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Review Article Basic Models Modeling Resistance Training: An Update for Basic Scientists Interested in Study Skeletal Muscle Hypertrophy Jason Cholewa 2# Lucas Guimarães-Ferreira 3# , Tamiris da Silva Teixeira 1 , Marshall Alan Naimo 4 , XIA Zhi 5,6 , Rafaele Bis Dal Ponte de Sá 1 , Alice Lodetti 1 , Mayara Quadros Cardozo 1 , Nelo Eidy Zanchi 1* 1- Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma/SC, Brazil. 2- Department of Kinesiology Recreation and Sport Studies, Coastal Carolina University, Conway, SC, USA. 3- Laboratory of Experimental Physiology and Biochemistry, Center of Physical Education and Sports, Federal University of Espirito Santo, Vitória/ES, Brazil. 4- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, USA. 5- Exercise Physiology and Biochemistry Laboratory, College of Physical Education, Jinggangshan University, Ji'an,Jiangxi, PR China. 6- Exercise Physiology Laboratory, Department of Exercise Physiology, Beijing Sport University, Beijing, PR China. Running head: Basic models modeling resistance training Keywords: resistance training, experimental models, skeletal muscle hypertrophy # Dr. Jason Cholewa and Dr. Lucas Guimarães-Ferreira contributed equally * Corresponding author: Nelo Eidy Zanchi Email:[email protected] Av. Universitária, 1105 - Bairro Universitário C.P. 3167 | CEP: 88806-000 Criciúma / Santa Catarina Phone: +55 48 3431-2500 Fax: +55 48 3431-2750 This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: [10.1002/jcp.24542] Received 12 December 2013; Revised 14 December 2013; Accepted 16 December 2013 Journal of Cellular Physiology © 2013 Wiley Periodicals, Inc. DOI 10.1002/jcp.24542

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  • Review Article

    Basic Models Modeling Resistance Training: An Update for Basic Scientists Interested in Study Skeletal Muscle Hypertrophy

    Jason Cholewa2# Lucas Guimares-Ferreira3#, Tamiris da Silva Teixeira1, Marshall Alan Naimo4, XIA

    Zhi5,6, Rafaele Bis Dal Ponte de S1, Alice Lodetti1, Mayara Quadros Cardozo1, Nelo Eidy Zanchi1*

    1- Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Cricima/SC, Brazil.

    2- Department of Kinesiology Recreation and Sport Studies, Coastal Carolina University, Conway, SC, USA. 3- Laboratory of Experimental Physiology and Biochemistry, Center of Physical Education and Sports, Federal

    University of Espirito Santo, Vitria/ES, Brazil. 4- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, USA. 5- Exercise Physiology and Biochemistry Laboratory, College of Physical Education, Jinggangshan University,

    Ji'an,Jiangxi, PR China. 6- Exercise Physiology Laboratory, Department of Exercise Physiology, Beijing Sport University, Beijing, PR China.

    Running head: Basic models modeling resistance training Keywords: resistance training, experimental models, skeletal muscle hypertrophy # Dr. Jason Cholewa and Dr. Lucas Guimares-Ferreira contributed equally * Corresponding author: Nelo Eidy Zanchi Email:[email protected] Av. Universitria, 1105 - Bairro Universitrio C.P. 3167 | CEP: 88806-000 Cricima / Santa Catarina Phone: +55 48 3431-2500 Fax: +55 48 3431-2750 This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: [10.1002/jcp.24542]

    Received 12 December 2013; Revised 14 December 2013; Accepted 16 December 2013 Journal of Cellular Physiology 2013 Wiley Periodicals, Inc.

    DOI 10.1002/jcp.24542

  • Abstract

    Human muscle hypertrophy brought about by voluntary exercise in laboratorial conditions is the most

    common way to study resistance exercise training, especially because of its reliability, stimulus

    control and easy application to resistance training exercise sessions at fitness centers. However,

    because of the complexity of blood factors and organs involved, invasive data is difficult to obtain in

    human exercise training studies due to the integration of several organs, including adipose tissue,

    liver, brain and skeletal muscle. In contrast, studying skeletal muscle remodeling in animal models

    are easier to perform as the organs can be easily obtained after euthanasia; however, not all models

    of resistance training in animals displays a robust capacity to hypertrophy the desired muscle.

    Moreover, some models of resistance training rely on voluntary effort, which complicates the results

    observed when animal models are employed since voluntary capacity is something theoretically

    impossible to measure in rodents. With this information in mind, we will review the modalities used to

    simulate resistance training in animals in order to present to investigators the benefits and risks of

    different animal models capable to provoke skeletal muscle hypertrophy. Our second objective is to

    help investigators analyze and select the experimental resistance training model that best promotes

    the research question and desired endpoints.

  • Introduction

    In humans early training gains in muscle strength have been regarded as the result of both neural

    and musculature adaptations. Over the last half-decade several animal training models have been

    developed as a way to increase both force output and mass (hypertrophy) in the exercised muscle.

    Contrary to the increases in maximal oxygen consumption observed in animals with aerobic training

    using a treadmill, measurements of maximal and submaximal force capacity in vivo are complicated

    by several factors, including voluntary capacity to perform resistance training, non-voluntary

    electrical-based training under anesthesia, surgical manipulation of muscles involved in the

    hypertrophic response, and the utilization of positive or negative reward to stimulate the animals to

    perform the exercise. Thus, the greatest motivation for an animal to produce maximal capacity

    voluntary muscular force in classic operant models is via direct electrical stimulation to the brain,

    which is virtually impossible to perform in subsequent experiments with the same animal (Olds and

    Milner 1954).

    Pain avoidance has been demonstrated to be a greater stimulus than food or water reward (Miller

    1951). According to Timson (1990), the animal will perform a task only until the effort involved in the

    task performance exceeds its desire for the stimulus. Thus, a model employing starvation as the main

    stimulus will motivate the animal to exert only 50-60% of its maximal voluntary capacity, which will

    then negatively affect muscular hypertrophy capacity either due to lack of overload or nutrition.

    Therefore, we will first review animal models employing non-voluntary maximal capacity force

    production as a way to induce hypertrophy, and then discuss new methods involving voluntary

    models. A summary of results of the models reviewed is available in Tables 1 and 2.

    Non voluntary non electric exercise-induced enlargement in animal models.

    One of the first methods to induce skeletal muscle hypertrophy was developed by Thomsen and Luco

    (1944) whereby a passive stretch applied to immobilized joints places longitudinal tension upon the

    muscle (Alway et al. 1989) (Fig. 1F). Utilizing this model of overload Aoki et al. (2006) reported an

    increase in sarcomeres in series leading to an elongation of the target muscle. The application of

    rapamycin was demonstrated to robustly suppress this response, suggesting the mammalian target

    of rapamycin (mTOR) pathway is involved in the longitudinal hypertrophy induced by joint

    immobilization. This model of overload may be appropriate to study skeletal muscle remodeling as a

    result of stretch overload or joint immobilization; however, resistance training in humans requires

    dynamic tension generation, resulting in a force overload, and leading to the synthesis of additional

    sarcomeres in series. Therefore, future investigators sought to develop methods that more closely

    modeled resistance training.

  • Goldberg et al. (1968) developed an effective non-voluntary non-electrically stimulated model (Fig.

    1A) to induce skeletal muscle hypertrophy through synergistic ablation (surgical removal of a

    synergistic muscle, most often the gastrocnemius calcaneus portion, generating overload and muscle

    hypertrophy of the soleus and plantaris muscle). Although the use of this model to mimic the effects

    of human strength training has been highly criticized due to the surgical procedures (Taylor and

    Wilkinson 1986), McCarthy et al. (2011) demonstrated no differences in muscle hypertrophy between

    mice with genetic satellite cell depletion and non-depleted controls with 2 weeks of synergistic

    ablation overload. Given the similar significant improvements in muscle hypertrophy in both groups,

    synergistic ablation remains an effective method to study cellular signaling pathways leading to acute

    skeletal muscle hypertrophy (Miyazaki and Esser 2009).

    On the other hand, because the targeted muscle is exposed to a static stimulus (the animals

    bodyweight) the increase in muscle mass occurs most rapidly during the first week of the protocol

    and appears to reach a plateau 2 weeks following surgery. Additionally, the animal is under constant

    overload every time it moves, compared to separate training sessions used in human resistance

    training or other animal models. Thus, synergistic ablation cannot be used in long term studies nor

    does it appear compatible with modeling the progressive overload or periodization phases and

    nutrition schedules required in human resistance training to induce maximal changes in hypertrophy

    and strength.

    Tenotomy is a technique where the gastrocnemius tendon is detached and the synergistic muscle is

    placed under increased muscle tension (Fig. 1A). Tenotomy appears less effective at inducing

    overload and the resultant musculature hypertrophy of the synergist (ex. plantaris) when compared

    with surgical ablation (Timson 1990). Although the reason for the difference is not clear, it appears

    that the cut tendon is able to reattach when left intact within the muscle fascia. The critiques of

    tenotomy are the same as those related to synergistic ablation methods; however the magnitude of

    hypertrophy is less and the possibility of the gastrocnemius tendon reattaching the calcaneus tendon.

    The use of chronically restricted venous blood flow was first reported by Kawada and Ishii (2005) to

    induce skeletal muscle hypertrophy in rats. This model does not involve exercise; rather, blood flow

    to the hind limbs is diminished via a surgical intervention. Fourteen days following the operation the

    plantaris muscle increased in dry weight by 10% and the concentration of myofibrillar protein

    increased by 23%. Additionally, levels of nitric oxide synthase and the muscle insulin like growth

    factor-1 (IGF-1) also increased. It is difficult to speculate on the level of difficulty or safety of this

    model as a detailed description of the surgery is not completely available in the literature; however,

    this model appears to be consistent since Kawada and Ishii (2008) reproduced the results of the first

    study and also reported decrements in type I muscle fibers. Although plantaris hypertrophy was

    modest compared to synergist ablation, chronic blood flow restriction may be a novel model to study

    hypertrophy in animals. When translating the results to human training two questions arise: 1) What

  • are the effects of chronic blood flow restriction combined with muscular tension? 2) Does blood flow

    restriction occurring for longer than 2 weeks compromise the health of the animal or result in a

    plateau in muscle hypertrophy? Given that intermittent blood flow restriction under low tension

    phosphorylates P70S6K and muscular hypertrophy in humans (Fujita et al. 2007), answering these

    questions are essential to evaluating the ability to translate this model to human resistance training.

    Non voluntary, electric exercise-induced enlargement in animal models.

    Wong and Booth (Wong and Booth 1988) developed a novel non voluntary model to load the hind

    limb and induce muscle hypertrophy. In this model the animal is anesthetized, the foot is attached to

    an immovable metal plate with adhesive tape, and muscular contraction is stimulated electrically with

    joint of the animal starting in a neutral position (Fig. 1E). The ability of this model to induce

    hypertrophy and increased muscle fiber cross sectional area is inconsistent and produces only

    modest results; however, using a modified model, Baar and Esser (1999) demonstrated P70S6K

    phosphorylation and polyribosome formation, which indicates that the Wong and Booth model is

    capable of increasing protein synthesis.

    Godspink (1999) modified the protocol proposed by Wong and Booth (1988) by loading the limb in a

    stretched position (elongation) and allowing for the electrical stimulus to induce a dynamic contraction

    (Fig. 1I). This combined model resulted in a greater increase in protein synthesis compared to the

    elongation model or isometrically loaded models alone. Moreover, using the combination of

    elongation and dynamic overload Godspink demonstrated the activation of a transcript derived from

    the IGF-1 local to skeletal muscle, which has been labeled mechano growth factor (MGF). MGF

    presents an insert with 52 base pairs in the E domain of the gene, which alters the reading frame of

    the 3 end, resulting in satellite cell proliferation/activation following muscle damage, ultimately

    leading to muscular repair and hypertrophy (Hill and Goldspink 2003). This model allows the

    researcher to apply an identical maximal pulse to generate maximal tetanic force, and thus eliminates

    the need to readjust the electrical stimuli. Although the combination of muscular elongation and non-

    voluntary contraction may be viable in studying acute increases in protein synthesis, electrical pulses

    under anesthesia are difficult to perform, as is the ability to apply a consistent, progressive increase

    in electrical stimulation to match an increased load required to induce hypertrophy.

  • Resistance training (RT) exercise under unloading conditions

    Another interesting resistance training model was presented by Haddad et al. (2006) whereby rats

    were unloaded via hind limb suspension (HS) to induce muscular atrophy for six days. Animals in the

    resistance training group (HST) were trained every other day. Briefly, animals were anesthetized and

    stimulation electrodes consisting of Teflon-coated stainless steel wire were introduced into the

    subcutaneous region adjacent to the popliteal fossa via 22-gauge hypodermic needles. Wire

    placement was lateral and medial of the location of the sciatic nerve allowing for field stimulation of

    the nerve. The stimulation wires were then attached to the output poles of a Grass stimulus isolation

    unit interfaced with a Grass S8 stimulator. This allowed for the delivery of current to the sciatic nerve

    resulting in muscle contraction. The right leg was positioned in a footplate attached to the shaft of a

    Cambridge model H ergometer, adjusted to produce maximal isometric tension. Each training bout

    consisted of a series of four sets of contractions with 5 min of recovery between sets. Each set

    consisted of a series of 10 maximal isometric contractions lasting 2 s each with 20 s of rest in

    between contractions. Thus each training session lasted for 27 min, during which the muscle was

    activated for a cumulative time of 80 s.

    Compared with normal controls Haddad et al. (2006) reported the gastrocnemius of the HS animals

    decreased 20%. Although the RT program had a positive effect on maintaining relative muscle weight

    at a higher level compared with the HS group (8%), this response may in part have been due to

    edema, as total protein concentration was slightly lower (7%,) in the HST compared with the HS

    group. This response demonstrates the negative impact of unloading on the hind limb musculature by

    illustrating that the myofibril pool was indeed a primary target of the atrophy response. The results of

    this study suggest that the process of muscle atrophy is not opposite of muscle hypertrophy, and

    demonstrate the inability of isometric based RT to spare muscle protein during unloading. Therefore,

    although an isometric model of RT may be appropriate to induce hypertrophy, researchers using

    resistance training in animal models of diseases (i.e. dexamethasone-induced diabetes) (Nicastro et

    al. 2012a) should consider performing experimental pilot studies with dynamic based contractions

    prior to data collection.

    On the other hand, Fluckey et al. (2002) demonstrated that dynamic resistance training is capable of

    preventing muscle wasting during unloading. In this model, Fluckey et al. developed a modified

    version of the human flywheel resistance exercise apparatus so rats could be trained while in hind-

    limb suspension. This poses a major advantage over the model used in Haddad et al. as the animals

    can be trained with dynamic resistance exercise independent of gravity and without being removed

    from the cage. Briefly, a rat is tethered via a leather and velcro vest attached to a nylon cord and

    spooled around an inertia wheel located on the outside of the resistance exercise apparatus. The rat

    is allowed to place its feet on a shock grid suspended at the top of the apparatus (to accommodate

  • the HS state) and an illumination bar capable is located in the apparatus opposite to the shock grid.

    The bar is then illuminated which results in a repetition by the animal. The movement is similar to

    squats as performed by humans, as extension occurs at the hip, knee and ankle joints. When

    required a shock is applied briefly (

  • EDL and soleus muscles were greater in trained rats than control rats. Despite an increased ability of

    the rats to lift progressively heavier loads, this heavy resistance training model did not induce gross

    muscle hypertrophy nor did it increased the force-producing capacity of the EDL or soleus muscles.

    The discrepancy in results between Duncan et al. (1998) and Yarasheski et al. (1990) was likely due

    to the muscles sampled and measured. The soleus is predominantly type I muscle fiber and likely did

    not suffer enough overload to induce hypertrophy. We suggest researchers using the ladder climb

    model to study hypertrophy or molecular signaling in protein synthesis evaluate samples from

    muscles with a higher proportion of type II fibers, such as the rectus femoris or gastrocnemius.

    This model of mesh scale was then modified into a second one where Sprague-Dawley rats were

    trained to climb a 1.1-m vertical (80 degree incline) ladder with weights secured to their tail

    (Hornberger and Farrar 2004). The rats were trained once every 3 days for 8 weeks. Each training

    session consisted of 4-9 (6.02 +/- 0.23) climbs requiring 8-12 dynamic movements per climb. Based

    on performance, the weight carried during each session was progressively increased. Over the

    course of 8 weeks, the maximal amount of weight the rats could carry increased 287% and the

    improved training performance was associated with a 23% absolute increase in the weight of the

    flexor hallucis longus (FHL), with a concomitant 24% increase in both total and myofibrillar protein.

    On the other hand, Scheffer et al. (2012) analyzed oxidative stress in skeletal muscles using a similar

    model of climb ladder (43 steps) in 4 different resistance training protocols: Muscular resistance

    training: RT consisted of climbing the ladder carrying a load of 10% of body weight, which was

    progressively increased to 20%, 30%, 40%, and 50%, 3 to 6 sets with 2-min breaks, and 1215

    repetitions. Hypertrophy training: HT consisted of climbing the ladder carrying a load of 25% of body

    weight, which was progressively increased to 50%, 75% and 100%, 3 to 6 sets with a 2-min break

    and 810 repetitions. Strength training: ST consisted of climbing the ladder carrying a load of 25% of

    body weight, which was progressively increased to 50%, 100%, 125%, 150%, 175%, and 200%, 3 to

    6 sets with a 2-min break, and 35 repetitions (Fig. 3). After 12 weeks of training on alternate days,

    body weight was not different amongst groups and the red portion of the brachioradialis was removed

    and oxidative parameters were assessed. Although muscle hypertrophy was not measured, HT

    caused an imbalance in oxidative parameters in favor of pro-oxidants, leading to oxidative stress in

    skeletal muscle.

    In a related study Lee et al. (2004) tested whether adenoviral administration of IGF-I (rats were

    injected with recombinant AAV harboring rat IGF-I cDNA (rAAVIGF-I) was capable to increase FHL

    muscle mass. Using the ladder climb model (1-m ladder with 2-cm grid steps and inclined at 85), 8

    wks of resistance training, a 23.3% increase in muscle mass was observed in the FHL (Fig. 1D). Viral

    expression of IGF-I without resistance training produced a 14.8% increase in mass and the combined

    interventions produced a 31.8% increase in muscle mass. Therefore, the combination of resistance

    training and overexpression of IGF-I induced greater hypertrophy than either treatment alone. These

    results suggest that a combination of resistance training and overexpression of IGF-I could be

  • synergistic and can improve muscle hypertrophy through adenoviral transfections. It must be

    remembered that this original finding was revolutionary at that time and generated a lot of knowledge

    paving future research. Differences in muscle remodeling following the same regimen used by Lee et

    al. (Lee et al. 2004), Hornberger and Farrar (2004), Duncan et al. (1998), and Yarasheski et al.

    (1990) could be related to different muscles sampled in each work, the ladder model, such as the

    size and number of steps (which differed considerably amongst different the 4 studies), and the

    number of sessions per week, load progression, and volume in the protocols. Thus, the ladder model

    is a tool capable to induce positive adaptations in muscle hypertrophy; however, minor modifications

    to the protocols may greatly affect the results such that the functionality of the model is reduced when

    muscular hypertrophy is a major endpoint, thereby reducing the ability to study the effects of genetic

    manipulation or ergogenic aids.

    To monitor the variance in overload and work performed between groups we suggest measuring

    venous lactate and modifying the load appropriately. Scheffer et al. (2012) demonstrated the

    effectiveness of this method to equalize the load between groups. Additionally, we suggest

    researchers using this model to induce hypertrophy modify the length of the ladder by reducing the

    number of steps the animal climbs and increasing the load to more closely mimic human strength

    training. As an example Scheffer et al. (2012) employed a hypertrophy protocol of 48 steps with 1.1

    cm between steps. Although hypertrophy was not measured, a relationship exists between exercise-

    induced oxidative stress and muscle hypertrophy (Wadley 2013), suggesting that sets of less

    repetitions may be most effective in inducing hypertrophy. Additionally, this specific hypertrophy

    protocol on the ladder may be the most appropriate for evaluating satellite cell activation and

    differentiation with resistance training.

    Another animal model of voluntary resistance exercise was proposed by Klitgaard et al (1988): rats

    were trained to perform a plantar extension in order to obtain a pellet of food (Fig. 1C). The original

    protocol was performed in 2 year old rats and after 36 wks of training plantaris muscle mass

    increased 24%. On the other hand, utilizing the same protocol but in young rats and for only 13 wks

    we observed the plantaris muscle hypertrophied by 13% (Zanchi et al. 2009). Our major finding using

    this model was that the Atrogenes (MuRF-1 and Atrogin-1), ubiquitin ligases involved in muscle

    proteolysis by the proteasome, decreased only in the trained group, demonstrating the ability of this

    model to modulate molecular signaling. Since we didnt measure the degree of muscle protein

    synthesis or degradation in the isolated muscles, we cannot speculate on the ability of this model to

    impact protein turnover as a whole. There are two factors to consider when using this model: 1) a longer training period is required for hypertrophy to occur when compared to the synergist ablation or the ladder

    model, and 2) this model uses starvation to motivate the animals to perform the plantar extension. This

    starvation period poses a major issue when studying physiological responses as it affects both

    voluntary work and nutrient status, and is also difficult to apply. Thus the translation of this model to

  • humans must be interpreted with caution, although several acute studies in humans are performed

    under starvation conditions (Fujita et al. 2007).

    In 1992, Tamaki et al. (1992) described a weight lifting exercise model designed to induce muscle

    hypertrophy in the hind-limb by loading the animal with a canvas jacket attached to the torso and

    requiring the animal to perform a squat like exercise (Fig. 1H). The main stimulus was provided by an

    electric stimulator linked to the tail of the animal so a punishment stimuli was applied and the animals

    performed a squat like exercise of progressively increasing loads within a hypertrophy range (65-

    75% 1 Repetition Maximum - RM). Compared with 60 min of treadmill sprints, acute squat training

    resulted in an increase in plasma creatine kinase. When sprint and squat training was carried outfor

    12 weeks at 4-5 days/week there was a 12% increase in the plantaris muscle compared with control

    animals receiving an electric stimulus; however, there were no significant differences compared to

    the sprint training group. Although this model contains a similar biomechanical loading and

    movement pattern to human resistance training, its ability to overload the animals and induce muscle

    hypertrophy is inferior to other voluntary resistance training models, such as the ladder climb or food

    motivated plantar extension proposed by Klitgaard et al. (1988).

    In 2003, Wirth et al. (2003) developed a revolutionary model where rats were operantly conditioned to

    perform a squat exercise via both reward and punishment (Fig. 1K). Food was restricted and rats

    were operantly conditioned with food rewards to enter a vertical tube, insert its head into a weighted

    ring (either 70 g or 700 g), lift the ring until its nose interrupted an infrared detector, and then lower

    the ring. Load cells measured the external force generated, and displacement transducers measured

    the vertical displacement of the ring during each lifting and lowering movement. The apparatus and

    training procedures were computer automated. Peak force, velocity, work, and power were calculated

    for each movement. Rats in both groups easily acquired the task after 12-15 training sessions

    conducted 5 days/wk. The median peak force, work, and power per lift for both concentric and

    eccentric were greater for the 700g group. Importantly, 8 weeks of lifting both 70g and 700g 5

    sessions per week increased plantaris, soleus, and gastrocnemius mass compared to sedentary

    controls; however, dry weight and muscular protein content was not measured, thus it is also possible

    these increases may have been partly the result of edema and/or inflammation. These results

    demonstrate the utility of quantitating the biomechanics of volitional movements and suggest that the

    present model can establish and maintain controlled repetitive movements necessary for studying

    injury and adaptation in muscles, tendon, and bone. Moreover, contrary to Tamaki et al (1992) the

    absolute weight of the rats was not decreased with this training protocol, suggesting that this positive

    operant model combined with histological sampling is a valid protocol to study responses to

    resistance training.

    Given the potential of the models described by Wirth et al. (2003) and Klitgaard et al. (1988), our

    group (Nicastro et al. 2012b) proposed an equipment and system of resistance exercise (RE), based

  • on squat-type exercise for rodents, with the ability to more precisely control the training variables

    proposed in Wirth et al. (2003). In this model we developed an operant conditioning system

    composed of sound, scent, light, and feeding devices that optimized resistance exercise performance

    by the animal (Fig. 1L). With this system, it was not necessary to tie the animal into the device or

    impose chronic fasting or electric shock for the animal to perform the task proposed (muscle

    contraction). Furthermore, it was possible to perform muscle function tests in vivo maximal voluntary

    strength capacity (MVSC) within the context of the exercise proposed and control variables such as

    intensity (percent of MVSC or percent of body weight), volume (sets and repetitions), rest intervals

    between sets, and exercise session length. Importantly, sound was the main stimulus given to the

    animals as a way to optimize learning and reinforce exercise training. Therefore, despite

    experimental limitations, we believe that this RE apparatus is closer to the physiological context

    observed in humans. When testing the efficacy of this protocol to counteract the effects of 7 days of

    5mg/day dexamethasone (a diabetogenic and proteolytic catabolic hormone) in a common model of

    skeletal muscle atrophy, we observed that training attenuated the loss of gross muscle mass and

    increased plantaris mass when compared to controls. Additionally, we observed an increase in

    MVSC in trained animals, but not controls at the end of the study (Nicastro et al. 2012a),

    demonstrating the efficacy of this model to attenuate or even prevent atrophy, and as a reliable

    technique to study atrophic disease.

    Variables to evaluate when selecting a resistance training model

    According to Timson (1990), when using animal models to evaluate muscle enlargement produced by

    strength training in humans, three factors must be considered: 1) Muscle recruitment and adaptations

    in fiber characteristics; 2) magnitude of muscle enlargement. Given the effects of varying models of

    voluntary and non-voluntary resistance loading reported by our team and others, we suggest six

    other factors to consider: 3) The degree of nutrition required for a positive reward; 4) Negative reward

    (i.e. pain). 5) Time spent conditioning the animal to execute the exercise; 6) Duration required to

    obtain muscle remodeling; 7) Muscle voluntary capacity percentage; 8) Resistance training under

    atrophic or diseased conditions. 1- Muscle recruitment and adaptations in fiber characteristics: With specific study questions (i.e.: sarcopenia) type II muscle fiber hypertrophy is more relevant that gross hypertrophy in

    preventing the loss of muscle mass and function; however, not all models of training are

    capable of overloading all muscle fibers and thus eliciting a substantial degree of hypertrophy

    in muscles comprised of predominantly Type II fibers. As an example, the plantaris is a mixed

    fiber muscle and its hypertrophy through surgical ablation of the gastrocnemius (a

    predominantly type II muscle) may not be appropriate to study the reversion of sarcopenia

    compared to a squat based model (Nicastro et al. 2012b).

  • 2- Magnitude of muscle enlargement: Some exercise models are difficult to perform and the resulting hypertrophy degree is very poor when compared with others. For example the ladder

    climb model is capable to generate hypertrophy in the muscles of the lower limbs of the rat;

    however, the hypertrophy of the FHL vary considerably in the literature based upon ladder

    length, load, and frequency (Duncan et al. 1998; Hornberger and Farrar 2004). In contrast,

    synergist ablation results in a robust hypertrophy of the FHL (80% hypertrophy with synergistc

    ablation in our group observed by Teixeira et al. 2013, unpublished data), but not the thigh

    muscles such as the rectus femoris. 3- The degree of nutrition required for a positive reward: Klitgaard (1988) developed a model whereby a collar and an acrylic cylinder where the rats where trained to feed through

    overextension of hindlimb (plantar extension) to take the pellet and then feed. Utilizing this

    model, our group (Zanchi et al. 2009) observed it required approximately 24h of food

    restriction to motivate the animals to perform the lift in order to obtain a food pellet.

    Additionally, the number of repetitions per day was very limited (16 per day), although we

    observed an increase of 13% of muscle mass (plantaris and soleus) compared with paired

    feeding control group. Thus, future investigations should consider the effects of models that

    require nutrition deprivation to perform exercise when major endpoints include robust

    increases in muscle hypertrophy. 4- Negative reward: It is well known recognized that punishment is a stronger stimulus than reward to induce rodents to perform resistance exercise (Zanchi et al. 2009). However,

    sometimes this punishment stimuli is detrimental as the appetite of the animals is reduced due

    to the endocrine response involved in the fight or flight (stress) reaction, thus impairing the

    muscular and molecular adaptations to a pre-determined stimulus. For example, Tamaki et al.

    (1992) demonstrated increases in gastrocnemius and plantaris mass with resistance training

    compared to control groups following 12 weeks of training; however, the resistance training

    group lost approximately 200g of body mass. Thus, punishment in this model influenced the

    endocrine response and diminished the appetite of the trained animals such that limb muscle

    hypertrophy was likely compromised. 5- Time spent conditioning the animal to execute the exercise: Through two different voluntary exercise models, we observed that some rats are capable to learn how to execute a task (resistance

    training) very fast whereas others are not. Therefore, every time we conducted a resistance training

    protocol we selected for both control and intervention groups only the animals capable to learn very

    fast. Based on Klitgaard (1988) and Zanchi et al. (2009) and modifying the model proposed by Wirth et

    al (2003), we developed a computerized model using both reward and punishment stimulus to induce

    rodents to perform resistance exercise (hindlimb extension) (Nicastro et al. 2012b). Based upon the

    results from these models, we suggest researchers employing models of voluntary maximal contraction

    spend 14-16 unloaded training sessions spaced every day over two weeks to condition the animals to

    perform the resistance training protocol.

  • 6- Duration required to obtain muscle remodeling: In our first model of food rewarded plantar extension (Zanchi et al. 2009), 3 months of training were required to increase plantaris mass

    by 13%. Similarly, Tamaki et al (1992) spent 3 month to induce relative bodyweight adjusted

    (muscle weight/body weight) increases in gastrocnemius and plantaris mass of 31.4% and

    17.9%, respectively, and absolute increase of 12% in plantaris mass when compared with

    controls. In comparison, utilizing electrical simulation Baar and Esser (1999) demonstrated

    increases in tibialis anterior and EDL mass of 13.9 and 14%, respectively, when performed

    twice a week for 6 weeks. Further research is required to elucidate the optimal combination of

    frequency (sessions per week) and volume when designing animal models leading to muscle

    hypertrophy. Despite similar increases in absolute plantaris weight, the rats in Tamaki (1992)

    were trained 2-3 sessions per week more than those in our study. These results are further

    confounded by synergist ablation where the target muscle (usually the plantaris) is chronically

    under a load every time the rat moves (similar to a human carrying extra bodyweight, not

    taking part in resistance training). Thus, each model has specific characteristics, and based

    upon the load (light or heavy) and expected outcomes pilot sessions should be conducted to

    determine appropriate frequencies and study durations. 7- Muscle Voluntary Capacity Percentage: It has been well described in the literature that intensities in the range of 75-85% 1RM are ideal to increase/hypertrophy the muscle mass.

    However, utilizing some models it is almost impossible to predict those ideal ranges. For

    example, utilizing the ladder model some investigators have employed a maximum effort test

    in the ladder model; however, the ladder contains 16-24 steps so the rodent is performing, in

    fact, a test of local muscular endurance (i.e.: a 16 RM test) and not a true 1 RM. Predicting the

    maximal voluntary power output of a rodent for a given stimulus is also difficult and unreliable.

    For example, when we tested the food-reward model developed by Klitgaard (1988) the rats

    were unable to perform more than 8 repetitions per workout (Zanchi et al. 2009). A major

    concern was whether the rat actually exerted maximal effort, or if it was satisfied by a reduced

    food intake. This issue was partially resolved in our more recent model (Nicastro et al. 2012b)

    as we observed the rats performed nearly 50 repetitions per session. Moreover, we were able

    to measure force developed through a computerized model and compare that to MVSC to

    ensure the animals were working the hypertrophy range. Thus, we believe this voluntary

    model allows the researcher to more precisely manipulate volume and intensity in the study of

    training induced muscular adaptations, specifically hypertrophy and soft tissue remodeling. 8- Resistance training under atrophic or diseased conditions: Several models of atrophy have been described in the literature; the most commonly used mimics that of spaceflight

    (gravitational unloading) via hind limb suspension. Under this condition of atrophy, isometric-

    based resistance training models capable of producing robust hypertrophy under gravitational

    conditions have failed to induce hypertrophy or counteract atrophy (Haddad et al., 2006). It is

    possible that this resistance training model may have attenuated the loss of muscle mass

  • under a gravitational model of atrophy (i.e.: administration of rapamyacin). On the other hand,

    it is well established in the literature that dynamic resistance training plus nutritional support

    (mainly proteins containing high biological value and leucine) are capable of robustly activating

    protein synthesis pathways (Phillips 2011) and counteracting unloading-induced loss of

    muscle mass as demonstrated by Fluckey et al. (2002). When considering the catabolic state

    as generated by glucocorticoids and diabetes mellitus, we demonstrated that resistance

    training is capable of counteracting the loss of muscle mass (Nicastro et al. 2012a). Although

    further research in humans is needed to describe the hormonal milieu and muscle activation in

    response to daily living activities in humans with atrophic disease, our model provides

    researchers with a greater degree of control over the variables involved in resistance training,

    and can be used to study the effects of resistance training on atrophy during conditions of

    gravitational unloading and glucocorticoid catabolism.

    In example of how these factors may affect investigation outcomes, Miyazaki et al. (2011) utilized the

    synergistic ablation surgery to investigate the involvement of ERK/MERK pathways and the well-

    known Akt/mTOR/P70S6K pathways of protein synthesis initiation in the muscle hypertrophy

    phenomena. Using the synergist ablation model of muscle hypertrophy, early and late periods of

    muscle adaption were examined. Specifically, they measured these adaptations in a model of form

    follows signaling function observing plantaris hypertrophy weight from day 0 to day 10 on a daily

    basis. Miyazaki et al. (2011) demonstrated that Akt phosphorylation (Ser 473 or Thr 308) was not

    activated until days 2-3, whereas P70S6K (Ser 389, Thr 421/424) and ribosomal protein (RPS6 Ser

    235-236) where highly phosphorylated during the entire hypertrophy process. Of note, this delay in

    the classical Akt/mTOR activation was accompanied by a rapid and prolonged MEK 1 and 2 (Ser

    217/221) activation. The same pattern was observed in ERK 1 and 2 (Thr 221 and 224). Importantly,

    this divergence utilizing a well-recognized animal muscle hypertrophy model demonstrated parallel

    pathways, one activated early and one later, that both phosphorylated the RP6 protein culminating in

    increased protein synthesis. In the early pathway ribosomal kinases phosphorylated the RP6 in the

    Ser 235/236 residue. Following the late pathways, RPS6 was phosphorylated in the residues Ser

    240/244. This study demonstrates the importance of matching expected outcomes within the

    research question to the resistance training model employed. If Miyazaki et al. (2011) had utilized a

    model requiring a longer duration of conditioning or training to induce muscle remodeling (i.e.: the

    squat model) these novel discoveries may not have been made. Thus, investigators need to be

    aware of these particular attributes to resistance training models when investigating molecular

    signaling pathways, ergogenic aids, and mechanical tensions and muscle remodeling.

    Conclusion

  • Many important molecular findings regulating skeletal muscle remodeling have been made through

    the use of diverse experimental resistance training models. Although a number of models are

    capable of inducing muscular hypertrophy, investigators should consider several new variables when

    selecting the most appropriate model to answer the research question. For example, investigators

    should be aware of the early and late signaling pathways leading to hypertrophy, and chose a model

    that activates the appropriate phase. In this same regard, if a large degree of muscular remodeling is

    required to answer a research question selecting a hypertrophy model with a weak magnitude will

    result in compromised findings.

    A major issue facing clinic scientists investigating the medicinal/therapeutic effects of resistance

    training is that genetic modifications in animals that are available to basic scientists are not applicable

    to the general population. Consequently, a growing emphasis is being placed on investigating the

    efficacy and effectiveness of nutritional supplements and ergogenic aids in conjunction with

    resistance training. Although the discovery of new signaling pathways has not suddenly changed or

    advanced the methods people use to train, overtime these discoveries have led to more effective

    training methods, especially when resistance training is used as physiotherapy. As the ability to more

    accurately manipulate the variables involved in rodent resistance training models (volume, intensity,

    frequency, etc.) improve, scientists will be better able to study the effects of distinct differences in

    program design on molecular signaling and hypertrophy. These improvements in model design and

    the results obtained can then be used to improve the translation between basic scientific discoveries,

    clinical practices, and the application to human health and performance.

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  • Figure legends

    Figure 1: Progression of the Development of Resistance Training Models in Rodents (1968-2012). A) Surgical ablation; B) Tenotomy; C) Voluntary plantar extension; D) 85 weighted ladder climb; E) non-voluntary hind-limb extension; F) Passive stretch; G) 90 weighted ladder climb; H) Electric stimulated squat; I) Modified non-voluntary hind-limb extension; J) Modified flywheel with hind-limb suspension; K) Operantly conditioned squat; L) Modified operantly conditioned squat. M) Jumping submersed in water with overload. Adapted by the authors.

  • Table 1. Voluntary muscle hypertrophy models

    Author Year Technical Size / Height Angulation Sessions / wk Training period

    Series / day Muscle hypertrophy

    (%)

    Yarasheski et al 1990 Progressive lift with loads attached to the tail using a mesh

    40 cm 90 Degrees 5 days / wk 8 wk 20 Increase in RF weight

    Duncan et al. 1998 Ladder climbing 40 cm Vertical 4 days / week 26wk 12 to15 Increase in EDL and SOL

    weights relative to body mass and fibre

    hypertrophy

    Lee et al. 2004 Ladder climbing + IGF-I adenovirus

    1 m 85 Degrees Every third day 8 wk 8 climbs or until failure

    Increase in FHL weight

    Klitgaard et al 1988 Plantar flexion of ankle joint - - In the morning, at noon, and in the evening (Monday

    and Tuesday, Thursday

    and Friday)

    36 wk 30 min of training 3

    times per day

    Increase in SOL and PLA

    weights

    Zanchi et al. 2009 Plantar flexion of ankle joint - - 3 Times / Week 12 wk 16 Increase in PLA weight

  • Tamaki et al. 1999 "Squat Like Exercise" - - 4-5 Days / Week 12 wk 65-75 % 1 RM Hypertrophy of GAS and PLA and increase in the number

    of muscle fibers

    Dela Cruz et al. 2012 Jump in a PVC cylinder containing water

    - - Every two days 5 wk 15 jump sessions

    Increase in EDL and SOL

    CSA

    Wirth et al 2003 Operant conditioning (progressive lift)

    - - - 8 wk 12 to 15 Increased performance

    Hornberger, T.A 2004 Ladder climbing (with progressive load attached to the tail)

    1,1 m 80 Degrees - 8 wk 1 Increase in FHL weigth

    and total and myofibrillar

    protein content

    Scheffer, et al. 2012 Ladder climbing 43 steps - Alternate days 12wk 3 to 15 -

    Fluckey et ai 2002 Flywheel Resistance Training

    - - - 4wk 25 Attenuation of hindlimb

    suspension-induced muscle

    atrophy in SOL

    RF: rectus femoris; EDL: extensor digitorum longus; SOL: soleus; FHL: flexor hallucis longus; PLA: plantaris; GAS: gastrocnemius; CSA: cross-sectional rea.

  • Table 2. Involuntary muscle hypertrophy models

    Author Year Technical Period Estimulus Muscle hypertrophy

    (%)

    Goldberg et al. 1968 Surgical ablation of GAS 6 Days Walk Increase in SOL and

    PLA weights

    Goldberg et al. 1975 Tenotomy of GAS 14 Days Walk Increase in SOL weight

    Wong and Booth 1988 Weight-lifting exercise 16 wk Electric + external load

    Increase in GAS we

    weight and protein content

    Baar and Esser 1999 Surgical implantation of electrodes and electrical

    stimulation

    6 wk Electric Increase in EDL and TA wet weights

    Goldspink 1999 Stretch Combined With Eletrical Stimulation of Anterior Tibialis Muscle

    of Adult Rabbit

    4 days Electric Increase in TA wet weight

    Kawada and Ishii 2005 Chronic restriction of blood flow to muscle

    2 wk Venous occlusion Increases in PLA dry

    weight/ body weight and myofibrillar

    protein content

    Haddad et al 2006 Electrical stimulation 6 Days Isometric contractions

    Attenuation of hindlimb suspension-

    induced muscle

    atrophy in GAS

    (muscle weight)

    EDL: extensor digitorum longus; SOL: soleus; TA: tibialis anterior; flexor hallucis longus; PLA: plantaris; GAS: gastrocnemius.

  • Figure 1