The Upper Motor Neuron—Improved Knowledge from ALS and Related Clinical Disorders

Upper motor neuron (UMN) is a term traditionally used for the corticospinal or pyramidal tract neuron synapsing with the lower motor neuron (LMN) in the anterior horns of the spinal cord. The upper motor neuron controls resting muscle tone and helps initiate voluntary movement of the musculoskeletal system by pathways which are not completely understood. Dysfunction of the upper motor neuron causes the classical clinical signs of spasticity, weakness, brisk tendon reflexes and extensor plantar response, which are associated with clinically well-recognised, inherited and acquired disorders of the nervous system. Understanding the pathophysiology of motor system dysfunction in neurological disease has helped promote a greater understanding of the motor system and its complex cortical connections. This review will focus on the pathophysiology underlying progressive dysfunction of the UMN in amyotrophic lateral sclerosis and three other related adult-onset, progressive neurological disorders with prominent UMN signs, namely, primary lateral sclerosis, hereditary spastic paraplegia and primary progressive multiple sclerosis, to help promote better understanding of the human motor system and, by extension, related cortical systems.

Measurement of resting muscle oxygenation and the relationship with countermovement jumps and body composition in soccer players (Medición de la oxigenación muscular en reposo y la relación con los saltos)

The measurement of resting muscle oxygenation capacity is under investigation in team sports. The aim of the current study was to observe the changes after a preseason, in muscle oxygen saturation (SmO2) at rest and the relationship with body composition and jump power in soccer players. 17 soccer players (age 21.8 ± 2.2 years) were enrolled. Body composition, somatotype, countermovement jump (CMJ) and single-leg countermovement jump (SLCMJ) were evaluated. Also, SmO2 at rest in the gastrocnemius muscle using the technique of arterial occlusion in the dominant leg and non-dominant leg was performed. All measurements were made before and after the preseason. The t-student test, Pearson’s correlation and inter-individual response of the subject’s statistic were applied to measure the magnitudes of change and the effect size. An inverse relationship was observed between SmO2 at the initial-occlusion (r= -0.82), final-occlusion (r= -0.79) and SmO2 recovery (r= -0.82) with the SLCMJ power. A moderate relationship was also observed between oxygen consumption and fat mass (r= 0.64). The measurement of SmO2 at rest can be considered as a possible performance parameter because it has determined its relationship with the ability to produce strength and jumping power in soccer players. === La medición de la capacidad de oxigenación del músculo en reposo está bajo investigación en los deportes de equipo. El objetivo del presente estudio fue observar los cambios, después de una pretemporada, en la saturación de oxígeno muscular (SmO2) en reposo y la relación con la composición corporal y la potencia de salto en los jugadores de fútbol. Participaron 17 jugadores de fútbol (edad 21.8 ± 2.2 años). Se evaluó la composición corporal, el somatotipo, el salto de contramovimiento (CMJ) y el salto de contramovimiento de una sola pierna (SLCMJ). Simultáneamente, se midió la SmO2 en reposo en el músculo gastrocnemio utilizando la técnica de oclusión arterial en la pierna dominante y no dominante. Todas las mediciones se realizaron antes y después de la pretemporada. Se aplico la prueba t-student, la correlación de Pearson y la estadística de respuesta inter-individual de los sujetos para medir las magnitudes de cambio y el tamaño del efecto. Se observó una relación inversa entre SmO2 en la oclusión inicial (r= -0.82), la oclusión final (r= -0.79) y la recuperación de SmO2 (r= -0.82) con la potencia SLCMJ. También se observó una relación moderada entre el consumo de oxígeno y la masa grasa (r=0.64). La medición de SmO2 en reposo se puede considerar como un posible parámetro de rendimiento, porque se identificó su relación con la capacidad de producir fuerza y potencia de salto en jugadores de fútbol.

To lie or not to lie: Super-relaxing with myosins

Since the discovery of muscle in the 19th century, myosins as molecular motors have been extensively studied. However, in the last decade, a new functional super-relaxed (SRX) state of myosin has been discovered, which has a 10-fold slower ATP turnover rate than the already-known non-actin-bound, disordered relaxed (DRX) state. These two states are in dynamic equilibrium under resting muscle conditions and are thought to be significant contributors to adaptive thermogenesis in skeletal muscle and can act as a reserve pool that may be recruited when there is a sustained demand for increased cardiac muscle power. This report provides an evolutionary perspective of how striated muscle contraction is regulated by modulating this myosin DRX↔SRX state equilibrium. We further discuss this equilibrium with respect to different physiological and pathophysiological perturbations, including insults causing hypertrophic cardiomyopathy, and small-molecule effectors that modulate muscle contractility in diseased pathology.

Diurnal variations in the expression of core-clock genes correlate with resting muscle properties and predict fluctuations in exercise performance across the day

ObjectivesIn this study, we investigated daily fluctuations in molecular (gene expression) and physiological (biomechanical muscle properties) features in human peripheral cells and their correlation with exercise performance.Methods21 healthy participants (13 men and 8 women) took part in three test series: for the molecular analysis, 15 participants provided hair, blood or saliva time-course sampling for the rhythmicity analysis of core-clock gene expression via RT-PCR. For the exercise tests, 16 participants conducted strength and endurance exercises at different times of the day (9h, 12h, 15h and 18h). Myotonometry was carried out using a digital palpation device (MyotonPRO), five muscles were measured in 11 participants. A computational analysis was performed to relate core-clock gene expression, resting muscle tone and exercise performance.ResultsCore-clock genes show daily fluctuations in expression in all biological samples tested for all participants. Exercise performance peaks in the late afternoon (15–18 hours for both men and women) and shows variations in performance, depending on the type of exercise (eg, strength vs endurance). Muscle tone varies across the day and higher muscle tone correlates with better performance. Molecular daily profiles correlate with daily variation in exercise performance.ConclusionTraining programmes can profit from these findings to increase efficiency and fine-tune timing of training sessions based on the individual molecular data. Our results can benefit both professional athletes, where a fraction of seconds may allow for a gold medal, and rehabilitation in clinical settings to increase therapy efficacy and reduce recovery times.

Dependence of thick filament structure in relaxed mammalian skeletal muscle on temperature and interfilament spacing

Contraction of skeletal muscle is regulated by structural changes in both actin-containing thin filaments and myosin-containing thick filaments, but myosin-based regulation is unlikely to be preserved after thick filament isolation, and its structural basis remains poorly characterized. Here, we describe the periodic features of the thick filament structure in situ by high-resolution small-angle x-ray diffraction and interference. We used both relaxed demembranated fibers and resting intact muscle preparations to assess whether thick filament regulation is preserved in demembranated fibers, which have been widely used for previous studies. We show that the thick filaments in both preparations exhibit two closely spaced axial periodicities, 43.1 nm and 45.5 nm, at near-physiological temperature. The shorter periodicity matches that of the myosin helix, and x-ray interference between the two arrays of myosin in the bipolar filament shows that all zones of the filament follow this periodicity. The 45.5-nm repeat has no helical component and originates from myosin layers closer to the filament midpoint associated with the titin super-repeat in that region. Cooling relaxed or resting muscle, which partially mimics the effects of calcium activation on thick filament structure, disrupts the helical order of the myosin motors, and they move out from the filament backbone. Compression of the filament lattice of demembranated fibers by 5% Dextran, which restores interfilament spacing to that in intact muscle, stabilizes the higher-temperature structure. The axial periodicity of the filament backbone increases on cooling, but in lattice-compressed fibers the periodicity of the myosin heads does not follow the extension of the backbone. Thick filament structure in lattice-compressed demembranated fibers at near-physiological temperature is similar to that in intact resting muscle, suggesting that the native structure of the thick filament is largely preserved after demembranation in these conditions, although not in the conditions used for most previous studies with this preparation.

Biceps brachii muscle hardness assessed by a push-in meter in comparison to ultrasound strain elastography

This study investigated the relationship between push-in meter (PM) and ultrasound strain elastography (USE) for biceps brachii (BB) muscle hardness. BB hardness of 21 young men was assessed by PM and USE during rest and isometric contractions of six different intensities (15, 30, 45, 60, 75, 90% of maximal voluntary contraction: MVC) at 30°, 60° and 90° elbow flexion. Muscle hardness (E) was calculated from the force–displacement relationship in PM, and strain ratio (SR) between an acoustic coupler (elastic modulus: 22.6 kPa) and different regions of interest (ROIs) in BB was calculated and converted to Young’s modulus (YM) in USE. In resting muscle, E was 26.1 ± 6.4 kPa, and SR and YM for the whole BB was 0.88 ± 0.4 and 30.8 ± 12.8 kPa, respectively. A significant (p < 0.01) correlation was evident between E and logarithmical transformed SR (LTSR) for the ROI of whole BB (r = − 0.626), and E and converted YM (r = 0.615). E increased approximately ninefold from resting to 90% MVC, and E and LTSR (r = − 0.732 to − 0.880), and E and converted YM for the SR above 0.1 were correlated (r = 0.599–0.768, p < 0.01). These results suggest that muscle hardness values obtained by PM and USE are comparable.

The influence of barosensory vessel mechanics on the vascular sympathetic baroreflex: insights into aging and blood pressure homeostasis

We assessed the influence of barosensory vessel mechanics (magnitude and rate of unloading and time spent unloaded) as a surrogate for baroreceptor unloading. In young men, aortic unloading mechanics are important in regulating the operating point of the vascular sympathetic baroreflex, whereas in middle-aged men, these arterial mechanics do not influence this operating point. The age-related increase in resting muscle sympathetic nerve activity does not appear to be driven by altered baroreceptor input from stiffer barosensory vessels.

Fatigue Increases in Resting Muscle Oxygen Consumption after a Women’s Soccer Match

Currently, near infrared spectroscopy has a clear potential to explain the mechanisms of fatigue by assessing muscle oxygenation. The objective of the study was to observe the changes in muscle oxygen consumption after an official women’s soccer match. The sample was 14 players who competing in the second division of Spain of women’s soccer. They were evaluated before, immediately after and 24 h after the official match. Biochemical parameters were measured in blood plasma (BUN, GOT, LDH, CPK). The jumping in countermovement, perceived exertion and perceived muscle pain were also assessed. The muscle oxygen consumption and muscle oxygen saturation were evaluated in the gastrocnemius muscle with an arterial occlusion test. ANOVA of repeated measures, Pearson’s correlation and Hopkins’ statistics were applied to measure the magnitudes of change and effect size. There was observed an increase in kinetics of SmO2 at 24 h after the official match, using arterial occlusion. In addition, it was found that the increase in muscle oxygenation correlated with fatigue indicators, such as the increases in LDH, perceived muscle pain and the decrease in countermovement. It is confirmed that a women’s soccer match produced an increase of resting muscle oxygenation in 24 h after the official match.

Within-breath sympathetic baroreflex sensitivity is modulated by lung volume but unaffected by acute intermittent hypercapnic hypoxia in men

In resting spontaneously breathing men, the present study observed that sympathetic baroreflex sensitivity (BRS) was higher during low versus high lung volumes but not different between inspiration and expiration. High- but not low-lung volume BRS was negatively associated with resting muscle sympathetic nerve activity (MSNA). Acute intermittent hypercapnic hypoxia increased resting MSNA and diastolic blood pressure, without altering within-breath BRS. These findings provide novel insight into mechanisms controlling within-breath modulation of MSNA in humans.

Increase of resting muscle stiffness, a less considered component of age-related skeletal muscle impairment

Elderly people perform more slowly movements of everyday life as rising from a chair, walking, and climbing stairs. This is in the first place due to the loss of muscle contractile force which is even more pronounced than the loss of muscle mass. In addition, a secondary, but not negligible, component is the rigidity or increased stiffness which requires greater effort to produce the same movement and limits the range of motion of the joints. In this short review, we discuss the possible determinants of the limitations of joint mobility in healthy elderly, starting with the age-dependent alterations of the articular structure and focusing on the increased stiffness of the skeletal muscles. Thereafter, the possible mechanisms of the increased stiffness of the muscle-tendon complex are considered, among them changes in the muscle fibers, alterations of the connective components (extracellular matrix or ECM, aponeurosis, fascia and tendon) and remodeling of the neural pattern of muscle activation with increased of antagonist co-activation.