Regional adaptations of rabbit diaphragm muscle fibers to unilateral denervation. Zhan, Wen-Zhi, Gaspar A. Farkas, Mark A. Schroeder, Luc E. Gosselin and Gary C. Sieck. Departments of Anesthesiology, Physiology and Biophysics, & Thoracic Physiology Research Unit, Mayo Clinic and Foundation, Rochester, Minnesota 55905
APStracts 2:0187A, 1995.
Morphological adaptations of diaphragm (DIA) muscle fibers after unilateral denervation (DNV) have been attributed to either a direct effect of DNV itself or the effect of passive length changes imposed by continued inspiratory contractions of the intact contralateral side. We hypothesized that if the mid-costal and sternal regions of the rabbit DIA displayed different passive length changes after unilateral DNV, the morphological and contractile adaptations of these two regions would differ if passive length changes were the primary determinant underlying the adaptations. Conversely, regional adaptations would be similar if due to DNV itself. Morphological and contractile adaptations of the mid-costal and sternal DIA regions were examined one and four weeks after unilateral DNV. DIA length changes were measured using sonomicrometry, and length of the two regions were compared during spontaneous breathing before and after DNV. Passive stress imposed on the paralyzed DIA was estimated based on passive force-length relationships measured in vitro. Following DNV, the mid-costal region passively lengthened by 3-5% of resting length (Lr), with length changes never exceeding optimal fiber length (Lo), while the sternal region shortened by 4-5% of Lr. Despite differences in passive length changes between mid-costal and sternal regions, minimal stress was associated with these passive length changes in both regions. The proportions of type I and IIb fibers in both regions did not change after DNV, while the proportion of type IIa fibers was slightly decreased. By one week after DNV, type I fibers in both regions hypertrophied while type IIb fibers atrophied. The cross sectional area (CSA) of type IIa fibers was unaffected. After four weeks of DNV, type I fibers further hypertrophied, while the CSA of type IIa and IIb fibers remained unchanged. Consequently, type I fibers contributed relatively more to total DIA muscle mass after DNV, whereas the relative contributions of type IIa and IIb fibers were reduced. Isometric contractile changes after DNV were similar in both DIA regions. Twitch contraction and 1/2 relaxation times increased; force-frequency relationships shifted leftward; and maximum tetanic force decreased. We conclude that passive length changes and mechanical stress are not the main determinants of the morphological and contractile adaptations of the DIA after unilateral DNV, but that these adaptations result from DNV itself.

Received 4 November 1994; accepted in final form 28 April 1995.
APS Manuscript Number A1140-4.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on  9 May 1995.