Long-Term Effects of ACL Transection on the Gastrocnemius Muscle in Rats

Takashi Kotani, K. Goto, Mahiro Ohno, Y. Ogura, M. Kurosaka, K. Yatabe, T. Kumai, H. Niki, H. Fujiya
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Abstract

We investigated long-term changes in the morphological and contractile properties of the gastrocnemius muscle in a rat Anterior Cruciate Ligament (ACL) tear model. The experimental animals were 8-week-old male Wistar rats in which the right ACL was transected. The gastrocnemius muscle in the affected limb and the same muscle in the contralateral limb were harvested 4 and 48 weeks after ACL transection. We created serial frozen sections of the tissues and performed immunohistochemical staining. In results, at 4 weeks, the muscle wet weight-to-body weight ratio and the Cross-Sectional Area (CSA) of type I and IIb muscle fiber in the deep portion of the muscle were both significantly smaller on the transection-affected side than on the contralateral side (p < 0.05, respectively). In addition, at 48 weeks, the CSA of type I muscle fibers in the deep portion was significantly smaller on the affected side than on the contralateral side (p < 0.05). We surmise that the changes were due mainly to modulation of muscle activity as a result of physical joint instability and functional failure of proprioception, which both occurred as a result of the ACL transection. We showed that these morphological changes may persist over the long term, particularly in the case of type I fibers. Results of this study suggest that long-term rehabilitation for not only the thigh but also the leg is necessary when ACL injuries are encountered clinically.
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前交叉韧带横断对大鼠腓肠肌的远期影响
我们研究了大鼠前交叉韧带(ACL)撕裂模型中腓肠肌形态学和收缩特性的长期变化。实验动物为8周龄雄性Wistar大鼠,右前交叉韧带横切。在前交叉韧带横断后4周和48周分别切除患肢腓肠肌和对侧肢腓肠肌。我们制作了连续的组织冷冻切片,并进行了免疫组织化学染色。结果,在4周时,患横断的一侧肌肉湿重比和肌肉深部I型和IIb型肌纤维的横截面积(CSA)均显著小于对侧(p < 0.05)。48周时,患侧深部I型肌纤维CSA明显小于对侧(p < 0.05)。我们推测,这些变化主要是由于物理关节不稳定和本体感觉功能失败导致的肌肉活动调节,这两者都是ACL横断的结果。我们发现这些形态变化可能会持续很长时间,特别是在I型纤维的情况下。本研究结果提示,临床上出现前交叉韧带损伤时,不仅需要对大腿进行长期康复治疗,还需要对腿部进行长期康复治疗。
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