No detectable loss of myonuclei from human muscle fibers after 6 wk of immobilization following an Achilles tendon rupture

Muscle disuse has rapid and debilitating effects on muscle mass and overall health, making it an important issue from both scientific and clinical perspectives. However, the myocellular adaptations to muscle disuse are not yet fully understood, particularly those related to the myonuclear permanence hypothesis. Therefore, in this study, we assessed fiber size, number of myonuclei, satellite cells, and capillaries in human gastrocnemius muscle after a period of immobilization following an Achilles tendon rupture. Six physically active patients (5 males/1 female, 43 ± 15 yr) were recruited to participate after sustaining an acute unilateral Achilles tendon rupture. Muscle biopsies were obtained from the lateral part of the gastrocnemius before and after 6 wk of immobilization using a plaster cast and orthosis. Muscle fiber characteristics were analyzed in tissue cross-sections and isolated single fibers using immunofluorescence and high-resolution microscopy. Immobilization did not change muscle fiber type composition nor cross-sectional area of type I or type II fibers, but muscle fiber volume tended to decline by 13% (<i>P</i> = 0.077). After immobilization, the volume per myonucleus was significantly reduced by 20% (<i>P</i> = 0.008). Myonuclei were not lost in response to immobilization but tended to increase in single fibers and type II fibers. No significant changes were observed for satellite cells or capillaries. Myonuclei were not lost in the gastrocnemius muscle after a prolonged period of immobilization, which may provide support to the myonuclear permanence hypothesis in human muscle. Capillaries remained stable throughout the immobilization period, whereas the response was variable for satellite cells, particularly in type II fibers.<b>NEW & NOTEWORTHY</b> The impact of prolonged immobilization on muscle fiber characteristics is difficult to study in humans and therefore remains poorly understood. We analyzed cross-sections and single fibers from gastrocnemius before and after 6 wk of immobilization due to an Achilles tendon rupture. Our data suggest that myonuclei are not lost in response to such stimuli, thus lending support to the hypothesis of myonuclear permanency in human muscle.