The influence of prednisone on the muscle morphology and muscle enzymes in patients with rheumatoid arthritis

1986 ◽  
Vol 71 (6) ◽  
pp. 693-701 ◽  
Author(s):  
B. Danneskiold-Samsøe ◽  
G. Grimby
Keyword(s):  
Rheumatoid Arthritis ◽  
Muscle Strength ◽  
Vastus Lateralis ◽  
Knee Extension ◽  
Knee Extensors ◽  
Control Group ◽  
Type I ◽  
Type Ii ◽  
Muscle Enzymes ◽  
Muscle Morphology

1. Thirty-five female patients, mean age 63 years, suffering from rheumatoid arthritis participated the study. Twenty patients had been on long-term low-dose corticosteroid treatment. Fifteen patients had never received corticosteroids. A control group of 15 age- and sex-matched healthy subjects was also studied. 2. Examination of muscle biopsies from the (right) vastus lateralis and measurements of isokinetic and isometric knee-extension muscle strength were performed in all subjects. 3. Rheumatoid arthritis patients treated with corticosteroid showed a low percentage of type I fibres, mean 35.7 (range 17–66) % compared with patients who did not receive corticosteroid (P < 0.005). The latter group did not differ from the controls. 4. The muscle fibre areas also were affected in the corticosteroid treated rheumatoid patients. Type I and type II mean fibre areas were reduced by 32% and 50%, respectively, when compared with non-prednisone treated patients. The latter group did not differ from the controls in this respect. 5. A correlation was found between the isokinetic muscle strength of the knee extensors and the mean areas of type I and type II in patients treated with prednisone (r = 0.48, P < 0.05 and r = 0.58, P < 0.02 respectively). No such correlation was found when using isometric measurements of the knee extensors. A positive correlation was found in both groups of rheumatoid arthritis patients between the areas of the type I and type II fibres (r = 0.66–0.68, P < 0.05–0.02). 6. It is concluded that the observed abnormal muscle morphology and low knee-extension capacity found in the corticosteroid treated patients is due to the treatment rather than to other factors, as there were no other differences between the two groups of patients.

Muscle morphology and enzymes in proximal and distal muscle groups of lower limb from patients with corticosteroid treated rheumatoid arthritis: the relationship to maximal isokinetic muscle strength

1986 ◽  
Vol 71 (6) ◽  
pp. 685-691 ◽  
Author(s):  
B. Danneskiold-Samsøe ◽  
G. Grimby
Keyword(s):  
Rheumatoid Arthritis ◽  
Muscle Strength ◽  
Gastrocnemius Muscle ◽  
Vastus Lateralis ◽  
Knee Extensors ◽  
Isokinetic Strength ◽  
Type I ◽  
Type Ii ◽  
Plantar Flexors ◽  
Isokinetic Muscle Strength

1. Abnormal morphological and enzymatic patterns in the lateral vastus muscle have been found in women with corticosteroid treated rheumatoid arthritis. By means of biopsies from the lateral heads of right gastrocnemius muscles, the histology and enzyme activities were compared with those found in right vastus lateralis biopsies. The findings were correlated with isometric and isokinetic strength of the plantar flexors. 2. The relative occurrence of type I fibres in the gastrocnemius muscle was 46.4 ± 18.7 (sd) %, which is significantly higher than found in the vastus lateralis [35.7 ± 13.3 (sd) %] (P < 0.03). 3. The relatively lower percentage of type II fibres in the gastrocnemius muscle was due to a relatively low percentage of type II A fibres [mean 27.9 ± 16.4 (sd) %] (P < 0.05). 4. The area of type I fibres in the gastrocnemius muscle was 26.1 × 102 ± 10.0 (sd) μm2, which is 74% of the mean area for type I fibres found in the vastus lateralis (P < 0.01). 5. The area of type II fibres in the gastrocnemius was 14.9 × 102 ± 7.1 (sd) μm2, which is 77% of the mean area for type II fibres found in the vastus lateralis. 6. The isokinetic muscle strength of the plantar flexors in corticosteroid treated patients with rheumatoid arthritis was reduced to less than 50% at all angular velocities when compared with healthy women. The same difference was found in the knee extensors. 7. Both type I and type II fibre areas correlated positively with the activity of β-hydroxyacyl-CoA dehydrogenase (r = 0.72, P < 0.02; r = 0.77, P < 0.01). The activity of the oxidative enzyme citric acid synthase (but not β-hydroxyacyl-CoA dehydrogenase) correlated positively with the isokinetic muscle strength of the plantar flexors at all the angular velocities (r = 0.75, P < 0.01; r = 0.57, P < 0.05). 8. The isokinetic strength as well as the type I and II fibre areas in the vastus lateralis biopsies correlated well with the same parameters in the gastrocnemius muscle (r approx. 0.70, P < 0.001). The vastus lateralis and the gastrocnemius muscles had similar morphology in the same subjects. In the control subjects and in the patients a close correlation was found between the isokinetic strength of the knee extensors and the plantar flexors. 9. It is concluded that the corticosteroid effect on muscles seems to occur in both the proximal and distal skeletal muscles.

Compensatory muscle fiber hypertrophy in elderly men

1992 ◽  
Vol 73 (3) ◽  
pp. 812-816 ◽  
Author(s):  
A. Aniansson ◽  
G. Grimby ◽  
M. Hedberg
Keyword(s):  
Muscle Strength ◽  
Muscle Fiber ◽  
Citrate Synthase ◽  
Biceps Brachii ◽  
Vastus Lateralis ◽  
Cell Mass ◽  
Knee Extension ◽  
Type I ◽  
Type Ii ◽  
Elderly Men

Muscle strength and muscle morphology have been studied three times during a period of 11 yr in nine elderly men. On the last occasion the average age was 80.4 (range 79–82) yr. Body cell mass decreased by 6% and muscle strength for knee extension, measured by means of isometric and concentric isokinetic (30–60 degrees/s) recordings, declined by 25–35% over the 11-yr period. Between 76 and 80 yr of age only the isokinetic strength for 30 degrees/s decreased significantly. Muscle fiber composition in the vastus lateralis did not change between 69 and 76 yr of age, but there was a significant reduction in the proportion of type IIb fibers from 76 to 80 yr. The decrease in type II fiber areas was not significant between 69 and 76 yr of age (as in a larger sample from the same population), but a significant increase in both type I and type II fiber areas was recorded from 76 to 80 yr of age and biceps brachii showed similar tendencies. In the same period, the enzymatic activities of myokinase and lactate dehydrogenase subsided in the vastus lateralis, but there was no change for triose phosphate dehydrogenase, 3-hydroxy-CoA-dehydrogenase, and citrate synthase. The muscle fiber hypertrophy in this group of elderly men with maintained physical activity between 76 and 80 yr of age is interpreted as a compensatory adaptation for the loss of motor units. In addition, the adaptation with respect to oxidative capacities seems to be maintained at this age.

scholarly journals POS0611 THE EFFECT OF RITUXIMAB BIOSIMILAR THERAPY ON THE EXPRESSION OF INTERFERON-STIMULATED GENES (“INTERFERON SIGNATURE”) IN PATIENTS WITH RHEUMATOID ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 542.2-542
Author(s):  
A. Avdeeva ◽  
E. Tchetina ◽  
G. Markova ◽  
E. Nasonov
Keyword(s):  
Rheumatoid Arthritis ◽  
Gene Signature ◽  
Response To Therapy ◽  
Type I Interferons ◽  
Control Group ◽  
Type I ◽  
Acute Phase Reactants ◽  
Interferon Signature ◽  
Interferon Stimulated Genes ◽  
Healthy Donors

Background:Type I interferons (IFN-Is) are a group of molecules with pleiotropic effects on the immune system forming a crucial link between innate and adaptive immune responses. The type I interferon pathway has been implicated in the pathogenesis of a number of rheumatic diseases, including rheumatoid arthritis. IFN activity is usually quantified using expression of interferon-stimulated genes (ISGs) referred to as an IFN signature. Acellbia (BIOCAD) is the first Russian rituximab (RTX) biosimilar which was approved for medical use in rheumatoid arthritis (RA) patients in Russia and some CIS countries.Objectives:To evaluate the changes in expression of ISGs in patients (pts) with RA during RTX biosimilar therapyMethods:20 RA pts (18 woman, Me;IQR age 61.5(54-66.5) years, disease duration 39.5(20-84) months, mean DAS 28 5.6(4.9-6.8)) received two intravenous RTX biosimilar infusions (600 mg №2) in combination with DMARDs and glucocorticoids. Laboratory biomarkers were assessed at baseline and 24 weeks after the first infusion of RTX. 5 genes (IFI44L, MX1, IFIT 1, RSAD2, EPSTI1) were selected for evaluation of the “interferon signature” (Type I IFN gene signature – IFNGS). IFI44L and IFIT1 expression was undetectable, therefore the remaining three genes (MSX1, EPSTI1, RSAD2) were included into further analysis. IFNGS was calculated as the average expression values of the three selected genes. The control group included 20 age and gender matching healthy donors.Results:The baseline expression levels of MX1-11.48 (5.45-19.38), EPSTI1-12.83 (5.62-19.64), RSAD2-5.16 (2.73-10.4), and IFNGS-10.3 (5.18-17.12) in RA patients were significantly higher compared to healthy donors– 1,26 (0,73-1,6); 1,06 (0,81-1,48); 0,93 (0,72-1,19); 1,09 (0,92-1,42), (p<0.05, respectively). IFNGS was detected in 15 (75%) patients, and was not found in 5 (15%) patients. RTX induced reduction in disease activity, and the level of acute phase reactants (ESR, CRP) after 12 and 24 weeks of therapy, p<0.05 (fig.1). Increased RSAD 2 expression (p<0.05) and a trend to increasing IFNGS levels (p=0.06) were documented in the whole group, and also in patients with moderate treatment effects by week 24. Among patients with a good EULAR response to therapy, changes in expression were not significant (p> 0.05) (fig.1)Figure 1.Conclusion:Expression of IFN-stimulated genes was increased in RA patients compared to healthy donors. Increased RSAD2 and IFNGS expression was documented in patients with moderate effect of RTX therapy, therefore, these findings have important clinical relevance as predictors of RA clinical course which necessitates personified approach to treatment.Disclosure of Interests:None declared

scholarly journals Regional and muscle-specific adaptations in knee extensor hypertrophy using flywheel versus conventional weight-stack resistance exercise

2019 ◽  
Vol 44 (8) ◽  
pp. 827-833 ◽  
Author(s):  
Tommy R. Lundberg ◽  
Maria T. García-Gutiérrez ◽  
Mirko Mandić ◽  
Mats Lilja ◽  
Rodrigo Fernandez-Gonzalo
Keyword(s):  
Resistance Exercise ◽  
Muscle Hypertrophy ◽  
Vastus Lateralis ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Knee Extensors ◽  
Cross Sectional ◽  
Proximal Site ◽  
Before And After

This study compared the effects of the most frequently employed protocols of flywheel (FW) versus weight-stack (WS) resistance exercise (RE) on regional and muscle-specific adaptations of the knee extensors. Sixteen men (n = 8) and women (n = 8) performed 8 weeks (2–3 days/week) of knee extension RE employing FW technology on 1 leg (4 × 7 repetitions), while the contralateral leg performed regular WS training (4 × 8–12 repetitions). Maximal strength (1-repetition maximum (1RM) in WS) and peak FW power were determined before and after training for both legs. Partial muscle volume of vastus lateralis (VL), vastus medialis (VM), vastus intermedius (VI), and rectus femoris (RF) were measured using magnetic resonance imaging. Additionally, quadriceps cross-sectional area was assessed at a proximal and a distal site. There were no differences (P > 0.05) between FW versus WS in muscle hypertrophy of the quadriceps femoris (8% vs. 9%), VL (10% vs. 11%), VM (6% vs. 8%), VI (5% vs. 5%), or RF (17% vs. 17%). Muscle hypertrophy tended (P = 0.09) to be greater at the distal compared with the proximal site, but there was no interaction with exercise method. Increases in 1RM and FW peak power were similar across legs, yet the increase in 1RM was greater in men (31%) than in women (20%). These findings suggest that FW and WS training induces comparable muscle-specific hypertrophy of the knee extensors. Given that these robust muscular adaptations were brought about with markedly fewer repetitions in the FW compared with WS, it seems FW training can be recommended as a particularly time-efficient exercise paradigm.

scholarly journals Implications of Aerobic Exercises and Walking Parallel to Diabetes Medications on Diabetic Sportspersons

2021 ◽  
pp. 197-204
Author(s):  
Fehmida Ayub ◽  
Abida Naseer ◽  
Saeed Javed ◽  
Adnan Asghar ◽  
Abd Rahim Mohd Shariff ◽  
...  
Keyword(s):  
Aerobic Exercise ◽  
Blood Glucose Control ◽  
Daily Basis ◽  
Control Group ◽  
Type I ◽  
Type Ii ◽  
Glucose Levels ◽  
Spare Time ◽  
And Control ◽  
Experimental Group

Objective: Diabetes have a central contribution with type I or type II towards the healthy lifestyles of sportspersons. Aerobic exercise and daily walking stay them fit and control their glucose levels in their bloodstream. The aim of this study was to find out the effects of aerobic exercises and walk on the sportspersons of type I and II diabetes. Methodology: The existing research has experimental design itself wherein pre-tests and post-tests were employed to make sure the novelty of results. The data was collected from the diabetic sportspersons dividing them equally into control group (N-20) and experimental group (N-20). Both groups had type I (N-20) and type II (N-20) diabetic individuals. Aerobic exercise and walk protocol was applied for six weeks on experimental group, whereas, control group continued their routine activities. Afterwards, the data was collected through pre and post treatments and edited into SPSS (v-26). The collected data was analyzed through descriptive statistics using frequencies and percentages, whereas, T-test was applied to make the differences of pre and post treatments. Results: The findings has shown that aerobic exercises and walk decrease the higher levels of glucose in blood and enable to stable glycemic balance, weight loss maintenance, decrease insulin resistance, blood pressure decrease, and blood glucose control. Conclusion: The prominent differences were observed between control and experimental groups either type I or type II. It was concluded that the sportspersons may reduce the excessive glucose engaging in aerobic exercises and walk on daily basis rather than using medications. They should spend their happy lives and get rid of medications and insulin through spending their spare time using light exercises and maintain their glucose levels in blood as well.

Force fluctuations are modulated by alternate muscle activity of knee extensor synergists during low-level sustained contraction

2004 ◽  
Vol 97 (6) ◽  
pp. 2121-2131 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Tetsuo Fukunaga
Keyword(s):  
Correlation Coefficient ◽  
Muscle Activity ◽  
High Frequency ◽  
Vastus Lateralis ◽  
Frequency Component ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
High Frequency Component ◽  
Knee Extensors ◽  
Force Fluctuations

The study examined the hypothesis that altered synergistic activation of the knee extensors leads to cyclic modulation of the force fluctuations. To test this hypothesis, the force fluctuations were investigated during sustained knee extension at 2.5% of maximal voluntary contraction force for 60 min in 11 men. Surface electromyograms (EMG) were recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) muscles. The SD of force and average EMG (AEMG) of each muscle were calculated for 30-s periods during alternate muscle activity. Power spectrum of force was calculated for the low- (≤3 Hz), middle- (4–6 Hz), and high-frequency (8–12 Hz) components. Alternate muscle activity was observed between RF and the set of VL and VM muscles. The SD of force was not constant but variable due to the alternate muscle activity. The SD was significantly greater during high RF activity compared with high VL and VM activity ( P < 0.05), and the correlation coefficient between the SD and AEMG was significantly greater in RF [0.736 (SD 0.095), P < 0.05] compared with VL and VM. Large changes were found in the high-frequency component. During high RF activity, the correlation coefficient between the SD and high-frequency component [0.832 (SD 0.087)] was significantly ( P < 0.05) greater compared with other frequency components. It is suggested that modulations in knee extension force fluctuations are caused by the unique muscle activity in RF during the alternate muscle activity, which augments the high-frequency component of the fluctuations.

Can Hip Joint Position affect Quadriceps Muscle Responses during Knee Extension Exercise?

2020 ◽  
Vol 41 (13) ◽  
pp. 929-935
Author(s):  
Denis César Leite Vieira ◽  
Marco Aurélio Araujo Dourado ◽  
Lucas Ugliara ◽  
Joao Luiz Quagliotti Durigan ◽  
Brad J. Schoenfeld ◽  
...  
Keyword(s):  
Vastus Lateralis ◽  
Muscle Thickness ◽  
Rectus Femoris ◽  
Peak Torque ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Knee Extensors ◽  
Work Output ◽  
Before And After ◽  
Knee Extension Exercise

AbstractThis study investigated the acute effects of seated and supine knee extension exercise on muscle swelling, torque, and work output. Twelve resistance-trained men performed two isokinetic concentric-only knee-extension training protocols at different hip positions in a counter-balanced order. They completed the knee extension exercise in the seated (hip angle at 85°) and supine (hip angle at 180°) positions. The torque and work output were assessed during each set. Moreover, muscle thickness of the middle and proximal vastus lateralis and rectus femoris were evaluated before and after each protocol and used as an indicator of muscle swelling. Middle rectus femoris and proximal vastus lateralis thickness increased significantly (p=0.01) with no difference between exercise variations. However, the middle vastus lateralis thickness increased (p=0.01) only after the seated knee extension exercise (~7%). Knee extensors’ peak torque and work output were approximately 8% higher (p=0.04) in the seated when compared to the supine hip position. There was a similar decrease in torque and work output throughout both protocols (p=0.98). In conclusion, seated knee extension exercises produced greater torque, work output, and muscle swelling in the vastus lateralis when compared to the supine knee extension exercise.

The deleterious effects of bed rest on human skeletal muscle fibers are exacerbated by hypercortisolemia and ameliorated by dietary supplementation

2007 ◽  
Vol 293 (1) ◽  
pp. C313-C320 ◽  
Author(s):  
R. H. Fitts ◽  
J. G. Romatowski ◽  
J. R. Peters ◽  
D. Paddon-Jones ◽  
R. R. Wolfe ◽  
...  
Keyword(s):  
Peak Power ◽  
Vastus Lateralis ◽  
Sodium Succinate ◽  
Muscle Fibers ◽  
Caloric Intake ◽  
Bed Rest ◽  
Essential Amino Acids ◽  
Peak Force ◽  
Type I ◽  
Type Ii

Prolonged inactivity associated with bed rest in a clinical setting or spaceflight is frequently associated with hypercortisolemia and inadequate caloric intake. Here, we determined the effect of 28 days of bed rest (BR); bed rest plus hypercortisolemia (BRHC); and bed rest plus essential amino acid (AA) and carbohydrate (CHO) supplement (BRAA) on the size and function of single slow- and fast-twitch muscle fibers. Supplementing meals, the BRAA group consumed 16.5 g essential amino acids and 30 g sucrose at 1100, 1600, and 2100 h, and the BRHC subjects received 5 daily doses of 10–15 mg of oral hydrocortisone sodium succinate throughout bed rest. Bed rest induced atrophy and loss of force (mN) and power (μN·FL·s−1) in single fibers was exacerbated by hypercortisolemia where soleus peak force declined by 23% in the type I fiber from a prevalue of 0.78 ± 0.02 to 0.60 ± 0.02 mN post bed rest (compared to a 7% decline with bed rest alone) and 27% in the type II fiber (1.10 ± 0.08 vs. 0.81 ± 0.05 mN). In the BRHC group, peak power dropped by 19, 15, and 11% in the soleus type I, and vastus lateralis (VL) type I and II fibers, respectively. The AA/CHO supplement protected against the bed rest-induced loss of peak force in the type I soleus and peak power in the VL type II fibers. These results provide evidence that an AA/CHO supplement might serve as a successful countermeasure to help preserve muscle function during periods of relative inactivity.

scholarly journals Side-Alternating Vibration Training for Balance and Ankle Muscle Strength in Untrained Women

2013 ◽  
Vol 48 (5) ◽  
pp. 590-600 ◽  
Author(s):  
Styliani I. Spiliopoulou ◽  
Ioannis G. Amiridis ◽  
Georgios Tsigganos ◽  
Vassilia Hatzitaki
Keyword(s):  
Muscle Strength ◽  
Postural Sway ◽  
Training Group ◽  
Medial Gastrocnemius ◽  
Knee Extensors ◽  
Control Group ◽  
Static Balance ◽  
Electromyographic Activity ◽  
Peroneus Longus ◽  
Ankle Muscle

Context: Side-alternating vibration (SAV) may help reduce the risk of falling by improving body balance control. Such training has been promoted as a strength-training intervention because it can increase muscle activation through an augmented excitatory input from the muscle spindles. Objective: To determine the effect of SAV training on static balance during 3 postural tasks of increasing difficulty and lower limb strength. Design: Randomized controlled clinical trial. Setting: Laboratory. Patients or Other Participants: A total of 21 healthy women were divided into training (n = 11; age = 43.35 ± 4.12 years, height = 169 ± 6.60 cm, mass = 68.33 ± 11.90 kg) and control (n = 10; age = 42.31 ± 3.73 years, height = 167 ± 4.32 cm, mass = 66.29 ± 10.74 kg) groups. Intervention(s): The training group completed a 9-week program during which participants performed 3 sessions per week of ten 15-second isometric contractions with a 30-second active rest of 3 exercises (half-squat, wide-stance squat, 1-legged half-squat) on an SAV plate (acceleration = 0.91–16.3g). The control group did not participate in any form of exercise over the 9-week period. Main Outcome Measure(s): We evaluated isokinetic and isometric strength of the knee extensors and flexors and ankle plantar flexors, dorsiflexors, and evertors. Static balance was assessed using 3 tasks of increasing difficulty (quiet bipedal stance, tandem stance, 1-legged stance). The electromyographic activity of the vastus lateralis, semitendinosus, medial gastrocnemius, tibialis anterior, and peroneus longus was recorded during postural task performance, baseline and pretraining, immediately posttraining, and 15 days posttraining. Results: After training in the training group, ankle muscle strength improved (P = .03), whereas knee muscle strength remained unaltered (P = .13). Improved ankle-evertor strength was observed at all angular velocities (P = .001). Postural sway decreased in both directions but was greater in the mediolateral (P &lt; .001) than anteroposterior (P = .02) direction. The electromyographic activity of the peroneus longus increased during the sharpened tandem (P = .001) and 1-legged tasks (P = .007). No changes were seen in the control group for any measures. Conclusions: The SAV training could enhance ankle muscle strength and reduce postural sway during static balance performance. The reduction in mediolateral sway could be associated with the greater use of ankle evertors due to their strength improvement.

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