Muscle atrophy and neuromuscular impairment are consequences of spinal cord injury (SCI) that impede quality of life and functional recovery. PURPOSE: To examine time course changes in muscle fiber type distribution, fiber cross-sectional area (fCSA), and other histologic characteristics of muscle pathology occurring in rats in response to moderate-severe contusion SCI. METHODS: Twenty-four 4-month old male Sprague-Dawley rats received SHAM surgery or T9 laminectomy plus moderate-severe (250 kilodyne) contusion SCI by a computer-guided impactor. Body weight and Basso-Beattie-Bresnahan (BBB) hindlimb locomotor rating scores were measured weekly. Animals were euthanized and soleus were harvested at 2-weeks, 1-month, 2-months, or 3-months post-surgery. Soleus fiber-type distribution, fCSA, and muscle-nerve bundle morphology were assessed by immunofluorescent staining, imaged using an epifluorescent microscope, and quantified with semi-automatic muscle analysis using segmentation of histology (SMASH). RESULTS: At 1-week post-surgery, SCI animals exhibited near-complete hindlimb paralysis (indicated by BBB scores <3), with minimal improvement in voluntary hindlimb locomotor function thereafter. Body weight, soleus mass, and median fCSA were significantly lower in SCI vs SHAM animals (p<0.01 at all timepoints). A slow-to-fast fiber-type shift was observed in SCI animals, with a progressive ~20% decrease in the number of type I fibers, ~8% increase in type IIa fibers, and ~5% increase in hybrid type I/IIa fibers at each consecutive timepoint, along with the emergence of unstained type IIx/b muscle fibers (~30% of total) at 3-months. In addition, muscle fiber splitting was present in SCI animals at 2-months, as well as reduced neurofilament staining in SCI muscle-nerve bundles. Furthermore, evidence of growth related remodeling occurred in SHAM muscles from increased centrally nucleated fibers across timepoints but not in SCI. CONCLUSION: Deterioration in motor ability accompanying SCI produced muscle atrophy and progressive impairments in muscle oxidative capacity that may have resulted from repetitive denervation-reinnervation cycles. These factors may have contributed to muscle pathology resulting in limited capacity for muscle growth and remodeling.
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