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Quadriceps muscle strength in scoliosis

E. B. Swallow, E. Barreiro, H. Gosker, S. A. Sathyapala, F. Sanchez, N. S. Hopkinson, J. Moxham, A. Schols, J. Gea, M. I. Polkey
European Respiratory Journal 2009 34: 1429-1435; DOI: 10.1183/09031936.00074008
E. B. Swallow
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E. Barreiro
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H. Gosker
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S. A. Sathyapala
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F. Sanchez
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N. S. Hopkinson
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J. Moxham
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A. Schols
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J. Gea
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M. I. Polkey
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  • Fig. 1—
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    Fig. 1—

    Quadriceps strength in the three patient groups measured as a) maximal voluntary contraction (MVC) force and b) unpotentiated quadriceps twitch tension (TwQ). Quadriceps strength was reduced in both scoliosis and chronic obstructive pulmonary disease (COPD) patients compared with controls judged by MVC (p = 0.02 and p = 0.04, respectively) and, in the case of restrictive patients, by TwQ (p = 0.013).

  • Fig. 2—
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    Fig. 2—

    Myosin heavy-chain (MyHC) expression in the following three groups is shown: a) Type 1; b) Type IIa; and c) Type IIx. Scoliosis patients differed from controls in Type I MyHC isoform expression, p = 0.028 and Type IIx p = 0.01. Chronic obstructive pulmonary disease (COPD) patients differed from controls in expression of Type I and IIa myosins (p = 0.009 and p = 0.0009, respectively).

  • Fig. 3—
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    Fig. 3—

    a) Protein tyrosine nitration and b) malondialdehyde (MDA)–protein adducts in all three groups. In scoliosis patients, MDA–protein adducts (p = 0.002) and protein tyrosine nitration (p = 0.001) were both increased. These variables were also increased in chronic obstructive pulmonary disease (COPD) patients (p = 0.002 and p = 0.008, respectively) compared to control subjects.

  • Fig. 4—
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    Fig. 4—

    Representative examples of malondialdehyde (MDA)–protein adducts and glyceraldehyde-3-phosphate dehydrogenase in quadriceps of control subjects, severe scoliosis patients and chronic obstructive pulmonary disease (COPD) patients. Several MDA–protein adducts were detected. MW: molecular weight.

  • Fig. 5—
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    Fig. 5—

    Representative examples of protein tyrosine nitration (total 3-nitrotyrosine immunoreactivity) and glyceraldehyde-3-phosphate dehydrogenase in quadriceps of control subjects, severe scoliosis patients and chronic obstructive pulmonary (COPD) patients. Several tyrosine-nitrated proteins were detected. MW: molecular weight.

Tables

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  • Table 1—

    Subject demographics

    Control groupScoliosis groupCOPD group
    Subjects n101010
    Males n10310
    Age yrs61 (13)63.5 (6.0)65.0 (13.0)
    Height/arm span m1.76 (0.9)1.62 (0.34)*,#1.75 (0.6)
    Weight kg81.1 (13.8)57.9 (27.7)*,#86.3 (24.4)
    BMI kg·m−226.0 (4.0)22.4 (9.1)*,#27.6 (5.9)
    FFMI kg·m−218.0(2.3)14.9 (7.5)17.7 (1.9)
    FEV1 % pred89.5 (33.0)35.3 (11.0)*26.5 (9.0)*
    FVC % pred90.0 (20.0)44.0 (22.0)*73.0 (20.0)*
    FEV1/FVC83.0 (15.0)80.1 (15.2)31.4 (16.6)*
    Pa,O2 kPa9.1 (1.13)7.49 (1.71)
    Pa,CO2 kPa5.73 (1.29)6.64 (0.88)
    6MWD m300 (199)155 (180)
    QMVC kg46.0 (17.0)21.5 (21.0)*31.5 (11.0)*
    QMVC as % of BMI172 (48.4)106 (33.0)*115 (21.1)*
    TwQ kg9.65 (3.0)5.9 (3.3)*6.5 (4.3)
    • Data are presented as median (interquartile range), unless otherwise stated. COPD: chronic obstructive pulmonary disease; BMI: body mass index; FFMI: fat-free mass index; FEV1: forced expiratory volume in 1 s; % pred: % predicted; FVC: functional vital capacity; Pa,O2: arterial oxygen tension; Pa,CO2: arterial carbon dioxide tension; 6MWD: 6-min walk distance; QMVC: quadriceps maximal voluntary contraction; TwQ: quadriceps twitch force. *: p<0.05 or smaller between patient group and control group; #: p<0.05 or smaller between restrictive and COPD group.

  • Table 2—

    Muscle biopsy data

    Control groupRestrictive groupCOPD group
    MyHC I %47.7 (9.3)35.3 (18.5)*,#22.1 (16.3)*
    MyHC IIA %37.0 (3.5)37.4 (12.8)#50.8 (10.0)*
    MyHC IIX %11.3 (13.0)26.3 (15.5)*24.8 (13.4)
    Total protein carbonylation3.82 (1.14)5.71 (2.71)*4.08 (0.55)
    MDA–protein adducts0.46 (0.22)1.02 (2.63)*1.35 (0.58)*
    Protein tyrosine nitration0.24 (0.06)0.76 (0.51)*0.48 (0.30)*
    Mn-SOD0.70 (0.21)0.96 (0.351)#0.50 (0.165)
    Catalase1.32 (0.49)1.54 (0.45)1.34 (0.24)
    • Data are presented as median (interquartile range). Optical densities of the oxidative stress markers in all cases were expressed as the ratio of the optical densities of the specific antigen to those of glyceraldehyde-3-phosphate dehydrogenase. The number of subjects for which biopsy data are available may be obtained by examination of figures 2⇑ and 3⇓. COPD: chronic obstructive pulmonary disease; MyHC: myosin heavy-chain isoform; MDA: malondialdehyde; Mn-SOD: manganese superoxide dismutase. *: p<0.05 or smaller between patient group and control group; #: p<0.05 or smaller between restrictive and COPD groups.

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Quadriceps muscle strength in scoliosis
E. B. Swallow, E. Barreiro, H. Gosker, S. A. Sathyapala, F. Sanchez, N. S. Hopkinson, J. Moxham, A. Schols, J. Gea, M. I. Polkey
European Respiratory Journal Dec 2009, 34 (6) 1429-1435; DOI: 10.1183/09031936.00074008

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Quadriceps muscle strength in scoliosis
E. B. Swallow, E. Barreiro, H. Gosker, S. A. Sathyapala, F. Sanchez, N. S. Hopkinson, J. Moxham, A. Schols, J. Gea, M. I. Polkey
European Respiratory Journal Dec 2009, 34 (6) 1429-1435; DOI: 10.1183/09031936.00074008
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