TABLEĀ 6

Laboratory techniques for evaluation of respiratory muscle structure, perfusion and metabolism

TechniquesInvasivenessPhysiology laboratory requiredBiology laboratory requiredPurpose
Near-infrared spectroscopyNoneYesNoMuscle blood flow
Oxygen cost of breathingNoneYesNoVentilation, oxygen uptake
Access to costal diaphragm muscleYes, thoracotomyYes, always in surgery roomNoBiological and histological analyses
Access to parasternal musclesYes, thoracotomyYes, always in surgery roomNoBiological and histological analyses
Access to external intercostalsYes, open biopsy techniquesYes, possible in surgery roomNoBiological and histological analyses
Immunohistochemical or immunofluorescence analysesNoYesMuscle fibre type and morphometry
Mitochondrial respiratory chain evaluation (respiration procedures)NoneNoYesQuantification of mitochondrial respiration (oxygen consumption)
Immunoblotting proceduresNoneNoYesQuantification of protein levels in muscle specimens
Quantitative real-time PCRNoneNoYesQuantification of gene expression levels in muscle specimens
Specific activity assays including mitochondrial enzyme activitiesNoneNoYesQuantification of activity levels of enzymes in muscle specimens