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1Department of Zoology, La Trobe University, Victoria; 2Muscle, Ions and Exercise Group, Centre for Ageing, Rehabilitation, Exercise and Sport, School of Human Movement, Recreation and Performance, Victoria University, Melbourne; and 3Department of Nephrology, Royal Melbourne Hospital and Western Hospital, Melbourne, Australia
Submitted 14 December 2006 ; accepted in final form 15 June 2007
| ABSTRACT |
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16% to
35% of total) 24 h after the exercise, and returned to preexercise levels within 7 days. In contrast, the eccentric exercise produced little autolytic activation of the ubiquitous Ca2+-activated protease, µ-calpain. Eccentric exercise is the first physiological circumstance shown to result in calpain-3 activation in vivo. µ-calpain; proteolysis; autolysis; muscle damage
Our laboratory has found recently that neither calpain-3 nor µ-calpain were autolyzed in human skeletal muscle following an "all-out" sprint exercise bout or endurance cycling in trained subjects (26). Unless it is particularly excessive, such exercise is not normally deleterious to the muscles, and muscle performance typically recovers within an hour. In contrast, eccentric exercise, where muscles are stretched while contracting, such as occurs in downhill walking, can result in muscle weakness lasting 24 h or more (14, 18, 36). Following such exercise there is often overt damage of the sarcomeric structure, typically involving Z-disk streaming and marked widening of the I band (2, 29). Although many fibers may show some damage (2, 14), usually only a comparatively small percentage of the total fiber volume is affected (2, 18), and the muscle weakness is due in large part to a reduction in excitation-induced Ca2+ release from the sarcoplasmic reticulum (5, 18). Significantly, it has been observed in mouse fibers that the resting intracellular Ca2+ concentration ([Ca2+]) remains elevated for hours (5, 18) and even days (22) following eccentric contraction. A common marker of muscle damage is serum creatine kinase (CK), which leaks from muscles if the surface membrane is damaged, something that might occur during the exercise itself or subsequently owing to activation of lipases triggered by the raised cytoplasmic [Ca2+] (1). It is also well known that even a single bout of eccentric exercise can be enough to result in adaptations within the muscle fibers that reduce the extent of damage to a subsequent bout of eccentric exercise. One of these adaptive mechanisms is thought to be an increase in muscle fiber length by addition of extra sarcomeres (23). Given the suggested role of calpain-3 in sarcomeric remodeling (21), it seems quite possible that calpain-3 would be activated by eccentric contraction.
Eccentric exercise has been previously shown to result in reduced levels of mRNA for calpain-3 and µ-calpain 1 day after the exercise (11), although the functional significance of this is unclear. To date there has been no examination of the effects of eccentric exercise on calpain-3 autolysis and activation. Such examination seems warranted given that calpain activation is highly Ca2+ dependent, and there is a prolonged rise in intracellular [Ca2+] following eccentric exercise, at least in murine muscle. We hypothesized that calpain-3 and/or µ-calpain would be autolyzed, and hence activated, following eccentric exercise. Here we show that eccentric exercise in humans results in appreciable autolysis of calpain-3; this is the first physiological circumstance shown to result in calpain-3 activation in vivo. Significantly, the autolysis of calpain-3 primarily occurs not during the exercise itself but 24 h afterward.
| METHODS |
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Overview of testing. Subjects underwent an eccentric exercise bout to induce damage of the knee extensor muscles. A vastus lateralis muscle biopsy was taken for measurement of calpain autolysis at five time points: preexercise (pre), immediately postexercise (post), and at 3 h, 24 h, and 7 days postexercise. Peak isometric torque of the knee extensors was measured on 6 different days to initially determine variability and then deterioration in muscle function following eccentric exercise. Peak torque was measured on 3 separate days preceding the eccentric exercise bout, which comprised an initial familiarization test and repeat tests on the next two visits to determine variability, enabling interpretation of the subsequent postexercise and recovery data. On the day of eccentric exercise, peak isometric torque was measured pre, immediately post, and at 3 h after eccentric exercise; subsequent measurements occurred at 24 h and 7 days after eccentric exercise. Venous blood samples were taken to determine increases in serum CK as a marker of muscle damage, at the times corresponding to biopsy sampling.
Maximal eccentric knee extension and isometric muscle strength test. Both the eccentric exercise bout and measurements of maximal isometric torque of the knee extensors were performed on an isokinetic dynamometer (Cybex Norm 770, Henley Health Care). The dynamometer was calibrated for angle, torque and velocity immediately before use, and all data were corrected for gravity. Subjects were strapped to the dynamometer chair across the hips and chest to restrict upper body movement, and they were strapped across the thigh to stabilize the active leg. During the initial test, each subject's positions were recorded and were replicated during each subsequent isokinetic test session. The dynamometer's axis of rotation was aligned with the anatomic axis of rotation of the knee, while the lever arm was extended with the pad covering the distal shin. All measurements were conducted on the right leg, as all subjects were right-hand dominant. A real-time visual display of torque and strong verbal support were provided to encourage subjects to exert maximal force during each contraction.
Each trial of maximal isometric knee extensor torque consisted of a standard warm-up (except the immediately postexercise measure) and three maximal 5-s contractions, at a knee joint angle of 45°, with a 30-s recovery between contractions.
The eccentric exercise test was based on previous studies that induced muscle damage of the knee extensors (3, 7, 24, 25). Briefly, subjects performed 300 repetitions of maximal eccentric knee extension, consisting of 10 sets of 30 repetitions at 30°/s. Each set was separated by a 1-min rest period. The subject's leg was initially fully extended. At commencement of the eccentric bout, the subject was instructed to maximally resist the downward movement of the lever arm, through the full range of motion. When the leg was fully flexed, the subject was then instructed to relax the leg, while the investigator returned the lever arm (leg) to a fully extended position. This procedure ensured that the mode of muscle contraction was purely eccentric. All torque data are expressed relative to the preexercise value for each individual.
Muscle biopsies. A muscle biopsy was taken at pre, post, and at 3 h, 24 h, and 7 days after eccentric exercise. Following injection of a local anesthetic (1% Xylocaine) into the skin and subcutaneous tissue, a small incision was made and biopsies were taken from the midportion of the vastus lateralis muscle of the right leg. Subjects were supine for the pre and 3 h, 24 h, and 7 days after biopsies, and they were seated for the immediately after eccentric exercise biopsy. Each biopsy was taken by the same experienced medical practitioner from separate incisions, at a constant depth. Samples were immediately blotted on filter paper and then frozen in liquid N2 and stored at –80°C until analyzed for calpains.
The biopsy immediately preceded the torque measurements.
General. All chemicals were obtained from Sigma (St. Louis, MO) unless otherwise stated.
Muscle homogenate preparation. Skeletal muscle samples [9 ± 5 (SD) mg] were homogenized (10:1 wt/vol) in 0.4 M Tris·Cl, pH 6.8, and 25 mM EGTA ([Ca2+] < 10 nM), following which SDS was added to a final concentration of 4% and homogenates were incubated at 4°C for 20–40 min. Samples were spun (3,000 g, 5 min), and the supernatant added (2:1 vol/vol) to SDS loading buffer (0.125 M Tris·HCl, 10% glycerol, 4% SDS, 4 M urea, 10% mercaptoethanol, and 0.001% bromophenol blue, pH 6.8). Samples were heated to 95°C for 4 min and stored at –20°C until analyzed by Western blotting.
Western blotting of µ-calpain and calpain-3 in muscle homogenates.
Similar volumes of muscle protein present in the supernatant as described above, were separated on an 8% SDS-PAGE gel and transferred to nitrocellulose. Membranes were exposed to either mouse anti-µ-calpain (1 in 1,000; Sigma monoclonal, clone 15C10) or mouse anti-calpain-3 (1 in 200; Novocastra monoclonal 12A2, Newcastle, UK), following which goat anti-mouse horseradish peroxidase (1 in 20,000; Bio-Rad, Hercules, CA) was added to the membranes. Bands were visualized using West Pico chemiluminescent substrate (Pierce, Rockford, IL), and densitometry was performed using Quantity One software (Bio-Rad). µ-calpain is visualized as an 80-kDa protein that autolyzes to proteins of 78 and 76 kDa (4). Calpain-3 is observed as a 94-kDa protein, which autolyzes to proteins of
60, 58, and 56 kDa when activated (8, 20, 33, 34, 37), with there frequently being only two of these proteolytic bands (58 and 56 kDa) apparent in human muscle (10, 26). For both µ-calpain and calpain-3, the Western blot data for each subject and each time point were quantified by expressing the density of the bands of the autolyzed products relative to the total density of all the bands for that calpain (i.e., autolyzed and unautolyzed) in the sample. This indicated what proportion of the given calpain was autolyzed in that particular sample, irrespective of any minor differences in protein loading.
Biopsy material was not available for one subject at both the pre and immediately postexercise time points, and so no protein data are presented for this subject. For another subject, there was no sample immediately postexercise, so data presented are for n = 5 for pre, 3-h, 24-h and 7-day samples and n = 4 for immediately postexercise samples.
CK. Serum CK concentration ([CK]) was determined pre, post, and 3 h, 24 h, and 7 days after eccentric exercise. Arterialized blood was sampled from a dorsal hand vein for the pre and post samples, with all subsequent samples obtained from an antecubital vein. Each sample was placed into a plain evacuated test tube, and blood allowed to coagulate for 30 min at room temperature and then centrifuged at 1,500 g for 10 min. The serum layer was removed and frozen at –20°C until analyzed in duplicate for [CK] using an Olympus GmbH AU1000 analyzer (Olympus Diagnostics, Clare). The normal reference range of [CK] using this method is 45–130 U/l.
Statistics. Data are expressed as means ± SE, unless otherwise indicated. Data were analyzed using a one-way ANOVA with repeated measures. When the ANOVA revealed a significant effect, Newman-Keuls post hoc analyses were performed. Pre and post samples were compared using a Student's t-test (paired, 2-tailed). All analyses were performed using Prism V 4.01. A probability value of P < 0.05 was deemed to indicate significant difference.
| RESULTS |
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| DISCUSSION |
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35% of the total calpain-3 present in the muscle was in the autolyzed state. Given that 1) the total proportion of sarcomeres showing noticeable disruption after eccentric exercise is relatively small (<10%) (2, 18) (which is also likely the case here because subjects were able to produce near-maximal torque within 24 h after the exercise), and 2) all of the calpain-3 within a muscle fiber is normally tightly bound (27) [most likely to titin (19, 33)], the high proportion of calpain-3 autolysis suggests that the autolysis was a widespread process within the muscle fibers and that a substantial amount of autolysis must have taken place in many and perhaps in all of the fibers in the exercised muscles and was not limited solely to the localized regions of overt damage. We note that there are both type I and type II muscle fiber types in human vastus lateralis samples, and the findings here do not reveal whether calpain-3 activation occurred in a fiber type-dependent manner. Of note, increased calpain-3 autolysis was apparent 24 h after the eccentric exercise protocol, but it was not detectable either immediately after or 3 h after the exercise. This makes it unlikely that the peak in calpain-3 autolysis was caused directly by the exercise itself or by the acute effects associated with it, such as the repeated rises in cytoplasmic [Ca2+] eliciting the muscle contractions. Nevertheless, as explained below, it is quite likely that this autolysis of calpain-3 is caused by raised cytoplasmic [Ca2+] but that it primarily occurs in response to a very prolonged rise in resting [Ca2+] rather than to the acute rises during muscular activity.
Overall, µ-calpain showed a different response to the exercise protocol compared with calpain-3, there being no significant change in the proportion of autolyzed µ-calpain at any time postexercise. Interestingly though, in two subjects there did appear to be an increased amount of autolyzed µ-calpain immediately postexercise (e.g., Fig. 4B), possibly indicating that the eccentric exercise caused some µ-calpain activation in those particular subjects. It could be that those two subjects were slightly different in their training status or lifestyle compared with the rest of the group or that their muscles were more sensitive to the nature of the eccentric exercise regime.
There was no significant correlation between the level of calpain-3 autolysis and that of µ-calpain across the subjects and time course of the study. This indicates that the factor(s) leading to the increased level of calpain-3 autolysis at 24 h were relatively specific for calpain-3 compared with µ-calpain. One plausible scenario is that the autolysis of calpain-3 is due to a prolonged rise in the resting [Ca2+] in the muscle fibers following the eccentric contractions. Such a rise has been observed in mouse skeletal muscle after eccentric contractions, with the resting [Ca2+] being increased from its normal level of
100 nM to
250 nM for more than 24 h (22). At submicromolar levels of Ca2+ there is virtually no autolysis or activation of µ-calpain (15, 26, 27), but calpain-3 does show autolysis and activation (13, 26), although the process proceeds extremely slowly at such low Ca2+ levels and can take up to 24 h for much of the calpain-3 to become autolyzed (13). This slowness in the Ca2+-dependent autolysis of calpain-3 is also apparent at higher [Ca2+], because it was found that exposure to 2.5 µM Ca2+ caused a small amount of autolysis of µ-calpain within 1 min but there was no detectable autolysis of calpain-3 unless the period of exposure was increased (26). This latter finding also can account for the fact that the eccentric exercise regime here appeared to cause proportionately more autolysis of µ-calpain than of calpain-3 during the actual course of the exercise period. However, in view of the variability in the measurements and the relatively small number of subjects examined, it is possible that there was some level of calpain-3 autolysis occurring during the exercise, but this was not enough to reach significance levels; in any case it was far smaller than the amount of autolysis present 24 h after the exercise. Serum [CK] increased significantly in the 3 h following the exercise and was maximal at the 24 h time point (Fig. 2), which could be due to both acute damage to the muscle and subsequent membrane damage caused by raised cytoplasmic [Ca2+] (1). Thus the prolonged rise in resting intracellular [Ca2+] following eccentric exercise may be responsible for both calpain-3 autolysis and CK loss.
We did not examine whether the other ubiquitous calpain, m-calpain, was autolyzed during or following the exercise, although given the potential role of m-calpain in muscle regeneration (15), a future study should examine its autolysis and activity following eccentric exercise, particularly given that a twofold increase in the mRNA levels for m-calpain has been observed a day after eccentric exercise (11).
Finally, on a speculative note, we suggest that the rise in calpain-3 autolysis seen 24 h after the eccentric exercise is reflecting an important role of calpain-3 in sarcomeric repair and remodeling following the eccentric exercise. This would be consistent with previous suggestions, based on studies with calpain-3 knockout mice, that calpain-3 plays a vital role in regulating and remodeling sarcomeric structure in mature muscle (9, 21). Furthermore, one of the unique features of eccentric exercise experienced by individuals unaccustomed to the exercise protocol is that the muscle undergoes changes that help prevent damage on a subsequent similar exercise bout. Thus it is possible that calpain-3 may be involved not only in the repair and reassembly of the original sarcomeric structure following damage by eccentric contractions, but also in any subsequent adaptive changes, such as adding extra sarcomeres to lengthen the myofibrils (23, 29). Given that calpain-3 contains a putative nuclear translocation domain (32) and it has been found localized to the nucleus (34), it may have a role not only as a sarcomeric protease but also as a signaling molecule (31).
The present study showed increased calpain-3 autolysis in a cohort of healthy individuals, who likely possessed the normal adaptive mechanisms to eccentric exercise. Although not examined in the present study, we expect that if limb-girdle muscular dystrophy type 2A patients had performed the same eccentric exercise they would have experienced a similar level of acute damage to their muscles as normal individuals [as is the case with calpain-3 knockout and normal mice; (12)], but their muscle fibers may not be able to subsequently undergo the normal repair mechanisms because of the absence of functional calpain-3 (21). Consequently, we speculate that the progressive dystrophic changes that occur in limb-girdle muscular dystrophy type 2A patients over their life (and also in calpain-3 knockout mice) may be at least in part due to inadequate repair of the cumulative minor damage that likely arises from the mild eccentric muscle contractions that are a normal component of daily activity, particularly because this effect would be compounded if the muscles also fail to show the normal adaptation to eccentric exercise. This could be explored in future experiments examining the long-term effects and adjustments that occur in muscles of normal and calpain-3 knockout mice following eccentric exercise.
| GRANTS |
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| ACKNOWLEDGMENTS |
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Present addresses: M. Leikis, Wellington Hospital, Dept. of Renal Medicine, Private Bag 7902, Wellington 6001, New Zealand; J. Bennie, School of Exercise and Nutrition Sciences, Deakin University, Melbourne 3125, Australia.
| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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B.-T. Zhang, S. S. Yeung, D. G. Allen, L. Qin, and E. W. Yeung Role of the calcium-calpain pathway in cytoskeletal damage after eccentric contractions J Appl Physiol, July 1, 2008; 105(1): 352 - 357. [Abstract] [Full Text] [PDF] |
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