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TaggedAPTARAEnd166                                                                               Y. Dai et al.
         for 5-week saw increased Rin, decreased Vth for spike generation  TaggedAPTARAH14. Exercise modulates ion channelsTaggedAPTARAEnd
         and doublet threshold, as well as increased maximum steady-state  TaggedAPTARAPIon channel activity is a significant regulator of the spinal
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         firing frequency and FI slope in their spinal motoneurons. In
                                                               motor system’s adaptability to acute or chronic exercise. Early
         contrast, 2 weeks of hindlimb un-weighting resulted in decreased
                                                               modeling studies suggest that the transient sodium, persistent
         excitability coinciding with increased rheobase, depolarized Vth,
                                                               sodium, and K(DR) channels play a dominant role in regu-
         reduced AHP amplitude, and rightward-shifting of the FI  lating Vth in cat lumbar motoneurons during fictive locomo-
              47
         curve. Altogether, these studies suggest chronic exercise, in its  30
                                                               tion.  Indeed, numerous other studies have confirmed various
         various forms, increases rodent spinal motoneuron excitability by
                                                               channels are involved in regulating neuronal plasticity and
         modulating its RMP, Vth, rheobase, firing frequency, and AHP.                                   3,23,30
                                                               excitability during acute or after chronic exercise.  These
         Chronic exercise increases the gain of the FI relationship,
                                                               channels primarily include (a) transient sodium channels,
         which physiologically translates into the motoneuron becoming
                                                               (b) persistent sodium channels, (c) L-type calcium channels,
         more sensitive to its synaptic inputs, explaining their increased                         23,6062
                                                               (d) K(DR) channels, and (e) K(Ca) channels.  TaggedAPTARAEnd
         firing frequencies and excitability. This adaptation allows moto-
         neurons to maintain output more efficiently and optimize force
         production for skeletal muscle movement. 3,48  Overall, these  TaggedAPTARAH24.1. Transient sodium channelsTaggedAPTARAEnd
         adaptive changes in electrophysiological properties observed in  TaggedAPTARAPTransient sodium channels determine the threshold for AP
         rodents indicate that spinal motoneurons become more excitable  generation and make essential contributions to the regulation of
                                                                            63,64
         and fatigue resistant after chronic exercise. It is worth noting that  neuronal output.  Recent studies have found that 3 weeks of
         while the majority of studies have demonstrated that chronic  treadmill exercise increased neuronal excitability and caused
         exercise increases motoneuron excitability, recent research has  hyperpolarization of Vth in mouse spinal interneurons and
         revealed that a 5-week endurance training program on a treadmill  midbrain 5-HT neurons. 12,15,16  In fact, transient sodium channels
         led to notable decreases in the Rin values and excitability of fast  play a dominant role in modulating Vth and are one of the main
                    49                                                                                        65,66
         motoneurons. TaggedAPTARAEnd                          regulators in the recruitment order of MUs in mammals.
            TaggedAPTARAPSpinal interneurons also undergo adaptive changes with  Modeling studies suggest increasing transient sodium channel
         chronic exercise. A recent study 12  in mice (postnatal 4250  conductance and/or hyperpolarizing channel state variables (acti-
         days) reported that 3-week treadmill training increased neuronal  vation m and inactivation h) hyperpolarize Vth in cat lumbar
         excitability with hyperpolarization of Vth and reduction of rheo-  moroneurons. 30  Furthermore, in vitro experiments in spinal
         base in ventromedial and laminar X interneurons, accompanied  neurons of neonatal rodents have shown that Vth can be hyperpo-
         by a significant increase of AP amplitude in dorsal horn inter-  larized by the voltage-gated sodium channel 1.1 (Nav1.1) agonist
         neurons. These effects depended on the anatomic distribution of  veratridine. 29  However, previous reports indicate that activation
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         the spinal interneurons. Furthermore, another study 16  demon-  of protein kinase C depolarizes Vth. In addition, the a-subunit
         strated that 3-week treadmill training hyperpolarized Vth,  of sodium channels can be rapidly phosphorylated by protein
         increased AP amplitude, and enhanced firing frequency in 5-HT  kinase C at different membrane potentials, suggesting an element
         neurons of the midbrain in mice (postnatal 4250 days). These  of state-dependent regulation of transient sodium channels. 6870
         findings suggest that exercise-induced plasticity of neuronal  Furthermore, gene expression of the a-subunit of the transient
         excitability is achieved not only in the spinal cord but also in the  sodium channel Nav1.6 is significantly upregulated after just
                                                                                      3
         midbrain, although there are a few examples where exercise does  5 days of treadmill training. Altogether, these results indicate
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         not alter the basic neuronal electrophysiological properties. TaggedAPTARAEnd  that modulation of transient sodium channels could be a potential
            TaggedAPTARAPSince direct recording of human motoneuron membrane prop-  mechanism underlying Vth hyperpolarization during acute or
         erties is not feasible, much of our understanding of how these  chronic exercise. During fictive locomotion, the FI relationship
                                                                                             9,22,23
         neurons adapt in response to exercise comes from indirect meas-  of spinal motoneurons is highly varied,  but the mechanisms
         urements using surface or intramuscular electromyography. 51  underlying these variations are still unknown. Simulation results
         Human models involving reduced or disused physical activity,  suggest multi-channel modulations are involved in motor output
                                52
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         such as limb immobilization, bedrest, and spinal cord injury 54  during locomotion and further show that enhancement of tran-
         are also utilized to investigate the plasticity of a motor unit (MU,  sient sodium channel conductance and/or hyperpolarization of
         a motoneuron with all of the skeletal muscle fibers it innervates).  channel state variables (m and h) increase the FI slope and shift
         Research on the impact of chronic exercise on MUs reveals that  the curve to the left. These results are consistent with experi-
                                                                              23
         lifelong high-intensity physical activity may preserve motor unit  mental observations and conclusively demonstrate that transient
         function with advancing age. 4,55,56  Moreover, both strength  sodium channels substantially contribute to neuronal plasticity
         training and endurance training have been shown to enhance the  and excitability in response to exercise.TaggedAPTARAEnd
         output of the motoneuron pool, suggesting additional recruitment
         of MUs during exercise. 57  In fact, a significant increase in the
                                                               TaggedAPTARAH24.2. Persistent sodium channelsTaggedAPTARAEnd
         discharge rates of MUs is observed in the recording of a single
         motor unit using intramuscular electromyography during   TaggedAPTARAPPersistent sodium channels contribute to the generation of
         maximal effort. 58,59  Collectively, these findings indicate that  PICs 33,7175  and play an important role in the plasticity of spinal
         exercise interventions increase the output of single MUs, which  interneurons and brainstem 5-HT neurons. 15,16  Previous studies
                                                               have reported that persistent sodium channels regulate Vth and
         in turn increases muscle strength.TaggedAPTARAEnd
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