Abstract
Introduction
The growth factor myostatin (Mstn) is a negative regulator of skeletal muscle mass. Mstn−/− muscles are hypertrophied, stronger, and more glycolytic than Mstn+/+ muscles suggesting that they might not perform endurance exercise as well as Mstn+/+ mice. Indeed, it has previously been shown that treadmill exercise training reduces triceps weight in Mstn−/− mice.
Methods
To analyze the response of Mstn−/− muscle to endurance exercise in detail, we carried out endurance training over 4 weeks to examine muscle mass, histology, and oxidative enzyme activity.
Results
We found that muscle mass was reduced with training in several muscles from both genotypes with no evidence of muscle damage. Citrate synthase activity is increased with training in control and mutant mice. Non-trained Mstn−/− mice did, however, have lower maximal exercise capacity compared to Mstn+/+ mice.
Discussion
These results show that Mstn−/− muscle retains the metabolic plasticity necessary to adapt normally to endurance training.
Keywords: Myostatin, hypertrophy, skeletal muscle, endurance training, exercise capacity, glycolytic fiber type
INTRODUCTION
Myostatin (Mstn), a member of the transforming growth factor β superfamily of growth and differentiation factors, is a negative regulator of skeletal muscle mass that is expressed predominantly in skeletal muscle1–3. Myostatin is found in serum in an inactive latent complex that can be activated by proteolysis to allow signaling through the activin receptor type IIB and at least one other unknown receptor.1–3 Individual muscles in adult Mstn−/− mice are twice the mass of those from Mstn+/+ littermates due to both an increase in muscle fiber number (hyperplasia) and size (hypertrophy).4–8 These effects of myostatin are dose dependent: Heterozygous mutant mice have a milder increase in muscle mass than homozygous mutant mice.8 As in mice, mutations in the Mstn gene concomitant with increased muscling have also been found in cattle, sheep, dogs, and a child demonstrating conservation of function in mammals.9 In addition to increased muscle mass, Mstn−/− mice have increased insulin sensitivity, reduced adipose tissue mass, and resistance to weight gain when fed a high-fat diet.10–14
Inhibition of myostatin function in normal adult mice5,15–19 or mice with neuromuscular diseases20–26 also results in an increase in muscle mass. These results have generated tremendous interest in the development of pharmacological inhibitors of myostatin for treatment of muscle wasting diseases in patients. Recently, a clinical trial to examine safety of an anti-myostatin neutralizing monoclonal antibody was reported.27 The results demonstrated safety27 and a dose-dependent trend toward larger fibers28 in adult muscular dystrophy patients.
In addition to its potential for clinical utility, concerns have been raised that anti-myostatin therapy could be used to improve athletic performance.29 Individual skeletal muscle fibers can be classified by their contractile and metabolic properties, which have differing effects on strength and endurance.30 Glycolytic fibers are fast contracting fibers that fatigue rapidly, while oxidative fibers are slow contracting fibers that are fatigue resistant. Resistance training, exercise of short duration but high intensity to increase strength, causes hypertrophy primarily of glycolytic fibers and minimal changes in fiber type.31 Endurance or aerobic training, exercise of long duration but lower intensity, causes fibers to shift toward more oxidative metabolism without increases in muscle mass.31 Mstn−/− mice have an increase in the proportion of glycolytic muscle fibers as well as increased mass so their phenotype more closely resembles that of resistance-trained athletes.5,6,32 Indeed, two of three studies that measured force production in Mstn−/− mice showed an increase in absolute force compared to Mstn+/+ mice.8,32,33 An increase in force production has also been shown in some,18,23 but not all,26,34 normal mice when they were treated with postnatal myostatin inhibitors. To date, the description of athletic performance in competitive sports in individuals with Mstn mutations is limited. Heterozygosity of a naturally occurring Mstn mutation is correlated with improved racing grade in 200–300 m sprints relative to non-mutants in whippet racing dogs.35 In addition, the heterozygous mother of the only known human homozygous for a Mstn mutation was a professional athlete.36 These observations suggest genetic loss of the Mstn gene may be advantageous for performance in specific sports.
Although absolute force seems to be increased in Mstn−/− mice, some research has indicated that Mstn null muscle might be impaired. For instance, Mstn−/− extensor digitorum longus (EDL) muscle has an increased force deficit after lengthening contractions.8 In addition, Amthor et al.32 found a greater occurrence of tubular aggregates in fast glycolytic type IIB fibers in aging Mstn−/− muscle. Muscle tubular aggregates are non-specific accumulations of the sarcoplasmic reticular and possible mitochondrial membranes. They are found in a variety of myopathies but sometimes also occur in seemingly healthy muscle.37 It has therefore been suggested that Mstn−/− mice might be more susceptible to muscle damage due to reduced connective tissue collagen composition38 or possible metabolic abnormalities.32,39
The increased muscle bulk and glycolytic phenotype of Mstn−/− mice suggest that, although they are stronger, they would not perform endurance exercise as well as wild-type mice. Mstn−/− mice that underwent treadmill exercise training had increased bone strength but lower triceps muscle weight compared to non-exercise-trained Mstn−/− mice.39 This result raised the possibility that endurance exercise induced muscle damage in Mstn−/− mice. We therefore asked whether endurance exercise results in muscle damage or reduced metabolic adaptability in Mstn−/− mice. To this end, we carried out treadmill run training to examine muscle mass, histology, and oxidative enzyme activity in multiple muscles from Mstn+/+ and Mstn−/− mice.
MATERIALS AND METHODS
Animals
Experimental protocols of this study were approved by the Animal Care and Use Committee of the NIH, NIDDK. The mice used were generation N6 on a C57BL/6 genetic background. Mstn−/− and Mstn+/+ mice were produced from homozygous matings. Parental genotypes were determined by PCR.40 They were housed individually with a 12-hour light/dark cycle and ad libitum access to food and water. Exercise training was performed using 12-week-old males, while exercise capacity was measured in 14-week-old males (see below).
Exercise Training
Exercise training was performed as in Hamrick et al.39 Briefly, mice were designated to either a non-trained group or an exercise-trained group. Mice in the trained group performed treadmill run training on a level treadmill (Columbus Instruments, Columbus, OH) calibrated for angle and speed. Mice were trained at a speed of 12 m/min for 30 min 5 consecutive days/week for 4 weeks. Mice that were reluctant to run on the treadmill despite receiving two stimuli, an air stream to the hind feet and tickle on the hind feet, were not included in the study (one Mstn+/+ mouse and two Mstn−/− mice). Mice were euthanized by CO2 inhalation on the last day of training or equivalent time point for non-trained controls.
Exercise Capacity
A separate non-trained group of mice was used to determine if there were differences in maximal running endurance capacity. Mice started running at 8.5 m/min on a level treadmill for 3 min. Every 3 min the treadmill speed was increased by 2.5 m/min while the treadmill angle was increased by 5% at 6, 12, and 21 min after starting. Mice were considered exhausted when they could no longer move forward from the back of the lane despite prompting stimuli described above. Total Work performed was calculated by converting angle to %grade and summing the amount of Work performed during each increment using the formula: body weight (kg) × speed (m/s) × time (s) × grade × 9.8 m/s2.
Evans Blue Dye Injections
Evans blue dye is an auto fluorescent diazo dye that is impermeable to intact muscle fibers and is routinely used to quantify damaged fibers.41 Dye (Sigma-Aldrich, St. Louis, MO) was dissolved in phosphate buffer (0.15 M sodium chloride, 10 mM sodium phosphate, pH 7.4) at a concentration of 10 mg/ml and filter sterilized. Mice received an intraperitoneal injection of dye at 100 mg/kg body weight 1 h before the last exercise training session or comparable time point for non-trained controls.
Muscle Collection, Histology, and SDH Staining
Mice were weighed, and triceps, pectoralis, quadriceps, gastrocnemius, plantaris, tibialis anterior, and soleus muscles, and retroperitoneal and gonadal fat pads were excised bilaterally after 4 weeks training or non-training. Muscles used for histology (triceps, gastrocnemius, plantaris, soleus, tibialis anterior, and EDL) were partially embedded in 7% gum tragacanth (Sigma-Aldrich, St Louis, MO), mounted to cork, frozen in liquid nitrogen-cooled isopentane, and stored at −80°C. Serial transverse sections (10 µm) were cut by cryostat at −20°C. Only sections from the widest part of the muscle were used. Frozen muscle sections were stained with hematoxylin and eosin (H/E) to observe muscle histology including fiber morphology (central nuclei, hypercontraction, degeneration, and splitting) and fat and fibrotic infiltration. Evans blue dye staining was visualized on unstained gastrocnemius and triceps sections using a green excitation fluorescence filter that emits at wavelengths of 590–650 nanometers (TRITC HYQ, Nikon Instruments, Inc., Melville, NY). Succinate dehydrogenase (SDH) staining was carried out as previously described,42 and fibers were visually categorized and counted as either oxidative (dark and medium stained) or glycolytic (low stained).
SERCA1 detection
Frozen muscle sections were placed in acetone for 1 min, air dried, and incubated with primary mouse monoclonal anti-sarcoplasmic/endoplasmic reticulum calcium ATPase 1 (SERCA1; Affinity Bioreagents, Rockford, IL) diluted 1:500. Slides were then incubated with rabbit polyclonal anti-laminin to stain fiber borders (Sigma-Aldrich, St Louis, MO), washed, incubated with fluorophore-conjugated secondary antibodies (Invitrogen, Carlsbad, CA) diluted 1:1000, and mounted in SlowFade® Gold antifade reagent (Invitrogen, Carlsbad, CA). Adjacent sections were incubated with cell culture supernatant diluted 1:1 from a hybridoma that secretes mouse monoclonal anti-myosin heavy chain type IIB (BF-F3; ATCC, Manassas, VA). Type IIB immunostaining was detected using the Mouse on Mouse peroxidase substrate kit (Vector Laboratories, Burlingame, CA).
Protein Concentration and Citrate Synthase Activity
Muscles (triceps, quadriceps, gastrocnemius, and plantaris) were separately frozen in liquid nitrogen and ground to a fine powder using a mortar and pestle. Powder was further homogenized in a 1:40 dilution of CelLytic™ MT Cell Lysis Reagent (Sigma-Aldrich, St. Louis, MO) with protease inhibitor cocktail (Complete Mini, Roche Applied Science, Indianapolis, IN). Protein concentration was measured by the Bradford method (Bio-Rad Laboratories, Hercules, CA). Citrate synthase activity of 8 µg muscle protein was determined using an enzymatic assay kit (Sigma-Aldrich, St. Louis, MO).
Statistical Analyses
Data were analyzed using a student’s t-test (exercise capacity) or two-way analysis of variance (ANOVA) (SPSS v. 16.0, Chicago, IL). Non-homogeneous data as determined by a Levene’s test were log transformed to restore equal variance before ANOVA analysis. When data were still non-homogeneous (SDH and body and fat pad weights), a Kruskal-Wallis test was performed. Tukey’s honestly significant difference post hoc test was used to determine the source of differences. P < 0.05 was considered significant.
RESULTS
Mstn+/+ and Mstn−/− mice underwent endurance training by running on a level treadmill for 30 min/day for 5 days/week. After 4 weeks, there were no significant differences in body weights among all four groups (Table 1). As expected, most individual Mstn−/− muscles weighed ~1.9–2.2 times more than those of Mstn+/+ mice for both untrained and trained groups (P < 0.01; Table 1). The soleus, a small slow contracting muscle, weighed ~1.5 times more in Mstn−/− than in Mstn+/+ mice (P < 0.01; Table 1). Under this training regimen, Hamrick et al.39 found that Mstn−/− triceps muscle weight was reduced 10% after 4 weeks of training. Similarly, we also found that muscle weights in the trained Mstn−/− mice were an average of 6% lower than those of non-trained Mstn−/− mice, and four of seven reached statistical significance (Table 1). The mass of the trained triceps muscle, for example, was 6% lower than that of the non-trained triceps muscle (P < 0.05). Unexpectedly, in Mstn+/+ mice, training also reduced muscle mass an average of 5% compared to non-trained Mstn+/+ mice, although this difference only reached statistical significance in two out of seven muscles examined (Table 1). The trained Mstn+/+ triceps muscle, unlike in the previous study, was 7% smaller by weight compared to non-trained triceps muscle (P < 0.05). Fat pad weights were not significantly altered in response to training in either genotype (Table 1).
Table 1.
Mstn+/+ | Mstn−/− | |||
---|---|---|---|---|
Body/Tissue Weight | Non-trained | Trained | Non-trained | Trained |
N | 15 | 14 | 14 | 14 |
Body mass (g) | 31.2 ± 0.7 | 30.1 ± 1.0 | 34.6 ± 0.5 | 33.5 ± 0.4 |
Triceps (mg) | 144.9 ± 3.6 | *135.1 ± 2.3 | 312.6 ± 4.8 | *294.3 ± 6.7 |
Pectoralis (mg) | 156.9 ± 3.7 | *144.2 ± 2.8 | 340.5 ± 11.4 | 320.1 ± 8.5 |
Quadriceps (mg) | 220.4 ± 4.8 | 208.4 ± 4.2 | 421.1 ± 6.8 | †396.0 ± 8.5 |
Gastrocnemius (mg) | 137.8 ± 2.5 | 130.5 ± 3.6 | 265.0 ± 4.4 | †247.5 ± 4.8 |
Plantaris (mg) | 18.3 ± 0.6 | 16.8 ± 0.5 | 35.5 ± 0.5 | *32.0 ± 1.5 |
Tibialis anterior (mg) | 49.8 ± 1.1 | 46.5 ± 1.0 | 92.9 ± 1.5 | 89.5 ± 1.7 |
Soleus (mg) | 9.3 ± 0.5 | 9.8 ± 0.5 | 14.9 ± 0.5 | 14.4 ± 0.7 |
Retroperitoneal fat (mg) | 145.8 ± 23.8 | 192.9 ± 22.9 | 60.5 ± 9.7 | 70.6 ± 6.2 |
Gonadal fat (mg) | 423.1 ± 52.5 | 520.3 ± 52.9 | 222.6 ± 17.0 | 230.5 ± 19.7 |
For all muscle and fat pad weights, Mstn+/+ tissues are significantly different from Mstn−/− tissues (P < 0.01).
Values are mean ± SEM.
P < 0.05,
P < 0.01, non-trained versus trained mice within a genotype
We next examined H/E stained cross sections of muscle for signs of muscle damage or regeneration. Exercise training did not alter the histology of the EDL, tibialis anterior, gastrocnemius, plantaris, soleus, or triceps muscles from either genotype (Fig. 1A and data not shown). Muscles from both Mstn+/+ and Mstn−/− mice appeared normal without signs of fatty infiltration, fibrosis, or necrosis. Centrally located nuclei, which are a characteristic of regenerated fibers, were not found in most of these muscles, whether trained or non-trained of either genotype. Only a few muscles of either genotype had an occasional fiber or two with a centrally located nucleus.
To assess damage, Evans blue dye was injected into mice after the last training session, and cross sections of the tibialis anterior, EDL, and triceps muscles were examined. Less than 1% of the fibers took up dye in any of the muscles regardless of training or genotype (data not shown) indicating that severe damage did not occur at least during the last few days of exercise training.
Next, we looked for evidence of tubular aggregates in the triceps muscle using SERCA1 immunostaining. In Mstn+/+ mice, there were no SERCA1+ aggregates found in type IIB fibers in non-trained muscle, and only rare SERCA1+ fibers were found in the trained muscle (Fig. 1B, C). As expected, the proportion of SERCA1+ IIB fibers, although relatively low compared to what has been described in older mutants,32 was greater in Mstn−/− triceps than in wild-type triceps (Fig. 1B, C). Exercise training, however, had no effect on the proportion of type IIB fibers that contained SERCA1+ aggregates (Fig. 1B, C). No SERCA1+ aggregates were found in any fibers other than type IIB fibers in any of the four groups.
Because Mstn−/− muscle has more fast glycolytic fibers and reduced mitochondrial number compared with Mstn+/+ muscle,5,6,32 we asked whether muscle from Mstn−/− mice can respond appropriately to endurance training by increasing oxidative capacity. SDH staining on muscle sections showed that genotype had a significant effect on metabolic fiber type with fewer oxidative fibers in Mstn−/− triceps compared to Mstn+/+ triceps as expected (Fig. 2A, B). After 4 weeks of endurance training, there was a trend toward a training effect with an increased proportion of oxidative fibers in both genotypes (P = 0.08; Fig. 2A, B). For a more quantitative determination of oxidative function, we analyzed the activity of citrate synthase, the first enzymatic step in the citric acid cycle, in four muscles from each of our four groups. Citrate synthase activity in the triceps and gastrocnemius muscles was significantly lower in non-trained Mstn−/− mice than in non-trained wild-type mice most likely reflecting the increase in fast glycolytic fiber types (Fig. 2C). Training increased citrate synthase activity in one of four muscles in each genotype although not the same muscle (Fig. 2C). In Mstn+/+ mice, but not in Mstn−/− mice, exercise training significantly increased citrate synthase activity in quadriceps muscle. Citrate synthase activity of the Mstn−/− triceps, however, was significantly increased in trained compared to non-trained Mstn−/− triceps. There were no genotype or exercise training effects on the citrate synthase activity of the plantaris.
Because glycolytic muscle is more susceptible to fatigue,30 we analyzed overall running exercise capacity in Mstn+/+ and Mstn−/− mice. We performed progressive endurance capacity run testing on non-trained mice by increasing treadmill running speed and grade until exhaustion. Mstn−/− mice ran for 28% less total time and 40% shorter distance, which resulted in a 38% lower endurance run capacity compared to Mstn+/+ mice as calculated by Work performed (Fig. 3).
DISSCUSION
Previously, Hamrick et al.39 found that endurance training reduced triceps muscle weight in Mstn−/− mice but not Mstn+/+ mice. In contrast, in our study, we found that the same exercise training protocol significantly reduced triceps muscle mass in both Mstn+/+ and Mstn−/− mice. This was the trend of response in other exercise-trained muscles compared to non-trained muscles for both Mstn+/+ and Mstn−/− mice, although the muscle weight differences reached statistical significance in more muscles in Mstn−/− mice. Reductions in mass did not seem to be due to exercise-induced damage, because we found no evidence of an increase in necrosis, degeneration, or regeneration in either genotype. In a recent report, mdx mice, a model of muscular dystrophy, and double mdx, Mstn−/− mice were subjected to a single bout of downhill running.43 Consistent with our results, deletion of Mstn did not further increase muscle damage in mdx mice caused by downhill running.
In addition to mild muscle mass decreases, our results show that exercise training also affected the muscle oxidative profile in both genotypes. As expected for non-exercised muscles, citrate synthase activity was lower in two out of four Mstn−/− muscles compared to Mstn+/+ muscles. Exercise training tended to increase citrate synthase activity in each genotype. The results reached statistical significance in one of four muscles, but not the same muscle, underscoring the necessity for analysis of multiple muscles. One possible explanation for this difference is that the Mstn−/− mice might run with a different gait than Mstn+/+ mice which would recruit muscles differently for different types of training. In this regard, altered running mechanics have been described in some Mstn null Belgian Blue cattle which seemed to be proportional to the degree of muscle hypertrophy.44 Similarly, we observed Mstn−/− mice running more flat-footed with their tails held lower than Mstn+/+ mice when they ran at the higher speeds during maximal exercise capacity tests. Nevertheless, the increase in oxidative metabolism in a Mstn−/− muscle after endurance training demonstrates that at least some Mstn−/− muscles maintain sufficient metabolic adaptability to respond appropriately to endurance exercise despite their glycolytic profile.
We also found that Mstn−/− mice have reduced maximal exercise capacity. Fiber type composition is one of many factors that play a role in endurance capacity, and genetically altered mice with a more oxidative/less glycolytic profile are better endurance athletes. For example, muscle-specific activated peroxisome proliferator-activator receptor delta (PPARδ) transgenic mice have more oxidative muscles and have remarkably elevated treadmill running time and distance.45 In contrast, like Mstn−/− mice, transgenic mice that express constitutively active Akt specifically in skeletal muscle have hypertrophy of glycolytic fibers, an increase in muscle mass, and a reduction in exercise capacity.46 This phenotype suggests that Mstn−/− mice are less suited for endurance running and better suited for short sprint races and ballistic activities. Indeed, whippet dogs that are heterozygous for mutations in Mstn tend to be higher ranked track runners at distances that are short sprint races for dogs.35
Similar to our results, a recent study found that mdx mice treated with a myostatin inhibitor ran a shorter distance during a treadmill exercise test compared to untreated mdx mice26 although Work performed was not determined. Other reports, however, suggest postnatal myostatin inhibition in normal mice results in greater endurance and reduced fatigue. Tang et al.16 reported that mice vaccinated against myostatin postnatally have increased grip endurance as measured by the length of time they are able to hang from a tightrope. Inhibition of myostatin in aged mice by treatment with an anti-myostatin neutralizing monoclonal antibody causes a non-significant increase in run time and distance.34 In the same study, however, myostatin inhibition simultaneous with treadmill run training was found to enhance the increase in exercise capacity caused by training alone. Furthermore, the aged mice treated with a myostatin inhibitor alone have reduced muscle fatigue after repeated sciatic nerve stimulation.34 The different results in endurance tests between mice with genetic Mstn deletion and mice with postnatal myostatin inhibition might be explained by the effects of myostatin on prenatal muscle development. Postnatal inhibition of myostatin does not result in as great a muscle mass increase as complete genetic deletion and does not cause hyperplasia or a shift toward fast glycolytic fiber types.5,15,16,18,23,26,47,48 These differences suggest that much of the Mstn null phenotype is the result of altered prenatal or perinatal muscle development. Thus, increasing muscle fiber hypertrophy in sarcopenic aged mice by inhibiting myostatin as in LeBrasseur et al.34 might help to restore muscle size and function to levels similar to younger mice and/or prevent further muscle loss with aging rather than make them unusually muscular. The result would therefore be to improve overall endurance rather than to cause a resistance-trained phenotype with significantly reduced exercise capacity as in Mstn−/− mice. It will be interesting to determine the running exercise capacity in younger mice that receive postnatal myostatin inhibition.
It is unclear why in Hamrick et al. training induced lower triceps mass in Mstn−/− but not Mstn+/+ mice,39 while in our study training resulted in lower triceps mass in both genotypes. One possible explanation is differences in relative training intensity due to genetic background differences between the strains used in each study. CD-1 mice have a greater critical running speed than C57BL/6 mice49 and therefore have a higher maximum aerobic endurance capacity. Thus, running at 12 m/min would be a relatively less intense training stimulus for CD-1 mice, the strain used in the previous study, compared to C57BL/6 mice, the strain used in our study. In addition, we have shown here that Mstn−/− mice on a C57BL/6 genetic background have a lower endurance exercise capacity than wild-type controls. It is reasonable to expect that, similar to our findings, CD-1 Mstn−/− mice most likely have a lower endurance exercise capacity than CD-1 Mstn+/+ mice and that CD-1 Mstn−/− mice therefore also trained at a higher relative intensity than control mice in the previous study. Taken together, it is likely that the relative training intensity for the protocol used in both studies would be lower for the CD-1 Mstn+/+ mice compared to the CD-1 Mstn−/−, C57BL/6 Mstn+/+, and C57BL/6 Mstn−/− mice. The training regimen may therefore not have been at a high enough relative intensity to result in lower muscle weights in the CD-1 Mstn+/+ mice.
Regardless, the reasons for lower muscle mass in trained mice compared to non-trained mice of either genotype are unclear. Consistent with our results, two studies in humans have found that marathon or cross-country training decreases fiber diameter although these effects may be temporary.50,51 Interestingly, certain types of concurrent endurance and resistance training reduce hypertrophy and gains in strength compared to resistance training alone.31,52 A similar effect is seen with simultaneous endurance training and myostatin inhibition (as the hypertrophic stimulus) in aged mice: Four weeks of treadmill running largely prevents the increase in quadriceps mass induced by treatment with a myostatin inhibitor alone.34 The mice in our study did not receive any hypertrophic stimulus, but mice are still growing at the age our study began. This raises the possibility that endurance training carried out in this study may have slowed or stopped postnatal muscle hypertrophy that would normally occur between 12 and 16 weeks of age. Furthermore, some studies have shown a reduction in protein synthesis after endurance training suggesting a possible mechanism for reduced fiber sizes.52
In summary, short-term endurance training results in modestly reduced muscle mass in some muscles without muscle damage in both Mstn+/+ and Mstn−/− mice. Additionally, Mstn−/− mice have lower endurance run capacity, suggesting they are better suited for more anaerobic activities but are still able to adapt to aerobic training by increasing oxidative metabolism. Further work is needed to determine if, with long-term endurance training, Mstn−/− mice would be able to increase their endurance capacity without further loss of muscle mass.
Supplementary Material
ACKNOWLEDGMENTS
This work is supported by the Intramural Research Program of the NIH, NIDDK. We thank Jennifer Portas for assistance with treadmill running and genotyping.
ABBREVIATIONS
- EDL
extensor digitorum longus
- H/E
hematoxylin and eosin
- Mstn
myostatin
- SERCA1
Sarcoplasmic/endoplasmic reticulum calcium ATPase 1
- SDH
succinate dehydrogenase
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