Volume 52 (5): 581-590, 2004 Copyright ©The Histochemical Society, Inc. Fiber Types in Rat Laryngeal Muscles and Their Transformations After Denervation and Reinnervation
Department of Physiology and Institute for Biomedical Research, School of Medical Sciences, Faculty of Medicine, University of Sydney, New South Wales, Australia Correspondence to: Dr. J. F. Y. Hoh, Dept. of Physiology, Bldg F13, University of Sydney, Sydney, NSW 2006, Australia. E-mail: joeh{at}physiol.usyd.edu.au
The intrinsic laryngeal muscles cricothyroid (CT) and thyroarythenoid (TA) differ in myosin expression. CT expresses limb myosin heavy chains (MyHCs) and TA expresses an MyHC found in extraocular (EO) muscles, in addition to limb isoforms. We used immunohistochemical (IHC) analyses with highly specific monoclonal antibodies (MAbs) against various MyHCs to study muscle fiber types in rat CT and TA and to investigate whether nerves to laryngeal muscles control MyHC expression. CT was found to have the full complement of limb fiber types. TA had three major fiber types: 2b/eo, co-expressing 2B and EO MyHCs, 2x/2b, co-expressing 2X and 2B MyHCs, and 2x, expressing 2X MyHC. Type 2a and slow fibers were absent. TA consisted of two divisions: the external division (TA-X), which is homogeneously 2b/eo, and the vocalis division (TA-V), composed principally of 2x and 2b/eo fibers with a minority of 2x/2b fibers. TA-V had two compartments that differ in fiber type composition. At 4 weeks after cutting and re-uniting the recurrent laryngeal nerve (RLN), many 2b/eo fibers in the TA-X began to express 2X MyHC, while EO and 2B MyHC expression in these fibers progressively declined. By 12 weeks, up to 16.5% of fibers in the TA-X were of type 2x. These findings suggest that nerve fibers originally innervating 2x fibers in TA-V and other muscles have randomly cross-innervated 2b/eo fibers in the TA-X and converted them into 2x fibers. We conclude that CT and TA are distinct muscle allotypes and that laryngeal muscle fibers are subject to neural regulation. (J Histochem Cytochem 52:581590, 2004)
Key Words: muscle fiber myosin heavy chain neuronal modulation
SKELETAL MUSCLE FIBER TYPES have been most extensively studied in limb and trunk muscles that play a role in locomotion and maintenance of posture. The phenotypic characteristics of these fiber types in these muscles have been extensively reviewed (Pette and Staron 1990
Craniofacial muscles are highly specialized in function, possessing different repertoires for expressing MyHCs, including isoforms not found in normal adult limb muscles. For jaw closers this repertoire includes "superfast" or masticatory MyHC (Qin et al. 2002
There are five intrinsic laryngeal muscles: the cricothyroid (CT), thyroarytenoid (TA), lateral cricoarytenoid (LCA), interarytenoid (IA), and posterior cricoarytenoid (PCA). The CT is innervated by the superior laryngeal nerve and all the others are innervated by the recurrent laryngeal nerve (RLN). Intrinsic laryngeal muscles are involved in a number of complex and important functions: airway protection, respiration and phonation. The isometric twitch contraction times of the TA, PCA, and other muscles that control the size of the glottis are in the range for the very fast EO muscles (Martensson and Skoglund 1964
Since the classical nerve cross-union experiments on limb muscles of Buller et al. (1960)
Surgery and Tissue Preparation For studies on normal laryngeal muscle fibers, the larynges were removed from four 12-week old female SpragueDawley rats sacrificed with an anesthetic overdose. Left RLN transection was performed on 16 10-week old female SpragueDawley rats. The animals were anesthetized by IM injection of ketamine HCl 35 mg/kg and xylazine HCl 5 mg/kg. Under a standard dissecting microscope, the larynx was exposed via a midline incision. The left RLN was sectioned close to the larynx and then immediately rejoined end to end with silk sutures. The right RLN was left intact primarily to minimize laryngeal dysfunction in conformity with ethical requirements, but it also served as a control. Animals were allowed to survive for 2, 4, 6, or 12 weeks. At each time interval, four animals were sacrificed by an anesthetic overdose, the RLNs were visually checked for successful reunion, and whole larynges were removed. Excised larynges were mounted on cork with Tissue-Tek (Miles Scientific; Elkhart, IN), frozen in isopentane cooled in liquid nitrogen, then stored at 80C until use. All surgery and handling were performed in accordance with the guidelines of the Animal Research Act and the 1997 NHMRC Australian Code of Practice for the Care and Use of Animals for Scientific Purposes and were approved by the Animal Care and Ethics Committee of the University of Sydney.
Immunohistochemistry
Quantification of Muscle Fiber Type Distribution
Fiber Types in Normal TA and CT Muscles Figure 1 shows cross-sections of the CT stained with MAbs to slow (Figure 1A), 2A (Figure 1B), 2X (Figure 1C), 2B (Figure 1D), and EO (Figure 1E) MyHCs. With the exception of anti-EO MyHC, all antibodies stained fibers in this tissue. This is similar to the staining characteristics of limb muscle fibers, which express the slow and three isoforms of fast MyHCs but not the EO MyHC. The percentages of various fiber types based on IHC of four muscles with these MAbs are presented in Table 1. The CT is rich in 2X (61.2%) and slow (19.0%) fibers but relatively poor in 2A (12.5%) and 2B (4.9%) fibers. Hybrid fibers co-expressing two or more MyHCs are present but are less than 3%, prominent among these being fibers co-expressing 2X and 2B MyHCs (2x/2b fibers, 2.1%).
Figure 2 shows low-power views of cross-sections of the rat TA stained with the same battery of MAbs. There are two major subdivisions of the TA, the internal or vocalis division (TA-V) lying subjacent to the vocal ligament (upper part of each panel in Figure 2), and the external (TA-X) divisions forming the major portion of the muscle (lower part of each panel in Figure 2). TA-V in the rat consists of two clearly distinct rostral (upper left corner of each panel) and caudal compartments. The MAb 5-4D that stains limb slow fibers failed to react with any of the fibers present in the TA (Figure 2A). MAb SC-71, which stains 2a fibers, also failed to stain fibers in TA except for scattered fibers at an intensity level barely above background (Figure 2B). Interestingly, MAb 6H1, which stains fast 2x fibers, strongly stained a population of fibers restricted to the TA-V (Figure 2C), although faint staining of scattered TA-X fibers was also seen. In contrast, the MAbs 10F5 and 4A6, which react with fast 2B and EO MyHC, respectively, revealed a major new fiber type characterized by the co-expression of these two MyHCs (Figures 2D and 2E, respectively). The whole of the TA-X division is composed of fibers strongly co-expressing these MyHCs (2b/eo fibers). No fibers stained strongly for 2A or 2X MyHC. Therefore, except for possible expression of trace amounts of other MyHCs, TA-X is homogeneously 2b/eo. These fibers are also present, but at lower abundance, in the TA-V.
The percentages of various fiber types in the normal TA based on IHC with these MAbs are presented in Table 1. The rostral and caudal portions of TA-V differ in fiber type composition. The rostral portion consists of a large proportion of hybrid 2b/eo fibers (62.0%), some pure 2x fibers (27.7%), and a few hybrid 2x/2b fibers (4.1%). The caudal portion consists of a large portion of pure 2x fibers (73.2%), some hybrid 2b/eo fibers (11.9%), and a few hybrid 2x/2b fibers (7.3%). Low amounts of pure 2b and eo fibers were also found in both rostral and caudal TA-V but not in the TA-X. A few fibers (<1%) clearly expressed three MyHCs (2x/2b/eo) in TA-V but not in TA-X. The virtual homogeneity of 2b/eo fibers in rat TA-X was confirmed in all four rats studied. Such homogeneity of the 2b/eo fibers in the TA-X serves as an ideal background for the detection of changes in fiber type after experimental manipulation.
Fiber Types in Reinnervated TA Muscles
The proportions of fibers expressing 2X, 2B, and EO MyHCs in the four reinnervated TA-X muscles at each time point after nerve reanastomosis are shown in Figure 4 . This shows that between 24 weeks a rapid increase in fibers expressing 2X MyHC occurred, reaching 14.8% at 4 weeks, during which time fibers expressing 2B (91.8%) and EO (96.0%) MyHC were significantly reduced. By 6 weeks, 2X MyHC expression had reached a sustained average of 17% while 2B (82.8%) and EO (91.5%) MyHC expression further dropped significantly, the decrease of EO MyHC expression lagging significantly behind that of 2B MyHC. By 12 weeks a stable transformation had been reached, with 16.5% of fibers expressing 2X MyHC and a matching fall in 2B (84.0%) and EO (83.0%) MyHC expression.
IHC changes also occurred in the vocalis region after RLN denervation and reinnervation, but they took place against a more complex background of fiber type distributions, and were not investigated in detail except for muscles 12 weeks after operation. In the rostral TA-V, which normally has a relatively low proportion of 2x fibers (27.7%), there was a small increase (to 32.4%) in the proportion of 2x fibers accompanied by a decrease in the proportion of 2b/eo fibers. In the caudal TA-V, which normally has a high abundance of 2x fibers (73.2%), there was a small decrease (to 67.6%), with a similar corresponding increase in the proportion of 2b/eo hybrid fibers.
Classification of Rat Laryngeal Muscle Fiber Types The present work is the first to classify muscle fiber types in the CT and TA using a panel of highly specific antibodies to all MyHCs found in laryngeal muscles. The results clearly show that the rat CT has four fundamental fiber types, slow, 2a, 2x, and 2b, identical to those in limb fast muscle (Lucas et al. 2000
Fiber types of the other intrinsic laryngeal muscles innervated by the RLN have been studied in various species by classical myosin ATPase histochemistry. Both fast and slow fibers were found, but further classification into subtypes of fast fibers on histochemical grounds was problematic (Claassen and Werner 1992
Myosin-based classification of muscle fiber types has been widely accepted for limb muscles. This system has the advantage of using unique molecular markers that indicate the relative contractile property of each fiber type (Bottinelli et al. 1991
Slow and 2a fibers are conspicuously absent in the rat TA, in agreement with Wu et al. (2000a)
Functional Implications of the Fiber Type Distribution in Rat TA and CT Muscles
Our IHC analysis revealed that TA-X, rostral TA-V, and caudal TA-V contain decreasing proportions of 2b/eo fibers and are expected to be the fastest. Therefore, their relative speeds of contraction would be in the order TA-X > rostral TA-V > caudal TA-V. TA-X and TA-V are known to have distinct functions. The former, together with LCA and IA, functions in adducting the vocal folds. This action closes the glottis in opposition to the action of the PCA, which abducts the vocal folds and opens the glottis. The presence of a virtually homogeneous population of 2b/eo fibers in the TA-X ensures a high speed of vocal fold adduction, which is clearly very important as a defence against aspiration pneumonia and choking by foreign bodies. Contraction of TA-V increases the tension of the non-ligamentous portion of the vocal fold. This is thought to be important in phonation (Hirano et al. 1969
Neural Control of Laryngeal Muscle Fiber Types
In this study we used highly specific MAbs to detect changes in MyHC expression of TA muscle fibers at the cellular level after denervation and reinnervation. We observed that a significant proportion of the 2b/eo fibers in the TA-X underwent a progressive transformation from expressing 2B/EO MyHC to expressing 2X MyHC exclusively. At 4 weeks postoperatively, 2b/eo fibers began to co-express 2X MyHC, and in the course of subsequent weeks 2B and EO MyHCs were progressively co-repressed, 2B MyHC more rapidly than EO MyHC, so that by 12 weeks these two MyHCs were completely replaced by 2X MyHC in 16.5% of fibers. This degree of transformation agrees well with the increase in 2X MyHC observed by SDS-PAGE (Shiotani et al. 2001
2B/EO
Given that reinnervation of laryngeal muscles by the regenerating nerve fibers occurs randomly (Flint et al. 1991
To our knowledge, cross-innervation studies between subtypes of fast muscle fibers have not been described thus far. In classical experiments, subtypes of limb fast muscle fibers were reinnervated by nerve fibers to slow muscle fibers, while slow muscle fibers were reinnervated by nerve fibers to fast muscle fibers. Nerves to slow muscle fibers carry tonic, low frequency impulses that bring about fast-to-slow fiber transformation via Ca2+ activation of the phosphatase calcineurin acting on the nuclear factor NFAT (Chin et al. 1998
Significance of Hybrid Fibers
In contrast to the low abundance of hybrid fibers in the white regions of normal limb fast muscle, we observe that virtually 100% of fibers in the normal TA-X are of this 2b/eo type and that pure eo and 2b fibers are rare in the rest of this muscle. The tight coupling of EO and 2B MyHC expression in the TA does not reflect a common regulatory pathway for these isoforms, because rat PCA expresses a disproportionately high level of 2B MyHC relative to EO MyHC (DelGaudio et al. 1995
Allotypic Differences Between CT, TA and Other Muscles
It has been proposed that the TA and CT are allotypically distinct on the basis that the former in the rabbit has the capacity to express EO MyHC (Lucas et al. 1995 The major phenotypic options of the rat TA fibers are to express 2B/EO or 2X MyHCs. In contrast to the CT, there are very few pure 2b fibers and no 2a and slow fibers in the TA. Absence of pure 2b fibers in the TA has been suggested above to be due to the convergence of neural signals for EO and 2B MyHC. At present it is not clear whether the absence of 2a and slow fibers in the TA is intrinsic, i.e., part of the allotypic property, or extrinsic, i.e., the absence of the appropriate neural impulse traffic to induce these isoforms. Chronic stimulation of the RLN or cross-innervation of TA by the superior laryngeal nerve innervating the CT should resolve this question. Although both TA and CT have 2x fibers, these 2x fibers belong to distinct muscle allotypes and are potentially different in phenotype in some respects. It would therefore be very interesting to further explore differences in gene expression pattern in these fibers more broadly using microchemical methods for detecting myofibrillar proteins and cDNA microarray analysis with identified 2x fibers from these muscles.
The co-expression of 2B and EO MyHCs in a laryngeal muscle raises the question of whether these isoforms are always co-expressed in other muscles expressing these isoforms. Rat EO muscle also expresses 2B and EO MyHCs at the whole-muscle level, but these MyHCs are not co-expressed in the same fiber (Rubinstein and Hoh 2000
Supported by a grant from the National Health and Medical Research Council of Australia.
Received for publication September 15, 2003; accepted December 17, 2003
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