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Am J Physiol Cell Physiol 290: C1199-C1208, 2006. First published November 23, 2005; doi:10.1152/ajpcell.00469.2005
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MUSCLE CELL BIOLOGY AND CELL MOTILITY

Long-lasting muscle fatigue: partial disruption of excitation-contraction coupling by elevated cytosolic Ca2+ concentration during contractions

Esther Verburg, Travis L. Dutka, and Graham D. Lamb

Department of Zoology, La Trobe University, Bundoora Campus, Melbourne, Victoria, Australia

Submitted 20 September 2005 ; accepted in final form 17 November 2005


    ABSTRACT
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
The repeated elevation of cytosolic Ca2+ concentration ([Ca2+]i) above resting levels during contractile activity has been associated with long-lasting muscle fatigue. The mechanism underlying this fatigue appears to involve elevated [Ca2+]i levels that induce disruption of the excitation-contraction (E-C) coupling process at the triad junction. Unclear, however, are which aspects of the activity-related [Ca2+]i changes are responsible for the deleterious effects, in particular whether they depend primarily on the peak [Ca2+]i reached locally at particular sites or on the temporal summation of the increased [Ca2+] in the cytoplasm as a whole. In this study, we used mechanically skinned fibers from rat extensor digitorum longus muscle, in which the normal E-C coupling process remains intact. The [Ca2+]i was raised either by applying a set elevated [Ca2+] throughout the fiber or by using action potential stimulation to induce the release of sarcoplasmic reticulum Ca2+ by the normal E-C coupling system with or without augmentation by caffeine or buffering with BAPTA. Herein we show that elevating [Ca2+]i in the physiological range of 2–20 µM irreversibly disrupts E-C coupling in a concentration-dependent manner but requires exposure for a relatively long time (1–3 min) to cause substantial uncoupling. The effectiveness of Ca2+ released via the endogenous system in disrupting E-C coupling indicates that the relatively high [Ca2+]i attained close to the release site at the triad junction is a more important factor than the increase in bulk [Ca2+]i. Our results suggest that during prolonged vigorous activity, the many repeated episodes of relatively high triadic [Ca2+] can disrupt E-C coupling and lead to long-lasting fatigue.

skeletal muscle; low-frequency fatigue; ryanodine receptor; skinned fiber


FORCE DEVELOPMENT IN SKELETAL MUSCLE is regulated by cytosolic Ca2+ concentration ([Ca2+]i) levels. The sequence of events leading to contraction is known as excitation-contraction (E-C) coupling and starts with action potentials (APs) depolarizing the sarcolemma and the transverse (T)-system membrane, leading to activation of the voltage sensors in the T-system membrane, which in turn open the Ca2+ release channels in the sarcoplasmic reticulum (SR) (23). During a contraction, [Ca2+]i is relatively high, and if repeated often enough, the total period during which the fiber is exposed to a [Ca2+]i above normal resting levels becomes considerable (24). It has been suggested that this elevated [Ca2+]i during and between contractions may be responsible for the development of long-lasting fatigue that is most evident at low frequencies of stimulation (3, 4, 11). We previously showed (11, 24) that a 10-s period of ~20 µM [Ca2+]i irreversibly reduced Ca2+ release and force production by interrupting the coupling between the T-system and the SR Ca2+ release channels. A comparable Ca2+-mediated reduction in Ca2+ release has also been demonstrated in intact fibers with repeated tetanic contractions, and a correlation with the total time during which [Ca2+]i was above resting levels was shown (3, 4). Unclear, however, is which aspect of the repeated [Ca2+] transients causes the disruption of the E-C coupling, in particular whether it depends primarily on peak [Ca2+] reached locally at particular sites or on the temporal summation of the increased [Ca2+] in the cytoplasm as a whole. Such information is important for the identification of the biochemical mechanism responsible for disrupting E-C coupling.

In the present study, in which we used mechanically skinned mammalian skeletal muscle fibers in which the normal E-C coupling mechanism remained fully functional (13, 15), we were able to manipulate [Ca2+]i in various ways and to determine whether it affected E-C coupling. In this preparation, we were able to make direct comparisons between the effect of a uniform rise in [Ca2+] throughout the fiber and the effect of triggering normal Ca2+ release, which raises the [Ca2+] proportionately more near the release channels than in the cytoplasm as a whole. We examined the effect of prolonged exposure to relatively low levels of [Ca2+] and showed that when the [Ca2+] is maintained for 1–3 min at a constant level in the physiological range throughout the cytoplasm, it caused a partial disruption of depolarization-induced Ca2+ release, regardless of whether the release was elicited by direct depolarization of the T-system by solution change or by AP stimulation (21). Because the [Ca2+] applied to the fiber was precisely known, this allowed comparison of the [Ca2+]- and time-dependent characteristics of E-C uncoupling with those of biochemical reactions that putatively might underlie the process. We further showed that Ca2+ released by tetanic stimulation also causes uncoupling if the release is potentiated by the presence of caffeine and that this effect is stopped by buffering the released Ca2+ with BAPTA. Elevating [Ca2+]i via the endogenous release system caused greater disruption of E-C coupling than could be explained on the basis of the accompanying rise in bulk [Ca2+]. Thus these experiments have demonstrated that it is the local peak Ca2+ release during tetanus, not the time integral of the bulk [Ca2+] rise, that is the primary factor determining the extent of uncoupling. Our results suggest that during prolonged vigorous activity, the many repeated episodes of relatively high triadic [Ca2+] may disrupt E-C coupling and lead to long-lasting fatigue. The likely biochemical basis of this uncoupling mechanism and its possible role as a protective mechanism in muscle are discussed below.


    METHODS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Skinned Fiber Preparation

Male Long-Evans hooded rats were killed with an overdose of inhaled halothane (Fluothane; 2% vol/vol). All procedures were performed with the approval of the La Trobe University Animal Ethics Committee. The extensor digitorum longus (EDL) muscle was removed, pinned at resting length under paraffin oil, and kept on ice (15). As previously described (21), muscles were mechanically skinned, mounted between forceps, and connected to a force transducer (model AME801; SensoNor, Horten, Norway) with a resonance frequency >2 kHz, stretched to 1.2 times resting length, and transferred to a bath containing 2 ml of the appropriate K+-based solution according to the type of experiment involved (see below). Force responses were amplified and recorded on a chart recorder and/or on a computer equipped with PowerLab hardware (400 series; ADInstruments, Sydney, Australia) and Chart software (version 5.2; ADInstruments). All experiments were performed at room temperature (24 ± 2°C).

Solutions

All chemicals were obtained from Sigma (St. Louis, MO) unless stated otherwise. All solutions had pH 7.10 ± 0.01 and osmolality 295 ± 5 mosmol/kgH2O, and free Mg2+ concentration ([Mg2+]) was 1 mM, except where specified otherwise. Free [Ca2+] at ≥0.1 µM was verified using a Ca2+-sensitive electrode (Orion, Cambridge, MA).

Solutions used for depolarization-induced force responses. The K+-HDTA solution used to polarize the T-system contained (in mM) 126 K+, 37 Na+, 50 hexamethylethylene-diamine-tetraacetic acid (HDTA2–; Fluka, Buchs, Switzerland), 8 total ATP, 8.6 total Mg2+, 10 creatine phosphate (CrP), 0.05 total EGTA, and 90 HEPES, pCa 6.9 (0.12 µM free [Ca2+]). When depolarizing the T-system by Na+/K+ substitution, a Na+-HDTA solution similar to the K+-HDTA solution was used, but with all of the K+ replaced by Na+.

Rigor solutions with set [Ca2+]. Solutions with zero ATP (rigor solutions) were used to set a constant [Ca2+] throughout the cytoplasm. The control rigor solution was similar to K+-HDTA solution, but with all ATP and CrP replaced isosmotically with additional HDTA (68 mM total), total Mg2+ reduced to 1.5 mM to keep free [Mg2+] at 1 mM, and 0.5 mM free EGTA (pCa ~8). This solution was used for the control treatment as well as the wash solution after Ca2+ treatment. The Ca2+ rigor solutions were similar to the control rigor solution, but with the free [Ca2+] set at values in the range of 1–20 µM. The solutions contained a total of 0.1–0.25 mM EGTA, and the HDTA also acted as a weak but appreciable Ca2+ buffer (20).

Other solutions. The load solution was the K+-HDTA solution with 1 mM total EGTA at pCa 6.7 (0.2 µM free [Ca2+]). The low-[Mg2+] solution used to directly activate the SR Ca2+-release channels was similar to the K+-HDTA solution, but with free [Mg2+] of only 15 µM (1.0 mM total Mg2+). The maximum activation solution was similar to the K+-HDTA solution, but with all HDTA replaced by ~49.5 mM Ca2+-EGTA and 0.5 mM free EGTA to heavily buffer the free [Ca2+] at ~20 µM (pCa 4.7). This maximum activation solution was also mixed at various proportions with a matching relaxing solution containing 50 mM free EGTA to obtain solutions with strongly buffered [Ca2+] between 0.1 and 20 µM, which were used to assess the Ca2+ sensitivity of the contractile proteins. In the solutions used for caffeine tetani, 5 mM caffeine and 0.2 mM free BAPTA (from a 50 mM BAPTA stock solution matching the K+-HDTA solution) were added to the K+-HDTA solution as required.

Experiments

In all experiments, each skinned fiber was initially equilibrated in K+-HDTA solution for 2 min before stimulation and treatment. The T-system was depolarized either by substituting all K+ in the solution with Na+ (Na+ depolarizations) or by APs evoked by electrical field stimulation. At the end of most experiments, the fiber was transferred to the low-[Mg2+] solution to demonstrate that the SR release channels were still functioning and that the SR was not depleted of Ca2+. In this solution, free [Mg2+] was only 15 µM instead of 1 mM and rapid lowering of [Mg2+]i directly activated the Ca2+ release channels (15). In freshly skinned fibers, when the SR was loaded at the endogenous Ca2+ content level, exposure to this low-[Mg2+] solution induced a force response reaching 74 ± 1% (n = 4) of maximum Ca2+-activated force (defined below), taking 6.6 ± 0.9 s from the time of solution application until 80% of peak force was reached. When the SR was loaded at greater levels, the force rose faster and higher, with experiments with added Ca2+ (0–0.5 mM) showing that the maximum force level obtainable in the low-[Mg2+] solution was only 85 ± 1% (n = 4) of the maximum Ca2+-activated force measured under standard conditions (1 mM free Mg2+ and ~7 mM MgATP) by applying the maximum activation solution (pCa 4.7).

Na+ depolarizations. When required, a skinned fiber was depolarized by substituting the Na+-HDTA solution for ~2–3 s, which typically resulted in Ca2+ release and a substantial force response. This procedure was repeated every 1 min until the peak force response reached a stable level (typically 80–100% of maximum Ca2+-activated force), with the fiber repolarized for 1 min in K+-HDTA solution between Na+ depolarizations. Usually three to five Na+ depolarizations were required for the force response to become stable (<5% different from previous response). After exposure to elevated [Ca2+], the Na+ depolarizations were repeated (for an example of a protocol, see Fig. 1) and the peak force was compared with that before Ca2+ exposure. Only fibers producing a pretreatment force response of >80% maximum Ca2+-activated force were used in the analysis.


Figure 1
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Fig. 1. Exposure to homogeneously elevated cytosolic Ca2+ concentration ([Ca2+]i) reduces depolarization-induced force responses. Depolarization-induced force responses were elicited in a skinned extensor digitorum longus (EDL) fiber by substituting all K+ in the solution with Na+ (Depol). Removing all ATP from the solution (control rigor) caused reversible rigor but did not prevent subsequent depolarization-induced responses. When the rigor period included 3-min exposure to 5 µM [Ca2+]i (Ca2+ rigor), it caused an irreversible reduction in the depolarization-induced force response by >50%, even after additional sarcoplasmic reticulum (SR) loading. Lowering free [Mg2+] to 15 µM (low [Mg2+]), which stimulated Ca2+ release channels directly, indicated that SR Ca2+ release channels were still functional and that SR was loaded above endogenous levels (see METHODS). Maximum Ca2+-activated force was ascertained in a heavily buffered Ca2+ solution (Max, pCa 4.7). Moving the fiber between solutions caused small force artifacts. Time scale, 2 s during depolarizations and low [Mg2+] and 1 min elsewhere.

 
AP stimulation. For electrical stimulation of the fibers, the setup used was as described in detail previously (5, 21). The skinned fiber was bathed in K+-HDTA solution in a 135-µl bath and oriented in parallel midway between two platinum electrodes. The fiber was stimulated with 2-ms pulses at a field strength of 70 V·cm–1 with single pulses (for twitches), 5 pulses at 5 Hz, 5 or 10 pulses at 10 Hz, 20 pulses at 20 Hz, or 10 or 20 pulses at 50 or 100 Hz. The fibers were allowed to rest for 30 s to 1 min between contractions. In most experiments, force responses became stable after the fiber was stimulated with three to five initial 50-Hz tetani, and the responses then showed little change upon repeated stimulation during the next 15 min (see RESULTS). However, responses were not as robust as in intact fibers, with stimulated fibers typically remaining viable for only 30–40 min. Peak force attained during all contractions and rate of force development during 50-Hz tetani were determined, and paired comparisons performed on the values of these parameters before and after exposure of fibers to elevated [Ca2+]. The rate of force development was taken as the average slope of the force-time curve between the start of the upstroke up to where the force level equaled 90% of the peak value of the response after exposure to elevated [Ca2+].

Elevating [Ca2+]i by exposure to solution with set [Ca2+]. After the pretreatment depolarizations, the fiber was transferred to the control rigor solution (pCa 8) for 1 min to remove all ATP from the fiber, which induced a state of rigor in the fiber. The removal of all ATP prevented any uptake of Ca2+ by the SR when [Ca2+] was subsequently raised and prevented any Ca2+ release at a rate greater than the Ca2+ buffering could counteract effectively (19). This allowed the fiber to be exposed to a set level of [Ca2+] that was homogeneous throughout the fiber. After rigor was induced, the fiber was exposed to elevated [Ca2+] by moving the fiber to a Ca2+ rigor solution for 3 min (or other time as specified) with [Ca2+] in the range of 1–20 µM. The Ca2+ was then washed out by a 30-s exposure to control rigor solution before being returned to the K+-HDTA solution. In control experiments, the fibers were left in control rigor solution for an equivalent time.

Elevating [Ca2+]i with Ca2+ released via the endogenous system. In these experiments, three to five 50-Hz tetani were elicited in the presence of 5 mM caffeine with or without 0.2 mM free BAPTA. The skinned fiber was transferred to the K+-HDTA solution containing 5 mM caffeine (with or without BAPTA) at least 10 s before the first tetanus and remained in this solution until the last caffeine-tetanus. The force responses to twitch, 5-, 10-, and 50-Hz stimulation or just to 50-Hz stimulation were examined in normal K+-HDTA solution before and after application of caffeine tetani. Control fibers were stimulated with the same total number of tetani without caffeine or BAPTA present.

Ca2+ sensitivity of contractile apparatus after exposure to elevated [Ca2+]. In a separate set of experiments, the force-[Ca2+] relationship of fibers was examined before and after exposure to elevated [Ca2+]. The contractile apparatus was directly activated by transferring the skinned fiber to strongly buffered Ca2+-EGTA solutions, increasing [Ca2+] stepwise in the range from 0.3 to 5 or 20 µM (pCa 6.5–5.3 or 4.7), exposing the fiber to each solution for the shortest possible time but just long enough to reach a plateau in force (usually <5 s). In each fiber, the [Ca2+] staircase was repeated at least twice before Ca2+ rigor treatment was begun and twice afterward. During rigor treatment, [Ca2+] was elevated to 8 µM for 3 min or to ≥100 µM as indicated. In each fiber, the force at each pCa in a given staircase was expressed as a percentage of the respective maximum Ca2+-activated force and Hill curve fit to the force-pCa data. The maximum Ca2+-activated force and the pCa50 (i.e., pCa at half-maximum) of each staircase were compared before and after treatment in each fiber.


    RESULTS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Disruption of E-C Coupling by Prolonged Elevation of [Ca2+]i in Physiological Range

Exposing a skinned EDL fiber for 3 min to a set [Ca2+]i level between 1 and 20 µM caused an irreversible decrease in the force response to depolarization (Fig. 1 and 2). The desired [Ca2+] was applied homogeneously throughout the cytoplasm by applying buffered solutions and preventing any Ca2+ uptake or appreciable rate of Ca2+ efflux by removal of all ATP (see METHODS). The control treatment, which involved exposing a skinned fiber to zero ATP conditions for the same length of time while keeping the [Ca2+] low (pCa 8), caused only a small decline in the force response (e.g., Fig. 1) (postcontrol rigor response 88.6 ± 4.2% of pretreatment values, n = 12; P < 0.05). The effect of elevated [Ca2+] was clearly concentration dependent as shown in Fig. 2, which presents the data for fibers that underwent only a single treatment (either the control treatment or a raised [Ca2+] treatment). A second treatment of the same fiber produced comparable results (see, e.g., Fig. 1). The depolarization-induced force response was abolished completely after 3 min at 20 µM [Ca2+] in every fiber examined. The pCa50 (i.e., pCa at 50% force) of the best fit Hill curve indicated that a 50% reduction in the depolarization-induced force response occurred with 3-min exposure to ~5.4 µM [Ca2+]. The reduction in depolarization-induced force was evidently not due to depletion of SR Ca2+. A 15- to 20-s loading period was used for each fiber to ensure full restoration of any Ca2+ lost from the SR during the procedure, and we directly verified in every case that the SR was loaded at or above the normal endogenous level (10) by subsequently exposing each fiber to a solution with low free [Mg2+]. This procedure invariably induced the release of a large amount of Ca2+ from the SR, with the force rising rapidly (typically <2 s) (see, e.g., Fig. 1) to close to the maximum possible in the low-[Mg2+] solution (see METHODS). The response to the low-[Mg2+] solution also demonstrated that the SR Ca2+ release channels still functioned when directly stimulated. Within the time scale of these experiments, the reduction in depolarization-induced force responses after Ca2+ treatment was irreversible. The response did not show any appreciable recovery from the level attained after the initial load period when examined during an additional 10–15 min and, in two cases, during an additional 30-min period. Applying a second 15-s Ca2+ load also had no significant effect on the size of the depolarization-induced response. In the three fibers examined in which the 5 or 8 µM [Ca2+] exposure reduced the response from 44% to 66% of the pretreatment level, the response after the second load differed by only 3 ± 2%, and in two fibers in which 20 µM [Ca2+] abolished the response completely, there was still no response after such additional loading.


Figure 2
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Fig. 2. Elevated [Ca2+] in the range of 2–20 µM causes concentration-dependent disruption of depolarization-induced force responses. Mean ± SE peak force to depolarization after exposing a skinned fiber to indicated free [Ca2+] for 3 min during rigor as shown in Fig. 1. Force responses are expressed relative to respective pretreatment values and corrected for the mean change observed after control rigor treatment alone (decline to 88.6 ± 4.2%, n = 12; see text). n indicates number of fibers for each [Ca2+]. The best fit Hill curve to the mean data has a pCa50 = 5.27 ± 0.06 (i.e., 5.4 ± 0.8 µM [Ca2+]) and a Hill coefficient of 1.8 ± 0.5.

 
The reduction in depolarization-induced responses was not due to any change in the Ca2+ sensitivity of the contractile apparatus. Direct activation of the contractile apparatus in heavily buffered Ca2+ solutions before and after exposure to 8 µM [Ca2+] for 3 min during rigor (see METHODS) had no effect on the force-pCa relationship in the eight fibers examined (see Fig. 3). The mean ± SE change in pCa50 of best fit Hill curve was not significantly altered (–0.007 ± 0.006; P > 0.5, paired difference), and the minor change in Hill coefficient before and after treatment (mean Hill coefficient, 6.0 ± 1.2; mean ± SE change, –0.50 ± 0.12) was not significantly different from that found when we repeatedly examined the force-[Ca2+] staircase before treatment in the same fibers (P > 0.3; paired difference). Ca2+ exposure also had no detectable effect on the maximum Ca2+-activated force, which was only 2.4 ± 1.2% lower after Ca2+ exposure, with this change being, if anything, less than that observed in the same eight fibers when subjected to repeated [Ca2+] staircases before treatment (3.8 ± 2.1% reduction). A small progressive reduction in maximum force is normally observed upon repeating [Ca2+] staircases in skinned fibers (12). The brief exposure to high [Ca2+] at the top of the [Ca2+] staircase (<5 s) evidently did not confound the measurement of the Ca2+ effect, because there was no apparent difference in the force response to submaximal [Ca2+] before and after the first exposure to maximum Ca2+ activation solution. A second exposure of the same fibers to ≥100 µM [Ca2+] for 3 min also had no significant effect on either maximum Ca2+-activated force or Ca2+ sensitivity (n = 8; data not shown).


Figure 3
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Fig. 3. Exposure to elevated [Ca2+] does not alter Ca2+ sensitivity of contractile proteins. Peak force attained during direct stimulation of contractile proteins with strongly buffered Ca2+ solutions was expressed as a percentage of force attained at maximal Ca2+ activation. The force-pCa relationship was established before (bullet) and after ({triangleup}) exposure for 3 min to 8 µM free [Ca2+]. Hill plots were fitted to both before and after data. Data shown are from 1 fiber but are representative of all fibers. For all 8 fibers, the average pCa50 was 6.06 ± 0.03 before treatment and 6.06 ± 0.02 after treatment, which did not constitute a significant difference. P > 0.5, paired data.

 
Elevated [Ca2+]i Also Reduces Twitch and Tetanic Force Responses

Electrical field stimulation in the skinned fibers resulted in AP-induced depolarization of the T-system and consequent twitch and tetanic force responses (e.g., Fig. 4). Because the normal cytoplasmic Ca2+ buffer, parvalbumin, had been washed from the skinned fibers, the force response of the twitch was relatively large compared with that typically observed in intact fibers (46.6 ± 2.3% of tetanic force; n = 16) and the force response fused at a relatively low frequency. Maximal tetanic force was reached at a stimulation frequency of 50 Hz, and the force response at 100 Hz was not significantly different (96.6 ± 1.3% of 50-Hz response; n = 5). As was true with regard to the Na+ depolarization-induced force responses, the force responses to AP stimulation were irreversibly decreased after exposure to elevated [Ca2+]i (Figs. 4 and 5). The 50-Hz tetanic force response was reduced by 1-min exposure to 2 µM [Ca2+] to 76.4 ± 6.2% (n = 7; P < 0.005) of its pretreatment level, and with 5 and 8 µM [Ca2+] to 52.5 ± 18.5% (n = 4; P < 0.001) and 39.0 ± 16.0% (n = 5; P < 0.001), respectively (each fiber treated only once). The force response at 100 Hz was decreased similarly (posttreatment 100-Hz force response 93.0 ± 9.5% of corresponding response at 50 Hz, n = 5; P > 0.2). The reduction in the force response was not due to depletion of SR Ca2+; each fiber underwent a 5-s period of loading after the rigor period (enough to load an additional ~25–35% of normal endogenous SR Ca2+ content; Refs. 9, 10) before the response to AP stimulation was ascertained, and there was no significant increase in the response when fibers underwent an additional 5-s Ca2+ load (change in 50-Hz tetanic response after second load, –2.0 ± 2.9%, n = 4; P > 0.5). The control rigor treatment (pCa 8) for the same total time (2.5 min) had no significant effect on the AP-induced force responses (n = 4; P > 0.5) (Fig. 5B).


Figure 4
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Fig. 4. Twitch (tw), 5-Hz, 10-Hz, and 50-Hz contractions before and after exposure to elevated [Ca2+]. A: force recording showing protocol used. Exposing the fiber for 1 min to 2 µM [Ca2+] while in rigor (Ca2+ rigor) irreversibly reduced the force response at all stimulation frequencies. After Ca2+ treatment and brief exposure to load solution, twitch force reached a stable level substantially lower than that before Ca2+ treatment. Additional loading did not lead to further recovery (see text). Moving the fiber between solutions caused small force artifacts. BE: expanded time scale traces of twitch (B), 5-Hz (C), 10-Hz (D), and 50-Hz (E) contractions before (black line) and after (gray line) Ca2+ treatment.

 

Figure 5
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Fig. 5. Effect of exposure to an elevated homogeneous [Ca2+] on twitch and tetanic force responses. Free [Ca2+] was elevated for 1 min in a Ca2+ rigor solution as described in Fig. 4. Peak force (A and B) and contraction rate (C) to action potential (AP) stimulation were measured in control solution before and after treatment. A: peak force at each of 4 different frequencies before (open bars) and after (solid bars) exposure for 1 min to 2 µM [Ca2+] (n = 7). B: peak force of twitch ({circ}) and 50-Hz tetanus (bullet) relative to pretreatment values after a 2.5-min control rigor period alone (pCa 8; n = 4) or when it included 1 min with [Ca2+] at 2 µM (n = 7), 5 µM (n = 4), 8 µM (n = 5), or 40 µM (n = 3) free [Ca2+]. Hill curves fit to mean data had pCa50 and Hill coefficient of 5.60 ± 0.04 and 2.1 ± 0.4, respectively, for twitch and 5.28 ± 0.03 and 1.3 ± 0.1 for 50-Hz tetani. C: normalized contraction rate in response to 50-Hz stimulation after control rigor treatment (hatched bar, n = 4) or 1-min exposure to 2 µM [Ca2+] (solid bar, n = 7). Error bars, SE. *P < 0.05, significantly lower vs. paired pretreatment value.

 
In the five cases in which both Na+ depolarization-induced and 50-Hz tetanic force responses were recorded in the same fiber, the 1-min exposure to elevated [Ca2+] (5 or 8 µM) caused a significantly larger reduction in the tetanic response than in the Na+ depolarization-induced response (pooled data for 5 and 8 µM, 41.4 ± 12.8% and 18.9 ± 10.0% reduction, respectively; P < 0.003). The twitch response was always relatively more reduced than the tetanic response (twitch response after 1 min at 2 µM [Ca2+], 62.4 ± 7.3% of pretreatment values; tetanic response, 76.4 ± 6.2%, n = 7; P < 0.01, paired difference), and the difference was more pronounced when [Ca2+] was higher (P < 0.05) (Fig. 5B).

The rate of force development during 50-Hz tetanic stimulation, expressed as the average rate of rise of tetanic force to the same absolute force level (90% of post-Ca2+ rigor peak force response), slowed after exposure to elevated [Ca2+] (see, e.g., Fig. 4E and averaged data in Fig. 5C). This finding is further evidence of reduced Ca2+ release in response to AP stimulation. The rigor period in itself had no negative effect on the rate of force development (n = 4; P > 0.5).

The reduction in force responses after the exposure to elevated [Ca2+]i is not due to damage to the T-system, which remains tightly sealed after exposure to high [Ca2+] (11, 16) and does not seem to be due to AP failure in the T-system. The latter possibility was investigated by applying pairs of electrical pulses with the interpulse interval between the first and second pulses ranging from 3 to 20 ms. These pulse pairs were applied before and after exposure to elevated [Ca2+] sufficient to substantially reduce, but not to abolish completely, the twitch response to AP stimulation (1 min at 5 or 8 µM [Ca2+]). This procedure tests the time required for Na+ channels in the T-system to recover from the first AP and generate a second propagated AP, which leads to a further brief but large release of Ca2+ from the SR and a substantial increase in the peak size of the resulting force response. The two APs occurred so closely in time that only a single, larger, twitchlike force response was observed (see Fig. 3 in Ref. 19). As shown in Fig. 6, after Ca2+ treatment, the recovery period required to generate a second AP remained unchanged at a value in the range of 4–5 ms. This finding contrasts greatly with what was observed previously when reductions in AP-induced responses were caused by chronic partial depolarization of the T-system and consequent AP failure (18), in which the repriming time required for the second of the pulses to lead to an appreciably greater force response increased to 20 ms or more.


Figure 6
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Fig. 6. Refractory behavior of transverse tubular (T)-system AP is not affected by elevated [Ca2+] treatment. Examples of 2 fibers in which the refractory behavior was determined before (open symbols) and after (solid symbols) a 1-min exposure to 5 µM [Ca2+] (fiber 1, circles) or 8 µM Ca2+ (fiber 2, triangles). Each fiber was stimulated with a single pulse that elicited a twitch response plotted at 0-ms interpulse interval and with various pairs of pulses at indicated interpulse intervals (3–20 ms). In both fibers, both before and after exposure to elevated [Ca2+], there was a clear jump in force response when the interval between the 2 pulses was 4 ms, which indicates the recovery time necessary for T-system to be able to propagate an AP in response to second pulse in a given pair.

 
Elevating [Ca2+]i via the normal release mechanism also disrupts E-C coupling

Finally and importantly, we investigated whether excessive Ca2+ release from the SR could also lead to the disruption of E-C coupling. When 12 successive tetani were elicited in a skinned fiber in the standard K+-HDTA solution (200-ms periods of 50-Hz stimulation 1 min apart), there was only a slight reduction in peak force during the sequence of stimuli (–3.6 ± 1.2%, n = 4; P < 0.05). When 5 mM caffeine was present in the solution, the tetanic force was initially increased slightly and substantially prolonged (e.g., Fig. 7, A and E), and after raising [Ca2+]i in this manner for only three to five tetani, peak tetanic force measured under the original control conditions was substantially reduced relative to its pretreatment level (P < 0.05) (Figs. 7 and 8). This reduction was not due to depletion of the SR Ca2+ stores, because a 5-s load did not increase tetanic force (Figs. 7A and 8A), and direct stimulation of the SR by lowering [Mg2+]i at the end of the experiment showed that the SR was loaded at or above endogenous levels (data not shown). Similar effects were observed in all 10 fibers in which [Ca2+]i was raised in this way, with peak tetanic force after the caffeine-tetani being, on average, 79.4 ± 4.4% of pretreatment values (P < 0.01). Figure 8A shows mean data for the four fibers in which caffeine-tetani were applied and the stimulation protocol maintained for a total of 12 or 13 tetani, as conducted with matching control fibers shown in the figure. After caffeine-tetanic treatment, twitch force was significantly more depressed than tetanic force, being reduced to 62.0 ± 6.1% of the pretreatment level (n = 10; P < 0.005). Force production was also depressed at the other two intermediate stimulation frequencies (all 4 frequencies tested in 4 fibers; see mean data shown in Fig. 8B).


Figure 7
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Fig. 7. Excessive Ca2+ release from the SR disrupts subsequent excitation-contraction (E-C) coupling. A: force trace of complete protocol. Elevating [Ca2+]i above normal tetanic levels by tetanic stimulation of the fiber in presence of 5 mM caffeine (see also dotted line in E) irreversibly reduced the force response at all stimulation frequencies. Expanded traces of twitch (B), 5-Hz (C), 10-Hz (D), and 50-Hz (E) contractions before (black line) and after (gray line) the three 50-Hz tetani in the presence of 5 mM caffeine. F: in another fiber, tetanic stimulation in the presence of 5 mM caffeine and 0.2 mM BAPTA (dotted line) prevented force from increasing above control tetanic level (black line).

 

Figure 8
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Fig. 8. Summarized data of disrupted E-C coupling after supranormal Ca2+ release. A: peak force for 12–13 consecutive 200-ms tetani at 50 Hz repeated every 1 min. Force is normalized to pretreatment level (P) (n = 4 in all cases). Bars, SE; {circ}, no treatment case. When tetanic Ca2+ was elevated above normal levels by 50-Hz stimulation in presence of 5 mM caffeine for 4 or 5 tetani ({blacksquare}), tetanic force (measured in control conditions) was subsequently reduced to ~20% below pretreatment level and a 5-s reloading of SR Ca2+ stores did not restore tetanic force. When the rise in [Ca2+]i was buffered by the additional presence of 0.2 mM free BAPTA during the 4 or 5 tetani with caffeine ({triangleup}), peak tetanic force progressively declined, but after washout of BAPTA and caffeine and a brief load, it fully recovered to initial pretreatment level. B: peak force at various stimulation frequencies before (open bars) and after (solid bars) the fiber was subjected to 3–5 tetani in the presence of 5 mM caffeine. Peak force is expressed relative to pretreatment 50-Hz peak force. Bars, SE. n = 4. *P < 0.05, significantly lower than paired pretreatment value.

 
When the potentiated tetanic Ca2+ release in the caffeine solution was partially buffered by the additional presence of 0.2 mM free BAPTA, the peak tetanic force response was slightly smaller than the initial pretreatment level (see, e.g., Fig. 7F) and progressively declined during the four tetani applied under these conditions (Fig. 8A), most likely because of a small, progressive decrease in total SR Ca2+ as a result of Ca2+ loss to the bath solution (pCa ~7.5 with 0.2 mM BAPTA added). Importantly, when each of these fibers was returned to the standard solution and briefly reloaded (5 s), peak tetanic force recovered fully to pretreatment level (n = 4; P > 0.5) (Fig. 8A), demonstrating that the treatment had not caused any detectable disruption of E-C coupling.


    DISCUSSION
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
One of the main findings of the present study is that if [Ca2+] in a fast-twitch mammalian muscle fiber is maintained at an elevated level within the normal physiological range (e.g., 2 µM) throughout the cytoplasm for a total of 1 min, significant disruption of E-C coupling results (Fig. 5). In accordance with previous findings with higher applied [Ca2+] (11), this disruption of E-C coupling is evidently due to failure of transmission of the signal at the triad junction, given that 1) the SR remains loaded with Ca2+, 2) the ryanodine-receptor Ca2+ release channels in the SR are still closed at rest and can be opened upon direct stimulation by lowering [Mg2+]i (Fig. 1) or adding caffeine (data not shown), 3) force production by the contractile apparatus is unaffected (Fig. 3), 4) the reduced force response can be observed with either AP stimulation (Figs. 4 and 5) or direct depolarization of the T-system (Figs. 1 and 2), and 5) the refractory behavior of the T-system AP inferred from the twitch response indicates that the T-system was polarized adequately (Fig. 6).

The finding reported herein that elevated [Ca2+]i reduced the force response to AP stimulation in rat EDL fibers across the full force-frequency range, with proportionately greatest effect occurring at low frequencies (see Fig. 5, A and B, and Fig. 8B), is similar to that found previously when intact fibers of mouse fast-twitch muscle were subjected to repeated tetani with caffeine present to raise [Ca2+]i (3). This strongly suggests that the same uncoupling mechanism underlies both sets of findings. In the intact fiber studies of Chin and colleagues (3, 4), which were performed at room temperature as were the experiments described herein, the disruption in E-C coupling remained unchanged for 1 h and was clearly distinct from a faster-recovering component of fatigue that was evidently dependent on the metabolic status of the fiber (4). The long-duration deficit in force production observed with prolonged or vigorous stimulation in both human and nonhuman muscle is sometimes called low-frequency fatigue because it is more prominent at low stimulation frequencies, although perhaps it is better described as long-duration fatigue because the persistent nature of the deficit is probably the most important feature, one that shows that it is distinct from metabolic fatigue (1, 6, 7) and is likely caused by structural and/or protein changes in the muscle fiber. The fact that the force response is reduced proportionately more at low-stimulation frequencies than at high-stimulation frequencies most likely simply reflects the sigmoid relationship between [Ca2+]i and force (e.g., Fig. 3), as a given reduction in [Ca2+]i would cause a bigger drop in force when the [Ca2+]i initially produces submaximal force rather than near-maximal force. Thus it is not the absolute frequency of stimulation but rather the relative level of force produced by the stimulus that is important in this regard. In the present experiments, in which parvalbumin was washed from the fiber after skinning, there was less total Ca2+ buffering in the cytoplasm when Ca2+ was released in response to AP stimulation, and consequently the twitch force was a relatively large proportion of peak tetanic force and tetani also became fused and produced maximum force at lower-stimulation frequencies than observed in intact fibers. When this effect is taken into account, the force-frequency deficit observed in the skinned fibers after exposure to elevated [Ca2+] is highly comparable to that observed in intact fibers (3, 4).

Key Determinants and Site of Ca2+-Dependent Uncoupling

The experiments of Chin and colleagues (3, 4) strongly suggested that long-duration fatigue results from increases in [Ca2+]i, but inherent in the use of intact fibers is that those experiments did not identify clearly whether the phenomenon was dependent primarily on peak [Ca2+] reached during tetanus, on the associated rise in resting [Ca2+], or on the temporal sum or any other aspect related to the [Ca2+] changes. It also is not clear in their studies whether the effect was dependent on [Ca2+] in the cytoplasm as a whole or on [Ca2+] in a particular region. Furthermore, a large disparity in the measured values of peak tetanic [Ca2+] in intact, fast-twitch murine fibers has been reported by different investigators [1–2 µM reported using indo-1, Ref. 3; ~20 µM reported using furaptra, also known as mag-fura-2; Ref. 2]. In the present study using skinned fibers in which it is possible to apply a known [Ca2+]i throughout the fiber, we were able to determine accurately the Ca2+ and time dependence of the uncoupling effect, allowing quantitative comparison with the properties of biochemical processes that putatively might underlie this uncoupling. Also, we were able to demonstrate that it is the peak local [Ca2+] that is of primary importance.

First, it is apparent that E-C uncoupling does not depend simply on the total time integral of the [Ca2+]i but instead proceeds disproportionately faster at higher [Ca2+]i. When examining coupling with Na+ depolarizations in rat EDL fibers, 180-s exposure to ~5.4 µM [Ca2+]i is required to cause 50% uncoupling (Fig. 2) (time integral, ~970 µM·s), whereas at ~23 µM [Ca2+]i, only 10-s exposure is needed (11) (time integral, ~230 µM·s). When [Ca2+]i was kept at 1 or 2 µM for 180 s, little if any reduction in the force response to Na+ depolarization was observed, even though the [Ca2+]i time integral (180 and 360 µM·s, respectively) (Fig. 2) was similar to or exceeded the value associated with 50% uncoupling at 23 µM [Ca2+]i.

Second, the experiments described herein (Fig. 5B) have shown that when applying Ca2+ homogeneously through the intracellular space, the [Ca2+] must be maintained continuously at ~2 µM for 60 s to cause a decrease in the AP-induced force responses comparable to those observed in intact murine fibers when subjecting them to repeated tetani in the presence of 10 mM caffeine (3). In those intact fiber experiments, [Ca2+] repeatedly rose to high levels locally and then declined, and the associated [Ca2+] time integral on the basis of the Ca2+ signal measured over the whole fiber was estimated to be ~25 µM·s. In the present study, the peak tetanic force was reduced by only ~20% after [Ca2+] was kept constant for 60 s at a level sufficient to produce near-maximal force (i.e., 2 µM) (see Fig. 3), and the [Ca2+] time integral in this case was 120 µM·s. This shows that [Ca2+]i must be elevated to relatively high levels far above the resting level for substantial uncoupling to occur in a matter of minutes. Furthermore, we found that a similar degree of uncoupling (~20% reduction in peak tetanic force) occurred in the skinned fibers when [Ca2+] was only briefly elevated by applying just three to five tetani in the presence of caffeine (see Fig. 8 and RESULTS). The uncoupling in the latter case was clearly the result of the high [Ca2+] during stimulation and was not due to the caffeine or AP stimulation per se, because it did not occur if 0.2 mM BAPTA was present to buffer the released Ca2+ (Fig. 8). In the skinned fibers, the cytoplasm is open to the buffered bathing solution and resting [Ca2+] would have remained at ~0.12 µM for most of the period between tetani even in the continued presence of caffeine. Thus it is apparent that the uncoupling was caused predominantly by the very high [Ca2+] reached during the tetanic stimulation in caffeine, not by any rise in [Ca2+]i between stimuli, particularly given that raising the [Ca2+]i to a steady level of <1 µM for 60 s evidently has little effect on E-C coupling (Figs. 2 and 5).

It is further apparent that the extent of uncoupling observed in the caffeine tetani case must have been caused by extremely high [Ca2+], most likely that occurring close to the Ca2+ release channels. Because the force response in these skinned fibers is able to follow the [Ca2+] prevailing in the cytoplasmic space with a time delay of only 100–200 ms (5), the steady-state force [Ca2+]-dependence measured in these fibers (e.g., Fig. 3) can be used to calculate an upper limit for the total [Ca2+] time integral during the three to five tetanic force responses in caffeine (see, e.g., Fig. 7E), except for the part contributed by the 200- to 400-ms peak Ca2+ release during each tetanus, in which the force response certainly failed to track the rapid, large changes in free [Ca2+]. We found that for the fibers treated with caffeine-tetani, [Ca2+] was clearly <2 µM for the great majority of the time and that the total [Ca2+] time integral for the whole treatment, other than during the three to five peak release periods, was <25 µM·s. Thus the disparity between this case and the case in which a constant level of 2 µM [Ca2+] was applied ([Ca2+] time integral 120 µM·s) is difficult to explain unless the free [Ca2+] causing the uncoupling in the caffeine-tetani case reaches >>10 µM during the brief periods of peak Ca2+ release (total release period ~1–1.5 s). When it is further noted that the presence of 200 µM free BAPTA, a fast Ca2+ buffer, throughout the fiber during release only reduced the tetanic force response in caffeine to close to the control tetanic level (see Fig. 7F), it is apparent that the rapid uncoupling in the caffeine-tetani case must have been driven by an extremely high local free [Ca2+], possibly on the order of 100 µM or more. The absence of parvalbumin in the skinned fibers could make them somewhat more susceptible than intact fibers to damage by peak Ca2+ release flux, although this effect is likely relatively small because most of the parvalbumin in vivo acts as a slow rather than a fast Ca2+ buffer as it already has Mg2+ bound. The fact that skinned fibers do have differences from intact fibers, however minor, means one can never be certain that the results are fully applicable to muscle in vivo. Nevertheless, the present experiments clearly demonstrate that it is peak local [Ca2+], not the temporal sum of [Ca2+] in the bulk cytoplasm, that is predominantly responsible for uncoupling.

In summary, it appears that any Ca2+-dependent uncoupling occurring in a working fiber is caused primarily by high local [Ca2+] reached in the vicinity of the triad junction, not by any rise in resting [Ca2+] near the triads or by peak [Ca2+] reached during stimulation elsewhere in the bulk of the cytoplasm, even though the latter may be sufficient to produce maximal force production by the contractile apparatus. Uncoupling appears to occur to a marked extent only if 1) [Ca2+] is elevated for a comparatively long continuous period (1–3 min) to a level producing near-maximal force (>2 µM Ca2+), which fast-twitch fibers do not normally experience, or 2) peak [Ca2+] near the triad junction is potentiated above the level it normally reaches. It also appears that the uncoupling effect is primarily a Ca2+- and time-dependent phenomenon and is not noticeably sensitized or dependent on activation of the coupling mechanism between voltage sensors and the Ca2+ release channels, because 1) high levels of applied Ca2+ cause uncoupling in unstimulated fibers and 2) the coupling mechanism can be activated 15 times or more by Na+ depolarizations, lasting 2–3 s each and releasing sufficient Ca2+ for near-maximal force without causing much Ca2+-dependent uncoupling (see, e.g., Refs. 14, 15). The considerable [Ca2+]-time integral that prevails in the latter case indicates that the uncoupling mechanism could not be sensitized appreciably by voltage sensor or release channel activation per se. Furthermore, the lack of appreciable uncoupling occurring with repeated Na+ depolarizations, in which the peak rate of Ca2+ release is much smaller than with AP stimulation, is fully consistent with uncoupling being caused primarily by very high triadic [Ca2+].

Possible Role and Basis of Uncoupling

On the basis of the present findings, one can speculate about the possible biochemical basis and role of Ca2+-dependent uncoupling. The properties of Ca2+-dependent uncoupling indicate that it involves interruption of communication between voltage sensors in the T-system and the Ca2+ release channels in the SR at the triad junction. We previously documented that elevated [Ca2+] appears to cause physical alterations of the triad junction (11). Such alterations could be caused by activation of the Ca2+-dependent proteases calpain-3 and µ-calpain (also known as calpain-1), which we recently showed (17) are present in rat EDL muscle and are activated to a small extent by 1-min exposure to ~2 µM [Ca2+] and considerably more by higher [Ca2+], fully consistent with the present findings. Furthermore, calpain-3 and at least some of the µ-calpain are bound in mammalian fibers at or near the N2A line on titin (8, 22), which is at the A-I boundary close or adjacent to the location of the triad junction. The Ca2+ dependence of the uncoupling phenomenon appears to be well attuned to normal muscle function because it does not appear to be activated appreciably during normal Ca2+ release and because muscle fibers are not affected deleteriously by normal levels of activity (observed in control tetani shown in Fig. 8A), but only when the Ca2+ release is excessive or prolonged (3, 4). Thus the Ca2+-dependent uncoupling mechanism may have an important protective role in muscle, because this mechanism seems well designed to interrupt the coupling and reduce Ca2+ release at its source whenever the release exceeds the requirements for normal muscle function, so the uncoupling acts to prevent the widespread activation of Ca2+-dependent proteases and consequent generalized muscle damage that would otherwise follow.


    GRANTS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
This work was financially supported by National Health and Medical Research Council of Australia Grant 280623.


    ACKNOWLEDGMENTS
 
We thank Maria Cellini and Aida Yousef for assistance.


    FOOTNOTES
 

Address for reprint requests and other correspondence: E. Verburg, Dept. of Zoology, La Trobe Univ., Bundoora Campus, Melbourne, Victoria 3086, Australia (e-mail: e.verburg{at}latrobe.edu.au)

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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