Abstract

Identification of countermeasures able to prevent disuse-induced muscle wasting is crucial to increase performance of crew members during space flight as well as ameliorate patient’s clinical outcome after long immobilization periods. We report on the outcome of short but high-impact reactive jumps (JUMP) as countermeasure during 60 days of 6° head-down tilt (HDT) bed rest on myofiber size, type composition, capillarization, and oxidative capacity in tissue biopsies (pre/post/recovery) from the knee extensor vastus lateralis (VL) and deep calf soleus (SOL) muscle of 22 healthy male participants (Reactive jumps in a sledge, RSL-study 2015–2016, DLR:envihab, Cologne). Bed rest induced a slow-to-fast myofiber shift (type I –>II) with an increased prevalence of hybrid fibers in SOL after bed rest without jumps (control, CTRL, p = 0.016). In SOL, JUMP countermeasure in bed rest prevented both fast and slow myofiber cross-sectional area (CSA) decrements (p = 0.005) in CTRL group. In VL, bed rest only induced capillary rarefaction, as reflected by the decrease in local capillary-to-fiber ratio (LCFR) for both type II (pre vs. post/R + 10, p = 0.028/0.028) and type I myofibers (pre vs. R + 10, p = 0.012), which was not seen in the JUMP group. VO2maxFiber (pL × mm–1 × min–1) calculated from succinate dehydrogenase (SDH)-stained cryosections (OD660 nm) showed no significant differences between groups. High-impact jump training in bed rest did not prevent disuse-induced myofiber atrophy in VL, mitigated phenotype transition (type I – >II) in SOL, and attenuated capillary rarefaction in the prime knee extensor VL however with little impact on oxidative capacity changes.

Highlights

  • Microgravity-induced changes in the musculoskeletal system of astronauts present potential risks to their safety and health as they may lead to muscle or bone injury during demanding activity and limit their ability to perform routine occupational daily tasks and mission success (Adams et al, 2003)

  • Reactive jumps in a sledge jump (RSL) system was used as countermeasure during a 6◦ head-down tilt (HDT) bed rest study with n = 24 healthy male participants enrolled and randomly assigned to control [CTRL, n = 12, aged 30.0 ± 5.76 years, body mass index (BMI) 23.5 ± 2.2] or an RSL intervention group (JUMP, n = 12, aged 29.9 ± 6.6 years, BMI 23.4 ± 1.67) (Kramer et al, 2017b)

  • Results from the RSL study on tissue scale presented in this work confirmed that the SJS only partly affected oxidative capacity in vastus lateralis (VL) but preserved myofiber cross-sectional area (CSA) and phenotype transition in SOL

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Summary

Introduction

Microgravity-induced changes in the musculoskeletal system of astronauts present potential risks to their safety and health as they may lead to muscle or bone injury during demanding (extravehicular) activity and limit their ability to perform routine occupational daily tasks and mission success (Adams et al, 2003). Apart from muscle atrophy (Bodine, 2013), prolonged disuse such as during bed rest (Hargens and Vico, 2016) induces arterial structural remodeling and decreases in blood flow to lower limb muscles (Arbeille et al, 2008; Thijssen et al, 2011). In addition to reduced local tissue oxidative capacity, capillary rarefaction occurring in disuse may lead to (i) lower fatigue resistance (Degens and Alway, 2006; Hendrickse and Degens, 2019), (ii) abnormal intramuscular fat infiltration (Pagano et al, 2018), and (iii) exacerbation of tissue inflammation and damage, as for example observed with chronic obstructive pulmonary disease (COPD) in the hypoactive patient (Abdulai et al, 2018)

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