Using standard microphysiologic recording techniques, the effects of streptomycin on nerve terminal and endplates were evaluated using the isolated frog satorius muscle. Twitch tension studies were performed on the sciatic nerve sartorius muscle preparation. In low concentrations the agent increased mepp frequency and twitch strength and caused antidromic firing from the nerve terminal. In the concentration range causing inhibition of muscle twitch, nerve terminal activity remained elevated. In this range mepp amplitude and endplate sensitivity were markedly reduced. At high doses streptomycin finally inhibited nerve terminal function. The reduction in twitch height was explained by blockade of the post-junction membrane. It is postulated that streptomycin has three effects on the myoneural junction: (1) stimulation of the nerve terminal at low doses; (2) reduction of the endplate sensitivity to acetylcholine concomitant with a reduction in the twitch height at higher doses and (3) inhibition of nerve terminal function at the highest doses studied.
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