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Atrophy and growth failure of rat hindlimb muscles in tail-cast suspension. 大鼠尾抛悬浮液后肢肌肉萎缩和生长衰竭。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1472
S R Jaspers, M E Tischler

Atrophy and growth failure of muscle in a tail-cast suspension model were evaluated in hindlimbs of female Sprague-Dawley rats. Based on measurements of food consumption, animal growth rate, urinary excretion of urea and ammonia, and muscle size, 6 days seemed to be the optimum duration of suspension for studying muscle unloading. After 6 days, the soleus, plantaris, and gastrocnemius muscles from suspended animals were 27, 10, and 11% smaller (P less than 0.05), respectively, than those from tail-casted weight-bearing animals. The extensor digitorum longus and tibialis anterior muscles were unaffected by suspension (less than or equal to 6 days) while the triceps brachii hypertrophied (8%, P less than 0.05). Wet weight-to-dry weight ratios were smaller in the plantaris (-0.19, P less than 0.05) and gastrocnemius (-0.19, P less than 0.05) muscles from suspended rats. In the plantaris, this difference coincided with a higher protein concentration (+12 mg/g, P less than 0.001). In vitro measurements of protein metabolism in the soleus muscles of suspended rats showed both slower protein synthesis (P less than 0.05) and faster protein degradation (P less than 0.05), whereas these processes were unaltered in the extensor digitorum longus muscles.

研究了雌性sd大鼠后肢尾部悬吊模型中肌肉萎缩和生长衰竭的情况。根据食物消耗、动物生长速度、尿尿素和氨排泄以及肌肉大小的测量,6天似乎是研究肌肉卸载的最佳暂停时间。6 d后,悬挂动物的比目鱼肌、跖肌和腓肠肌分别比尾投负重动物小27%、10%和11% (P < 0.05)。趾长伸肌和胫前肌不受悬吊影响(≤6天),肱三头肌肥大(8%,P < 0.05)。悬吊大鼠的跖肌和腓肠肌的湿重/干重比较小(-0.19,P < 0.05)。在植物中,这种差异与较高的蛋白质浓度一致(+12 mg/g, P < 0.001)。体外对悬浮大鼠比目鱼肌蛋白质代谢的测量显示,蛋白质合成较慢(P < 0.05),蛋白质降解较快(P < 0.05),而这些过程在指长伸肌中没有改变。
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引用次数: 136
Pulmonary interstitial compartments and tissue resistance to fluid flux. 肺间质室和组织对流体通量的阻力。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1512
H W Unruh, H S Goldberg, L Oppenheimer

We have produced interstitial fluid exchange in six isolated plasma-perfused canine lobes by introducing small increases in microvascular hydrostatic pressure. We measured early fast fluid exchange with a colorimetric technique and used weight changes to follow slow exchange. The observed biphasic time course suggested fluid flux across the microvascular membrane into two interstitial compartments in series (perimicrovascular and central). We related the initial rate of fluid flux into each compartment to the applied hydrostatic pressure change to obtain membrane (Kf1) and tissue conductances (Kf2) and to the exchanged volume to determine perimicrovascular (C1) and central (C2) interstitial compliances. C2 (0.25 +/- 0.193) was twice C1 (0.10 +/- 0.031 ml X cmH2O-1 X g DW-1, where DW represents dry weight. C2 increased significantly with hydration (C2 = 0.06 X WW/DW - 0.15) ml X cmH2O-1 X g DW-1 (WW/DW, wet-to-dry weight ratio), whereas C1 did not. Kf1 (0.26 +/- 0.17) was one order of magnitude larger than Kf2 (0.027 +/- 0.014 ml X min-1 X cmH2O-1 X g DW-1). Kf2 increased with hydration (Kf2 = 0.005 X WW/DW - 0.007) ml X min-1 X cmH2O-1 X g DW-1, whereas Kf1 did not. Our data point to the tissues and not the microvascular membranes as the major rate-limiting structure. Our data suggest an interstitium composed of a smaller rigid perimicrovascular space which communicates to a larger looser downstream space by a high-resistance pathway. As hydration increases, fluid accumulation becomes easier because tissue resistance to fluid flux drops and the compliance of the downstream compartment doubles.

我们通过引入微血管静水压力的微小增加,在六个孤立的等离子灌注犬叶中产生了间质液交换。我们用比色法测量了早期的快速流体交换,并使用重量变化来跟踪缓慢的交换。观察到的双相时间过程表明,流体通量通过微血管膜进入两个间质室(微血管周围和中央)。我们将进入每个腔室的流体通量的初始速率与施加的静水压力变化联系起来,以获得膜(Kf1)和组织电导(Kf2),并将交换的体积联系起来,以确定微血管周围(C1)和中央(C2)间质顺应性。C2(0.25 +/- 0.193)是C1 (0.10 +/- 0.031 ml X cmh20 -1 X g dw1,其中DW代表干重。C2随水化显著升高(C2 = 0.06 X WW/DW - 0.15) ml X cmh20 -1 X g dw1 (WW/DW,干湿质量比),而C1无显著升高。Kf1(0.26 +/- 0.17)比Kf2 (0.027 +/- 0.014 ml X min-1 X cmh20 -1 X g DW-1)大一个数量级。Kf2随水合作用的增加而升高(Kf2 = 0.005 X WW/DW - 0.007) ml X min-1 X cmh20 -1 X g DW-1,而Kf1没有升高。我们的数据表明,组织而不是微血管膜是主要的限速结构。我们的数据表明间质由较小的刚性微血管周围空间组成,该空间通过高阻力途径与较大的松散下游空间通信。随着水合作用的增加,由于组织对流体通量的阻力下降,下游隔室的顺应性增加,液体积聚变得更容易。
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引用次数: 27
Influence of endothelial volume on kinetics of reacting indicators in the lung. 内皮细胞体积对肺反应指标动力学的影响。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1528
T R Harris

The purpose of this work is to show mathematically the relationship between the classical maximum velocity of reaction, Vmax, for enzyme kinetics and an analogous parameter, Vmax, derived by Linehan and Dawson (J. Appl. Physiol.: Respirat. Environ. Exercise Physiol. 47:404-411, 1979) for the analysis of tracers which disappear by saturation kinetics from the lung circulation during the passage of indicators after bolus injection. Rederivation of the original equation for the combination of flow and reaction in a capillary showed that Vmax is equal to the product of enzyme Vmax and the volume of endothelium, Ve, in which the enzyme resides. This implies that Vmax interpreted from multiple-indicator curves in the lung by the Linehan-Dawson method is a combination of an enzyme characteristic Vmax and a measure of functioning capillary surface during passage, Ve. Lung injury could change Vmax, functioning surface (Ve), or both.

这项工作的目的是在数学上表明酶动力学的经典最大反应速度Vmax与Linehan和Dawson (J. Appl.)推导的一个类似参数Vmax之间的关系。杂志。: Respirat。环绕。《运动生理学》,47:44 -411,1979),对示踪剂进行了分析,这些示踪剂在大剂量注射后通过指标时通过饱和动力学从肺循环中消失。对毛细管内流动与反应结合的原方程进行重新求导,得到Vmax等于酶Vmax与酶所在的内皮细胞体积Ve的乘积。这意味着Linehan-Dawson法从肺部多指标曲线中解释的Vmax是酶特征Vmax和通道中功能毛细血管表面Ve的组合。肺损伤可改变Vmax、功能面(Ve)或两者兼而有之。
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引用次数: 4
Lack of effect of exercise on platelet activation and platelet reactivity. 缺乏运动对血小板活化和血小板反应性的影响。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1333
M J Mant, C T Kappagoda, J Quinlan

The effects of brief maximal exertion on platelet activation and reactivity have been studied in normal subjects. Although initial studies in seven subjects showed apparent exercise-induced platelet activation and enhanced platelet reactivity, these findings could not be confirmed in 13 subjects studied subsequently. There was no change in the platelet aggregate ratio, platelet fluorescent granule number or the plasma platelet factor 4 (PF4) or beta-thromboglobulin, although transient and significant increases in the platelet count and plasma heparin neutralizing activity (HNA) occurred. These results were reproducible in subjects studied more than once. It is postulated that in vitro platelet activation, most likely associated with blood collection, explained the initial results. It is concluded from the subsequent studies that in normal subjects brief maximal exercise causes neither platelet activation nor altered platelet reactivity but does cause a transient increase in the platelet count. The increase in HNA with exertion, without any accompanying increase in the PF4, demonstrates that these assays measure different substances and that the increase in HNA following exertion is most unlikely to be derived from platelets.

研究了短时最大运动对正常人血小板活化和反应性的影响。虽然在7名受试者中进行的初步研究显示明显的运动诱导血小板活化和血小板反应性增强,但这些发现在随后的13名受试者中无法得到证实。血小板聚集比、血小板荧光颗粒数、血浆血小板因子4 (PF4)和β -血栓球蛋白均无变化,但血小板计数和血浆肝素中和活性(HNA)出现短暂性显著升高。这些结果在多次研究的对象中是可重复的。据推测,体外血小板活化(很可能与采血有关)解释了最初的结果。从随后的研究中得出结论,在正常受试者中,短暂的最大运动既不会引起血小板活化,也不会改变血小板反应性,但确实会引起血小板计数的短暂增加。运动时HNA升高,而PF4没有随之升高,这表明这些检测测量的是不同的物质,运动后HNA升高最不可能来自血小板。
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引用次数: 36
Blood-gas equilibration of CO2 and O2 in lungs of awake dogs during prolonged rebreathing. 长时间再呼吸时清醒犬肺中CO2和O2的血气平衡。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1354
P Scotto, H Rieke, H J Schmitt, M Meyer, J Piiper

To reinvestigate the blood-gas CO2 equilibrium in lungs, rebreathing experiments were performed in five unanesthetized dogs prepared with a chronic tracheostomy and an exteriorized carotid loop. The rebreathing bag was initially filled with a gas mixture containing 6-8% CO2, 12, 21, or 39% O2, and 1% He in N2. During 4-6 min of rebreathing PO2 in the bag was kept constant by a controlled supply of O2 while PCO2 rose steadily from approximately 40 to 75 Torr. Spot samples of arterial blood were taken from the carotid loop; their PCO2 and PO2 were measured by electrodes and compared with the simultaneous values of end-tidal gas read from a mass spectrometer record. The mean end-tidal-to-arterial PO2 differences averaging 16, 4, and 0 Torr with bag PO2 about 260, 130, and 75 Torr, respectively, were in accordance with a venous admixture of about 1%. No substantial PCO2 differences between arterial blood and end-tidal gas (PaCO2 - PE'CO2) were found. The mean PaCO2 - PE'CO2 of 266 measurements in 70 rebreathing periods was -0.4 +/- 1.4 (SD) Torr. There was no correlation between PaCO2 - PE'CO2 and the level of arterial PCO2 or PO2. The mean PaCO2 - PE'CO2 became +0.1 Torr when the blood transit time from lungs to carotid artery (estimated at 6 s) and the rate of rise of bag PCO2 (4.5 Torr/min) were taken into account. These experimental results do not confirm the presence of significant PCO2 differences between arterial blood and alveolar gas in rebreathing equilibrium.

为了重新研究肺内的血气CO2平衡,我们对5只未麻醉的狗进行了再呼吸实验,这些狗采用了慢性气管切开和颈动脉外环。再呼吸袋最初充满含有6-8% CO2、12%、21%或39% O2和1% He in N2的气体混合物。在4-6分钟的再呼吸过程中,气囊中的PO2通过控制O2供应保持恒定,而PCO2则从大约40 Torr稳步上升到75 Torr。从颈动脉环取动脉血液斑点样本;用电极测量了它们的PCO2和PO2,并与质谱仪记录的潮汐末气体的同时值进行了比较。平均潮汐端到动脉的PO2差值平均为16、4和0 Torr,袋PO2分别约为260、130和75 Torr,与静脉掺入量约为1%一致。动脉血和潮末气(PaCO2 - PE'CO2)之间没有明显的PCO2差异。70个再呼吸周期266次测量的平均PaCO2 - PE'CO2为-0.4 +/- 1.4 (SD) Torr。PaCO2 - PE'CO2与动脉血PCO2或动脉血PO2水平无相关性。考虑到血液从肺到颈动脉的传递时间(估计为6 s)和袋内PCO2的上升速率(4.5 Torr/min),平均PaCO2 - PE'CO2变为+0.1 Torr。这些实验结果不能证实在再呼吸平衡中动脉血和肺泡气体之间存在显著的PCO2差异。
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引用次数: 7
Modification of lymph by sheep caudal mediastinal node: effect of intranodal endotoxin. 羊尾纵隔淋巴结对淋巴的修饰:结内内毒素的作用。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1597
T H Adair, J P Montani, A C Guyton

Postnodal lymph from the sheep caudal mediastinal node (CMN) is used by many investigators to assess lung vascular protein permeability. We explored the possibility that damage to the CMN blood-lymph barrier could produce increases in postnodal lymph flow and lymph-to-plasma protein concentration ratio (L/P) characteristic of lung vascular damage. Escherichia coli endotoxin (0.049 micrograms/min) was infused into a prenodal lymph vessel to the CMN in the conscious sheep, and postnodal lymph was collected for the next 7 h. Intranodal endotoxin caused an 80% increase in postnodal lymph flow and a 30% increase in postnodal L/P. Because there was no indication that the endotoxin had exerted a systemic effect, the lymph response to endotoxin was attributed to a direct effect of endotoxin on the blood-lymph barrier of the CMN. We conclude that significant increases in postnodal lymph flow and L/P characteristic of lung vascular damage can occur when the blood-lymph barrier of the CMN becomes damaged.

羊尾纵隔淋巴结(CMN)的结后淋巴被许多研究者用来评估肺血管蛋白的通透性。我们探讨了CMN血淋巴屏障损伤可能导致肺血管损伤特征的结后淋巴流量和淋巴-血浆蛋白浓度比(L/P)增加的可能性。将0.049微克/分钟的大肠杆菌内毒素注入清醒羊的淋巴结前淋巴管至CMN,收集淋巴结后淋巴7小时。结内内毒素导致淋巴结后淋巴流量增加80%,淋巴结后L/P增加30%。由于没有迹象表明内毒素具有全身性作用,因此淋巴对内毒素的反应可归因于内毒素对CMN血淋巴屏障的直接作用。我们得出结论,当CMN的血淋巴屏障受损时,结后淋巴流量和肺血管损伤的L/P特征显著增加。
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引用次数: 7
A morphometric study of the carotid body in chronically hypoxic rats. 慢性缺氧大鼠颈动脉体的形态学研究。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1430
K H McGregor, J Gil, S Lahiri

We performed morphometric studies of carotid body in acutely and chronically hypoxic rats (inspired PO2 = 70 Torr, at sea level). Acute exposure was for the duration of about 10 min, and chronic exposure lasted for 28 days. We confirmed that the total volume of the organ increased by severalfold. At the light-microscopy level we found an enlargement of the volume density of the blood sinuses from 14 to 31% due to chronic hypoxia. The morphometric hematocrit increased from 39 to 70% paralleling changes in the conventionally measured venous hematocrit. These data do not show any specific plasma skimming in the carotid body blood vessels. With the electron microscope we found that the mean average volume of type I cells increased from 320 micron3 in controls to 1,120 micron3 in the chronically hypoxic rats without hyperplasia, whereas type II cells had increased in number without alteration in size. Qualitative observations revealed that the normal appearance of clusters of ovoid type I cells interspersed by capillaries had been transformed into a pattern of individual cells forming plates between expanded blood vessels with a large increase of contact area between the cells and vessels. Type II cells appeared to have proliferated without changes in individual size to cover the enlarged periphery of type I cells. The observed structural changes in the carotid body parenchyma and vasculature appear to be physiologically adaptive and provide further support for the idea that various elements in the organ are particularly sensitive to hypoxia.

我们对急性和慢性缺氧大鼠的颈动脉体进行了形态计量学研究(缺氧后PO2 = 70 Torr,海平面)。急性暴露时间约10 min,慢性暴露时间28 d。我们证实这个器官的体积增加了好几倍。在光镜下,我们发现由于慢性缺氧,血窦的体积密度从14%增加到31%。形态测量红细胞压积从39%增加到70%,与传统测量的静脉红细胞压积的变化平行。这些数据未显示颈动脉血管中有任何特异性血浆撇除。电镜观察发现,ⅰ型细胞的平均体积从对照组的320微克增加到慢性缺氧大鼠无增生的1120微克,而ⅱ型细胞的数量增加,但大小没有变化。定性观察发现,正常的卵形I型细胞簇被毛细血管点缀,已经转变为单个细胞在扩张的血管之间形成板的模式,细胞与血管之间的接触面积大大增加。II型细胞增殖,但个体大小没有变化,覆盖了I型细胞增大的外周。观察到的颈动脉体实质和脉管系统的结构变化似乎是生理适应性的,并进一步支持了器官中各种元素对缺氧特别敏感的观点。
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引用次数: 140
Direct effects of nitroprusside do not alter gas exchange in canine oleic acid edema. 硝普塞的直接作用不改变犬油酸水肿的气体交换。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1498
M Angle, J Ducas, U Schick, L Girling, R M Prewitt

The authors investigated why intrapulmonary shunt (QS/QT) increases with sodium nitroprusside (SNP) in canine oleic acid pulmonary edema. To determine the effects of flow alone on QS/QT, a peripheral arteriovenous fistula with a variable resistor was employed to increase cardiac output (Q) 26 and 52% above base line in a stepwise fashion (P less than 0.01). To examine the direct effects of SNP, distinct from changes in flow, the drug was given to produce matched increments in Q in each dog (P less than 0.01). To control for time, base-line measurements were obtained before and after each intervention, the sequence of which was alternated. At each increment in Q, SNP and the arteriovenous fistula increased QS/QT a similar amount. The mixed venous O2 tension (P-vO2) followed Q similarly in each group. Pulmonary vascular resistance (PVR) fell more (P less than 0.01) with SNP than with the arteriovenous fistula at identical Q and P-vO2. The authors conclude that, in this model, a direct pharmacological effect of SNP does not contribute to the deterioration in QS/QT. In fact, SNP exerts a pulmonary vasoactive effect that does not adversely affect gas exchange.

作者研究了为什么硝普钠(SNP)在犬油酸肺水肿中增加肺内分流(QS/QT)。为了确定单独流量对QS/QT的影响,采用带可变电阻的外周动静脉瘘逐步增加心输出量(Q) 26和比基线高52% (P < 0.01)。为了检查SNP的直接影响,不同于流量的变化,给药使每只狗的Q值产生匹配的增量(P < 0.01)。为了控制时间,在每次干预前后交替进行基线测量。每增加一次Q, SNP和动静脉瘘增加QS/QT的量相似。各组混合静脉氧张力(P-vO2)随Q变化相似。在相同的Q和P- vo2下,SNP组肺血管阻力(PVR)比动静脉瘘组下降(P < 0.01)。作者得出结论,在该模型中,SNP的直接药理作用不会导致QS/QT的恶化。事实上,SNP具有肺血管活性作用,不会对气体交换产生不利影响。
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引用次数: 12
Effect of temperature and baroreceptor stimulation on reflex venomotor responses. 温度和压力感受器刺激对反射性运动性反应的影响。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1384
A Tripathi, X Shi, C B Wenger, E R Nadel

To investigate the interaction of thermal reflexes and baroreflexes in the control of the peripheral veins, we studied in supine humans the effects of lower body negative pressure (LBNP) and neck suction (NS) on forearm veins at ambient temperatures (Ta) of 18, 28, and 37 degrees C. Forearm venous volume (FVV)-venous pressure (FVP) relations (forearm venous capacitance) on six subjects showed an increase from 18 through 28 to 37 degrees C (P less than 0.001). Heart rate increased (P less than 0.001) and forearm venous capacitance decreased (P less than 0.001) in proportion to the level of LBNP applied from 20 to 50 Torr at all Ta. At 50 Torr LBNP, FVV at 30 cmH2O, FVP decreased from control values of 2.5, 3.8, and 4.4 to 1.6, 2.7, and 3.4 ml/100 ml at 18, 28, and 37 degrees C, respectively. We also studied venomotor responses using the occluded limb technique. Although LBNP caused venoconstriction, NS applied either alone or during LBNP produced no change in venomotor tone. Therefore we concluded that carotid baroreceptors play little role in reflex venomotor adjustments. Since changes in mean arterial and pulse pressures during LBNP did not account for the observed venomotor responses, we concluded that low-pressure baroreceptors initiate significant venoconstrictor reflexes over a wide range of Ta.

为了研究热反射和压力反射在控制外周静脉中的相互作用,我们研究了平卧的人在环境温度(Ta)为18、28和37℃时下体负压(LBNP)和颈部吸力(NS)对前臂静脉的影响。6名受试者的前臂静脉容积(FVV)-静脉压力(FVP)关系(前臂静脉容量)从18℃到28℃增加到37℃(P < 0.001)。在20 ~ 50 Torr时,心率升高(P < 0.001),前臂静脉容量降低(P < 0.001),与LBNP水平成正比。当LBNP浓度为50 Torr, FVV浓度为30 cmH2O时,FVP分别从对照值2.5、3.8和4.4下降到18、28和37℃时的1.6、2.7和3.4 ml/100 ml。我们还使用闭塞肢体技术研究了运动性反应。虽然LBNP引起静脉收缩,但单独或在LBNP期间应用NS均未引起静脉张力的变化。因此,我们认为颈动脉压力感受器在反射性运动性调节中作用不大。由于LBNP期间平均动脉和脉压的变化不能解释观察到的静脉收缩反应,我们得出结论,低压压力感受器在大范围内启动了显著的静脉收缩反射。
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引用次数: 34
Muscle fiber number in biceps brachii in bodybuilders and control subjects. 健美运动员和对照组肱二头肌肌纤维数量。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1399
J D MacDougall, D G Sale, S E Alway, J R Sutton

Muscle fiber numbers were estimated in vivo in biceps brachii in 5 elite male bodybuilders, 7 intermediate caliber bodybuilders, and 13 age-matched controls. Mean fiber area and collagen volume density were calculated from needle biopsies and muscle cross-sectional area by computerized tomographic scanning. Contralateral measurements in a subsample of seven subjects indicated the method for estimation of fiber numbers to have adequate reliability. There was a wide interindividual range for fiber numbers in biceps (172,085-418,884), but despite large differences in muscle size both bodybuilder groups possessed the same number of muscle fibers as the group of untrained controls. Although there was a high correlation between average cross-sectional fiber area and total muscle cross-sectional area within each group, many of the subjects with the largest muscles also tended to have a large number of fibers. Since there were equally well-trained subjects with fewer than normal fiber numbers, we interpret this finding to be due to genetic endowment rather than to training-induced hyperplasia. The proportion of muscle comprised of connective and other noncontractile tissue was the same for all subjects (approximately 13%), thus indicating greater absolute amounts of connective tissue in the trained subjects. We conclude that in humans, heavy resistance training directed toward achieving maximum size in skeletal muscle does not result in an increase in fiber numbers.

对5名优秀男性健美运动员、7名中等水平健美运动员和13名年龄匹配的对照组进行了体内肱二头肌肌纤维数量的估计。平均纤维面积和胶原体积密度由针活检和计算机断层扫描肌肉横截面积计算。在7个受试者的子样本中进行的对侧测量表明,纤维数估计方法具有足够的可靠性。肱二头肌的纤维数量在个体之间有很大的差异(172,085-418,884),尽管肌肉大小有很大的差异,但两组健美运动员的肌肉纤维数量与未经训练的对照组相同。虽然在每一组中,平均纤维横截面积和总肌肉横截面积之间存在着高度的相关性,但许多拥有最大肌肉的受试者也往往拥有大量的纤维。由于同样受过良好训练的受试者纤维数量低于正常水平,我们将这一发现解释为遗传禀赋而不是训练引起的增生。所有受试者中由结缔组织和其他非收缩组织组成的肌肉比例相同(约为13%),因此表明受训受试者中结缔组织的绝对数量更大。我们得出的结论是,在人类中,为了达到骨骼肌的最大尺寸而进行的高强度阻力训练不会导致纤维数量的增加。
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引用次数: 157
期刊
Journal of applied physiology: respiratory, environmental and exercise physiology
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