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Pulmonary Division, Department of Medicine, Case Western Reserve University and MetroHealth Medical Center, Cleveland, Ohio 44109
Recent work
indicates that free radical-mediated lipid peroxidation takes place
within the diaphragm on strenuous contraction. This phenomenon has only
been demonstrated using fairly artificial experimental models and has
not been studied during the type of sustained respiratory loading
typically seen in patients with lung disease. The purpose of the
present study was to measure the levels of several biochemical markers
of protein oxidation (protein carbonyl levels) and lipid peroxidation
(8-isoprostane, reduced glutathione, and oxidized glutathione levels)
in diaphragms of rats subjected to chronic respiratory loading.
Respiratory loading was accomplished by tracheal banding; groups of
animals were loaded for 4, 8, or 12 days, and a group of sham-operated unloaded animals was used as controls. After loading, animals were
killed, diaphragm contractility was assessed in vitro by using a
portion of the excised diaphragm, and the remaining diaphragm and the
soleus muscles were used for biochemical analysis. We found diminished
force generation in diaphragms from all groups of banded animals
compared with muscles from controls. For example, twitch force averaged
7.8 ± 0.8 (SE) N/cm2 in
unloaded animals and 4.0 ± 0.4, 3.0 ± 0.4, and 3.4 ± 0.4 N/cm2 in animals loaded for 4, 8, and 12 days, respectively (P < 0.0001). Loading also elicited increases in diaphragmatic protein
carbonyl concentrations (P < 0.001),
and the time course of alterations in carbonyl levels paralleled
loading-induced alterations in the diaphragm force-frequency
relationship. Although loading was also associated with increases in
diaphragmatic 8-isoprostane levels (P < 0.003) and reductions in diaphragm reduced glutathione levels (P < 0.003), the time course of
changes in these latter parameters did not correspond to alterations in
force. Soleus glutathione and carbonyl levels were not altered by
banding. We speculate that respiratory loading-induced alterations in
diaphragmatic force generation may be related to free radical-mediated
protein oxidation, but not to free radical-induced lipid peroxidation.
free radicals; skeletal muscle; diaphragm; respiratory muscles
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