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Dihydrotestosterone (DHT) has both acute and non-genomic effects targeting muscle contractility.
Low-frequency fatigue (LFF) reduces muscle contractility and force production for prolonged periods
of time.
In the present study, we indicate that DHT has no significant effect in the reversal of depressed force
production and delayed skeletal muscle recovery associated with LFF.
Our data indicates that DHT has limited therapeutic use and medical applications in the symptomatic
relief of muscle weakness associated with neuromuscular disorders.
Abstract:
Low-frequency fatigue has been a major component of whole muscle fatigue associated with repetitive, submaximal
exertion affecting the calcium component of the excitation-contraction coupling of skeletal muscles. Using dissected whole
muscle gastrocnemius of male bufo marinus, the aim of this study was to therefore investigate the acute, non-genomic
effects of dihydrotestosterone (DHT) in overcoming fatigue. Via the use of a Watson Victor LTD force transducer, LabChart
software (ADInstruments, Dunedin, NZ) and PowerLab 4/20 hardware, fatigue was electrically evoked via the
administration of a constant-frequency train of single pulse stimulations at 20Hz frequency, 49.95 ms duration and at 150300mA until tetanic force reduced by >50% of the pre-fatigue maximal twitch force. Despite the depression in force
production, we found that DHT had no role in the sarcoplasmic reticular releases of calcium, nor in its sequestration. This
was evident in a comparison of the maximal forces produced in nerve-muscle preparations subjected to DHT (10948g)
and those to saline (13164g). Furthermore, we found that DHT did not significantly delay the onset of fatigue (Control:
456.5152.2s; Flutamide: 421.2147.8s; DHT: 522.2 204.0s; DHT+Flutamide: 500.0242.7s) and additionally had no
bearing on twitch force recovery (Control: 7814%; Flutamide: 7218%; DHT: 8014%; DHT+Flutamide: 7211%) in a
measurement of post and pre-fatigue twitch forces between each group. Mechanistically, we were also unable to support
the independent function of DHT from the androgen-receptor pathway as there was no significant difference evident in the
contractile kinetics found between the function of DHT in presence and absence of flutamide.
Abbreviations: AR, Androgen Receptor; DHT, Dihydrotestosterone; EDL, Extensor Digitorum Longus; EGFR, Epidermal
Growth Factor Receptor; EC coupling, Excitation-Contraction Coupling; FCR, Flexor Carpi Radialis; FES; Functional Electrical
Stimulation; RT, Half-Relaxation Time; HFF, High-Frequency Fatigue; IP3, Inositol Triphosphate; LFF, Low-Frequency
Fatigue; MAPK pathway, mitogen-activated protein kinase pathway; PCD, Postcontractile Depression; SR, Sarcoplasmic
Reticulum; SERCA, sarco-endoplasmic Reticulum Calcium ATPase; TA, Tibialis Anterior
Introduction
Existing literature has insofar suggested that
Dihydrotestosterone (DHT) may have a significant role
in influencing the contractile kinetics of skeletal
muscles (Melichna et al., 1972) due to either an acute
mechanism affecting the actin-myosin interaction
(Saboridom, Molano & Megias, 1991; Hamdi &
Mutungi, 2010), or the mediation of its effects via a
genomic pathway (Evans & Ivy, 1982). This could hold
potential therapeutic and supplementary purposes for
patients who suffer from neuromuscular disorders or
spinal cord injury. In addition to physiotherapy, use of
DHT could possibly aid in the rehabilitation of patients
who experience muscle weakness, hereby targeting
diminished muscle function in a way that could
facilitate eventual rehabilitation (Green, Robinson &
Wallis, 2014). Likewise, this is a phenomena often
characterised by the reversible loss of muscle function
efficacy, described by previous literature as fatigue
(Allen, Lamb & Westerblad, 2008). Having both a
central and a peripheral component, peripheral
fatigue concerning the effective exhaustion of muscle
fibres independent of the central nervous system has
two further components understood as low-frequency
fatigue (LFF) and high-frequency fatigue (HFF). This
describes either rapid or delayed force recovery
observed at either low or high frequency stimulations
respectively (Edwards et al., 1977) and may be
mediated through neuromuscular electrical
Methods
Animals:
The experimental protocol was designed and
performed in accordance with The University of
Melbourne Animal Ethics Committee. The experiment
involved the use of 32 adult male b. marinus toads
(weight: 0.6619g0.1326g) sourced from Queensland,
Australia, that were subsequently housed
appropriately before being injected with their
respective pre-treatment as outlined in the
experimental procedure below. The toads were then
pithed under administration of general anaesthetic 40
minutes prior to the commencement of the
experimental protocol. All procedures were
performed under strict adherence to the guidelines
outlined by the ethics committee. The toads were
then dissected in order to isolate the gastrocnemius
muscle with the exposure of the intact sciatic nerve
ensured. All nerve-muscle preparations involved the
use of a hook through the ligamentum patella and a
suture threaded at the distal end of the skinned
gastrocnemius muscle for later attachment to an 800g
weight during the preparation of the force-transducer
apparatus. Following the fatiguing protocol, all nervemuscle preparations were subsequently excised of all
nerve, ligament and blood vessels and weighed
accordingly.
Solutions:
Preparation of organ baths at 25C room temperature
involved the formulation of Ringers solution of
composition: NaCl, 7.2; KCI 0.28; CaCl2 0.13; NaHCO3
0.2g/l. The injection concentration of 10ng/mL of
4,5-dihydrotestosterone (DHT) into living tissue was
Results
Weight of gastrocnemius muscle. Overall, the nervemuscle preparations subjected to the saline treatment
(Group 1) showed a relatively similar mean mass
compared to the preparations subjected to flutamide
(Group 2), DHT (Group 3) and DHT & flutamide (Group
4) treatments (0.62120.1288g, 0.65930.1545g,
0.69300.1255g and 0.66970.1486g respectively)
with no significant differences reported across the
four groups (P>>0.05). Significance for Group 2 and
Group 3 were reported relative to that of Group 1,
whereas significance for Group 4 was reported
relative to that of Group 2 (fig. 1). There were no
outliers reported in terms of each individually
weighed gastrocnemius muscle.
dropped beneath at least 50% of the original prefatigue amplitude, with the subsequent data treated
as a fraction over the individual muscle mass recorded
in grams (fig. 5). Significance (P>>0.05) was
determined via a comparison of the nerve-muscle
preparations of Group 1 to Group 2 and Group 3
(456.5152.2 sec, 421.2147.8 sec and 522.2204.0
sec respectively) with a comparison of Group 2 to
Group 4 (500.0242.8 seconds) used as a basis for
significance. However, DHT showed no significant
difference relative to both Group 1 and Group 2. Large
variations in the data set, particularly for nervemuscle preparation 17 (823.2 seconds) for Group 3
relative to preparations 16, 18, 19, 20, 21, 22 and 23
(753.2 sec, 708.2 sec, 349.3 sec, 314.6 sec, 377.1 sec,
431.6 sec and 420.3 sec respectively) was evident. A
notably large but non-significant variation was also
evident in the results presented by preparation 31
(865.3 sec) relative to preparations 24, 25, 26, 27, 28,
29 and 30 for Group 4 (449.3 sec, 232.1 sec, 543.5 sec,
863.5 sec, 383.4 sec, 338.6 sec and 324.0 sec
respectively).
Discussion
References
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Allen D, Lamb G & Westerblad H (2008). Skeletal Muscle Fatigue:
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Baptista RR, Scheeran EM, Macintosh BR & Vaz MA (2009). Lowfrequency fatigue at maximal and submaximal muscle contractions.
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