Abstract

The intrinsic and extrinsic tongue muscles manipulate the position and shape of the tongue and are activated during many oral and respiratory behaviors. In old age, we found that sarcopenia results in selective atrophy of type IIx/IIb diaphragm muscle (DIAm) fibers and a reduction in maximum specific force. We hypothesized that tongue muscles are vulnerable to sarcopenia depending on the relative contribution of type IIx/IIb fibers to total muscle mass. In 6 and 24‐month‐old Fischer 344 rats (n=8 per age), different intrinsic and extrinsic togue muscles were dissected, mounted in a tissue chamber at optimal length and stimulated directly using platinum plate electrodes. Maximum isometric force and fatigue properties were then determined. After mechanical measurements, muscle segments were frozen at optimal sarcomere length in melting isopentane. Transverse sections of muscle fibers were cut at 10 µm, and fiber type was determined based on immunoreactivity to specific myosin heavy chain (MyHC) isoform antibodies. Muscle fiber images were acquired using a confocal microscope (40x 1.3NA objective), and fiber cross‐sectional areas as well as interstitial space were measured. In superior and inferior longitudinal intrinsic muscles specific force was reduced by ~25% in older rats and type IIx/IIb fibers were ~20% smaller. In the genioglossus muscle, specific force was reduced by ~20% in older rats, and the cross‐sectional areas of type IIx/IIb fibers were ~20% smaller. There were no age‐related changes in specific force or fiber cross‐sectional areas in the transversalis muscle. The residual force following 2‐min of fatiguing contractions remained similar in young compared to old rats, consistent with the selective effect of sarcopenia on type IIx/b fibers. The results of this study support our hypothesis that tongue muscles are susceptible to age‐related sarcopenia. The presence of sarcopenia may contribute to the increased incidence of obstructive sleep apnea in older individuals.

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