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Division of Cardiovascular Medicine, University of California, Davis, California
Submitted 26 May 2005 ; accepted in final form 29 June 2005
| ABSTRACT |
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exercise pressor reflex; thin fiber mechanoreceptors; cats; autonomic nervous system; control of the circulation
Consequently, contraction of skeletal muscle is not a useful stimulus to isolate the mechanical component of the exercise pressor reflex. Instead, tendon stretch is often used to study the mechanical component of the reflex because it does not generate any metabolites in the muscle (4, 25, 28). An important assumption underlying the use of tendon stretch to study the mechanical component of the exercise pressor reflex is that tendon stretch stimulates the same group III mechanoreceptors as does contraction. Another assumption is that the magnitude of the responses of these mechanoreceptors is the same for both stretch and contraction. In the experiments to be described, we have examined the veracity of these assumptions by comparing the responses of group III and IV muscle afferents to contraction with those to tendon stretch.
| METHODS |
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The cat was placed in a Kopf stereotaxic and spinal unit and then given dexamethasone (4 mg iv). A midcollicular decerebration was performed, and all neural tissue rostral to the section was removed. Bleeding was controlled, and the cranial vault was filled with agar (37°C). A laminectomy was performed that exposed the fourth lumbar through second sacral segments. The triceps surae muscles of the left leg were isolated, and the calcaneal bone was cut. The knee was bent at an angle of
115°. The free end of the calcaneal tendon was attached to a force transducer (model FT-10C, Grass) to measure tension development when the triceps surae muscles were either contracted statically or were stretched. All visible branches of the left sciatic nerve innervating the thigh and hip as well as the left femoral nerve were cut. The anesthesia was terminated after all the surgery was completed.
Recording of impulse activity from group III and IV afferents. The impulse activity from group III and IV afferents with endings in the left triceps surae muscles was recorded from fine filaments dissected from the L7 or S1 dorsal roots. The peripheral cut ends of these filaments were placed on one foot of a bipolar hook electrode. The other foot was grounded to the cat with a thin string soaked in saline. The afferent signals were passed through a high-impedance probe (model HIP 511, Grass Instruments), amplified and filtered (1003,000 Hz; model P 511, Grass Instruments). Action potentials were displayed on a computer monitor (Spike 2, Cambridge Electronics Design, Cambridge, UK) and on a storage oscilloscope (model HP 54603B).
The conduction velocity of an afferent was calculated by dividing the conduction distance between the recording electrode on the dorsal root and the stimulating electrode on the tibial nerve by the conduction time, which was measured on the storage oscilloscope. Afferents conducting impulses between 2.5 and 30 m/s were classified as group III afferents, and those conducting impulses at <2.5 m/s were classified as group IV afferents (7). The receptive fields of the afferents were located in the triceps surae muscles by either gently stroking the muscle, by squeezing the muscle in a nonnoxious manner, or by pinching the muscle in a noxious manner. Afferents conducting impulses faster than 30 m/s were discarded.
The triceps surae muscles were contracted statically for 60 s by electrical stimulation (1525 Hz) of either the cut peripheral ends of the L7 and S1 ventral roots or the intact tibial nerve. In the former case, the pulse width was 0.1 ms, and in the latter case the pulse width was 25 µs. The current applied to both the ventral roots and the tibial nerve was 1.52.0 times the threshold current needed to twitch the triceps surae muscles. The triceps surae muscles were stretched for 60 s by turning a rack and pinion that was attached to the calcaneal tendon. While performing the experiments, we attempted to match the magnitudes of the tension traces for static contraction and tendon stretch. The order of presentation of the two stimuli was varied randomly.
Data analysis. The baseline impulse activity of each group III and IV afferent was counted for the 60-s period immediately preceding either static contraction or tendon stretch. Similarly, the impulse activity of the afferent was counted for the 60-s period comprising either static contraction or tendon stretch. Both counts were divided by 60 so that they could be expressed as impulses per second. Our criterion for stimulation of a group III or IV afferent by either tendon stretch or static contraction was selected a priori and consisted of an increase in activity of >12 impulses in 60 s. The TTI (19) for both static contraction and tendon stretch was calculated by integrating the area between the tension trace and its baseline level (Spike 2). Peak developed tension was calculated by subtracting baseline tension from peak tension. All values are expressed as means ± SE. Paired t-tests or two-way repeated-measures ANOVA followed by Tukeys post hoc tests were used to determine statistical significance. The criterion for statistical significance was set at P < 0.05.
| RESULTS |
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Of the 14 group III afferents that responded to tendon stretch (conduction velocity = 16.7 ± 1.5 m/s), only 7 responded to static contraction (conduction velocity = 16.9 ± 2.3 m/s; Figs. 4 and 5). The TTIs for the two maneuvers did not differ significantly (P = 0.34) and averaged 172 ± 21 kg·s for stretch and 186 ± 25 kg·s for contraction. Similarly, peak developed tension for the two maneuvers did not differ significantly (P = 0.26) and averaged 3.6 ± 0.4 kg for stretch and 4.0 ± 0.4 kg for contraction. In addition, the conduction velocities of the 14 group III afferents responding to tendon stretch (16.7 ± 1.5 m/s) were significantly faster (P = 0.03) than the conduction velocities of the 18 group III afferents responding to static contraction (11.6 ± 1.6 m/s).
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| DISCUSSION |
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The exercise pressor reflex is widely recognized to be evoked by two general types of stimuli, namely mechanical and metabolic (6, 8). Historically, afferent input from exercising skeletal muscle was believed to signal the central nervous system that blood and/or oxygen supply to the metabolically active tissues was not adequate to meet blood and/or oxygen demand (16, 21, 22). Consequently, metabolic stimuli providing an error signal that blood supply and demand in contracting muscle were not matched properly became the primary focus of investigations into the exercise pressor reflex. Recently, however, mechanical stimuli evoking the exercise pressor reflex have received some attention, especially because they might play an important role in regulating the cardiovascular system during exercise in patients (14, 15) and animals with heart failure (11).
Mechanical stimuli such as tendon stretch and light, nonnoxious probing of receptive fields have been known for some time to stimulate group III muscle afferents (7, 13, 18). In addition, tendon stretch has been shown to reflexly increase arterial pressure and heart rate in animals (4, 25, 28) as well as heart rate in humans (3). Moreover, compression of muscles in humans, a mechanical stimulus, has also been shown to increase reflexly arterial pressure and heart rate (2, 27). Tendon stretch in animals was reported to not increase metabolism in the muscle (25), and in humans it was reported not to be painful (3).
The levels of static contraction and tendon stretch used in our experiments were moderate, most likely averaging less than one-half of maximum. We used relatively low levels of contraction and stretch to minimize nociceptive stimulation of the group III and IV afferents. Despite this precaution, we can offer no assurance that the stimuli used in our experiments were not noxious. For example, Stebbins et al. (25) measured the developed tension evoked when stretching the triceps surae muscles of cats within and beyond their physiological range. They found that a developed tension of >2.4 kg exceeded the physiological range for muscle length. The tensions developed during tendon stretch in our experiments exceeded this level, clearly raising the possibility that they were noxious at least to some degree. Nevertheless, the tension levels generated by either contraction or stretch in our experiments were considerably lower than those used by others. For example, the peak tensions developed by either static contraction or tendon stretch reported by Leshnower et al. (10) averaged approximately twice those reported by us in the present study.
In our experiments, the conduction velocities of the group III afferents stimulated by tendon stretch were significantly higher on average than those of the group III afferents stimulated by static contraction. This finding may have important functional implications. Specifically, in anesthetized cats, Coote and Pérez-González (1) found that electrical stimulation of group III hindlimb muscle afferents with axons conducting impulses at >15 m/s reflexly decreased sympathetic discharge, whereas stimulation of group III afferents with axons conducting impulses at <15 m/s reflexly increased sympathetic discharge. Consequently, the possibility exists that some of the more rapidly conducting group III afferents stimulated by tendon stretch in our experiments had an inhibitory effect on the discharge of some sympathetic neurons.
We can offer no explanation for our observation that some group III afferents responded solely to lengthening the muscle (i.e., tendon stretch), whereas others responded solely to shortening the muscle (i.e., static contraction). Clearly both were mechanosensitive, but their endings, like muscle spindles (i.e., group Ia and II afferents), appear to be situated in parallel with the muscle fibers in which they are embedded. Unlike muscle spindles, group III afferents have free nerve endings that are found frequently near or in collagen (26). Furthermore, group III afferents are much less sensitive to stretch than are spindles.
We used two methods to quantify the amount of tension developed by the triceps surae muscles when they were either contracted statically or were stretched. The first, peak developed tension, is commonly used but does not take into account factors such as fatigue or stretch relaxation that causes the muscles to decrease their tension development. The second, TTI, integrates the area under the tension curve and has been shown to correlate strongly with the magnitude of the reflex pressor response to static contraction (19). Both methods of quantification yielded the same result, namely that in our experiments the stimulus generated by static contraction did not differ significantly from the stimulus generated by tendon stretch.
In summary, the purpose of our experiments was to test two assumptions. The first was that tendon stretch stimulated the same group III mechanoreceptors as did static contraction. The second assumption was that the magnitudes of the responses of group III mechanoreceptors to static contraction and to tendon stretch were the same. Evidence favoring both assumptions would validate tendon stretch as a useful method of studying the role played by group III mechanoreceptors in evoking the exercise pressor reflex. The mechanical component of this reflex has been shown to be present in both humans and animals and can be quite substantial (35, 14, 15, 24).
With respect to the first assumption, our findings have shown that tendon stretch stimulated a different population of group III mechanoreceptors than did static contraction. Although there is some overlap in that stretch and contraction stimulate some of the same group III mechanoreceptors, this overlap is not large, comprising less than one-half of the group III mechanoreceptors responsive to static contraction. With respect to the second assumption, the magnitude of the responses of the group III mechanoreceptors responding to tendon stretch was similar to the magnitude of the responses of the group III mechanoreceptors responding to static contraction (see Figs. 1 and 2), even if they were often not the same afferents. These findings need to be considered by investigators using tendon stretch as a means to evoke the mechanical component of the exercise pressor reflex.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| 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.
| REFERENCES |
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