MHC concentration ([MHC]),
and 27.3 µg/l sTnI concentration ([sTnI]). Level running produced a moderate response (median peaks: 178 U/l [CK],
98 µg/l [Mb], 501 µU/l [MHC], and 6.6 µg/l [sTnI]), whereas the concentric contraction protocol
did not elicit significant changes in any of the markers assayed. sTnI
increased and peaked in parallel to CK and stayed elevated (>2.2
µg/l) for at least 1-2 days after exercise. In contrast to MHC,
sTnI is an initial, specific marker of exercise-induced muscle injury,
which may be partly explained by their different intracellular
compartmentation with essentially no (MHC <0.1%) or a small soluble
pool (sTnI: median 3.4%).
myosin heavy chain; creatine kinase; myoglobin
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