Persistent muscle weakness due to disuse-associated skeletal muscle atrophy limits the quality of life for patients with various diseases and individuals who are confined to bed. Fibers from disused muscle exhibit a marked reduction in active force production, which can exacerbate motor function, coupled with the well-known loss of muscle quantity. Despite recent understanding of the signaling pathways leading to the quantity loss, the molecular mechanisms of the depressed qualitative performance still remain elusive. Here we show that long-term disuse causes preferential loss of the giant sarcomere protein titin, associated with changes in physiologic muscle function. Ca2+ sensitivity of active force decreased following 6 wk of hindlimb immobilization in the soleus muscle of the rat, accompanied by a shift in the length-active force relationship to the shorter length side. Our analyses revealed marked changes in the disused sarcomere, with shortening of thick and thin filaments responsible for altered length dependence and expansion of interfilament lattice spacing leading to a reduction in Ca2+ sensitivity. These results provide a novel view that disuse-induced preferential titin loss results in altered muscle function via abnormal sarcomeric organization.


Disuse atrophy is caused by muscular inactivity, and is characterized by a reduction in muscle protein levels, as well as by a decrease in active force production. Recent advances in cell and molecular biology technology have enabled identification of multiple triggering factors for the protein loss associated with weightlessness (for reviews see Glass, 2003; Jackman and Kandarian, 2004; Lynch et al., 2006). Likewise, there is solid evidence that the disused sarcomere exhibits a marked decrease in active force production, including a fall in Ca2+ sensitivity as well as a reduction in active force per fiber cross-sectional area (e.g., Fitts et al., 2000); however, the molecular mechanisms are still poorly understood. The depressed performance likely exacerbates muscle weakness. The giant elastic protein titin (connectin) spans the distance from the Z-line to the M-line in the striated muscle sarcomere and serves as a molecular ruler for self-assembly of sarcomere proteins during myofibrillogenesis, as well as a passive force generator (e.g., Whiting et al., 1989; Trinick, 1994; Gregorio et al., 1999; Granzier and Labeit, 2004). In the present study, we tested the hypothesis that the depressed muscle performance results from abnormal sarcomeric organization, caused by changes in titin expression, using a long-term hindlimb immobilization model in the rat.

Materials And Methods

Disuse Atrophy Model and Single Fiber Mechanics

Male Wistar rats (300−330 g) were used. All experiments performed in the present study conform to the Guide for the Care and Use of Laboratory Animals (1996. National Academy of Sciences, Washington D.C.). Hindlimb immobilization was performed based on a previous report (St-Amand et al., 2001). In brief, under anesthesia with pentobarbital sodium (50 mg/kg I.P.), the left leg was immobilized with casting tape (type 82002-J, Sumitomo 3M; changed every week) to keep the ankle joint in a fully extended position. No intervention was performed on the right leg (control). After 6 wk of immobilization, animals were anesthetized with pentobarbital sodium (50 mg/kg I.P.), and the whole soleus muscles were dissected from both legs and quickly immersed in oxygenated Ca2+-free Tyrode's solution (for composition see Fukuda et al., 2001b) containing 30 mM 2,3-butanedione monoxime (BDM) at 30°C. We used the antigravity soleus muscle throughout the study, because of its high susceptibility to disuse (see Fitts et al., 2000). The extensor digitorum longus (EDL) muscle was dissected from the leg with no immobilization. No reduction of body weight was observed during immobilization (unpublished data). Rabbit psoas muscle was obtained from white rabbits. Small bundles (1−2 mm diameter; ∼10 mm length) were dissected from the muscles and skinned in relaxing solution (5 mM MgATP, 40 mM BES, 1 mM Mg2+, 10 mM EGTA, 1 mM dithiothreitol, 15 mM phosphocreatine, 15 U/ml creatine phosphokinase, 180 mM ionic strength, adjusted by K-propionate, pH 7.0) containing 1% (wt/vol) Triton X-100 and 10 mM BDM overnight at ∼3°C. Overnight treatment with Triton X-100 may result in loss of some structural proteins, in addition to cytoplasmic proteins; however, this was needed to almost completely remove membrane-based proteins, without any significant effect on the active and passive properties of control and disused fibers (unpublished data; see Fukuda et al., 2003, 2005). The preparations were then washed thoroughly with relaxing solution and stored for up to 2 d in relaxing solution at ∼3°C. To prevent protein degradation, all solutions contained protease inhibitors: PMSF (0.5 mM), leupeptin (0.04 mM), and E64 (0.01 mM). Active force was measured with a single fiber, based on our previous studies (Fukuda et al., 2000, 2001a,b; pCa adjusted by Ca/EGTA). Sarcomere length (SL) was measured by laser diffraction and adjusted to 2.4 μm during relaxation. For the measurement of Ca2+ sensitivity of active force, [Ca2+] was varied from pCa 7.0 to 4.5. The curves were fitted to the Hill equation and the values of pCa50 (midpoint of the force–pCa curve) and nH (Hill coefficient) were obtained. Rigor cross-bridge–based active force was produced by lowering [MgATP] from pMgATP (= −log [MgATP]) 5.0 to 6.5 in the absence of Ca2+, and pMgATP50 (midpoint of the curve) and nH were obtained (Mio et al., 2002).

Passive force (PF) was measured based on our previous study (Fukuda et al., 2001a), starting from SL 2.2 μm. In brief, a single fiber was stretched at a constant velocity of 0.1 muscle length per second and then held for 1 min, followed by a stretch to a longer SL (force measured at 2.4, 2.6, 2.8, 3.0, 3.4, and 3.8 μm in this order). Quasi-steady-state PF was measured at each SL, and titin-based PF was obtained as total PF minus residual PF after the KCl/KI treatment (Fukuda et al., 2003). The average PF data were analyzed with an exponential function, i.e., PF = A × exp (k × (SL − SL0)) − 1, where A is the amplitude, k is the exponent of PF, and SL0 is the intercept on the SL axis, i.e., the zero load SL (set at 2.2 μm due to zero passive force).

To obtain the SL–active force relationship, a single fiber was activated at pCa 4.5 at each SL (see above), 1 min after stretch. SL was increased after the solution had been changed to relaxing solution. Active force was plotted as compared with the maximum (at SL 2.4 or 2.6 μm), before stretch. The active force data were fitted to a three polynomial function of the type: active force = y0 + a × SL + b × SL2 + c × SL3, where y0 is the offset and a, b, and c are the coefficients. SL50 (midpoint of the descending limb) was obtained as an index of length dependency.

Fiber width (diameter) was determined at three or four points along each fiber, and calculated from the mean width of these measurements, with the assumption that the fiber forms a cylindrical cross section. All mechanical studies were conducted at 15°C.

Electron Microscopy

Intact or skinned fibers were used based on our previous study (Fujita et al., 1996). After measuring SL by laser diffraction during relaxation, solution was replaced with a fixation solution containing 2% (vol/vol) glutaraldehyde. Longitudinal sections as well as cross sections were cut (∼40 nm thickness) and observed with an electron microscope (H-7500, Hitachi Co.). NIH image software was used to quantify the average thick filament length. Since the clarity was not sufficiently high in the electron micrographs of intact preparations, due presumably to the presence of intracellular components, we used skinned sarcomeres to quantitatively analyze the average thick filament length.

Fluorescence Measurement of A-band Width and I-Z-I Brush Width

To measure the A-band width, specific labeling of myosin heavy chain (MHC) was performed based on our earlier work (Ishiwata et al., 1987). In brief, skinned single fibers were bathed in relaxing solution containing 1 μM tetramethyl rhodamine-5-maleimide (Molecular Probes) for 30 min at 4°C. The average A-band width was quantified with NIH image software, under a laser scanning confocal microscope system (LSM-CG200, Olympus Co.). To measure the I-Z-I brush width, skinned single fibers were immersed in relaxing solution containing 1 μg/ml Alexa488-phalloidin (Molecular Probes) at 3°C for 3 h (Yasuda et al., 1994). The I-Z-I brush width was quantified with NIH image software, under the confocal microscope system.

Gel Electrophoresis

Various acrylamide gels (2−7% titin, 8%, and 15%) were stained with Coomassie brilliant blue, and the optical density (OD) of band of interest was determined using One-D-Scan (v. 2.03, Scanalytics Co.) (Fukuda et al., 2003, 2005). Proteins were identified by comigration with known standards. In some experiments, a range of loadings (4−16 μl) was electrophoresed on the same gel, allowing us to determine integrated OD-loading relations. The slope of the linear range of integrated OD versus loading was obtained from linear regression analysis. The slope ratio for samples from control versus disused soleus muscles was then calculated. Protein concentration was measured by BCA Protein Assay Kit (Pierce Chemical Co.).

Interfilament Lattice Spacing Measurement

Interfilament lattice spacing was measured based on a previous study (Higuchi and Umazume, 1986). In brief, skinned single fibers were held vertically in a chamber with a capacity of 0.09 ml solution, and SL was adjusted to 2.4 μm during relaxation by monitoring the laser diffraction. The chamber was perfused with relaxing solution containing 30 mM BDM, at a rate of 0.4 ml/min (15°C). The positions of the 1,0 reflections were measured by NIH image software to obtain the d1,0 value.


Significant differences were assigned using the paired or unpaired Student's t test (as appropriate). NS denotes insignificant. Linear regression analysis was used to test correlations between parameters. In all cases, statistical significance was verified with the P value less than 0.05 (*P < 0.05). All data were expressed as mean ± SEM, with n representing the number of experiments.

Results And Discussion

First, we demonstrated the macroscopic and microscopic changes in muscle morphology after disuse; Fig. 1 A compares soleus muscles taken from control and immobilized legs, from the same animal. We observed marked reductions in size and wet weight of muscle (176.0 ± 4.7 vs. 115.7 ± 4.4 mg; P < 0.05, n = 35), hence confirming it to be a suitable model for structural and mechanical analyses. We observed isoform switching of MHC upon disuse, i.e., a decrease in MHC I (slow type) with a concomitant increase in MHC IIB (fast type) (see Fitts et al., 2000).

We then conducted electron microscopy studies with intact muscles (Fig. 1 B). Myofibrils were thinner in disused muscle than in healthy muscle, as is commonly known (e.g., Riley et al., 2000). In addition, the A/I junction was found to be indistinct in disused muscle, with the visible M-line preserved. Glycogen-like granules were similar in both muscles; however, upon disuse, the mitochondrial regularity disappeared, and the number of small granule vesicles increased.

Using skinned single fibers, we found that the thick filament length was not uniform in the disused sarcomere, with shorter filaments coexisting with normal-length filaments, resulting in shortening of the average thick filament length, over the range of SL up to ∼3.8 μm (by ∼0.07 μm; measured by electron microscopy) (Fig. 1 C). The coexistence of thick filaments with varying lengths can account for the indistinctive A/I junction observed in the intact disused muscle preparation (Fig. 1 B). The disuse-induced shortening of thick filaments was observed in fibers expressing solely MHC I (type I) as well as in fibers expressing both MHC I and II (type I/II).

Fig. 1 D shows fluorescence analyses for the lengths of thick and thin filaments in control vs. disused muscles. We found that the A-band width (i.e., average thick filament length) was significantly less in disused muscle (i.e., by ∼0.1 μm; Fig. 1 D, top), to a magnitude similar to that detected by electron microscopy. Earlier electron microscopy studies revealed, on the other hand, that disuse decreases thin filament density and length in human soleus muscle after spaceflight (Riley et al., 2000) and after bed rest (Riley et al., 1998). The present study quantified the change in the average thin filament length, in that it was shorter by ∼0.1 μm after disuse (1.07 ± 0.02 vs. 1.18 ± 0.01 μm; P < 0.05) (expressed as I-Z-I brush width in Fig. 1 D, bottom). Therefore, disuse brings about both quantitative decrease in muscle size and qualitative change in sarcomeric ultrastructure.

We then analyzed the effects of disuse on steady-state active force at the slack SL (2.4 μm), by dividing skinned single fibers into two groups, i.e., fiber type I and I/II groups, depending on MHC expression. It was found that Ca2+ sensitivity was lower in disused fibers in both groups, accompanied by a reduction in maximal Ca2+-activated force (Fig. 2 A). Disuse did not significantly change nH (see legend). Due to similar Ca2+ sensitivity in disused type I and I/II fibers, we disregarded the differences in MHC expression in the following experiments.

To test whether the disuse-induced reduction in active force is modulated at the cross-bridge level, rather than by altering the process of Ca2+ binding to troponin C, we compared Ca2+-independent rigor cross-bridge–based active force in control vs. disused fibers. We found that the force–pMgATP curve was shifted leftward upon disuse, with a reduction in maximal Ca2+-independent active force, indicating that active force generation is suppressed at the cross-bridge level (Fig. 2 B). Therefore, regardless of the activator, either Ca2+ or cross-bridges, depression of the active force production in disused fibers indicates that a smaller fraction of cross-bridges is formed in the sarcomere, at a given level of thin filament activation.

Considering the finding that thick and thin filaments become shorter upon disuse (Fig. 1, C and D), the length dependence of active force is likely to be altered accordingly. Expectedly, we found a significant change in the relationship upon disuse, in that the descending limb of the relationship was shifted leftward, with no significant change in the ascending limb (Fig. 2 C). This result provides an important physiological implication that disuse-induced active force depressions depend on SL, namely, greater in the long SL range. Taken together, cross-bridge formation is reduced in disused muscle, accompanied by a change in the length dependence.

Given titin's role as a molecular ruler (Whiting et al., 1989; Trinick, 1994; Gregorio et al., 1999), the abnormalities in the sarcomeric structure in disused muscle (Fig. 1, B–D) may be due to a change in its expression, resulting in depressed mechanical properties (Fig. 2, A–C). As shown in Fig. 3 A, molecular weight changes were not observed for titin in disused muscle. Instead, our analysis revealed its marked preferential loss (Fig. 3 B); the level of actin and myosin was decreased by ∼20% after disuse in intact muscle, while the magnitude was more pronounced for titin, with the value of ∼45% (hence resulting in a reduction in the ratio of titin to MHC; see Fig. 3 C). Also, degradation was elevated for titin, as shown by an increase in the level of its degradation product(s) (T2) (Fig. 3 B). In other studies, titin loss was also observed after hindlimb suspension in rats, but with no clear degradation, after unloading for 2 wk (Toursel et al., 2002), but not for 3 d (Goto et al., 2003). It can therefore be said that it is a universal phenomenon associated with long-term muscle wasting.

The examination of the expression profiles of other major sarcomere proteins revealed no significant preferential changes in any protein tested, other than titin (Fig. 3 C). When OD was normalized with that of MHC or actin, depending on the molecular weight, only titin was found to be significantly reduced (Fig. 3 C, bar graphs on the right). Therefore, proteins are reduced disproportionately in long-term disuse, with the effect on titin largest among the major sarcomere proteins.

In skeletal muscle, at least half of total protein is thick and thin filament based, and this fraction is lost at a faster rate than other muscle proteins in disuse (Jackman and Kandarian, 2004). The increase in the intensity of some bands in disused muscle (Fig. 3 B, arrows) indicates that the expression of nonsarcomere (or minor/unknown sarcomere) proteins may increase relative to that of the major sarcomere proteins tested in the present study.

It has been reported that gene expression is reduced for nebulin in disuse (St-Amand et al., 2001). In the present study, the level of nebulin showed an appreciable decrease in some animals (as in Fig. 3 B), but the result was not statistically significant for an average of eight animals. Considering a possible role of nebulin as a ruler for thin filament formation (Littlefield and Fowler, 1998), a slight reduction in its protein level may in part be responsible for the shortening of thin filaments (Fig. 1 D) (Riley et al., 1998, 2000). We also observed isoform switching of myosin-binding protein C (MyBP-C), from the slow type (Cs) to the fast type (Cf) as well as to the intermediate type (Ci) (Fig. 3 C; see McCormick et al., 1994; St-Amand et al., 2001). However, the total MyBP-C level was not significantly reduced in disuse (Fig. 3 C).

No study has directly examined whether titin indeed regulates thick filament formation in vivo, because of embryonic lethality. However, a study by van der Ven et al. (2000) clearly demonstrated that a functional knockout of titin results in defective thick filament formation in a cell culture model. Therefore, it is reasonable to consider that larger reduction of this protein compared with myosin and, presumably, MyBP-C results in abnormal thick filament formation during myofibrillogenesis in vivo. Reportedly, there are approximately six titins per half-thick filament (Granzier and Irving, 1995). Therefore, an ∼30% preferential reduction in disuse (Fig. 3 C) will reduce the number from approximately six to approximately four, which may cause abnormal myosin polymerization, due to a lack of thick filament length regulation. The reduction of the thin filament length in disuse (Fig. 1 D) may also occur secondary to the thick filament shortening, independent of nebulin loss, because the myosin/titin array reportedly determines the thin filament length by positioning the thin filament pointed end, relative to the Z line, thereby indirectly regulating the thin filament length (Littlefield and Fowler, 1998).

It is well established that both protein synthesis and breakdown rates are altered in disuse atrophy and play a role in muscle protein loss (Glass, 2003; Jackman and Kandarian, 2004). The increase in T2 (Fig. 3 B) indicates that elevated proteolysis (such as by calpains; see Jackman and Kandarian, 2004) leads at least in part to a decrease in the titin level, apparently to a magnitude greater than for other proteins, due to the relative proteolytic sensibility of titin's PEVK segment in the I-band (Helmes et al., 1996). However, considering the observation that not only intact titin (T1) but total titin (T1+T2) was less than MHC or actin in disuse (Fig. 3 B, bar graph), it is unlikely that proteolysis alone can fully account for the observed titin loss. We therefore consider that in long-term disuse, preferential titin loss is caused synergistically by both elevated proteolysis (and/or ubiquitination) and reduced synthesis.

As expected, PF, especially titin-based PF, decreased in single fibers from disused muscle, with a concomitant increase in nontitin-based PF (Fig. 3 D). However, the shorter thick filaments may give an increase in PF due to increased strain of extensible I-band region of titin. A significant correlation between titin (T1) level and titin-based PF (Fig. 3 E, bottom right) strongly indicates that the decrease in titin-based PF results from preferential titin loss. We then investigated the role of titin loss in the formation of abnormal sarcomere structure, by comparing the titin level (or passive force) and the thick filament length in individual animals. As shown in Fig. 3 E, we found a significant coupling of the average thick filament length with titin level (for both T1 and T1+T2) (top) and with titin-based PF (bottom); that is, the A-band disruption was enhanced with titin loss. These positive correlations led us to propose that preferential titin loss is the primary cause of the abnormal sarcomeric structure in disuse atrophy.

Several recent lines of evidence strongly indicate that the lateral separation of thick and thin filaments, primarily regulated by titin as a lattice stabilizer via its passive force, affects the likelihood of myosin attaching to the thin filament in the striated sarcomere (Cazorla et al., 2001; Fukuda et al., 2003). Therefore, long-term disuse may result in the formation of myofibrils with expanded lattice spacing, due to preferential titin loss and ensuing defects in lattice stabilization. Our small-angle X-ray experiments indeed revealed that lattice spacing was expanded in disused fibers (by ∼6% compared with control muscle) (Fig. 4 A). This finding was supported by an electron microscopy observation that revealed that the thick filament density was ∼15% lower in disused fibers (Fig. 4 B). Osmotic compression of disused muscle with 2% (wt/vol) dextran T-500 (Dx; molecular weight, ∼500,000) reduced lattice spacing to a similar level as observed in control muscle (Fig. 4 A), and completely restored Ca2+ sensitivity (Fig. 4 C). We therefore concluded that the expansion of lattice spacing is primarily responsible for the reduction in Ca2+ sensitivity (Fig. 2 A) (and, presumably, Ca2+-independent active force; Fig. 2 B) in disused muscle via reduced cross-bridge formation.

However, Dx failed to restore maximal Ca2+-activated force completely, where it was still lower by ∼20% in disused muscle than in control muscle, in the presence of Dx (Fig. 4 C). Given the present findings that the thick filament length is shorter by 0.05−0.1 μm (Fig. 1, C and D) and the thin filament length by ∼0.1 μm (Fig. 1 D) in the disused sarcomere, the shortening of thick and thin filaments (i.e., totally ∼20% reduction in the filament overlap at the full overlap state) can well account for the difference in maximal force between control and disused muscles, at a similar level of lattice spacing.

In conclusion, we demonstrated that preferential titin loss occurs in skeletal muscle in long-term disuse, associated with abnormal sarcomeric structure, in both longitudinal and lateral directions (Fig. 5). It is likely that the former results from abnormal myosin polymerization (and its secondary effect on thin filament length regulation) and the later from defects in lattice stabilization, both caused by the preferentially reduced titin level in disuse. The present work provides strong evidence that the longitudinal change accounts for the altered length dependence of active force and the lateral change underlies the reduced Ca2+ sensitivity, with overall depressions in active force production occurring synergistically due to these abnormalities in sarcomeric ultrastructure. Titin loss, namely, a reduction in PF, as well as depressed contractile force, is likely to induce unloading on the thick filament in the M-line region, which may progressively exacerbate sarcomeric integration via reduced titin kinase activation and the resultant reduction in muscle protein expression (Lange et al., 2005). Future studies should be directed to elucidating the transduction pathway(s) leading to preferential titin loss under various wasting conditions, aiming at developing novel pharmacological interventions that suppress muscle weakness by preventing disuse-induced defects in sarcomeric organization.


We thank Dr. Henk L. Granzier and Dr. Sergey V. Mikhailenko for critical reading of the manuscript. We also thank Ms. Naoko Tomizawa for technical support and Dr. Maki Yamaguchi for assistance with small-angle X-ray studies.

This study was supported in part by Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science, and Technology of Japan and by grants from the Japan Science and Technology Agency (CREST), Mitsubishi Pharma Research Foundation, and Japan Cardiovascular Research Foundation to N. Fukuda.

Olaf S. Andersen served as editor.


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Abbreviations used in this paper: BDM, 2,3-butanedione monoxime; Dx, dextran T-500; EDL, extensor digitorum longus; MHC, myosin heavy chain; MyBP-C, myosin-binding protein C; PF, passive force; SL, sarcomere length.