Acta Physiologica Scandinavica
Volume 171 Issue 3 Page 327-334, March 2001 
To cite this article: H. Gissel, T. Clausen (2001) 
Excitation-induced Ca2+ influx and skeletal muscle cell damage 
Acta Physiologica Scandinavica 171 (3), 327–334. 
doi:10.1046/j.1365-201x.2001.00835.x 
Excitation-induced Ca2+ influx and skeletal muscle cell damage 
H. Gissel & 
T. Clausen 
1 Department of Physiology, University of Aarhus, Århus C, Denmark 
Excessive exercise may lead to skeletal muscle cell damage with degradation of cellular components and leakage of intracellular enzymes. Calcium has repeatedly been proposed to be involved in these processes. Studies have shown that the resting level of cytoplasmic Ca2+ increases up to threefold during long-term low-frequency stimulation. We have shown that electrical stimulation produces a marked increase in Ca2+ uptake and Ca2+ content in rat skeletal muscle, both in vivo and in vitro. Continuous stimulation for 240 min at 1 Hz results in an increased release (18-fold) of lactate dehydrogenase (LDH) from extensor digitorum longus (EDL) muscle. This was associated with an increased total Ca2+ content (185%), was augmented at high [Ca2+]o and suppressed at low [Ca2+]o. The release of LDH may reflect partial loss of sarcolemmal integrity as a result of degradation of membrane components by Ca2+-activated enzymes (e.g. calpain or phospholipase A2). After cessation of stimulation the increased release of LDH continues for at least 120 min. This is associated with an up to sevenfold increase in 45Ca uptake. The increased permeability to Ca2+ may further activate calpain and phospholipase A2 and accelerate the loss of membrane integrity. Stimulation-induced uptake of Ca2+ and release of LDH is most pronounced in EDL (mainly composed of fast-twitch fibres at variance with soleus which is mainly composed of slow-twitch fibres). This may account for the observation that prolonged exercise leads to preferential damage to fast-twitch fibres. We hypothesize that excessive exercise may lead to an intracellular accumulation of Ca2+ and increased cytoplasmic Ca2+ causing activation of self-accelerating degradative pathways leading to muscle damage. 
Quelle:
Marie-Christine Lebart and Yves Benyamin. (2006) Calpain involvement in the remodeling of cytoskeletal anchorage complexes. FEBS Journal 273:15, 3415–3426 
Abstract Abstract and References Full Text Article Full Article PDF D. G. Allen, N. P. Whitehead and E. W. Yeung. (2005) Mechanisms of stretch-induced muscle damage in normal and dystrophic muscle: role of ionic changes. The Journal of Physiology 567:3, 723–735 
Abstract Abstract and References Full Text Article Full Article PDF Ulla Ramer Mikkelsen, Anne Fredsted, Hanne Gissel and Torben Clausen. (2004) Excitation-induced Ca2+ influx and muscle damage in the rat: loss of membrane integrity and impaired force recovery. The Journal of Physiology 559:1, 271–285 
Abstract Abstract and References Full Text Article Full Article PDF
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