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  4. Distinct Genomic Expression Signatures after Low-Force Electrically Induced Exercises in Persons with Spinal Cord Injury

Distinct Genomic Expression Signatures after Low-Force Electrically Induced Exercises in Persons with Spinal Cord Injury

Int. J. Mol. Sci., 2024 · DOI: https://doi.org/10.3390/ijms251810189 · Published: September 23, 2024

Spinal Cord InjuryGeneticsRehabilitation

Simple Explanation

This study investigates the molecular responses in people with spinal cord injuries after different electrically induced exercise programs. The goal was to see how these exercises could help improve metabolic function, which is often impaired after a spinal cord injury. They compared a 3 Hz exercise (1 hour) to a 1 Hz exercise (3 hours). The researchers took muscle biopsies to analyze gene expression profiles. They found that the 3 Hz exercise led to a stronger response, with the upregulation of genes involved in mitochondrial biogenesis, contractile protein synthesis, and metabolism. This indicates that a 1-hour session of low-force electrically induced exercise at 3 Hz can trigger a genomic response in paralyzed muscles, potentially improving their metabolic and contractile properties with regular exercise.

Study Duration
Not specified
Participants
10 people with a complete spinal cord injury
Evidence Level
Level 2: Experimental study

Key Findings

  • 1
    The 3 Hz electrically induced exercise resulted in the upregulation of early response genes (NR4A3, PGC-1α, ABRA, IRS2, EGR1, ANKRD1, and MYC).
  • 2
    The upregulated genes after the 3 Hz exercise contributed to the enrichment of pathways associated with signal transduction, cellular response to stimuli, gene expression, and metabolism.
  • 3
    The 1 Hz exercise showed similar trends, but the magnitude of gene expression changes did not reach significance thresholds.

Research Summary

The study investigated the acute molecular responses after a 3 Hz or 1 Hz electrically induced exercise program in people with complete spinal cord injury, with a constant number of pulses delivered in each. The 3 Hz exercise led to a stronger acute genomic response with the upregulation of genes involved in mitochondrial biogenesis, contractile protein synthesis and metabolism. The study concludes that a 1 h dose of low-force electrically induced exercise using a 3 Hz stimulation frequency is suitable to trigger an acute genomic response in people with chronic paralysis.

Practical Implications

Rehabilitation Strategy

Low-force electrically induced exercise at 3 Hz may be a suitable rehabilitation strategy to improve the metabolic and contractile phenotype of paralyzed muscle.

Home-Based Therapy

The use of commercially available muscle-stimulation units makes this exercise feasible for deployment in the home, addressing access barriers for individuals with SCI.

Personalized Exercise Prescription

The study helps in determining the dose of exercise required to adequately stress paralyzed skeletal muscle, contributing to personalized exercise prescriptions for individuals with SCI.

Study Limitations

  • 1
    The duration of the exercise session was three times longer during the 1 Hz exercise session compared to the 3 Hz session.
  • 2
    The muscle biopsies were performed 3 h after the completion of the exercise session, potentially missing peak expression changes for early-response genes after the 1 Hz exercise.
  • 3
    The DNA methylation analysis was based on a limited sample size.

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