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      Impaired Wheel Running Exercise in CLC-1 Chloride Channel-Deficient Myotonic Mice

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          Abstract

          Background: Genetic deficiency of the muscle CLC-1 chloride channel leads to myotonia, which is manifested most prominently by slowing of muscle relaxation. Humans experience this as muscle stiffness upon initiation of contraction, although this can be overcome with repeated efforts (the “warm-up” phenomenon). The extent to which CLC-1 deficiency impairs exercise activity is controversial. We hypothesized that skeletal muscle CLC-1 chloride channel deficiency leads to severe reductions in spontaneous exercise. Methodology/Principal Findings: To examine this quantitatively, myotonic CLC-1 deficient mice were provided access to running wheels, and their spontaneous running activity was quantified subsequently. Differences between myotonic and normal mice in running were not present soon after introduction to the running wheels, but were fully established during week 2. During the eighth week, myotonic mice were running significantly less than normal mice (322 ± 177 vs 5058 ± 1253 m/day, P = 0.025). Furthermore, there were considerable reductions in consecutive running times (18.8 ± 1.5 vs 59.0 ± 3.7 min, P < 0.001) and in the distance per consecutive running period (58 ± 38 vs 601 ± 174 m, P = 0.048) in myotonic compared with normal animals. Conclusion/Significance: These findings indicate that CLC-1 chloride deficient myotonia in mice markedly impairs spontaneous exercise activity, with reductions in both total distance and consecutive running times.

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          Most cited references30

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          The skeletal muscle chloride channel in dominant and recessive human myotonia.

          Autosomal recessive generalized myotonia (Becker's disease) (GM) and autosomal dominant myotonia congenita (Thomsen's disease) (MC) are characterized by skeletal muscle stiffness that is a result of muscle membrane hyperexcitability. For both diseases, alterations in muscle chloride or sodium currents or both have been observed. A complementary DNA for a human skeletal muscle chloride channel (CLC-1) was cloned, physically localized on chromosome 7, and linked to the T cell receptor beta (TCRB) locus. Tight linkage of these two loci to GM and MC was found in German families. An unusual restriction site in the CLC-1 locus in two GM families identified a mutation associated with that disease, a phenylalanine-to-cysteine substitution in putative transmembrane domain D8. This suggests that different mutations in CLC-1 may cause dominant or recessive myotonia.
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            Beneficial effects of voluntary wheel running on the properties of dystrophic mouse muscle.

            Effects of voluntary exercise on the isometric contractile, fatigue, and histochemical properties of hindlimb dystrophic (mdx and 129ReJ dy/dy) skeletal muscles were investigated. Mice were allowed free access to a voluntary running wheel at 4 wk of age for a duration of 16 (mdx) or 5 (dy/dy) wk. Running performance of mdx mice (approximately 4 km/day at 1.6 km/h) was inferior to normal mice (approximately 6.5 km/day at 2.1 km/h). However, exercise improved the force output (approximately 15%) and the fatigue resistance of both C57BL/10 and mdx soleus muscles. These changes coincided with increased proportions of smaller type I fibers and decreased proportions of larger type IIa fibers in the mdx soleus. The extensor digitorum longus of mdx, but not of normal, mice also exhibited improved resistance to fatigue and conversion towards oxidative fiber types. The dy/dy animals were capable of exercising, yet ran significantly less than normal animals (approximately 0.5 km/day). Despite this, running increased the force output of the plantaris muscle (approximately 50%). Taken together, the results showed that exercise can have beneficial effects on dystrophic skeletal muscles.
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              Phenotypic variability in myotonia congenita.

              Myotonia congenita is a hereditary chloride channel disorder characterized by delayed relaxation of skeletal muscle (myotonia). It is caused by mutations in the skeletal muscle chloride channel gene CLCN1 on chromosome 7. The phenotypic spectrum of myotonia congenita ranges from mild myotonia disclosed only by clinical examination to severe and disabling myotonia with transient weakness and myopathy. The most severe phenotypes are seen in patients with two mutated alleles. Heterozygotes are often asymptomatic but for some mutations heterozygosity is sufficient to cause pronounced myotonia, although without weakness and myopathy. Thus, the phenotype depends on the mutation type to some extent, but this does not explain the fact that severity varies greatly between heterozygous family members and may even vary with time in the individual patient. In this review, existing knowledge about phenotypic variability is summarized, and the possible contributing factors are discussed.
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                Author and article information

                Journal
                Front Physiol
                Front. Physio.
                Frontiers in Physiology
                Frontiers Research Foundation
                1664-042X
                09 August 2011
                2011
                : 2
                : 47
                Affiliations
                [1] 1simpleCleveland Department of Veterans Affairs Medical Center Cleveland, OH, USA
                [2] 2simplePulmonary and Critical Care Division, Department of Medicine, Case Western Reserve University Cleveland, OH, USA
                Author notes

                Edited by: Philip S. Clifford, Medical College of Wisconsin, USA

                Reviewed by: Leonardo F. Ferreira, University of Florida, USA; Robert Hester, University of Mississippi, USA

                *Correspondence: Erik van Lunteren, Cleveland Department of Veterans Affairs Medical Center, Pulmonary 111J(W), 10701 East Boulevard, Cleveland, OH 44106, USA. e-mail: exv4@ 123456cwru.edu

                This article was submitted to Frontiers in Exercise Physiology, a specialty of Frontiers in Physiology.

                Article
                10.3389/fphys.2011.00047
                3152724
                21886624
                7b5fca38-004d-467e-8995-185a683574e8
                Copyright © 2011 van Lunteren, Moyer, Cooperrider and Pollarine.

                This is an open-access article subject to a non-exclusive license between the authors and Frontiers Media SA, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and other Frontiers conditions are complied with.

                History
                : 03 March 2011
                : 25 July 2011
                Page count
                Figures: 3, Tables: 0, Equations: 0, References: 36, Pages: 7, Words: 4859
                Categories
                Physiology
                Original Research

                Anatomy & Physiology
                exercise,clc-1 chloride channel,skeletal muscle,genetic,myotonia congenita
                Anatomy & Physiology
                exercise, clc-1 chloride channel, skeletal muscle, genetic, myotonia congenita

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