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1 Department of Animal Health and Biomedical Sciences and 2 Medical Scientist Training Program, University of Wisconsin, Madison, Wisconsin 53706
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ABSTRACT |
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The hypothesis that the
accumulation of electron transport system (ETS) abnormalities and
sarcopenia are linked was investigated. Vastus lateralis, soleus, and
adductor longus muscles were studied in 5-, 18-, and 36-mo-old male
Fischer 344 × Brown Norway F1 hybrid rats. A
significant decrease in soleus and vastus lateralis muscle mass was
observed with age. Adductor longus was resistant to muscle mass loss.
Multiple serial sections were analyzed for the activities of
cytochrome-c oxidase (COX) and succinate dehydrogenase
(SDH). The number of fibers exhibiting a
COX
/SDH++ phenotype increased with age in
both vastus lateralis and soleus muscles. No ETS-abnormal fibers were
identified in adductor longus at any age. Cross-sectional area of
ETS-abnormal fibers decreased in the abnormal region (region displaying
COX
/SDH++ phenotype), whereas control fibers
did not. The vastus lateralis muscle, which undergoes a high degree of
sarcopenia, exhibited more ETS abnormalities and associated fiber loss
than the soleus and adductor longus muscles, which are more resistant
to sarcopenia, suggesting a direct association between ETS
abnormalities and fiber loss.
aging; ragged red fiber; rat; muscle atrophy
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INTRODUCTION |
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SARCOPENIA IS DEFINED AS the loss of skeletal muscle mass with age. It is a major contributor to loss of strength (20, 50), decreased metabolic rate (24), gradual reduction of bone density (5, 56), decreased aerobic capacity (23) and, consequently, an increase in physical frailty and a decrease in functional performance in aged individuals (34). This muscle mass loss presents as a decrease in the muscle cross-sectional area (CSA) with age (38, 49, 51, 52, 65, 66) and has been attributed to a reduction in muscle fiber number (28, 33, 38) and fiber atrophy (12, 38, 54). Type II (fast-twitch, white) fibers are more susceptible than type I (slow-twitch, red) fibers to age-related fiber atrophy and fiber loss (2, 27, 32, 35, 37). The extent of sarcopenia is muscle specific, with some muscles exhibiting substantial declines in weight with age [e.g., vastus lateralis (38), rectus femoris (63), soleus (12, 11, 16, 41), plantaris (11), gastrocnemius (57), and extensor digitorum longus (12)]. Other muscles show no change in weight with age [e.g., adductor longus, epitrochlearis (27), and flexor digitorum longus (62)].
A number of mechanisms have been proposed as causing sarcopenia, including selective decline and changes in motor unit organization (25, 26, 31, 32), contraction-induced injuries (9, 21), deficient satellite cell recruitment (15), increase of free radicals and oxidative stress (63, 64), and age-related accumulation of mitochondrial abnormalities [e.g., mitochondrial DNA (mtDNA) deletion mutations and electron transport system (ETS) abnormalities (3, 36, 40, 63)].
ETS abnormalities occur in a high proportion of muscle fibers in myopathy patients, particularly in chronic progressive external ophthalmoplegia and its variant Kearns-Sayre syndrome (8, 29, 44, 45). The most frequently observed morphological change that results from impaired oxidative phosphorylation is the ragged red fiber (43, 53). The increase in succinate dehydrogenase (SDH) activity gives a "ragged red" phenotype to the fiber due to its staining pattern (purple or red) with modified Gomori trichrome (19). Electron microscopy studies demonstrate that the ragged red appearance results from an abnormal proliferation of mitochondria beneath the sarcolemma of skeletal muscle fibers (8, 45). The increased SDH activity in the ragged red fibers is often accompanied by deficiencies of cytochrome-c oxidase (COX) activity. ETS abnormalities accumulate with age in humans and animals without muscular disease (3, 30, 36, 40, 43, 46, 53, 63). These abnormalities are distributed in a mosaic and segmental pattern and have been observed primarily in postmitotic tissues with high oxygen consumption, such as skeletal muscle (1, 6, 60, 13, 43), heart (42, 58, 59), and brain (7).
Examination of COX and SDH activities from skeletal muscle of rhesus
monkeys (36, 40) and rats (3, 63)
demonstrates that the number of fibers containing ETS abnormalities
(COX
and/or SDH++) increases with age. Our
laboratory recently identified an association of ETS abnormalities with
a marker of cellular dysfunction, intrafiber atrophy, in rhesus monkey
quadriceps (36, 40) and rat rectus femoris muscle
(63).
The question arises whether different muscles accumulate different
levels of ETS abnormalities during normal aging. The present study
investigated the abundance of ETS-abnormal fibers
(COX
/SDH++) in muscles that exhibit varying
degrees of sarcopenia during normal aging. We hypothesized that muscles
exhibiting higher levels of sarcopenia would have more ETS
abnormalities compared with muscles with reduced muscle mass loss. To
address this hypothesis, muscle mass, fiber number, muscle CSA at
midbelly, and abundance of ETS-abnormal fibers (fibers displaying
COX
/SDH++ phenotype) were characterized in
muscles known to undergo considerable sarcopenia (vastus lateralis) or
intermediate sarcopenia (soleus) and in a muscle resistant to
sarcopenia (adductor longus).
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MATERIALS AND METHODS |
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Animals and tissue preparation. Skeletal muscle was obtained from 5- (n = 7), 18- (n = 7), and 36-mo-old (n = 6) male Fischer 344 × Brown Norway F1 (F344×BNF1) hybrid rats that had been purchased from the National Institute on Aging colony maintained by Harlan Sprague Dawley (Indianapolis, IN). The F344×BNF1 rat was chosen because it is a long-lived strain (mean life span of the male F344×BNF1 rat is ~33 mo) and it is less susceptible to many age-related pathologies (e.g., nephropathy) that develop in other rat strains (39).
The rats were killed by exsanguination. The vastus lateralis, soleus, and adductor longus muscles were carefully dissected free from surrounding tissue, and the wet weights were measured. Whole muscle samples were then bisected at midbelly perpendicular to their longitudinal axis, placed in OCT mounting media (Miles, Elkhart, IN), frozen in liquid nitrogen, and stored at
80°C. The
tissues were brought to the temperature of the cryostat (
20°C) before sectioning. One hundred serial, transverse frozen sections, 10 µm thick, were cut, starting from midbelly, and placed on Probe-On Plus slides (Fisher Scientific, Pittsburgh, PA).
Histochemistry.
Enzymatic staining for COX (55) and SDH activity
(17) was performed on serial sections to identify fibers
containing ETS-abnormal regions. COX and SDH incubation media were
prepared as described in Lee et al. (36). For the
longitudinal study of individual fibers, the staining was performed as
described in Van Zeeland et al. (61). Briefly, the
first slide was stained with hematoxylin and eosin (H&E), the second
slide for COX activity, and the third slide for SDH activity. The
fourth, fifth, sixth, and seventh slides were stored at
80°C for
future studies; the eighth, ninth, and tenth slides were stained again
with H&E, for COX activity, and for SDH activity, respectively. This
staining pattern was repeated throughout the 100 slides for each
muscle. After staining, the slides were rinsed in distilled water and
mounted with aqueous media (Aqua Poly/Mount, Polysciences, Warrington, PA).
Characterization of ETS-abnormal fibers and fiber atrophy.
To characterize COX-negative (COX
) fibers, each
COX-stained muscle section was screened on an Olympus BH2 microscope
under bright-field illumination. When a COX
fiber was
found, the fiber was identified in the adjacent section stained for SDH
activity. The phenotype and CSA of each abnormal and normal fiber were
recorded along the length of 1,000 µm at 70-µm intervals. Fibers
that stained negative for COX activity and hyperreactive for SDH
activity were scored as ETS-abnormal fibers (Fig.
1).
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Muscle mass, fiber number, and muscle CSA. To characterize sarcopenia, muscle mass, fiber number, and muscle CSA at midbelly were determined. Wet weights were obtained from each tissue sample immediately after dissection. After sectioning, an H&E-stained section at the midbelly of the muscle was used for fiber count. The section was photographed with a digital camera (Hitachi HV-C/C20M) at ×4 magnification. Digital images of the entire muscle cross section were reconstructed. Every fiber in the composite digital image was marked using Adobe Photoshop software, followed by counting using Image Pro-Plus software (Media Cybernetics, Atlanta, GA). The whole muscle section reconstruction was also used to measure the whole muscle CSA at the midbelly. Image Pro-Plus software (Media Cybernetics) was used for this purpose.
Fiber type. Immunohistochemistry, as described in Aspnes et al. (3), was used to determine fiber type composition. Briefly, sections were incubated with the monoclonal antiskeletal myosin clone, MY-32 (Sigma Chemical, St. Louis, MO), at a 1:400 dilution for 2 h, followed by a 1-h incubation with anti-mouse IgG alkaline phosphatase-conjugated antibody (1:200). MY-32 antibody reacts with type II fibers. Samples were mounted with aqueous Aqua Poly/Mount (Polysciences, Warrington, PA). Type I and type II fibers were identified, counted, and proportions were determined.
Statistical analysis. The statistical package SigmaStat 2.0 (SPSS) was utilized for all statistical analysis. Means and SE were calculated from individual values. One-way ANOVA was used to determine significance between the three age groups. The Tukey test was used for multiple comparisons. The distributions of fiber CSA were estimated by using Kernel densities. The strength of the association between ETS abnormality length and CSA ratio was determined using Spearman rank-order correlation. Differences were considered significant at P < 0.05.
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RESULTS |
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Body weight, muscle mass, fiber number, and muscle CSA.
Body weights of 5-mo (n = 7), 18-mo (n = 7), and 36-mo-old (n = 6) F344×BNF1 rats
(Table 1) increased significantly
(P < 0.001) between 5 and 18 mo and between 5 and 36 mo. No significant differences were found in the body weights between
18- and 36-mo-old rats.
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ETS-abnormal fibers.
Tissue sections were stained for COX and SDH activity to define the ETS
phenotype of individual fibers along the 1,000-µm length of muscle
tissue. Fibers that stained negative for COX activity and hyperreactive
for SDH activity (COX
/SDH++) were scored as
ETS-abnormal fibers. The largest number of ETS-abnormal fibers was
identified in vastus lateralis muscles (a total of 50) of 36-mo-old
rats, whereas no COX
/SDH++ fibers were
observed in the vastus lateralis of 5-mo-old rats within the 1,000 µm
of tissue examined (Fig. 3). In contrast, a single ETS-abnormal fiber was identified in the vastus lateralis muscle of 18-mo-old rats per 1,000-µm. In the soleus muscle, a single
COX
/SDH++ fiber per 1,000 µm was found in
36-mo-old rats, and no ETS-abnormal fibers were identified in 5- and
18-mo-old rats. COX
/SDH++ fibers were not
identified in adductor longus muscle in any age group (Fig. 3).
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ETS abnormalities and intrafiber atrophy.
Intrafiber atrophy is linked to ETS abnormalities in rat rectus
femoris muscle and rhesus monkey vastus lateralis muscle. Because this
atrophy can be quite severe, resulting in some fibers having a complete
breakage, we measured the CSAs of 90 individual, randomly selected
ETS-normal (control) and 55 individual ETS-abnormal fibers along a
length of 1,000 µm. The ratio of minimum CSA, in the
COX
/SDH++ region of the ETS-abnormal fibers,
to the average of CSA in the normal region of the same fibers was
determined (see MATERIALS AND METHODS). For ETS-normal
fibers, the ratio of minimum CSA to the average CSA of the entire
1,000-µm length was calculated. Kernel density distribution of CSA
ratio in ETS-abnormal fibers and ETS-normal fibers (Fig.
4) showed that none of the control fibers
had a CSA ratio smaller than 0.7. One-half of the ETS-abnormal fibers,
however, had a ratio below 0.7. Figure 5
is a computer reconstruction of CSAs along the length of two fibers
containing COX
/SDH++ regions (Fig. 5,
C and D) and one ETS-normal fiber (Fig.
5E). Figure 5, A and B, presents
photomicrographs of cross sections (stained for COX and SDH activity,
respectively) of the muscle fiber in Fig. 5C. The CSA in the
normal region (normal for COX and SDH activity) of the ETS-abnormal
fiber was not different from the CSA of the ETS-normal fibers. The CSA
significantly decreased within the ETS-abnormal region, where it
displayed both COX
and SDH++ phenotypes, and
it eventually decreased to zero (Fig. 5C, tissue sections 3 and 4). Further along the fiber, where
normal COX and SDH activities resumed, the CSA was similar to normal
fibers.
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/SDH++ phenotype extended through only
a portion of the affected muscle fibers (i.e., a segmental
distribution). The length of these ETS-abnormal regions varied from 110 to 680 µm, a range that is an underestimate of the maximum values
because many of the ETS-abnormal regions extended outside of the
1,000-µm length of muscle examined. Fibers with longer ETS-abnormal
regions were more likely to have smaller CSA ratios (more atrophic in COX
/SDH++ region). The Spearman correlation
test showed a negative correlation (P < 0.001;
r = 0.352) between ETS-abnormal region length and CSA ratio.
Fiber type.
The proportions of type I and type II fibers in the three muscles were
determined immunohistochemically by using an antibody against skeletal
myosin (specific for type II fibers). The vastus lateralis muscle is
predominantly composed of type II fibers. The average proportions of
type I and type II fibers in the vastus lateralis muscle did not
significantly (P = 0.126) change with age (Table
2). The soleus and adductor longus
muscles were predominantly composed of type I fibers with a small
percentage of type II fibers. The soleus muscle showed a significant
increase in type I muscle fibers (P < 0.05) and a
significant decrease in type II muscle fibers (P < 0.05) from 18- to 36-mo-old rats. The adductor longus muscle showed a
significant decline in type II fibers with age, 5-36 mo
(P = 0.027). Most of the ETS-abnormal fibers (94%)
were type II.
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DISCUSSION |
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The purpose of this study was to characterize and provide a
comprehensive overview of the abundance of ETS-abnormal fibers displaying COX
/SDH++ phenotype in muscles
exhibiting different degrees of sarcopenia. We hypothesized that
muscles that undergo age-associated fiber loss would contain
significantly higher levels of mitochondrial abnormalities compared
with muscles that have limited or no sarcopenic changes.
Fiber loss with age is an important component of sarcopenia in rat vastus lateralis muscle. The results confirm age-associated fiber loss data from vastus lateralis muscle of Lobund-Wistar rats (3) as well as another quadriceps muscle, rectus femoris (63), in very old F344×BNF1 rats. In soleus muscle, although a trend for decreasing fiber number with age was present, we did not observe a significant decline in fiber number. The trend of soleus muscle toward fiber loss with age is evident from other rodent studies, with some investigators reporting a decline in fiber number with age (25, 28, 33), whereas other investigators did not (10, 18).
The decline in muscle mass can result from both individual fiber loss and fiber atrophy. Group fiber atrophy (clusters of small fibers) was observed in vastus lateralis muscles from 36-mo-old rats, whereas a general atrophy of individual fibers was observed in the soleus muscle (E. A. Bua, unpublished observations). This overall decrease in the CSA of individual fibers in soleus muscle in 36-mo-old rats may account for the declines in muscle mass and whole muscle CSA with age while fiber number is maintained. The CSA of individual fibers in adductor longus muscle from 36-mo-old rats was larger than that from the 5- and 18-mo-old rats (E. A. Bua, unpublished observations). A significant decrease in the percentage of type II fibers and a concomitant increase in percent type I fibers was observed in both the soleus and adductor longus muscles. This fiber type switching may be due to a transformation of fibers from type II to type I or to a selective loss of type II fibers. A shift from type II fibers to type I fibers has been described previously (27).
Our laboratory previously demonstrated an age-related increase in
ETS-abnormal fibers in rhesus monkey (36, 40) and rat (3, 63) quadriceps muscle. Characterizing three
ETS-abnormal phenotypes (COX
/SDH++;
COX
/SDHnormal;
COX
/SDHlow), Wanagat et al. (63)
and Lopez et al. (40) estimated that ~15% of the fibers
contain ETS-abnormal regions in old rats and 60% in old rhesus
monkeys. In the present study, we analyzed the abundance of
COX
/SDH++ fibers in vastus lateralis, soleus,
and adductor longus muscles. Longitudinal analyses were used to
characterize individual ETS fibers containing
COX
/SDH++ regions, because the abnormalities
are segmental in nature (40, 63). The number of
ETS-abnormal fibers per cubic millimeter of tissue (volume density)
showed a significant (P < 0.001) increase from 18 mo
(0.01 ± 0.00) to 36 mo (0.55 ± 0.19) in the vastus lateralis muscle. The number of ETS-abnormal fibers/muscle was estimated by using the volume of the entire muscle (number of COX
/SDH++ regions/mm3 × muscle volume). The total volume of the muscle was determined by
dividing muscle mass by 1.06 g/ml, the mammalian muscle tissue specific
gravity (volume = muscle mass/gravity) (4).
Using the volume of the entire muscle, we estimated that ~5.25%
(361 ± 127) of the muscle fibers in the vastus lateralis and 1%
(0.19 ± 0.03) in the soleus contain
COX
/SDH++ regions in 36-mo-old rats. Most of
the abnormal regions (63%) started and ended within 1,000 µm of
length, and a few fibers (10%) exhibited more than one abnormal region
within the 1,000-µm length analyzed, illustrating the segmental
nature of these abnormalities.
The COX
/SDH++ phenotype in skeletal
muscle is likely caused by mtDNA deletion mutations. ETS-abnormal
segments of skeletal muscle fibers are associated with mtDNA deletion
mutations (14, 30, 36, 47, 63). Histological analyses
indicate that mtDNA deletions are distributed in a mosaic pattern and
that mtDNA deletion mutations and ETS abnormalities are linked
(36, 40, 47, 63). Through the use of in situ hybridization
methods, mtDNA deletions were detected in ~90% of ETS-abnormal
fibers in rhesus monkey vastus lateralis muscle (36).
Using laser-capture microdissection and PCR analysis of ETS-abnormal
fibers, Cao et al. (14) found that mtDNA deletions were
present in all ETS-abnormal fibers displaying COX
/SDH++ phenotype (29 ETS-abnormal fibers
examined) in hybrid rat skeletal muscle. These findings suggest the
following mechanism for the role of mitochondrial abnormalities in
muscle fiber loss with age. MtDNA deletion mutations are produced
during normal aging and clonally accumulate within a small region of a
muscle fiber. This accumulation results in the loss of COX activity
(COX
) and the concomitant increase in the number of
mitochondria, producing the SDH++ (ragged red) phenotype.
The accumulation of abnormal mitochondria expanding along the length of
the fiber producing an energy deficiency, impaired cellular activity,
and compromised ability to adapt to various physiological stresses will
give rise to intrafiber atrophy, fiber breakage, and inevitably fiber
loss. Our estimation of ~5.25% of the fibers containing ETS-abnormal
regions in vastus lateralis and 1% in the soleus muscle of 36-mo-old
rats demonstrates the steady-state level of these abnormalities at this
age. These are likely considerable underestimates of the total number
of abnormalities that have occurred in a given muscle because ETS
abnormalities that caused fiber loss previously would no be longer
present and thus would not be included in the count.
The mechanism(s) responsible for the differences in the abundance of
ETS-abnormal fibers displaying COX
/SDH++
phenotype in the three muscles analyzed is unknown. Differences in
fiber-type proportions and in the morphological, structural, and
physiological properties may play a role. Because type I fibers have
more mitochondria than type IIb fibers (48), fewer
mitochondria containing the deleted genomes in a type IIb fiber are
needed to overcome the wild-type genome. Furthermore, the onset of the ETS abnormalities could be evident earlier in type IIb fibers than in
type I fibers. In vastus lateralis muscle, composed predominantly of
type II (IIa and IIb) fibers, COX
/SDH++
fibers were first detected at 18 mo of age, whereas, in soleus muscle, composed predominantly of type I fibers,
COX
/SDH++ fibers were first detected at 36 mo
of age.
In summary, ragged red fibers were associated with the muscle mass loss and fiber number decline. Vastus lateralis, which exhibited the greatest muscle mass loss with age, also exhibited the largest loss of fibers, the greatest number of ragged red fibers, and associated atrophy. In contrast, the adductor longus muscle, which exhibited no muscle mass loss and little change in fiber number with age, did not have detectable levels of ETS abnormalities. Soleus muscle, which exhibited intermediate levels of sarcopenia and fiber number decline, showed intermediate levels of ETS abnormalities. The present study suggests that different muscles accumulate different levels of ETS abnormalities during normal aging and supports the hypothesis that ETS abnormalities contribute to senescent muscle atrophy.
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ACKNOWLEDGEMENTS |
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This work was supported by National Institute on Aging Grants RO1 AG-11604, RO1 AG-17543, and PO1 AG-11915.
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FOOTNOTES |
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Address for reprint requests and other correspondence: J. M. Aiken, Dept. of Animal Health and Biomedical Sciences, Univ. of Wisconsin, 1656 Linden Drive, Madison, WI 53706 (E-mail: jma{at}ahabs.wisc.edu).
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.
First published February 22, 2002;10.1152/japplphysiol.01102.2001
Received 2 November 2001; accepted in final form 18 February 2002.
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