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J Appl Physiol 83: 459-465, 1997;
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Journal of Applied Physiology
Vol. 83, No. 2, pp. 459-465, August 1997
EXERCISE AND MUSCLE

Chronic beta -blockade increases skeletal muscle beta -adrenergicreceptor density and enhances contractile force

René J. L. Murphy1,3, Phillip F. Gardiner1, Guy Rousseau2,3, Michel Bouvier2,3, and Louise Béliveau1,3

1 Département d'Éducation Physique, 2 Département de Biochimie, and 3 Groupe de Recherche sur le Système Nerveux Autonome, Université de Montréal, Montreal, Quebec, Canada H3C 3J7

ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
ACKNOWLEDGEMENTS
FOOTNOTES
REFERENCES


ABSTRACT

Murphy, René J. L., Phillip F. Gardiner, Guy Rousseau, Michel Bouvier, and Louise Béliveau. Chronic beta -blockade increases skeletal muscle beta -adrenergic-receptor density and enhances contractile force. J. Appl. Physiol. 83(2): 459-465, 1997.---The effects of a chronic 14-day administration of a selective beta 2-adrenergic-receptor antagonist (ICI-118551) on skeletal muscle were evaluated in female Sprague-Dawley rats. Chronic ICI-118551 treatment did not modify muscle mass, oxidative potential, or protein concentration of the medial gastrocnemius muscle, suggesting that maintenance of these skeletal muscle characteristics is not dependent on beta 2-adrenergic-receptor stimulation. However, the drug treatment increased beta -adrenergic-receptor density of the lateral gastrocnemius (42%) and caused an increase in specific (g/g) isometric in situ contractile forces of the medial gastrocnemius [twitch, 56%; tetanic (200 Hz), 28%]. The elevated contractile forces observed after a chronic treatment with ICI-118551 were completely abolished when the beta 2-adrenergic antagonist was also administered acutely before measurement of contractile forces, suggesting that this response is beta 2-adrenergic-receptor dependent. Possible mechanisms for the increased forces were studied. Caffeine administration potentiated twitch forces but had little effect on tetanic force in control animals. Administration of dibutyryl adenosine 3',5'-cyclic monophosphate in control animals also resulted in small increases of twitch force but did not modify tetanic forces. We conclude that increases in beta -adrenergic-receptor density and the stimulation of the receptors by endogenous catecholamines appear to be responsible for increased contractile forces but that the mechanism remains to be demonstrated.

contractile properties; ICI-118551


INTRODUCTION

DIFFERENT SKELETAL MUSCLE fiber types have been shown to express different densities and types of beta -adrenergic receptors (14). For instance, higher densities of beta -adrenergic receptors are present in slow skeletal muscles (10), and atypical beta -adrenergic receptors are probably the most important type, representing up to 80% of beta -adrenergic receptors of the soleus muscle (20, 23). However, beta 2-adrenergic receptors are believed to be the main type of adrenergic receptors in fast skeletal muscle (10). Recent work has focused on characterizing skeletal muscle beta -adrenergic receptors, but their functional roles have not been completely elucidated. These receptors could be involved in several aspects of muscle function, including stimulation of glycogenolysis (28), triglyceride lipolysis (27), muscle oxygen consumption (26), ion exchange (19), and increasing muscle force generation (28). These effects could differ in various muscles because of the number and/or type of beta -adrenergic receptors present. For instance, beta 2-adrenergic-agonist stimulation of Na+ extrusion and K+ uptake has been reported to be much greater in slow than in fast skeletal muscles (19). Conversely, the inotropic effects of beta -agonists are observed solely in fast skeletal muscles (28), but the mechanism underlying this effect is not well understood. beta -Adrenergic-receptor stimulation causes a cascade of events leading to the intracellular accumulation of the second messenger adenosine 3',5'-cyclic monophosphate (cAMP). However, the intracellular site of cAMP action in the potentiation of fast skeletal muscle force is unknown.

Other observations suggest that beta -adrenergic receptors may be involved in skeletal muscle adaptations to changes in activity level. For example, skeletal muscle beta -adrenergic-receptor density has been shown to be correlated with both the oxidative potential (29) and the percentage of type I fibers in skeletal muscle (14). Furthermore, chronic beta 2-adrenergic-receptor stimulation causes increased skeletal muscle mass in several animal species (10, 30). Finally, the widely used clinically nonspecific beta -adrenergic blockers are usually associated with reduced exercise capacity (25). In previous attempts to determine the roles of skeletal muscle beta 2-adrenergic receptors, nonspecific beta -adrenergic blockers or a combination of nonspecific and beta 1-selective blockers have been used (9). However, the effects of chronic selective beta 2-adrenergic-receptor blockade on skeletal muscle properties have not been studied in detail.

The purpose of this study was to determine the effects of chronic blockade of beta 2-adrenergic receptors on skeletal muscle properties. Muscle isometric contractile properties, mass, protein concentration, fiber types, cytochrome oxidase activity, as well as beta -adrenergic-receptor density were measured in selected muscles after chronic treatment with a selective beta 2-adrenergic-receptor antagonist.


METHODS

Animals. All experiments were performed in accordance with the guidelines of the Canadian Council on Animal Care (4) and the University's Ethics and Research Committee. A total of 34 female Sprague-Dawley rats (Charles River; St-Constant, PQ) with an initial body weight of ~150 g were studied. The animals received a standard rat diet (ProLab RMH 4018) and water ad libitum. They were housed individually in an environmentally controlled facility (12:12-h light-dark cycle, ~21°C) and weighed daily.

Drug treatment. After a 3- to 4-day acclimatization period in the animal care facility, rats were randomly assigned to one of the following treatment groups: control (n = 7) or antagonist-treated (n = 10). Rats of the antagonist group received ICI-118551 (ICI), a selective beta 2-adrenergic antagonist, at a dose of 5 mg/kg by subcutaneous injections twice daily. Rats of the control group received two daily subcutaneous injections of the vehicle composed of 20 parts saline (0.09%), 1 part hydrochloric acid (11 M), and 4 parts methanol. All treatments were administered for 14 days. At that time, ICI-treated rats were either subjected to a washout period of 18-20 h or given another ICI injection to block the receptors acutely ~2 h before measurement of contractile properties.

Muscle mass and contractile properties. The responses of several hindlimb skeletal muscles to beta 2-adrenergic-receptor blockade were studied. For contractile properties, the gastrocnemius muscle was preferentially studied because it is a readily accessible fast skeletal muscle and it responds well to selective beta 2-adrenergic-receptor agonists (5, 17). After the drug treatment, each rat was anesthetized with an intraperitoneal injection of pentobarbital sodium (45 mg/kg) and was surgically prepared for the measurement of in situ isometric contractile properties of the medial gastrocnemius. Briefly, the left hindlimb was shaved, and an incision through the skin was made on the caudal surface. The ankle extensor muscles were exposed surgically, and all muscles except the medial gastrocnemius were denervated. The vasculature was left undisturbed. The calcaneous was cut, and a small piece of bone was left attached to the Achilles tendon. The insertion of the soleus, plantaris, and gastrocnemius muscles was attached to a force transducer by using silk ligature. The animal's body and left hindlimb were stabilized by using a brace for the spine, a drill bit inserted perpendicularly into the femur, as well as a clamp on the left foot. To maintain the muscle temperature at ~36°C, the hindlimb skin was used to form a recirculating oil bath. The animal rested on a heating pad, and body temperature was monitored and adjusted as needed. The intact sciatic nerve was stimulated (model S88 stimulator, Grass) with a bipolar silver electrode, and forces were recorded on microcomputer or FM tape. A 0.05-ms square-wave pulse was used throughout the experiment. The voltage necessary to obtain a maximal twitch response was determined, and supramaximal voltage was subsequently delivered to the sciatic nerve. A short (200-ms) tetanic (200-Hz) contraction was delivered, and then the muscle was set at optimal length for a maximal twitch response. Forces were measured in response to a single twitch and at 25-, 50-, 100-, 200-, 300-, and 400-Hz stimulation frequencies before measurement of a fatigue index. The fatigue protocol consisted of a 5-min stimulation period at 75 Hz, 100 ms, three times per second (17). After the measurement of contractile properties, the soleus, plantaris, medial, and lateral gastrocnemius muscles of both hindlimbs were removed, blotted dry, weighed, and frozen in liquid nitrogen. The muscle samples were stored at -80°C until analysis.

Acute ICI experiments and caffeine experiments. In these experiments, previously untreated control animals were prepared for the measurement of contractile properties as described in Muscle mass and contractile properties. Control twitch and tetanic forces were measured and the animals were injected intraperitoneally with ICI at a dose of 5 mg/kg or with the vehicle. Twitch forces were then monitored and recorded at different time intervals. Tetanic (200-Hz) tension was also recorded.

In the caffeine experiments, animals also had a catheter inserted in the jugular vein. Twitch and tetanic contractile forces were recorded, and then a 75 mg/kg dose of caffeine (12) was infused via the catheter while twitch contractions were monitored. When twitch forces were maximal, a 600-ms, 200-Hz tetanic contraction was delivered and force was recorded. In control animals, the contractile forces were recorded at approximately the same time after administration of a corresponding volume of the saline vehicle.

Dibutyryl cAMP experiments and direct vs. indirect muscle stimulation experiments. In these experiments, previously untreated control animals were prepared for the measurement of contractile properties as described in Muscle mass and contractile properties. However, in these animals, the soleus, plantaris, and lateral gastrocnemius muscles were carefully dissected from the distal tendon, and the medial gastrocnemius was isolated.

A small bath made of parafilm was constructed, and the medial gastrocnemius muscle was incubated in the vehicle or in 3 mM dibutyryl cAMP for 60 min. Contractile properties were measured after the incubation period.

Indirect twitch and tetanic contractions were compared with twitch and tetanic contractions obtained by direct stimulation of the medial gastrocnemius muscle. Direct stimulation was delivered via two small silver electrodes placed in the medial gastrocnemius by using supramaximal voltage.

Muscle protein concentration. Total and myofibrillar muscle protein concentrations were measured in the medial gastrocnemius muscle. Each muscle was homogenized (tissue homogenizer) individually in a potassium phosphate buffer (0.05 M, pH 7.4; 1 ml for 100 mg tissue). Aliquots of the samples were then processed in triplicate by using the Bradford protein assay to determine total protein concentration spectrophotometrically. Extraction of myofibrillar proteins was performed on the homogenate. Myofibrillar proteins were solubilized by two successive incubations with agitation, in ice-cold 0.3 M NaOH. Samples were mixed 2 h at 4°C before a 20-min centrifugation at 1,400 g at 4°C. Myofibrillar protein samples were assayed in triplicate. For all assays, bovine serum albumin was used as standard.

Cytochrome oxidase activity. As an index of oxidative capacity, the rate of oxidation of reduced cytochrome c by cytochrome oxidase was measured spectrophotometrically in the soleus, plantaris, and medial gastrocnemius muscles. Each muscle was homogenized separately and processed in duplicate according to the methods of Smith (24).

beta -Adrenergic-receptor density. beta -Adrenergic-receptor density was measured in the lateral gastrocnemius muscles because medial gastrocnemius muscles had been used for protein concentration and cytochrome oxidase activity determination. In preliminary experiments, we determined that the beta -adrenergic-receptor densities of the medial gastrocnemius and lateral gastrocnemius are similar (60 ± 8 vs. 66 ± 9 fmol/mg protein). Skeletal muscle membranes were prepared by mincing the frozen muscles with scissors and, while the muscles were on ice, homogenizing them with three 6- to 7-s bursts of a Polytron homogenizer set at high speed in the following homogenization buffer: 5 mM tris(hydroxymethyl)aminomethane (Tris) and 2 mM EDTA solution (pH 7.4) containing 5 mg/l trypsine inhibitor, 5 mg/l leupeptin, and 10 mg/l benzamidine. The homogenates were centrifuged 5 min at 1,000 g at 4°C and filtered through four layers of gauze. The supernatant was then centrifuged at 4°C (Sorvall Dupont RC26plus) for 20 min at 40,000 g. The pellets were washed by resuspension in the homogenization medium and centrifuged a second time at 40,000 g. The final pellets were resuspended in a 75 mM Tris, 12.5 mM MgCl2, and 2 mM EDTA buffer at 4°C and used immediately for all subsequent analysis.

Muscle membrane preparation protein content was determined by using the Bradford protein assay with standards prepared using bovine serum albumin. All samples were measured in triplicate.

To measure skeletal muscle beta -adrenergic-receptor density, the following methods were used. In preliminary studies, saturation binding experiments were performed. Thereafter, the muscle membrane preparation was added to a saturating [125I]iodocyanopindolol concentration (~250 pM) without and with 10 µM alprenolol to determine total and nonspecific binding. Sample tubes were vortexed and incubated 90 min at room temperature. After the incubation period, the tubes were rinsed four times with ice-cold Tris buffer (25 mM), and the contents were filtered to separate bound and free radioligand. Vacuum filtration of the samples was performed by using a Brandel cell harvester and glass microfiber filters (Whatman International) previously treated with 25 mM Tris; 0.3% polyethylenimine, and 0.1 g/100 ml bovine serum albumin. The radioactivity was counted in a gamma counter (LKB 1271). Specific binding was calculated as the difference between total and nonspecific binding measured in the presence of alprenolol. In this study, the specific binding represented 69.5 ± 8.7% (means ± SD for all samples) of the total binding. All binding assays were performed in triplicate. beta -Adrenergic-receptor densities are expressed in femtomoles per milligram protein.

Immunohistochemistry. Plantaris muscle fiber types were analyzed by using antibodies raised against myosin heavy chain, using the methods described by Gorza (8).

Materials. The myosin heavy chain antibodies were a gift from Dr. S. Schiaffino (University of Padua). ICI-118551 was a gift from Cambridge Research Biochemicals. All other chemicals are commercially available.

Statistical analysis. All data are reported as group means ± SD. The statistical analysis performed was a one-way analysis of variance followed by a Tukey post hoc test when necessary. Statistical significance was accepted at P < 0.05.


RESULTS

Absolute (kg) and relative (g/g) isometric contractile forces of the medial gastrocnemius muscle were significantly increased in the ICI-treated group. As illustrated in Fig. 1, twitch force was increased 56% while tetanic force at 200 Hz was increased 28% compared with the control group. However, the increased forces were completely abolished in animals treated for 14 days with ICI and treated acutely with the beta 2-adrenergic blocker ~2 h before the measurement of contractile properties (Fig. 1). Indeed, the contractile forces measured in these rats were slightly lower than but not statistically different from controls.


Fig. 1. Isometric in situ force-frequency curves for medial gastrocnemius of control animals (Con; n = 7), after chronic (14-day) treatment with ICI-118551 (ICI; n = 6), and after chronic and acute treatment with ICI-118551 (ICI+ICI; n = 4). Values are means ± SD. * ICI mean significantly greater than Con mean, P < 0.05.
[View Larger Version of this Image (23K GIF file)]

Twitch contractile and half relaxation times were not modified significantly by chronic or chronic and acute ICI treatment (Table 1). The fatigue index calculated from the force decline in response to rhythmic semifused contractions did not change after chronic beta 2-adrenergic-receptor blockade. The control group maintained 26.1 ± 4.7% of the maximal force while the ICI-treated group maintained 27.3 ± 9.1% of the maximal force during the fatigue protocol. Examples of twitch and tetanic (200-Hz) contractions are presented in Fig. 2.

Table  1.   Twitch contractile properties
Group n Contractile Time, ms Half Relaxation Time, ms

Control 7 14.62 ± 0.91  10.33 ± 2.21 
ICI 6 14.70 ± 1.84  10.07 ± 0.91 
ICI + ICI 4 14.07 ± 1.25  10.07 ± 1.02

Values are means ± SD; n, no. of animals. Control, control animals; ICI, animals treated chronically with ICI-118551; ICI + ICI, animals treated chronically and acutely with ICI-118551. No statistically significant differences (P < 0.05) were observed between group means.


Fig. 2. Examples of twitch (A) and tetanic (B; 200-Hz) absolute force tracings of the 3 groups: Con, ICI, and ICI+ICI. Calibration bars: A: x = 10 ms, y = 50 g; B: x = 100 ms, y = 250 g. ICI significantly greater than Con, P < 0.05.
[View Larger Version of this Image (8K GIF file)]

Direct and indirect stimulation of the medial gastrocnemius muscle of control animals resulted in similar peak twitch and tetanic forces. The difference in peak tetanic forces between direct and indirect stimulation was not statistically significant (2.8%).

Final body mass was unchanged after the drug treatment (Table 2), and daily food intake was not affected by chronic beta 2-adrenergic-receptor blockade (data not shown). Soleus, plantaris, and gastrocnemius muscle masses were also similar in control and ICI-treated groups, as were the medial gastrocnemius muscle total and myofibrillar protein concentrations (Table 2). The immunohistochemically identified fiber type percentages were not different in control and ICI-treated animals (9.2 vs. 8.9% type I, 30.1 vs. 28.3% type IIa, and 20.2 vs. 17.0% type IIb; no. of fibers analyzed = 1,885 control and 1,769 ICI). The oxidative potentials of three hindlimb muscles assessed by the activity of the enzyme complex cytochrome oxidase were also unaffected by chronic beta 2-adrenergic blockade (Table 2).

Table  2.   Body mass and muscle mass, protein concentration, and oxidative potential of control and ICI-118551-treated animals
Group n Final Body Mass, g Medial Gastrocnemius
Plantaris
Soleus
Mass, mg Cytox, U · min-1 · g-1 Protein
Total, mg/g Myofibrillar, mg/g Mass, mg Cytox, U · min-1 · g-1 Mass, mg Cytox, U · min-1 · g-1

Control 7 226.6 ± 19.1  626.8 ± 60.2  1.09 ± 0.26  166.0 ± 4.6  135.5 ± 5.0  264.3 ± 31.4  1.00 ± 0.16  101.7 ± 14.2  1.36 ± 0.27 
ICI 6 227.3 ± 12.3  600.6 ± 36.9  1.06 ± 0.21  164.2 ± 4.3  136.7 ± 5.9  259.0 ± 39.3  1.06 ± 0.22  104.7 ± 10.7  1.44 ± 0.13

Values are means ± SD; n, no. of animals. Myofibrillar protein extraction was performed on 7 control and 5 ICI animals. Cytox, activity of enzyme complex cytochrome oxidase. No statistically significant differences (P < 0.05) were observed.

However, as illustrated in Fig. 3, chronic beta 2-adrenergic-receptor blockade increased the beta -adrenergic-receptor density by 42% in the ICI-treated group.


Fig. 3. beta -Adrenergic-receptor density (Bmax) of lateral gastrocnemius muscle in Con and ICI. Values are means ± SD. * ICI significantly greater than Con, P < 0.05.
[View Larger Version of this Image (16K GIF file)]

The increased forces observed in animals chronically treated with ICI were not due to the drug or to a metabolite of the drug as acute administration of ICI to control animals appeared to slightly reduce contractile forces (Table 3). To verify whether the increased contractile forces were due to activation of the beta 2-adrenergic receptors and accumulation of the second-messenger cAMP, contractile forces were measured in a preparation in which muscle cAMP concentrations were elevated. This pharmacological treatment caused a small increase in twitch force and duration but no change in tetanic force (Table 3). Increases in sarcoplasmic reticulum calcium release could also be a mechanism responsible for the increased forces. To verify that possibility, caffeine was infused in control animals, and in these experiments, twitch forces were potentiated by an average of 29.2%, whereas tetanic force did not change significantly (Table 3).

Table  3.   Percent changes in contractile properties of control animals after acute administration of ICI-118551 or caffeine or after incubation of the muscle in dibutyryl cAMP
Treatment Twitch
Tetanic (200-Hz) Force
Force Contractile time Half relaxation time

ICI-118551  -5.0 3.7  -0.1  -8.1
Dibutyryl cAMP 10.6* 12.9* 5.5  -0.7
Caffeine 29.2* 10.0 15.8 1.9

Values are expressed in percent change from control conditions, as calculated from mean values. * Significantly different from control, P < 0.05.


DISCUSSION

beta 2-Adrenergic receptors could be involved in maintenance or adaptation of skeletal muscle tissue characteristics. For instance, they have been suggested to participate in the physiological control of tissue mass by endogenous catecholamines (22), and there is some evidence that muscle enzymatic adaptation is regulated, at least in part, by stimulation of beta 2-adrenergic receptors (9). Furthermore, skeletal muscle mass, protein content, and fiber size are increased after treatment with some beta 2-agonists (10, 17, 30, 31). If the muscle's beta 2-adrenergic receptors are necessary for maintenance of these characteristics, chronic beta 2-adrenergic-receptor blockade could be expected to have opposite effects.

There were no changes in skeletal muscle mass after chronic administration of ICI in this study (Table 2), which is similar to another published report (21). However, these results contradict those of Sillence et al. (22) and Benbachir-Lamrini et al. (1), who reported decreases of hindlimb muscle mass and increases of soleus muscle mass after chronic treatments with ICI, respectively. Interestingly, Benbachir-Lamrini and collaborators observed a decrease in muscle cross-sectional area in 4-wk-old Wistar-Kyoto normotensive rats, whereas an increase in cross-sectional area was observed in the 8- to 10-wk-old animals. The reasons for the differences observed in these studies could be the duration of the treatment, the drug dose, the age, the gender, or the strain of the animals used. In another study, we studied 16 older male Sprague-Dawley rats under the same conditions and also found that the chronic treatment with ICI used in this study did not change skeletal muscle mass (unpublished observations). Decreases in skeletal muscle mass after chronic beta 2-adrenergic-receptor blockade could be the result of decreases in muscle protein, because beta 2-adrenergic-receptor stimulation increases skeletal muscle protein content by increasing synthesis and/or decreasing degradation (30). In the present study, we measured medial gastrocnemius total and myofibrillar protein concentrations and found that they were unchanged after 14 days of chronic beta 2-adrenergic-receptor blockade (Table 2). Furthermore, the ICI treatment did not affect the immunohistochemically identified fiber sizes in the plantaris. These results suggest that although beta 2-adrenergic-agonist treatment does promote skeletal muscle hypertrophy (10, 30), beta 2-adrenergic receptors may not play an obligatory role in maintaining muscle mass in the present conditions.

We have previously observed that the oxidative capacity of skeletal muscle is unchanged in fast muscles but is slightly increased in the soleus, a slow muscle, after chronic beta 2-adrenergic-receptor stimulation (16). This is consistent with a fiber type transformation from slow to fast (31), because type IIa fibers are more oxidative than are type I fibers in the rat (6). Benbachir-Lamrini and collaborators (1) did not observe a change in soleus muscle oxidative or glycolytic capacity after chronic beta 2-adrenergic-receptor blockade. Similarly, in the present study, chronic blockade of beta 2-adrenergic receptors did not modify the oxidative potential of any of the muscles studied (Table 2), nor did it cause a fiber type transformation in the plantaris. Because the present treatment did not result in significant changes in skeletal muscle mass, protein concentration, oxidative potential, fiber type, or fatigue resistance, beta 2-adrenergic-receptor stimulation does not appear to be necessary for maintenance of these characteristics, at least not for 14 days under these conditions. It could be argued that beta -blockade was insufficient to promote these changes, but this is unlikely because beta -adrenergic-receptor upregulation occurred.

Indeed, the 14-day treatment with ICI resulted in an upregulation of beta -adrenergic receptors in the lateral gastrocnemius muscle (42%; Fig. 3). This upregulation of receptors is an expected response after chronic treatment with a blocker (21). Few researchers have studied the implications of receptor number on skeletal muscle tissue responsiveness. The treatment could cause a heightened responsiveness of skeletal muscle to catecholamines after abrupt withdrawal of ICI. Such a hypersensitivity has been observed in other tissues after treatment with a beta -blocker (18). In this study, the relative (g/g; Fig. 1) and absolute (kg; Fig. 2) isometric contractile forces of the medial gastrocnemius muscle were increased after a chronic ICI treatment and a washout period. Twitch and tetanic forces were increased. These increases in force were reproducible and could not be explained by factors such as muscle or body temperature. These results suggest that tetanic force under normal in situ conditions may not be maximal and are supported by reports of increased tetanic forces (maximal tetanic force/unit area) after different treatments (13, 15). Furthermore, our results, obtained by using acute administration of ICI to control animals (Table 3), suggest that under normal in situ conditions, beta 2-adrenergic-receptor stimulation may be involved in the production of maximal contractile forces.

Several possible causes for the increased forces after chronic ICI treatment were evaluated. Chronic ICI treatment might have facilitated neuromuscular transmission at higher frequencies by some unknown mechanism. We believe that this possibility is unlikely. For example, rat motor units stimulated at 200 Hz show initial electromyographic amplitudes, reflecting the number of recruited fibers in the unit, similar to those seen during a single twitch, and are capable of maintaining this amplitude beyond the time required for the generation of peak tetanic force (11). This would suggest that all fibers of tetanically stimulated control muscles were maximally activated at the time that peak tetanic forces were measured in the present study. In addition, direct and indirect muscle stimulation resulted in similar twitch and tetanic forces. Our results clearly demonstrate that, in the present model and under the conditions of the model, recruitment of muscle fibers is not submaximal. This shows that the increased forces in the ICI-treated animals are due to increases in the tension generated by the muscle fibers and are not secondary to increased recruitment.

Next, ICI or a metabolite of the drug could directly or indirectly increase the muscle's contractile forces. This hypothesis was eliminated because in experiments in which ICI was infused via the jugular vein or administered acutely subcutaneously to control animals before or during the measurement of contractile properties, no increase in contractile force was observed (Table 3).

Increases in myofibrillar proteins could also explain the elevated forces in the ICI-treated group. However, as demonstrated in the medial gastrocnemius, total and myofibrillar protein concentrations did not change in response to the treatment (Table 2). Therefore, the contractile force increases were not due to changes in muscle protein content or concentration. Another possible explanation for the increased contractile forces is a fiber type transformation. Indeed, a slow-to-fast transformation might result in increased muscle forces, as demonstrated with fiber-specific force (2). However, this type of transformation, from type I to IIa to IIb, occurs after chronic treatment with a beta 2-adrenergic agonist (31) and, to our knowledge, has not been reported after a treatment with a beta 2-adrenergic antagonist. The fiber type transformation after agonist treatment is accompanied by an increase in oxidative potential in slow muscle (16), which we did not observe in this study (Table 2). Our experiments in which we used myosin heavy chain antibodies also did not indicate fiber type transformations in the plantaris muscle after chronic beta 2-blockade. Therefore, a fiber type transformation is unlikely to be the mechanism responsible for the increased forces.

When chronic beta 2-adrenergic-receptor blockade was followed by an acute injection of ICI 2-3 h before measurement of contractile properties, contractile forces returned to control values (Figs. 1 and 2) despite the fact that beta -adrenergic-receptor density of the lateral gastrocnemius was also elevated in these animals. Therefore, the larger contractile forces of the ICI-treated group subjected to a washout period are likely to have been mediated by stimulation of beta 2-adrenergic receptors, presumably by endogenous catecholamines.

A lengthening of the twitch duration could explain the increased twitch force. However, we did not observe any change in twitch contractile time or in the half relaxation time in ICI-treated animals (Table 1). In experiments in which the muscle's cAMP content was increased with dibutyryl cAMP, there was an increase in twitch duration in the medial gastrocnemius muscle (Table 3). In these experiments, twitch forces were also increased slightly, but we were unable to replicate the increases in tetanic forces observed in the chronically blocked group. This may reflect a diffusion problem of the drug in whole muscles, or it could suggest that the mechanism responsible for increasing tetanic forces of the ICI-treated animals may not be solely dependent on the accumulation of cAMP.

Another possible cause for the increased forces is an increased intracellular calcium concentration. beta 2-Adrenergic-receptor stimulation by endogenous catecholamines could increase cytosolic calcium concentration during activation as a result of increased release from the sarcoplasmic reticulum (3). Twitch and tetanic forces have been shown to be potentiated by >50 and 10-20%, respectively, when cytosolic calcium concentrations are increased by using caffeine (7). The increased forces we observed after the ICI treatment and withdrawal in the present study are very similar to the percentages reported by Fryer and Neering (7), who used caffeine in their study. However, we were unable to potentiate the tetanic forces in our experiments with caffeine, although twitch force was consistently increased (Table 3). The caffeine infused may not have been sufficient to increase tetanic force, but in the present in situ preparations we were unable to use higher caffeine doses.

In summary, this study demonstrates that a chronic treatment with ICI did not modify several skeletal muscle characteristics, including mass, protein concentration, fiber type percentages, and oxidative potential, suggesting that regular activation of these receptors is not necessary for tissue maintenance of those characteristics. Furthermore, we show that fast skeletal muscle beta -adrenergic receptors are upregulated in response to chronic beta 2-adrenergic blockade and that this upregulation increases isometric contractile forces. To our knowledge, this is the first evidence demonstrating that upregulation of skeletal muscle beta -adrenergic receptors is associated with increases in muscle contractile force. These are important findings because they demonstrate that under normal in situ conditions, muscle tetanic force may not be maximal. The inotropic responses could be due to increased calcium concentrations in the cytoplasm during skeletal muscle activation. More research is needed to determine the exact mechanism(s) involved in these responses.


ACKNOWLEDGEMENTS

The contributions of Drs. F. Péronnet (Université de Montréal) and F. Trudeau (Université du Québec à Trois-Rivières) are gratefully acknowledged.


FOOTNOTES

   This work was supported by the Natural Sciences and Engineering Research Council of Canada (L. Béliveau and P. F. Gardiner) and the Canadian Heart and Stroke Foundation (M. Bouvier). R. J. L. Murphy received a graduate scholarship from the Natural Sciences and Engineering Research Council of Canada and a studentship from the Rick Hansen Man in Motion Foundation.

Address for reprint requests: L. Béliveau, Université de Montréal, Département d'Éducation Physique, C.P. 6128, Succursale Centre-ville, Montréal, PQ, Canada H3C 3J7 (E-mail: BELIVEL{at}ere.UMontreal.ca).

Received 9 October 1996; accepted in final form 8 April 1997.


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