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Departments of Anatomy and Physiology and Kinesiology, Kansas State University, Manhattan, Kansas 66506-5802
Submitted 12 May 2003 ; accepted in final form 5 November 2003
| ABSTRACT |
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220 g) were studied after the cessation of electrical stimulation (120 s; 1 Hz) to compare the recovery profiles of PmvO2. As hypothesized, PmvO2 was lower throughout recovery in Per compared with Sol (end contraction: 13.4 ± 2.2 vs. 20.2 ± 0.9 Torr; end recovery: 24.0 ± 2.4 vs. 27.4 ± 1.2 Torr, Per vs. Sol; P
0.05). In addition, the mean response time for recovery was significantly faster for Sol compared with Per (45.1 ± 5.3 vs. 66.3 ± 8.1 s, Sol vs. Per; P < 0.05). Despite these findings, PmvO2 rose progressively in both muscles and at no time fell below end-exercise values. These data indicate that, during the recovery from contractions (which is prolonged in Per), capillary O2 driving pressure (i.e., PmvO2) is reduced in fast-compared with slow-twitch muscle. In conclusion, the results of the present investigation may partially explain the slowed recovery kinetics (phosphocreatine and O2 uptake) found previously in 1) fast- vs. slow-twitch muscle and 2) various patient populations, such as those with congestive heart failure and diabetes mellitus. recovery from exercise; muscle fiber type; oxygen delivery; oxygen uptake
O2) and vascular O2 pressures (13, 20). Specifically, after isotonic contractions of the human gastrocnemius, inspired hypoxic gas slowed and hyperoxic gas speeded PCr recovery (13). Similar findings were reported for the perfused rat hindlimb, where PCr recovery was speeded in proportion to the elevated
O2 after isometric contractions (20).
Microvascular O2 pressure (PmvO2) is proportional to the
O2-to-O2 uptake (
O2) ratio, both during and after contractions (5, 31). The theoretical basis for this relationship within skeletal muscle was developed by Roca et al. (39), who adapted the work (on the pulmonary system) of Piiper and Scheid (36) for use in skeletal muscle. Thus changes in
O2/
O2 are mirrored precisely by changes in PmvO2 (31), and the time course of changes in PmvO2 is dependent, therefore, on the relative temporal changes in
O2 and
O2 (3). In addition, we have recently demonstrated that PmvO2 is substantially lower in a contracting muscle composed predominantly of fast-twitch fibers [peroneal (Per)] compared with one composed of slow-twitch fibers [soleus (Sol)]. However, to our knowledge, the PmvO2 profile in such muscles has never been resolved during recovery. This information may provide a mechanistic basis for the slowed PCr recovery kinetics reported in muscles with a predominantly fast-compared with slow-twitch fiber profile (26), irrespective of their oxidative capacities per se. Moreover, because major chronic diseases (e.g., chronic heart failure and diabetes mellitus) result in a shift toward a greater percentage of fast-twitch fibers (30, 42), it is possible that this fiber-type shift (via its effect on PmvO2) may be responsible, in part, for the impaired muscle energetics and slowed recovery kinetics of
O2, heart rate, and PCr that are symptomatic of these conditions (7, 8, 25, 41, 43).
PmvO2 dynamics during recovery from contractions have only been studied to date in the rat spinotrapezius muscle (31). In that investigation, a marked asymmetry was noted between the on- and off-transient, with the recovery PmvO2 dynamics being substantially slower that those of the on-transient response. Because the spinotrapezius is a mixed fiber-type muscle (41% type I, 24% type IIa and d/x, 35% type IIb; Ref. 9), it is impossible to know with certainty the impact that fiber type played in the slow off-transient response. However, because PmvO2 is reduced at the beginning of the exercise off-transient (5) and
O2 is reduced at both 30 s and 3 min of recovery (1) from exercise in Per (
86% type II) compared with Sol (
84% type I; Ref. 9), it is likely that the temporal profile of the recovery PmvO2 response differs between these muscles. Indeed, in the 1920s, Hill and Lupton (14) noted that recovery processes should be intimately dependent on PmvO2, i.e., increasing in speed as PmvO2 is raised, and this has indeed been borne out by more recent experimental data (13). Thus we tested the hypothesis that the recovery kinetics of PmvO2 would be slower in the Per compared with the Sol and that this would result in a reduced capillary O2 driving pressure during recovery in Per.
| METHODS |
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All procedures were approved by the Kansas State University institutional animal care and use committee. Six female Sprague-Dawley rats (219 ± 4 g) were anesthetized with pentobarbital sodium (40 mg/kg ip to effect). The carotid artery was isolated and, with the use of an introducer, cannulated with PE-50 tubing to provide a route of access for infusion of the phosphorescent probe [palladium meso-tetra (4-carboxyphenyl) porphine dendrimer (R2); 15 mg/kg], blood pressure measurement (Digi-Med BPA model 200, Louisville, KY), and withdrawal of arterial blood for blood-gas measurement (Nova Stat Profile M, Waltham, MA).
The Sol is a postural muscle whose primary function is plantar flexion. Sol is composed of primarily slow-twitch fibers (84% type I, 7% type IIa, 9% type IId/x, and 0% type IIb), and its oxidative capacity (as measured by citrate synthase activity) is 21.3 µmol·g-1· min-1 (9). The Per muscle group is also a postural muscle whose primary actions are ankle eversion and plantar flexion. Per is composed primarily of fast-twitch muscle (14% type I, 19% type IIa, 22% type IId/x, and 45% type IIb), and its citrate synthase activity is 20.3 µmol·g-1·min-1 (9). Each muscle was exposed for PmvO2 measurements by using techniques described previously (5). The exposed tissue was superfused with a Krebs-Henseleit bicarbonate-buffered solution (38°C, equilibrated with 5% CO2-N2 balance), and body temperature was maintained at
38°C by using a heating pad.
Principle and Measurement of Phosphorescence Quenching
The Stern-Volmer relationship (40) describes the quantitative relationship between probe phosphorescence and PmvO2
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PmvO2 was determined by using a PMOD 1000 frequency domain phosphorimeter (Oxygen Enterprises, Philadelphia, PA) with the common end of the bifurcated light guide placed
24 mm above the medial portion of either muscle. With the use of the single-frequency mode, the excitation light (524 nm) is modulated sinusoidally within the range of frequencies between 100 Hz and 20 kHz, adequately covering phosphorescence lifetimes (wavelength: 700 nm) from 10 µs to 2.5 ms. The scan rate was preset at 10 (100 ms) to acquire data and repeated at 2-s intervals. The excitation light was focused on an
2-mm-diameter circle of exposed muscle surface and samples blood within the microvasculature up to 500 µm deep. This being the case, it is crucial that sufficient capillaries are sampled that the PmvO2 measurement captures a "mean" response that is representative of the muscle and the physiological behavior of interest. Viewed in this context, the value of PmvO2 reflects principally an average PO2 of capillary blood, because this compartment constitutes the majority of intramuscular blood volume (38).
Experimental Protocol
The phosphor was infused via the arterial catheter
15 min before the experimental protocol was begun. After this 15-min period, the Sol or Per was stimulated (stainless steel electrodes attached to the distal and proximal ends of the muscle) to contract at 1 Hz for 2 min (24 V, 2-ms pulse duration; i.e., on-transient) by using a Grass S48 stimulator (Quincy, MA). After the cessation of stimulation, recovery data were gathered for at least 3 min or until baseline values were reached. This contraction protocol has been shown in our laboratory to increase muscle blood flow (
m) three- to fourfold, while not changing arterial acid-base status or elevating plasma lactate concentrations (5). Thus, in this regard, it resembles moderate-intensity exercise. Animals were euthanized with an overdose of pentobarbitol sodium (>80 mg/kg intra-arterial) after the conclusion of the experimental protocol.
m and
O2 Measurements
Blood flow and
O2 were determined as part of a larger study as described in Behnke et al. (5). Briefly,
m was determined by using the radiolabeled microsphere technique (27, 34) and was measured at rest and 2 min after the onset of the contraction period in Sol and Per and expressed in milliliters per 100 g tissue per minute. Arterial (CaO2) and venous (CvO2) O2 content were calculated from the measured arterial and microvascular (PmvO2) PO2 values [PmvO2 used as an approximation of venous PO2 (31, 39) by using the rat O2 dissociation curve, and
O2 was calculated via the Fick principle of mass balance, i.e.,
O2 = blood flow·(CaO2 - CvO2)].
Curve Fitting and Statistical Analysis
Curve fitting was accomplished by using KaleidaGraph software (version 3.5; Synergy Software, Reading, PA) and was performed on the off-transient by using a one-component model
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PmvO2fast and
PmvO2slow are the amplitudes of the fast and slow recovery components, TD1 and TD2 are the independent time delays, and
1 and
2 are the time constants for each component, respectively. Mean response time (MRT) was determined according to the methodology of MacDonald et al. (29). Briefly, a weighted sum of the time delay and time constant for each component were calculated as follows: MRT = (
1/
tot)· (TD1+
1) + (
2/
tot)·(TD2+
2). Goodness of fit was determined by three criteria: 1) the coefficient of determination (i.e., r2), 2) the sum of the squared residuals (
2), and 3) visual inspection and analysis of the residual fit to a linear model. Differences between parameter estimates were determined by paired t-test. Pearson product-moment correlations were performed between select variables, and statistical significance was preselected to correspond to a P value of
0.05. | RESULTS |
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After contractions, PmvO2 was reduced and remained lower throughout the recovery period in Per compared with Sol (Fig. 1; Table 1). However, at no point was there any evidence of a fall in capillary O2 driving pressure, because PmvO2 did not decrease further after stimulation ceased in either muscle. Rather, PmvO2 rose with a biphasic profile toward baseline values (Fig. 1; Table 1). In addition, MRT for the off-transient in the Per was significantly slower than that for Sol (Table 1; Fig. 2). This lengthening of MRT in Per was due to a significantly longer primary component time constant (
1), because the TD1 was shorter for Per and neither
2 nor TD2 were different between muscles (Table 1). In addition, the primary component delta (
1) was significantly greater for Per compared with Sol (Table 1). Therefore, although the absolute speed of recovery (i.e., MRT) was slowed for Per, the relative rate of recovery (
/
; dPmvO2/dt) was similar between muscles for both the primary and secondary components of recovery (Table 1; Fig. 3).
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Asymmetry of the On- and Off-Transient Responses
After the contraction period, the temporal profile of PmvO2 during recovery was both qualitatively and quantitatively different than that observed during the on-transient (monoexponential for both Sol and Per; see Ref. 5). Indeed, recovery PmvO2 was better fit by the more complex dual-exponential (2-exp) than single exponential (1-exp) model for both Sol and Per. This was determined on the basis of significantly greater values for the coefficient of determination (r2: 1-exp: 0.993 ± 0.001; 2-exp: 0.996 ± 0.001; P < 0.05) and lower values for the sum of squared residuals (
2: 1-exp: 9.3 ± 2.2; 2-exp: 4.7 ± 0.8; P < 0.05). In addition, the off-transient MRT was slower than that of the on-transient for Per but not for Sol (Table 1; Fig. 2).
Blood Gas, pH, and Lactate Values
Poststimulation values for blood gas and acid-base are as follows: arterial PO2, 93.1 ± 5.2 Torr; arterial PCO2, 42.1 ± 3.3 Torr; pH 7.38 ± 0.02; and lactate, 1.0 ± 0.4 mM.
| DISCUSSION |
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PCr due to
PO2; see Ref. 17) during the contraction period because the relative rate of recovery was similar in both muscles (Table 1; Fig. 3). However, at no point did PmvO2 decrease below end-contraction values in either muscle, which supports the contention that
O2 per se is not likely to provide any greater limit to muscle
O2 during the recovery from contractions than during the contraction period itself in either muscle (31, 50). Determinants of the PmvO2 Response During Recovery
The dynamic profile of PmvO2 during recovery is determined by the proportionality of
O2 and
O2 and the temporal change in that proportionality (31). Notwithstanding the fact that PmvO2 is determined by
O2/
O2, PmvO2 can influence the
O2 by impacting blood-myocyte O2 exchange. Specifically, in accordance with Fick's law, a reduced PmvO2 will reduce the O2 pressure head driving O2 into the myocyte. Thus, although
O2 is a critically controlled variable, when a lowered
O2 decreases PmvO2 such that blood myocyte O2 transfer is impaired, one consequence will be that
O2 will decrease. The most likely mechanistic basis for the reduced
O2 in Per compared with Sol is the reduced
O2 and subsequent lowering of PmvO2 in Per. This limits convective and also diffusive O2 transport and hence restricts the
O2 response to a small range (for review, see Ref. 46).
O2 response in Sol and Per. Per and Sol have similar oxidative capacities (as measured by citrate synthase activity; Ref. 9). Thus a similar
m (and thus
O2) during maximal exercise is predicted (37). However,
O2 was markedly lower (
53%) during submaximal contractions (5) and after 30 s (
57%) and 3 min of recovery (
79%) in Per compared with Sol (1), which is in agreement with
O2 data from our laboratory comparing Per and Sol at end contractions (
52%; see Table 2) and at 3 min of recovery (
89%; Table 2). Thus the above results suggest that intermuscle differences in either anatomic and/or functional control are likely to be responsible for the blunted
O2 response noted within fast-twitch muscle. In addition, although a greater heterogeneity of capillary O2 flux and velocity may potentially exist within fast-compared with slow-twitch muscle, it is important to point out that the volume of tissue sampled in the present study presents a mean PmvO2 within many hundreds of microvessels and is, therefore, representative of the muscle as a whole (40). The PmvO2 values reported herein occur on the linear portion of the O2 dissociation curve, and, with the stimulation paradigm utilized (representing
3040% of muscle aerobic capacity), no appreciable acid-base disturbances are expected. Consequently, the measured PmvO2 will change as a direct function of the global
O2/
O2, irrespective of heterogeneities at the individual capillary level.
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Thus the most plausible mechanistic basis for the reduced recovery of
O2 in Per compared with Sol is a reduced functional vasoreactivity in the vascular bed associated with muscles composed of fast-twitch fibers. Specifically, Williams and Segal (47) demonstrated that the feed artery reactivity (to sodium nitroprusside) of extensor digitorum longus (a fast-twitch muscle of similar oxidative capacity as Sol and Per; Ref. 9) was diminished compared with Sol. Furthermore, Wunsch et al. (49) noted that endothelium-dependent vasodilation (i.e., to acetylcholine) was of greater magnitude in slow-compared with fast-twitch muscle, and Woodman et al. (48) demonstrated that endothelial nitric oxide synthase expression was elevated in slow-compared with fast-twitch muscle. This later study corroborates the work of Hirai et al. (16), who showed that the absolute decrease of blood flow in response to the nitric oxide synthase inhibitor NG-nitro-L-arginine methyl ester was linearly related to the sum of type I and IIa fibers. Taken together, these studies provide a functional basis for the reduced
O2 and thus PmvO2 noted during recovery from contractions in Per compared with Sol.
O2 response in Sol and Per. Because
O2 was lower during contractions and recovery in Per than in Sol (Table 2),
O2 per se cannot explain the lower PmvO2 in Per. Given the similar oxidative capacities of Per and Sol, a different
O2 response might not be expected. However, under the presiding conditions of a substantially lower
O2, the
O2/
O2 ratio (and thus PmvO2) will be determined by the blood-tissue PO2 gradient and the O2 diffusing capacity as they determine
O2. Consequently, the
O2 response of Per will be limited to a small range of values that is determined by the diffusive and convective flux of O2 (for review, see Ref. 46).
O2/
O2 sets the PmvO2 in both Sol and Per. It is pertinent that anatomic differences between Per and Sol exist that can explain the altered
O2-to-
O2 matching during the contraction and recovery periods (Refs. 1, 5, and present data). As an index of overall vascularity, capillary-to-fiber ratio is significantly lower in Per compared with Sol (i.e., 1.5 ± 0.1 and 2.9 ± 0.2 capillaries/fiber, respectively; see Ref. 5), which agrees with other studies comparing fast- and slow-twitch muscle (12, 19). As noted earlier,
O2 is lower in Per compared with Sol during recovery from contractions (1). Thus Per is faced with a decreased convective (
O2) and diffusive (DO2; related to lower perfused capillary surface area) O2 conductance. The reduced
O2 mandates an elevated O2 extraction that effectively lowers PmvO2 (30 s of recovery: 16.8 ± 2.2 vs. 23.0 ± 1.2 Torr; 3 min of recovery: 24.0 ± 2.4 and 27.4 ± 1.2 Torr, Per vs. Sol), which in turn reduces the blood myocyte O2 driving pressure (according to Fick's Law), as discussed above. Thus it is likely that the anatomic differences between fiber types, in combination with functional differences in vasoreactivity, play a large role in determining PmvO2 dynamics during the recovery from contractions.
Differences Between the On- and Off-Transients
The off-transient response for both Sol and Per, in marked contrast to the on-transient response, was best described by using a dual-exponential model. We have noted this discrepancy between the on- and off-transient responses previously (31). Whereas both
O2 and
O2 increase virtually immediately during the on-transient (3), it is likely that the time courses of these variables are nonsynchronous during recovery (50). For example,
O2 likely falls immediately with energetic demand, whereas
O2 may exhibit a slower rate of fall, possibly due to the altered intracellular biochemical milieu and the continued presence of vasodilatory stimuli. This causes PmvO2 to rise rapidly (fast component). As the influence of metabolic vasodilation wanes,
O2 will fall more rapidly, which slows the rate of rise in PmvO2 (slow component; Ref. 31).
Consequences of Reduced PmvO2 Response During Recovery
As mentioned above, a reduction in
O2 (relative to
O2) reduces mixed venous PO2, mean capillary PO2, and PmvO2 (5, 17, 18) and thus may limit oxidative metabolism through reductions in both convective (
O2 =
O2·O2 extraction) and diffusive O2 (
O2 = DO2·PmvO2) flux. One major consequence of the reduced PmvO2 in Per during recovery would be a prolongation of the recovery of high-energy phosphates (13, 20), a process that relies almost entirely on oxidative metabolism (20, 22). In addition, the recovery of high-energy phosphates will be further prolonged by the greater
PCr noted in fast-twitch muscles during contractions (15), because the recovery of PCr is thought to conform to a linear first-order system that is a function of total creatine content (32, 33). In addition, it is plausible to consider that intracellular pH is likely to have been lower and recovered more slowly in Per after contractions. This alone would serve to slow the recovery of PCr and PmvO2 (2, 6, 13, 21). However, this effect was probably minor given the negligible changes in pH noted during 1-Hz contractions (45). Thus a larger and faster rate of fall in PmvO2 during the on-transient should result in a greater degree of substrate level phosphorylation and also in a longer time course of recovery. This is represented graphically in Fig. 2, where the on-transient response (as quantified by MRT) becomes progressively faster and recovery slower as the percentage of fast-twitch fibers within the individual muscle increases (Sol, Spino, Per; spinotrapezius data from Ref. 31). Thus recovery of PmvO2 after contractions in fast-twitch fibers is likely prolonged due to the greater metabolic disturbance (i.e.,
PCr) during contractions, a reduced
O2 and
O2/
O2 during the recovery period, and the finite recovery kinetics of PmvO2. This concept is explained nicely by Idstrom et al. (20), who demonstrated that the initial rate of PCr resynthesis is linearly dependent on
O2. Because PmvO2 recovery is also dependent on
O2 (through
O2/
O2), the present findings provide further evidence of a strong linkage between
O2/
O2 and both PCr and PmvO2 during recovery from work.
In summary, the present study demonstrates for the first time that differences in PmvO2 dynamics exist between muscles of different fiber types during the off-transient from contractions. Specifically, PmvO2 was lower during recovery (Fig. 1) and MRT prolonged in Per (Fig. 2), indicative of a reduced capillary O2 driving pressure during the recovery period from contractions in Per. Despite the reduced PmvO2 in Per, PmvO2 rose systematically with little delay after contractions in both Sol and Per (Fig. 1), suggesting that, in both fast- and slow-twitch muscles, the proportionality between
O2 and
O2 is maintained in a manner that ensures that the driving pressure for O2 diffusion from the capillary bed (although reduced in Per compared with Sol) is not compromised beyond that seen during contractions during recovery from muscular work. However, the degree of on-off asymmetry was greater in Per than in Sol, suggesting that metabolic and microvascular adjustments during the on-transient may impact the recovery process. These findings may also provide a conceptual frame-work for understanding the prolonged recovery dynamics that are seen in patients with chronic heart failure (41) and diabetes mellitus (8), which are marked by a profoundly reduced (24, 34) and more heterogeneous (23, 24) skeletal blood flow and altered PmvO2 dynamics (4, 11), as well as a shift from a slow- to a more fast-twitch fiber profile (10, 30).
| ACKNOWLEDGMENTS |
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GRANTS
This study was supported by National Institutes of Health Grants HL-50305, HL-531742, and AG-19228.
| 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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O2 max. J Appl Physiol 73: 1067-1076, 1992.
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