Long-term disturbance of the calcium homeostasis of motor endplates (MEPs) causes necrosis of muscle fibers. The onset of morphological changes in response to this disturbance, particularly in relation to the fiber type, is presently unknown. Omohyoid muscles of mice were incubated for 1-30 minutes in 0.1 mM carbachol, an acetylcholine agonist that causes an inward calcium current. In these muscles, the structural changes of the sarcomeres and the MEP sarcoplasm were evaluated at the light-and electron-microscopic level. Predominantly in type I fibers, carbachol incubation resulted in strong contractures of the sarcomeres underlying the MEPs. Owing to these contractures, the usual beret-like form of the MEP-associated sarcoplasm was deformed into a mushroom-like body. Consequently, the squeezed MEPs partially overlapped the adjacent muscle fiber segments. There are no signs of contractures below the MEPs if muscles were incubated in carbachol in calcium-free Tyrode's solution. Carbachol induced inward calcium current and produced fiber-type-specific contractures. This finding points to differences in the handling of calcium in MEPs. Possible mechanisms for these fiber-type-specific differences caused by carbachol-induced calcium entry are assessed.Carbachol is an acetylcholine agonist. When applied chronically, it causes a profound destruction of the myofibrils underlying the motor endplate (MEP). This effect is attributable to dissolution of the Z-line.1,2 The pathological changes are reputed to be calcium-dependent 1,2 and are comparable with those manifested in patients with slow-channel syndrome.3 Similar calcium-dependent destruction of the myofibrils beneath the MEP can be elicited by daily application of an acetylcholinesterase inhibitor. 4,5 The effect is brought on by prolonged opening of the acetylcholine receptors (AChRs) and ensuing entry of calcium in the area of the MEP. A genetic manipulation of the AChRs that prolongs the opening time of the receptor channels causes a slow-channel-syndrome-like pathology in mice.6 However, not all skeletal muscle fibers are affected.6 This selectivity accords with observations relating to the effects of carbachol.
1,2According to earlier data, carbachol affects preferentially type I fibers. This, combined with the observation that type I fibers are predominantly damaged by ACh esterase inhibitors, 4 suggests a greater vulnerability to calcium homeostasis in these fibers.Little is known of the early morphological changes associated with short-term carbachol stimulation. To improve our understanding of the disturbances in MEP calcium homeostasis that are elicited by the entry of calcium through activated AChRs, it would be beneficial to temporally and topographically pinpoint the first visible signs of damage and to ascertain whether the changes are fiber-specific. To address these questions, the omohyoid muscle of mice was stimulated with carbachol under isometric conditions for 1-30 minutes. The treated muscles were evaluated at the light-and transmissi...