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The American Journal of Sports Medicine 32:503-508 (2004)
© 2004 American Orthopaedic Society for Sports Medicine

Myofibers Express IL-6 After Eccentric Exercise

Akihito Tomiya, MD, PhD*,{dagger}, Toshimi Aizawa, MD, PhD{dagger}, Ryoichi Nagatomi, MD, PhD{ddagger}, Hiroomi Sensui, MS{ddagger} and Shoichi Kokubun, MD, PhD{dagger}

From the {dagger} Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan, and the {ddagger} Department of Medicine & Exercise in Sports & Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan

* Address correspondence to Akihito Tomiya, MD, Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai, 980-8574, Japan.

Background: Interleukin (IL)-6 is locally produced in skeletal muscles and shows a remarkable increase in plasma after eccentric exercises.

Objective: To elucidate the cell types in the muscles responsible for IL-6 production after eccentric exercises.

Study Design: Controlled laboratory study.

Methods: An eccentric contraction model was made using electrical stimulation. The authors investigated the muscle damage and regeneration processes after eccentric exercises histologically, and the cell types expressing IL-6 and its subcellular compartimentalization with time immunohistochemically after eccentric exercises.

Results: Swollen myofibers were detected from 8 hours to 3 days after exercises. Disrupted myofibers were detected from 24 hours to 7 days, with a peak of 3 days. IL-6 was detected only in the cytoplasm of myofibers until 12 hours; thereafter, it was found in the inflammatory cells and proliferating satellite cells as well. The swollen myofibers were negatively stained for IL-6. The positive ratios of IL-6 in myofibers immediately increased after exercises, peaked in 12 hours, and then decreased.

Conclusions: After eccentric exercises, IL-6 expression increased in myofibers preceding the disruption of myofibers. IL-6 might be closely related to muscle damage caused by strenuous exercises.

Key Words: skeletal muscle • eccentric exercise • interleukin (IL)-6 • muscle damage




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