Abstract
Age-related alterations of skeletal muscle are numerous and present inconsistently, and the effect of their interaction on contractile performance can be nonintuitive. Hill-type muscle models predict muscle force according to well-characterised contractile phenomena. Coupled with simple, yet reasonably realistic activation dynamics, such models consist of parameters that are meaningfully linked to fundamental aspects of muscle excitation and contraction. We aimed to illustrate the utility of a muscle model for elucidating relevant mechanisms and predicting changes in output by simulating the individual and combined effects on isometric force of several known ageing-related adaptations. Simulating literature-informed reductions in free Ca2+ concentration and Ca2+ sensitivity generated predictions at odds qualitatively with the characteristic slowing of contraction speed. Conversely, incorporating slower Ca2+ removal or a fractional increase in type I fibre area emulated expected changes; the former was required to simulate slowing of the twitch measured experimentally. Slower Ca2+ removal more than compensated for force loss arising from a large reduction in Ca2+ sensitivity or moderate reduction in Ca2+ release, producing realistic age-related shifts in the force-frequency relationship. Consistent with empirical data, reductions in free Ca2+ concentration and Ca2+ sensitivity reduced maximum tetanic force only slightly, even when acting in concert, suggesting a modest contribution to lower specific force. Lower tendon stiffness and slower intrinsic shortening speed slowed and prolonged force development in a compliance-dependent manner without affecting force decay. This work demonstrates the advantages of muscle modelling for exploring sources of variation and identifying mechanisms underpinning the altered contractile properties of aged muscle.
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1 Introduction
Evidence has mounted in favour of the view that the intrinsic contractile properties of skeletal muscle are altered in advanced age. Age-related deficits in single fibre specific tension and maximum velocity of shortening have been found for type I and type II fibres from aged muscles of both rodents (Degens et al. 1998; Thompson et al. 1998; González et al. 2000, 2003; Zhong et al. 2006; Kim and Thompson 2013) and humans (Larsson et al. 1997; Frontera et al. 2000; Krivickas et al. 2001; D’Antona et al. 2003; Ochala et al. 2007; Yu et al. 2007; Lamboley et al. 2015; Power et al. 2016; Brocca et al. 2017) and can manifest despite long-term training (Korhonen et al. 2006; Power et al. 2016). Such findings imply that the broad decline in contractile performance with ageing isn’t the sole product of reductions in muscle fibre number and size. Reinforcing this notion are a more limited number of studies demonstrating that fundamental processes involved in activation and contraction are prone to impairment in old muscle, including the kinetics of cross-bridge cycling (Höök et al. 2001; D’Antona et al. 2003; Miller et al. 2013), mechanics of myosin (Lowe et al. 2001) and Ca2+ sensitivity of force (Brooks and Faulkner 1994; Lowe et al. 2002; Lamboley et al. 2015; Straight et al. 2018; Mazara et al. 2021), and handling of Ca2+ by the sarcoplasmic reticulum [SR (Larsson and Salviati 1989; Delbono et al. 1995; Narayanan et al. 1996; Wang et al. 2000; Jiménez-Moreno et al. 2008; Andersson et al. 2011; Umanskaya et al. 2014)].
Impaired intrinsic contractile performance, however, is not universally observed for old muscle (Trappe et al. 2003; Hvid et al. 2011; Sundberg et al. 2018; Teigen et al. 2020; Mazara et al. 2021). The same is true of disturbances to cellular level contractile processes, such as Ca2+ sensitivity of force (Eddinger et al. 1986; Plant and Lynch 2001; Lamboley et al. 2015; Teigen et al. 2020) and SR Ca2+ uptake (Fitts et al. 1984; Narayanan et al. 1996; Thomas et al. 2010). When human single fibre data published within the last decade are considered (Claflin et al. 2011; Hvid et al. 2011, 2017; Miller et al. 2013; Sundberg et al. 2018; Straight et al. 2018; Gries et al. 2019; Teigen et al. 2020; Grosicki et al. 2021; Mazara et al. 2021), a compelling argument could be made that neither type I nor type II fibres show an appreciable decline in specific force or shortening speed. Yet, age-related deficits in joint-level contraction speed and mass-specific mechanical power arise in the absence of impaired single fibre function (Reid et al. 2012; Sundberg et al. 2018). Prolonged or slowed force rise and decay and elevated force generation at submaximal stimulation frequencies (i.e. leftward-shifted force-frequency relationship) are also among the most commonly observed features of whole muscle in advanced age (Fitts et al. 1984; Davies et al. 1986; Larsson and Edström 1986; Vandervoort and McComas 1986; Brooks and Faulkner 1988; Alway 1995; Roos et al. 1999; Dow et al. 2005; McNeil et al. 2007; Tevald et al. 2009). A plausible explanation may be that an age-related elevation of the fractional area occupied by type I fibres or of the myosin heavy chain (MHC) I fibre content (Larsson et al. 1978; Coggan et al. 1992; Hunter et al. 1999; Short et al. 2005; Cui et al. 2008; Nilwik et al. 2013; Sonjak et al. 2019) is sufficient to produce a slower contractile phenotype (Ranatunga and Thomas 1990; Harridge et al. 1996).
Predicting altered mechanical output and identifying the underlying determinants remains challenging because contractile properties present inconsistently in advanced age, which may be reconciled with the myriad alterations that aged muscle can exhibit. Reports of the effect of age on single fibre or whole muscle contractile performance can be conflicting or show variation across taxa (Ballak et al. 2014), rodent strains (Rice et al. 2005), muscles (Brooks and Faulkner 1988; Brown and Hasser 1996; Narayanan et al. 1996; Hill et al. 2020), and as a function of activity level or training status (Fitts et al. 1984; Klitgaard et al. 1989; D’Antona et al. 2007), sex (Degens et al. 1998; Krivickas et al. 2001; Hill et al. 2020) and fibre type (Yu et al. 2007; Kim and Thompson 2013; Lamboley et al. 2015). Even for a given muscle of a model organism, the effect of ageing on contractile behaviour can vary (Brooks and Faulkner 1988; Moran et al. 2005). In addition to the aforementioned adaptations of cellular level function (e.g. slower cross-bridge kinetics), and a relative increase in type I fibre content, aged muscle may exhibit structural adaptations, such as altered intramuscular and extramuscular connective tissue properties (Gao et al. 2008; Wood et al. 2011; Stenroth et al. 2012; Danos et al. 2016; Holt et al. 2016). Compared to a loss of muscle mass, it is less clear how these adaptations (and others) impact contractile performance, especially when acting in concert, and to what extent these adaptations must present to be meaningful.
Determining the impact of age-related changes in muscle structure and function on mechanical output isn’t always feasible. For example, experimental approaches to quantifying excitation-SR Ca2+ release coupling and SR Ca2+ uptake dynamics may preclude myosin-actin interaction or be performed without simultaneous measurement of contractile force (Larsson and Salviati 1989; Delbono et al. 1995; Narayanan et al. 1996; Wang et al. 2000). In this context, it is also worth noting that crude homogenates of muscle frequently used to study Ca2+ release and Ca2+ uptake in advanced age (Fitts et al. 1984; Hunter et al. 1999; Thomas et al. 2010; Russ et al. 2011) may also be sensitive to an age-related increase in type I fibre content. The multifaceted and diverse nature of muscle deterioration and remodelling in response to ageing places importance on the interaction of adaptations. Interaction effects may be nonintuitive and may not always result in obvious impairment. Whereas an age-related reduction in the Ca2+ sensitivity of force may compound a reduction in SR Ca2+ release, an age-related slowing of SR Ca2+ uptake may offer a buffering effect. Linking any single adaptation to impaired contractile performance may be difficult when the scope of the study from an explanatory point of view is narrow and the broader extent of senescence is uncertain.
Establishing the likelihood that an altered property would appreciably impair contractile performance, in isolation and when acting in concert, might aid our understanding of altered contractile performance in advanced age from mechanistic and predictive perspectives. Muscle models are useful tools for exploring the effects of muscle design and adaptation on contractile performance (Wisdom et al. 2015). Several common traits of aged muscle contractile performance have been accurately simulated by adjusting model parameters to reflect known changes in activation and contraction dynamics and muscle–tendon morphology (Thelen 2003; Hasson and Caldwell 2012). Hill-type models simulate contractile behaviour according to well-established intrinsic mechanical phenomena (Curtin et al. 1998; Williams et al. 1998; Wakeling and Johnston 1999) and can be integrated with relatively simple, yet physiologically-grounded activation dynamics (Lichtwark and Wilson 2005a). Because many of the parameters used in Hill-type models can be related to muscle–tendon structure and intrinsic muscle properties, such models have the potential to elucidate the predominant mechanisms of altered force output and help explain unexpected observations and variance reported in the literature.
In this study, we implement a three-element Hill-type muscle model to examine how known changes in muscle function and structure in advanced age affect the contractile properties of muscle during fixed-end contractions. Drawing upon published literature, we simulate the individual and combined effects of impaired Ca2+ release, slower Ca2+ uptake, lower Ca2+ sensitivity of force, slowed intrinsic shortening speed, altered series elastic compliance, and a greater fractional content of type I fibres. Specifically, we evaluate the effects of these adaptations on isometric force during a twitch, brief tetanic contraction, and sustained contractions at submaximal and maximal stimulation frequencies. We then discuss the use of the model to explain how these known adaptations might affect muscle force, consider the adaptations most consistent with the contractile properties of aged muscle observed experimentally and reported by others in the literature, and identify certain conditions that may result in non-intuitive outcomes.
2 Methods
2.1 Experimental twitch data
Plantar flexion twitch torque was measured in 10 young (mean ± SD; age: 28 ± 3 years; body mass: 78 ± 11 kg; height: 179 ± 6 cm) and 18 older (age: 72 ± 5 years; body mass: 76 ± 10 kg; height: 174 ± 5 cm) healthy human adult males. An analysis of the experimental data obtained from young adults and a detailed description of the experimental protocol used for both young and older adults have been published previously (Mayfield et al. 2015). In brief, participants sat with their knee extended and right foot securely fixed to a non-compliant rotational footplate. The ankle was set to a neutral position (foot 90° relative to tibia). Two custom-built strain gauges positioned directly under the footplate measured isometric plantar flexion force evoked by percutaneous electrical stimulation of the tibial nerve. Single supramaximal square-wave pulses were delivered to elicit unpotentiated twitches, which were evaluated for peak torque, contraction time and half-relaxation time. Unpaired Student’s t-tests or Welch’s t-tests (unequal variance) were performed to test the effect of age. Statistical significance was set at P < 0.05 and effect sizes were calculated as eta squared (η2).
2.2 Hill-type muscle model
We implemented an adapted Hill-type muscle model previously shown to successfully predict the time course of muscle force during contractions involving either ramp shortening or lengthening, or sinusoidal length changes (Curtin et al. 1998; Lichtwark and Wilson 2005a). The model (Mayfield and Lichtwark 2022), developed in Simulink (MathWorks, Natick, MA), consists of a contractile element (CE) and parallel elastic element (PEE) arranged in-series with an elastic element (SEE). The active force output of the CE depends on the interaction of CE activation, length, and velocity dynamics.
2.2.1 Activation
Activation of the CE is regulated by the concentration of an activator, which we consider to be calcium, in a single compartment. Calcium ions (Ca2+) are released transiently at a constant rate in response to each stimulus and subsequently removed at a rate dependent on the Ca2+ concentration (Fig. 1a). Ca2+ release occurs over a defined pulse width according to the following equation:
Otherwise, Ca2+ is removed according to the following equation:
where a is the concentration of activator (Ca2+) and τ1 and τ2 are the time constants for the rise and fall of Ca2+, respectively (Lichtwark and Wilson 2005a). Ca2+ release for a second stimulus is attenuated relative to the first for brief interstimulus intervals (Caputo et al. 2004; Barclay 2012). Inactivation of Ca2+ release was incorporated into the model by reducing pulse width according to a single exponential equation describing the recovery of Ca2+ release with respect to interstimulus interval:
where A is the minimum relative Ca2+ release (i.e. maximum inactivation), isi is the interstimulus interval and r is the time constant for the recovery of relative Ca2+ release (Barclay 2012). A and r were set at 20% and 350 ms, respectively, such that the force-frequency relationship was comparable to empirical observations for predominantly slow muscle [e.g. rat soleus (Ranatunga 1982; Larsson and Edström 1986)] or several muscles with varying fibre type compositions crossing the same joint (Marsh et al. 1981; Sale et al. 1982).
The relationship between Ca2+ and activation (Fig. 1b) is given by a sigmoidal function of the form:
where Act is thin filament activation and represents the fraction of cross-bridge binding sites available for cycling, nH is the Hill coefficient, and a50 is the activator concentration required for half-maximal cross-bridge activation (Curtin et al. 1998). nH and a50 (i.e. pCa50) are indices of cooperative activation and the Ca2+ sensitivity of force, respectively (Walker et al. 2010).
To relate the activation-activator relationship in the model to the force-pCa relationship of permeabilised single fibres (Hellam and Podolsky 1969; Stephenson and Williams 1982), we assumed that the activator concentration achieving saturation was equivalent to a calcium concentration of 10 μM or pCa 5 (Fig. 1c); pCa is the negative log of the theoretical calcium concentration. A form of the Hill equation was then used to describe the relationship between calcium concentration and force:
where pCa is the negative log of the activator concentration, and pCa50 is the negative log equivalent of a50 (Martyn and Gordon 2001).
2.2.2 CE force–length & force–velocity relationships
Active force generated by the CE was modelled according to classic force–length (Gordon et al. 1966) and force–velocity (Hill 1938) relationships (Fig. 1d, e). The speed at which the CE shortens with respect to force, which is scaled by CE activation and length, was modelled according to a normalised form of the Hill equation:
where P is force, P0 is the maximum isometric force, K represents a/P0 and indicates the curvature of the rectangular hyperbola describing the concentric force–velocity relationship, V is the velocity of CE shortening and Vmax is the maximum velocity of CE shortening (Seow 2013). The speed at which the CE lengthens with respect to an externally applied force (Fig. 1e) was modelled according to the following equation:
where c is a constant indicating the maximum eccentric force expressed relative to P0, k is a constant relating to the y-intercept, whereby \(c-k=1\) to meet the condition of \(P/{P}_{0}=1\) for a lengthening velocity of 0, and q is a constant describing the curvature of the eccentric force–velocity relationship (Otten 1987; Azizi and Roberts 2014). c, k, and q were assigned values of 1.8, 0.8 and 7, respectively.
2.2.3 PEE force–length relationship
The PEE was assigned an exponential passive force–length relationship (Fig. 1d) according to the following exponential equation:
where kPEE is an exponential shape factor, LCE is the relative CE length, Lslack is the slack length of the PEE, and εPEE is the passive strain of the CE when an external load equal to P0 is applied (Thelen 2003). When Lslack is not equal to 1.0, the CE length at εPEE is equal to Lslack plus εPEE. kPEE, Lslack and εPEE were assigned values of 4, 0.98 and 0.57, respectively. These values are similar to those used previously for human plantar flexors (Thelen 2003) and generate a passive-force length relationship generally consistent with experimental data (Winters et al. 2011; Rubenson et al. 2012; Moo et al. 2020).
2.2.4 SEE force–length relationship
The SEE was assigned a non-linear load-deformation relationship consistent with experimental data for tendon and aponeurosis (Lieber et al. 1991; Trestik and Lieber 1993; Zuurbier et al. 1994; Loren and Lieber 1995; Cui et al. 2009). The general relationship was derived from a non-linear least squares fit of force and deformation data reported for mammalian tendon (Bennett et al. 1986) using the following equation:
where a and b are regression constants and x is tendon deformation. SEE strain at P0 (εSEE, Fig. 1f) was set to 0.05 (Muramatsu et al. 2001; Arampatzis et al. 2005; Karamanidis and Arampatzis 2006). SEE stiffness was defined as the maximum deformation of the SEE normalised to P0 and the optimum length of the CE (L0), giving a normalised stiffness [kSEE (Lichtwark and Wilson 2005b)]. SEE length (LSEE) and L0 were set at 300 (Arampatzis et al. 2005; Karamanidis and Arampatzis 2005) and 50 mm (see Hessel et al. 2021 main text and supplementary data), respectively, giving a kSEE of 3.33 P0·L0−1. The inverse of normalised SEE stiffness—normalised SEE compliance (i.e. 30%)—relates closely to the fixed-end compliance, which represents CE strain against the stretch of the SEE during a maximum tetanic contraction (Roberts 2002). We have instead defined fixed-end compliance as CE shortening expressed relative to L0, as to allow normalised SEE compliance and fixed-end compliance to be equal. Because there is considerable passive tension at the optimal MTU length in the model (initial CE length of ~ 1.23 L0), consistent with experimental observations for the human plantar flexors (see Hessel et al. 2021 supplementary data), SEE deformation and CE shortening during maximum force development are ~ 23%, rather than 30% of L0. This value generally agrees with experimental data for the human plantar flexors (see Hessel et al. 2021 supplementary data) after considering the overestimation of fascicle shortening against the stretch of tendon and aponeurosis owing to inevitable ankle rotation (Karamanidis et al. 2005).
2.3 Model optimisation to simulate plantar flexion twitch of young men
Model parameters for the initial state or control condition were optimised to minimise the combined error in contraction time and half-relaxation time between simulated and experimental twitches. An additional requirement was that the relative amplitude of the simulated twitch be ~ 0.2 P0. The simulated twitch was for an initial CE length of 1.0 L0. The experimental twitch represented the waveform average for young men determined from twitches recorded with the ankle at 0° and the knee extended. Initially, τ1, τ2, [a]50, nH and Vmax parameters were included in the optimization process. Where appropriate, physiological upper and lower limits were imposed. Subsequently, nH and Vmax were constrained at values of 3 and 6, respectively, and the optimization process was repeated.
Although reported values of nH are wide-ranging, a value of 3 is generally intermediate between values reported for type I and II fibres or similar to values reported for the former (Stephenson and Williams 1981; Fink et al. 1986, 1990; Lynch et al. 1991; Hvid et al. 2011, 2013). The Vmax value of 6 L0·s−1 agrees closely with the value of 6.2 FL·s−1 (fibre lengths per second) measured for human medial gastrocnemius fascicles in vivo (Hauraix et al. 2015), and is comparable to values reported for rat soleus [6–7.3 FL·s−1 (Ranatunga and Thomas 1990; Ranatunga 1998)] and mouse soleus [4.5 and 8.6 FL·s−1 (Luff 1981; Lichtwark and Barclay 2010)] muscles at physiological temperatures; the type I fibre composition of these muscles is approximately 73 and 67%, respectively (Asmussen and Maréchal 1989). We arrived at a slightly lower estimate of 60% for the MHC I fibre content for the triceps surae [see section ‘2.3.10 Type I fibre fractional area (i.e., MHC I fibre content)’].
2.4 Simulating ageing-related adaptations
2.4.1 Free Ca2+ concentration
There is evidence that both SR Ca2+ release and SR Ca2+ uptake are impaired in advanced age (Larsson and Salviati 1989; Delbono et al. 1995; Narayanan et al. 1996; Hunter et al. 1999; Wang et al. 2000; Jiménez-Moreno et al. 2008), and that aged single fibres can exhibit a deficit in peak free Ca2+ concentration (González et al. 2003; Andersson et al. 2011; Umanskaya et al. 2014). To our knowledge, the effect of slowed SR Ca2+ uptake on steady-state free Ca2+ concentration and free Ca2+ decay in intact fibres has not been studied in advanced age. It is unclear whether both adaptations can coexist (Russ et al. 2011, 2014) and to what extent each alteration influences free Ca2+ concentration. Accordingly, we simulated the independent and concomitant effects of impaired Ca2+ release and slowed Ca2+ uptake. For simplicity, we assume that the reductions in peak free Ca2+ concentration reported in the literature reflect impaired Ca2+ release without a concomitant slowing of SR Ca2+ uptake. This simplification allows experimental values of the deficit in Ca2+ concentration in intact fibres to be emulated by scaling down the instantaneous Ca2+ availability in the model, rather than increasing the time constant of Ca2+ release, τ1. Importantly, the fractional deficit in peak free Ca2+ concentration in intact fibres associated with ageing appears to be similar for maximal and submaximal contractions (González et al. 2003; Eshima et al. 2020).
To our knowledge, there exists only one study of the effect of age on SR Ca2+ release in human single fibres (Delbono et al. 1995), whereas several studies have been performed on rodent single fibres. In these studies, intact fibres were isolated exclusively from fast-twitch muscles without fibre type identification (Wang et al. 2000, 2002; González et al. 2003; Jiménez-Moreno et al. 2008; Andersson et al. 2011; Umanskaya et al. 2014; Fodor et al. 2020; Eshima et al. 2020). Each of these studies, including the study on human type II fibres, demonstrated an age-related deficit in SR Ca2+ release rate or peak intracellular Ca2+ concentration. Collectively, impairment typically ranged from ~ 30–50%. Accordingly, we incorporated a 30 or 50% reduction in peak Ca2+ concentration by applying a scaling factor to the instantaneous Ca2+ concentration of 0.7 or 0.5, respectively. We described the qualitative and quantitative effect (% change) of lower free Ca2+ availability on the time course (i.e., contraction time, half-relaxation time) and amplitude of the twitch, submaximal force and the force-frequency relationship, and maximum force.
2.4.2 SR Ca2+ uptake (τ 2)
The rate of SR Ca2+ uptake may be lower in advanced age, but it is not a universal observation. The effect of age on SR Ca2+ uptake rate has been predominantly studied in rodent muscle and using a variety of muscle preparations. To our knowledge, only a single study has been performed on human muscle, specifically, crude homogenates form the vastus lateralis muscle (Hunter et al. 1999). In many regards, the findings are inconsistent. Slowing has been demonstrated for skinned type II fibres but not skinned type I fibres (Larsson and Salviati 1989), SR vesicles isolated from slow-twitch muscle but not fast-twitch muscle (Narayanan et al. 1996; Russ et al. 2014), and muscle homogenates from fast-twitch (Russ et al. 2011), slow-twitch (Narayanan et al. 1996), and mixed-fibre type (Hunter et al. 1999) muscles but not in every instance (Fitts et al. 1984; Narayanan et al. 1996; Thomas et al. 2010); measurements from muscle homogenates may be susceptible to confoundment by a shift in MHC isoform composition. For those studies supporting an age-related reduction in Ca2+ uptake rate, the size of the slowing effect ranged from ~ 20–52% (Larsson and Salviati 1989; Narayanan et al. 1996; Hunter et al. 1999; Russ et al. 2011). Accordingly, we incorporated a 30 or 50% reduction in the rate constant for Ca2+ removal. The rate constant for Ca2+ removal is the reciprocal of the time constant, τ2. Therefore, τ2 was increased by 43 and 100%. We described the qualitative and quantitative effect of slower Ca2+ uptake on the time course and amplitude of the twitch, and submaximal force and the force-frequency relationship.
2.4.3 Ca2+ sensitivity (pCa50)
Lower Ca2+ sensitivity of force has been found in advanced age, but it is not a universal observation. Studies showing no effect of age (Plant and Lynch 2001; Hvid et al. 2011, 2013, 2017; Lamboley et al. 2015; Teigen et al. 2020; Mazara et al. 2021) are similar in number to those showing an age-related deficit. Reduced Ca2+ sensitivity in advanced age has been demonstrated by several studies for type II fibres from human (Lamboley et al. 2015; Straight et al. 2018; Mazara et al. 2021) and rodent (Brooks and Faulkner 1994; Lowe et al. 2002) muscles. In contrast, only a single study has shown Ca2+ sensitivity to be lower for type I fibres (Straight et al. 2018). The deficit in pCa50 reported by these studies ranges from 0.05 to 0.15 pCa units but is typically ~ 0.10 pCa units. Three studies reported a similar difference between means (0.08–0.10 pCa units) without detecting a significant age effect (Hvid et al. 2011, 2013; Mazara et al. 2021). For two of those studies, which sampled from just 11–15 aged type II fibres, we could deduce that the deficit in pCa50 was of a moderate effect size (Cohen's d = 0.38–0.49). Accordingly, we incorporated a reduction in pCa50 of 0.05 or 0.10 pCa units and described the qualitative and quantitative effect on the time course and amplitude of a twitch, submaximal force and the force-frequency relationship, maximum force, and relative force summation.
2.4.4 Cooperativity of activation (n H)
The weight of evidence from human and rodent studies indicates that the slope of the force-pCa relationship (i.e. cooperativity)—represented by the Hill coefficient, nH—is unaltered in advanced age (Eddinger et al. 1986; Brooks and Faulkner 1994; Hvid et al. 2011, 2013; Lamboley et al. 2015; Straight et al. 2018; Teigen et al. 2020). Challenging this view is one study on human muscle that found nH to be elevated for type II fibres in advanced age (Straight et al. 2018) and one study on rat muscle that found nH (> 0.5 P0) to be lower for type II fibres (Lowe et al. 2002). Because there are generally pronounced differences in nH between fibre types (Fink et al. 1986, 1990; Gardetto et al. 1989; Danieli-Betto et al. 1990; Gregorevic et al. 2004; Hvid et al. 2011, 2013), and stronger evidence that nH is affected by disuse (Gardetto et al. 1989; Widrick et al. 1998; Hvid et al. 2011, 2013; Monti et al. 2021), we thought it was important to illustrate the effect of this parameter on force generation. We performed simulations in which the reference value of nH was increased and decreased by 1.0. We described the qualitative and quantitative effect on the time course and amplitude of a twitch, submaximal force and the force-frequency relationship, and relative force summation.
2.4.5 Lower free Ca2+ concentration & lower Ca2+ sensitivity (pCa50) in concert
Because the force-pCa relationship is sigmoidal in form, force at near-maximal Ca2+ concentrations is practically insensitive to shifts in Ca2+ sensitivity. A deficit in maximum force generation may only arise when Ca2+ concentration and Ca2+ sensitivity decrease concomitantly. Accordingly, we reduced the instantaneous Ca2+ concentration by 30 or 50% whilst lowering pCa50 by 0.05 or 0.10 pCa units, consistent with our previous manipulations of Ca2+ concentration and Ca2+ sensitivity. We described the qualitative effect of concurrent reductions in Ca2+ concentration and Ca2+ sensitivity on submaximal force and the force-frequency relationship, and quantified the effect on maximal force.
2.4.6 Lower Ca2+ release & slower Ca2+ uptake (τ 2) in concert
It is unclear from recordings of intracellular Ca2+ transients whether impaired Ca2+ release and slowed Ca2+ uptake occur in parallel and the extent to which they may offset one another (González et al. 2003; Andersson et al. 2011; Eshima et al. 2020). Accordingly, we reduced Ca2+ release by 30% and the rate constant of Ca2+ uptake by 40 (67% increase in τ2) in concert. Reductions of equal amount would not alter steady-state Ca2+ in the model relative to the control condition. We described the qualitative effect of lower Ca2+ release and slower Ca2+ uptake on submaximal force and the force-frequency relationship.
2.4.7 Lower Ca2+ sensitivity (pCa50) and slower Ca2+ uptake (τ 2) in concert
On the basis that slower Ca2+ uptake will increase free Ca2+ concentration, thereby increasing force, whereas lower Ca2+ sensitivity will act to decrease force, we examined the effect of these two adaptations acting concomitantly. Specifically, we incorporated both a 30% reduction in the rate constant for Ca2+ removal (43% increase in τ2) and a 0.1 pCa unit reduction in Ca2+ sensitivity (pCa50) and described the qualitative effect on the force-frequency relationship.
2.4.8 Maximum velocity of shortening (V max)
Comparatively, the intrinsic speed of shortening has been extensively studied in young and old muscle fibres from humans and rodents. For both groups, and for both fibre types, the effect of age is inconsistent. Several studies have demonstrated slowing of either or both type I and type II human fibres (Krivickas et al. 2001; D’Antona et al. 2003; Ochala et al. 2007; Yu et al. 2007; Power et al. 2016; Brocca et al. 2017), but just as many studies have found no age effect (Trappe et al. 2003; Claflin et al. 2011; Sundberg et al. 2018; Teigen et al. 2020; Grosicki et al. 2021; Mazara et al. 2021). Similarly, a lower maximal shortening velocity has been demonstrated for aged type I and type II fibres from rodents (Degens et al. 1998; Thompson and Brown 1999; Kim and Thompson 2013), but not in every instance (Eddinger et al. 1986; Brooks and Faulkner 1994; Zhong et al. 2006; Kim and Thompson 2013). Muscle inactivity in advanced age may minimize or negate the effect of age on Vmax (Thompson et al. 1998; D’Antona et al. 2003; Kim and Thompson 2013), although there is evidence to the contrary (Grosicki et al. 2021). The deficit in maximal shortening velocity reported for human muscle fibres ranges from ~ 7–46% (Larsson et al. 1997; Krivickas et al. 2001; Claflin et al. 2011; Power et al. 2016) but is most often ~ 15–25% (Larsson et al. 1997; Krivickas et al. 2001; D’Antona et al. 2003; Ochala et al. 2007; Yu et al. 2007; Brocca et al. 2017). The slowing of intrinsic shortening speed tends to be more pronounced for rodent muscle fibres; three of the four identified instances of slowing represent a deficit of 32–50% (Degens et al. 1998; Thompson and Brown 1999; Kim and Thompson 2013). Accordingly, we incorporated reductions in intrinsic shortening speed of 30 or 50% and described the qualitative and quantitative effect on the time course and amplitude of a twitch and brief tetanic contraction.
The curvature of the force–velocity relationship (i.e. a/P0) does not appear to be altered in aged fibres that do not exhibit a reduction in Vmax (Brooks and Faulkner 1994; Trappe et al. 2003). To our knowledge, a/P0 has not been quantified for aged fibres exhibiting a reduction in Vmax. However, because a/P0 differs markedly between fibre types—human type IIa fibres compared to type I fibres exhibit a two-fold greater value of a/P0—(Bottinelli et al. 1996; Widrick et al. 1996; Gilliver et al. 2009)—we deemed it important to illustrate the effect of this parameter on force development. We performed simulations in which the reference value of a/P0 was increased by 0.05 (50%). We described the qualitative effect on the time course and amplitude of a twitch and brief tetanic contraction. We did not incorporate reductions in a/P0 because the model was unable to simulate the twitch measured experimentally with a more realistic value for muscle at physiological temperatures [model: 0.10; mouse soleus: 0.18 (Luff 1981); rat soleus: 0.22–0.26 (Ranatunga and Thomas 1990; Ranatunga 1998)].
2.4.9 SEE stiffness
The general effect of age on tendon stiffness appears to be distinct for humans compared to certain animal models of ageing. The weight of evidence from in vivo human studies favours an age-associated reduction in tendon stiffness and elastic modulus (see McCrum et al., 2018). Though some studies have found tendon loading behaviour to be unchanged (Carroll et al. 2008; Couppé et al. 2012), no human studies appear to have reported an age-related increase in tendon stiffness. A recent review reported median reductions in stiffness and elastic modulus of 20% and 28%, respectively (McCrum et al. 2018). However, age-related deficits may be as high as 30–55% (Karamanidis and Arampatzis 2006; Onambele et al. 2006; Stenroth et al. 2012; Csapo et al. 2014). Moreover, relative to old adults (> 65 years), very old adults (> 83 years) can exhibit marked reductions (35–40%) in tendon stiffness and elastic modulus (Eriksen et al. 2018).
In contrast to humans, hindlimb tendons of rodents in advanced age regularly exhibit higher stiffness or elastic modulus (Wood et al. 2011; Danos et al. 2016; Wood and Brooks 2016; Leahy et al. 2022). The magnitude of the increase is typically close to 50%. A number of studies have also reported no ageing effect (Nakagawa et al. 1996; Pardes et al. 2017); fewer have reported an age-related reduction (LaCroix et al. 2013). The variable nature of tendon mechanics in advanced age may be partially explained by methodological approach, age at measurement, ageing-associated inactivity, species, and muscle function (Svensson et al. 2016; McCrum et al. 2018).
We incorporated both a reduction in normalised SEE stiffness of 30% and an increase in normalised stiffness of 50%. We described the qualitative and quantitative effect of SEE stiffness on the time course and amplitude of a twitch and brief tetanic contraction.
2.4.10 Type I fibre fractional area (i.e., MHC I fibre content)
Several human and rodent studies have reported an ageing-related increase of 0.10–0.20, or greater (Brocca et al. 2017), for fractional MHC I content or fractional area occupied by type I fibres (Larsson et al. 1978; Klitgaard et al. 1990b; Kadhiresan et al. 1996; Short et al. 2005; Cui et al. 2008; Nilwik et al. 2013; Sonjak et al. 2019; Soendenbroe et al. 2022). Smaller shifts have also been reported (Sullivan et al. 1995; Hunter et al. 1999). We approximated the effect of this adaptation by considering fibre type-related differences in Ca2+ removal rate, Ca2+ sensitivity and cooperativity, and Vmax, and by adjusting composite parameter values according to an increase in type I fibre fractional area. Fibre type-specific values and composite relationships were derived from the whole muscle control values by assigning weightings based on the fractional cross-sectional area of type I and II fibres and assigning fibre type-related differences in each property (Wakeling et al. 2012). Fibre type-specific and composite parameter values were determined according to the following expression:
where x is the fibre type-specific parameter value, p is relative fibre content, xwhole is the whole muscle parameter value, and y is the fibre type-related difference or offset. Some empirical observations support this approach. Single fast and slow fibres arranged in parallel exhibit an intermediate force-pCa relationship generally consistent with a theoretical composite relationship based on fractional fibre type content (Lynch et al. 1995). In contrast to some methods (Zajac 1989; Claflin and Faulkner 1989; Ranatunga and Thomas 1990), our approach assumes some degree of attenuation of shortening speed at loads where whole muscle velocity exceeds the Vmax assigned to type I fibres, which is generally consistent with observations that inactive muscle depresses the speed of shortening (Hatcher and Luff 1987; Holt et al. 2014).
The total MHC isoform content or fractional area occupied by type I fibres is approximately 50 and 65% for the gastrocnemius and soleus muscles, respectively (Edström and Nyström 1969; Green et al. 1981; Coggan et al. 1992; Harridge et al. 1996, 1998). Thus, given that the combined physiological cross-sectional area (PCSA) of the lateral and medial gastrocnemius muscles represents ~ 38% of the total PCSA of the triceps surae (Morse et al. 2005; Albracht et al. 2008; Crouzier et al. 2018), it is estimated that the total type I fibre area of the triceps surae is ~ 60% (i.e. 0.60). Type I fibres, compared to type II fibres, were assumed to exhibit the following differences: Ca2+ removal rate constant 50% slower (Carroll et al. 1997; Liu et al. 1997; Baylor and Hollingworth 2003; Calderón et al. 2010); Ca2+ sensitivity (pCa50) 0.15 pCa units greater and nH 40% lower (Stephenson and Williams 1981; Fink et al. 1986, 1990; Ruff 1989; Laszewski-Williams et al. 1989; Gardetto et al. 1989; Ruff and Whittlesey 1991; Plant and Lynch 2001; Gregorevic et al. 2004; Hvid et al. 2013; Xu et al. 2017; Lamboley et al. 2020); Vmax 70% slower (Larsson and Moss 1993; Bottinelli et al. 1996; Harridge et al. 1996; Widrick et al. 2002; Trappe et al. 2003; Yu et al. 2007; Luden et al. 2008; Sundberg et al. 2018; Teigen et al. 2020). Note that much variability exists for the force-pCa relationships of type I and type II fibres.
After increasing the fractional area of type I fibres by 0.10 and 0.20, from 0.60 to 0.70 and 0.80, respectively, and incorporating adjusted values of τ2, pCa50, nH and Vmax, we described the qualitative and quantitative effect on the contraction time and half-relaxation time of the twitch, and on submaximal force and the force-frequency relationship.
2.5 Model optimisation to simulate plantar flexion twitch of old men
The parameters of the model were adjusted to simulate the plantar flexion twitch of old men. The optimisation approach was similar to that used initially, except parameter limits were imposed consistent with the directionality of impairment. We also incorporated a force-generating capacity (FGC) parameter—analogous to muscle PCSA—to allow twitch force to be lower in advanced age, which we observed experimentally. We assumed that the deficit in twitch force is owing, at least in part, to muscle atrophy (Narici et al. 2003; Morse et al. 2005; Thom et al. 2007). The magnitude of a given parameter adjustment was compared to the parameter change incorporated to simulate age-related adaptation reported in the literature.
3 Results
3.1 Model optimisation to simulate plantar flexion twitch of young men
Force during simulated and experimental twitches are shown in Fig. 2. The time course of force rise and decay are matched well, with both the contraction time and half-relaxation time of the simulated twitch being identical to the values measured experimentally for young men (inset Fig. 2). All model parameters used in simulations of young muscle (i.e., control condition) are reported in Table 1. Unless specified otherwise, all simulated fixed-end contractions were performed at an initial CE length of 1.23 L0 and force displayed in figures represents active CE force. This initial length for a maximal tetanic contraction resulted in a final CE length—after shortening against the stretch of the SEE—on the plateau of the force–length relationship.
3.2 Ca2+ handling and thin filament activation
3.2.1 Instantaneous Ca2+ concentration
Reducing the instantaneous free Ca2+ concentration by either 30 or 50% dramatically lowered twitch force and abbreviated the rise and decay of twitch force (Fig. 3b, inset). Substantial force loss was also evident during sustained stimulation at submaximal frequencies, as shown by the marked rightward shift of the force-frequency relationship (Fig. 3d, e). There was a pronounced deficit in force for frequencies yielding calcium concentrations situated on the steep region of the force-pCa relationship (Fig. 3e, f). In contrast, maximum tetanic force was only modestly affected by the imposed reductions in free Ca2+ concentration (Fig. 3e, f). During 200 Hz stimulation, the 50% reduction in Ca2+ availability only lowered cross-bridge activation to 97%. Because submaximal force was disproportionately affected, reduced Ca2+ availability lowered the ratio of twitch-to-tetanic force.
3.2.2 Ca2+ uptake
Decreasing the rate constant of Ca2+ decay by 30% to slow the removal of Ca2+ increased twitch force by 12% (elevating the ratio of twitch-to-tetanic force) and prolonged the contraction time and half-relaxation time by 25% and 38%, respectively (Fig. 4b, inset). Slowing Ca2+ uptake by 50% increased the size of these effects. Slower Ca2+ removal during sustained stimulation resulted in greater calcium accumulation (Fig. 4c), which caused force at submaximal frequencies to increase dramatically (Fig. 4d), as illustrated by the leftward-shifted force-frequency relationships (Fig. 4e).
3.2.3 Calcium sensitivity (pCa50)
Reducing the Ca2+ sensitivity of force by shifting the force-pCa relationship rightward 0.05 pCa units reduced twitch force by 16% and abbreviated the twitch contraction time and half-relaxation time by 11 and 5%, respectively (Fig. 5b, inset). Lowering Ca2+ sensitivity by 0.10 pCa units resulted in additional force attenuation and an even briefer contraction. Reduced Ca2+ sensitivity also decreased force during stimulation at submaximal stimulation frequencies (< 50 Hz) such that the force-frequency relationship was shifted rightward (Fig. 5c). Force loss was greatest for frequencies that encompassed the steep region of the force-pCa relationship and increased in proportion to the reduction in Ca2+ sensitivity. Maximum tetanic force was unaffected by the imposed reductions in Ca2+ sensitivity; no force loss was evident for 100 or 200 Hz stimulation. Relative force summation—illustrated as the force during a brief tetanic contraction (50 ms, 100 Hz) expressed relative to twitch force (Fig. 5d, inset)—was higher following the reduction in Ca2+ sensitivity, though there remained a deficit in tetanic force.
3.2.4 Cooperativity of activation (n H)
Decreasing nH, or cooperativity, from 3 to 2 to reduce the slope of the force-pCa relationship increased twitch force by 11% and prolonged the twitch contraction time and half-relaxation time by 26 and 44%, respectively (Fig. 5f, inset). Lowering cooperativity also reduced the slope of the force-frequency relationship such that force was slightly greater at low frequencies but considerably lower at moderate and high frequencies of stimulation (Fig. 5g); increasing cooperativity had the opposite effect. Again, maximum tetanic force was largely unaffected by altering cooperativity. A small deficit (2%) in maximum cross-bridge activation level arose when cooperativity was lowered. As such, reducing cooperativity increased the ratio of twitch-to-tetanic force, whereas increasing cooperativity reduced this ratio. Similarly, lowering cooperativity also reduced relative force summation (Fig. 5h, inset). Despite twitch force being 20% (0.04 P0) greater for a nH of 2 compared to a nH of 4, peak force during the brief tetanic contraction (50 ms, 100 Hz) was 12% (0.06 P0) lower for the former compared to the latter (Fig. 5h).
3.2.5 Lower Ca2+ concentration & lower Ca2+ sensitivity in concert
Reducing Ca2+ concentration and Ca2+ sensitivity in concert lowered force dramatically at submaximal stimulation frequencies but only slightly reduced maximum tetanic force (Fig. 6b, c). Reducing Ca2+ availability by 30% and lowering pCa50 by 0.05 pCa units merely reduced the cross-bridge activation level to 98% during 200 Hz stimulation (Fig. 6b). Even when calcium concentration and calcium sensitivity were concurrently reduced by 50% and 0.10 pCa units, respectively, cross-bridge activation (Act) still exceeded 92% during 200 Hz stimulation (Fig. 6c). For 100 Hz stimulation, the steady-state Ca2+ concentration was 29% lower compared to 200 Hz. As such, there was a more significant reduction in cross-bridge activation level during 100 Hz stimulation when a 50% reduction in Ca2+ concentration was imposed and Ca2+ sensitivity was concurrently reduced by 0.05 (Act = 87%) or 0.10 pCa (Act = 82%) units (Fig. 6c). Figure 6d illustrates how the sigmoidal form of the force-pCa relationship limits the effect of an imposed reduction in Ca2+ concentration on maximum tetanic force, even when the Ca2+ sensitivity of force is reduced by 0.1 pCa units.
3.2.6 Slower Ca2+ uptake and lower Ca2+ release or lower Ca2+ sensitivity in concert
The pronounced deficit in steady-state force at low and moderate stimulation frequencies that resulted from a 30% reduction in Ca2+ release (Fig. 3e) was more than balanced by concurrently decreasing the rate constant for Ca2+ uptake by 40% (Fig. 7b, c). The reduction in Ca2+ release caused force to be lower at the beginning of the contraction, as is evident when twitch force is compared (Fig. 7b); however, the slower rate of Ca2+ removal allowed Ca2+ to accumulate to a higher steady-state concentration (Fig. 7a). A similar compensation effect occurred when Ca2+ uptake rate was reduced by 30% whilst Ca2+ sensitivity was lowered by 0.10 pCa units. During a twitch and at very low stimulation frequencies, lower Ca2+ sensitivity reduced force (Fig. 7e, f). At faster frequencies, the increase in Ca2+ concentration more than compensated for the reduction in Ca2+ sensitivity, shifting the force-frequency relationship leftward (Fig. 7e, f).
3.3 CE-SEE interaction
3.3.1 Maximum velocity of shortening (V max)
Because the CE shortens against the stretch of the SEE during force development (see Fig. 8c inset), reducing Vmax by 30% reduced twitch force by 12% and increased twitch contraction time by 13%; twitch half-relaxation time was practically unaltered (Fig. 8b, inset). A similar effect was observed for a brief tetanic contraction (50 ms, 100 Hz) following a 30% reduction in Vmax (Fig. 8c). Lowering Vmax by 50% increased the loss of force and further prolonged the rise of force. Brief tetanic contractions were performed at an initial CE length of 1.0 L0, illustrating that the reductions in peak force with decreasing Vmax arise despite more favourable final CE lengths—greater force arises from greater shortening against the stretch of the SEE (Fig. 8c inset). Increasing a/P0 produced qualitatively similar results for twitch and tetanic contractions as increasing Vmax (Fig. 8).
3.3.2 SEE stiffness (k SEE)
Reducing SEE stiffness by 30% prolonged twitch contraction time by 13% and attenuated twitch force by 9%. Conversely, increasing SEE stiffness by 50% abbreviated twitch rise time by 14% and increased twitch force by 9% (Fig. 8e). The attenuation or improvement of the rate of force development and peak force during a brief contraction was not the result of less or more favourable CE operating lengths, which were restricted to the descending limb of the force–length relationship. For brief tetanic contractions performed at an initial CE length of 1.23 L0, peak force was greatest for the stiffer SEE condition, even though the average operating length of the CE was less favourable (Fig. 8f, inset).
3.3.3 V max & SEE stiffness interaction
Decreasing Vmax by 50%, from 6 to 3 L0·s−1, had a more modest effect on peak twitch force when SEE stiffness was adjusted to give normalised SEE deformations of less than 8% (compare Fig. 9b and 8b). At 3.33% (i.e., 30 P0·L0−1), twitch force was 13% (0.05 P0) lower (Fig. 9b). In contrast, reducing Vmax by 50% lowered twitch force (at a comparable initial CE length) by 26% (0.06 P0) when normalised SEE deformation was 30% [i.e., 3.33 P0·L0−1 (Fig. 8b). The greater effect of intrinsic shortening speed on force development with decreasing SEE stiffness was independent of differences in force-generating potential related to CE length (Fig. 9c).
3.4 Type I fibre fractional area
Adjusting the rate constant of Ca2+ decay, the force-pCa relationship, and Vmax to reflect a fractional increase in type I fibre area resulted in elevated twitch force and prolonged force rise and decay during a twitch (Fig. 10). Specifically, increasing the type I fibre area from 0.60 to 0.70 increased the twitch contraction time and half-relaxation time by 17 and 15%, respectively (Fig. 10d, inset). The slowing effect increased to 37 and 33% when type I fibre area was increased to 0.80. Both adjustments of type I fibre fractional area increased force at submaximal stimulation frequencies (Fig. 10e), with the latter causing the greatest leftward shift of the force-frequency relationship (Fig. 10f).
3.5 Model optimisation to simulate plantar flexor twitch of old men
The plantar flexor twitch of older men was of a lower amplitude (18%) and exhibited a prolonged contraction time (25%) and prolonged half-relaxation time (29%) compared to young adult men (Table 2, Fig. 11a). The weaker, slower twitch in advanced age was well-simulated by the model with ageing-realistic adjustments to a few parameters (Fig. 11b, c). To emulate the time course and relative amplitude of the twitch exhibited by older men, which was possible with multiple parameter combinations, required significant slowing of Ca2+ uptake rate (~ 25%, Table 3). Because slowing the uptake of Ca2+ prolonged the duration of the Ca2+ transient, which increased twitch force, it was possible for the reduction in force-generating capacity (23%) to exceed that of the reduction in twitch force (18%) despite additional force loss from reductions in Vmax and SEE stiffness (Table 3). A smaller reduction in force-generating capacity (15%) was possible with the addition of modest reductions in Ca2+ release and Ca2+ sensitivity, which had to be balanced by further slowing of Ca2+ uptake. Incorporating slower Ca2+ uptake produced a leftward shift of the force-frequency relationship (Fig. 11c inset).
4 Discussion
Ca2+ transportation and calcium-activated force are perturbed in advanced age. Model simulations in the current work show that imposing literature-informed deficits in free Ca2+ concentration or Ca2+ sensitivity of force results in a substantial loss of submaximal force and a slow-to-fast shift in several indices of contraction speed. Their combined effect is especially dramatic. Imposing slowed Ca2+ reuptake had the opposite effect on contractile performance, increasing twitch force and the ratio of twitch-to-tetanic force, prolonging the duration of contraction, and shifting the force-frequency leftward. Simulations estimating the effect of a fractional increase in type I fibre area produced the same outcomes, although to a lesser extent. It is difficult to find support from human or animal studies for a slow-to-fast shift in contraction speed mediated by ageing in either single muscle fibres or whole muscle. Rather, the contractile properties of muscle in advanced age are understood to be defined by slowing (reviewed by Hunter et al., 1998, 2016; Larsson et al., 2018)—twitch contraction time and half-relaxation time are longer (e.g. Vandervoort and McComas, 1986), tetanic force decay is slower (e.g. Tevald et al., 2009), and the force-frequency relationship is shifted to lower frequencies (e.g. Brooks and Faulkner, 1988). As such, incorporating slower Ca2+ removal, or a combination of slower Ca2+ removal, greater Ca2+ sensitivity, lower cooperativity, and slower intrinsic shortening speed—to reflect an increase in type I fibre content—emulated many aspects of contractile performance frequently reported in advanced age.
4.1 Ca2+ uptake
The extent to which the rise and decay of twitch force were prolonged by slowing Ca2+ removal was consistent with experimental observations of slowed twitch speed in advanced age (Vandervoort and McComas 1986; Brooks and Faulkner 1988; Larsson and Salviati 1989; Hicks et al. 1991; Alway 1995; Connelly et al. 1999). In fact, the predictions were comparable to experimental data of the association between slowed SR Ca2+ uptake activity and twitch speed (Narayanan et al. 1996). For the soleus muscle of old rats, a 52% deficit in SR Ca2+ uptake activity was accompanied by a 28 and 48% increase in twitch contraction time and half-relaxation time, respectively (Narayanan et al. 1996). When we imposed a 30% decrease in the rate constant for Ca2+ uptake, twitch contraction time and half-relaxation time increased by 25 and 38%. At 50%, slowing of the twitch, and the associated increase in submaximal force, far exceeded typical ageing-related slowing. To our knowledge, intracellular Ca2+ transients during twitches in young and old muscle have been compared in terms of amplitude but not half-width or rate of decay (González et al. 2003; Eshima et al. 2020). It would be advantageous for the model to incorporate the extent of slowing observed for the decay phase of the Ca2+ transient in a contracting fibre rather than the reduction in Ca2+ uptake rate demonstrated for an isolated SR vesicle or muscle homogenate.
Slower Ca2+ removal increased twitch force and, therefore, increased the ratio of twitch-to-tetanic force. Consistent with the model simulations, twitch force and twitch rise time are inversely related to the decay rate constant of the intracellular Ca2+ transient in single fibres (Sun and Edman 1996). Maintenance of twitch force despite a considerable deficit in maximum force or a higher ratio of twitch-to-tetanic force are commonly reported in advanced age (Carlsen and Walsh 1987; Pettigrew and Gardiner 1987; Hicks et al. 1991; van Schaik et al. 1994; Brown and Hasser 1996; Connelly et al. 1999; Klass et al. 2005; Moran et al. 2005). Slower Ca2+ removal, by prolonging the duration for which the contractile apparatus is exposed to Ca2+ during a twitch, may partially offset or completely compensate for intrinsic processes that facilitate force loss, such as lower free Ca2+ concentration and lower Ca2+ sensitivity.
For contractions at submaximal stimulation frequencies, slower Ca2+ removal led to greater steady-state Ca2+ availability, which resulted in higher forces and a leftward shift of the force-frequency relationship. An age-related shift of the force-frequency relationship toward lower frequencies is a common observation for both human (Narici et al. 1991; Roos et al. 1999; Allman and Rice 2004; Tevald et al. 2009) and animal skeletal muscle (Larsson and Edström 1986; Brooks and Faulkner 1988; Alway 1995; González et al. 2000; Moran et al. 2005). Generally, elevated force generation at submaximal frequencies is accompanied by an increase in twitch contraction time, half-relaxation time, or both. Because altered activation dynamics causing prolonged force rise and decay result in a slower fusion frequency, it is not surprising that aged muscles exhibiting normal twitch speed tend not to exhibit elevated relative force at submaximal frequencies (Walters et al. 1990; González et al. 2000; Dalton et al. 2010a; Elliott et al. 2016). Simulations incorporating a large reduction in Ca2+ sensitivity or moderate impairment of Ca2+ release in concert with slower Ca2+ uptake indicate that an ageing-appropriate increase in submaximal force may still be possible if these alterations coexisted. It seems less likely that a leftward shift of the force-frequency relationship would arise if SR Ca2+ release was greatly impaired, especially if the impairment occurred in concert with lower Ca2+ sensitivity or was only balanced by a modest slowing of SR Ca2+ uptake.
A limited number of studies have recorded intracellular Ca2+ transients in contracting fibres from young and old muscles, fewer have examined a twitch or employed a range of submaximal stimulation frequencies, and none appear to have studied slow twitch fibres or examined the decay of the intracellular Ca2+ transient (González et al. 2003; Andersson et al. 2011; Umanskaya et al. 2014; Eshima et al. 2020). Nonetheless, these studies support the view that impaired SR Ca2+ leads to lower free Ca2+ concentrations during both submaximal and maximal contractions. Therefore, because the free Ca2+ concentration reflects the net effect of Ca2+ release and removal processes, these observations suggest that impaired SR Ca2+ uptake is not a universal outcome, presents at a more advanced age with respect to impaired SR Ca2+ release, or is only capable of minimising the deficit in free Ca2+ concentration caused by impaired Ca2+ release. According to the model predictions, for slower contraction speed to arise in the presence of a lower free Ca2+ concentration, there would need to be considerable involvement from an alternative mechanism. Future work should be directed at establishing whether impaired SR Ca2+ release and slower SR Ca2+ uptake coexist, how they interact, or why submaximal force in advanced age isn’t disproportionately lower given the large deficit in free Ca2+ concentration and possible exacerbation by lower Ca2+ sensitivity.
4.2 Type I fibre fractional area
Simulating an elevated fractional area of type I fibres also produced an appropriate level of slowing. For simulations incorporating a fractional increase of 0.1 or 0.2, the relative increases in twitch contraction time and twitch half-relaxation time, and of normalised force at submaximal stimulation frequencies, were similar to the age effect reported by some studies (Fitts et al. 1984; Davies et al. 1986; Roos et al. 1999; Connelly et al. 1999). Greater age-related prolonging of the contraction time and/or half-relaxation time, a more pronounced shift in the force-frequency relationship, or both (Vandervoort and McComas 1986; Brooks and Faulkner 1988; Alway 1995; Narayanan et al. 1996; Baudry et al. 2005; McNeil et al. 2005; Dow et al. 2005), may indicate that our weighting approach was not entirely effective or that the imposed fibre type differences were too conservative. Alternatively, the greater magnitude of slowing demonstrated by these studies may implicate an additive effect or the sole involvement of slower Ca2+ uptake (Narayanan et al. 1996); simulations of the latter produced larger effects.
Slowed SR Ca2+ uptake rate has not been consistently demonstrated in advanced age, at least not for rat muscles (Fitts et al. 1984; Larsson and Salviati 1989; Narayanan et al. 1996; Thomas et al. 2010; Russ et al. 2014). Comparatively, greater evidence can be found to support an elevated fractional area of type I fibres (Coggan et al. 1992; Kadhiresan et al. 1996; Cui et al. 2008; Elliott et al. 2016), especially for the human vastus lateralis muscle (Larsson et al. 1978; Klitgaard et al. 1990a; Hunter et al. 1999; Short et al. 2005; Korhonen et al. 2006; Nilwik et al. 2013; Lamboley et al. 2015; Brocca et al. 2017; Sonjak et al. 2019; Soendenbroe et al. 2022). In some instances, the fast-to-slow shift in MHC isoform content may manifest as a reduction in MHC IIb content and an increase in MHC IIa or hybrid MHC isoforms (Hepple et al. 2004; Cui et al. 2008). Myosin isoform composition correlates strongly with whole muscle performance (Ranatunga and Thomas 1990; Harridge et al. 1996). Slower contractile properties in advanced age have been associated with a greater fractional content of MHC I (Klitgaard et al. 1990a; Korhonen et al. 2006), demonstrated in the absence of slowed SR Ca2+ uptake (Larsson and Salviati 1989), and observed without slower Ca2+ removal being the rate-limiting process (Hunter et al. 1999). Our simulations add weight to this body of evidence—fibre-type related differences in contraction speed appear sufficient for a moderate-to-large age-related increase in type I fibre content to account for empirical observations of slowed whole muscle contraction speed.
4.3 Ca2+ sensitivity and free Ca2+ concentration
Lower Ca2+ sensitivity of force and excitation-SR Ca2+ release decoupling are thought to play a role in the age-related decline of muscle specific force (Delbono et al. 1995; González et al. 2003; Andersson et al. 2011; Lamboley et al. 2015). The model predictions suggest that the deficits in free Ca2+ concentration and Ca2+ sensitivity reported in the literature, despite dramatically reducing force at submaximal stimulation frequencies, are insufficient to appreciably lower maximum tetanic force (< 5%). Our findings are supported by experimental observations from studies of dantrolene exposure (Krarup 1981; Macintosh et al. 2011) and low-frequency fatigue (Westerblad et al. 1993; Chin and Allen 1996; Glass et al. 2018; Olsson et al. 2020). For example, dantrolene partially inhibits SR Ca2+ release (Desmedt and Hainaut 1977), inducing moderate reductions in twitch force (27–53%) or shifting the force-frequency relationship rightward without appreciable, if any, tetanic force loss [0–6% (Krarup 1981; Macintosh et al. 2011)].
Of course, a greater deficit in maximum force would arise if the designation of thin filament activation (i.e., cross-bridge activation) during maximum tetanic stimulation was greatly overestimated in the model. This assertion would imply that maximum tetanic stimulation does not induce saturating Ca2+. However, our designation seems appropriate because tetanic force plateaus with increasing stimulation frequency despite an increasing free Ca2+ concentration (Westerblad and Allen 1993; Glass et al. 2018, 2020). Similarly, several studies demonstrate that tetanic forces with and without caffeine—which potentiates SR Ca2+ release—can be virtually identical, if not equal (Lannergren and Westerblad 1991; Westerblad and Allen 1991; Glass et al. 2018; Olsson et al. 2020).
Thin filament activation is also worth considering from the perspective of voluntary muscle excitation. Motor unit discharge rates during a maximal voluntary contraction are considerably lower than the stimulation rate required for muscle maximal tetanic force (Roos et al. 1999; Dalton et al. 2010a; Kirk and Rice 2016). Asynchronous stimulation, by minimising the oscillation of fibre length against series elasticity (Sandercock 2006), can elevate force at low and intermediate stimulation frequencies without reducing the frequency required for maximal tetanic force (Rack and Westbury 1969). As such, the discrepancy could infer submaximal thin filament activation during a volitional effort. Voluntary muscle activation isn’t easily quantified (Horstman 2009), and raising single fibre force from just 0.95 to 1.0 P0 can require a near two-fold increase in stimulation frequency and free Ca2+ concentration (Glass et al. 2018). If voluntary activation were submaximal, even only slightly, maximal voluntary contraction force would be lowered dramatically by a reduction in free Ca2+ concentration or Ca2+ sensitivity.
This notion must be viewed with caution, however, because Lind and Petrofsky (1978) found that the entire force-frequency relationship could indeed be shifted to lower frequencies through asynchronous stimulation. Thus, the differences between the two modes of excitation appear to be more complex than appreciated. Nonetheless, the force-frequency relationship of the model, where force is 0.95 P0 at 50 Hz, is generally consistent with relationships established for human muscle groups in vivo (Marsh et al. 1981; Davies et al. 1982; Roos et al. 1999; Allman and Rice 2004) and animal studies of predominantly slow muscle at physiological temperatures (Ranatunga 1982; Larsson and Edström 1986).
A more significant deficit in maximum tetanic force (8%) arose when free Ca2+ concentration and Ca2+ sensitivity were lowered in concert by 50% and 0.10 pCa units, respectively. However, these modifications represent the upper limit of the age effect for Ca2+ sensitivity and Ca2+ availability reported in the literature. It’s possible that moderate ageing-related reductions in Ca2+ availability or Ca2+ sensitivity may compromise tetanic specific force when Ca2+ sensitivity is lowered further by reducing fibre length (Stephenson and Williams 1982; Martyn and Gordon 1988; Balnave and Allen 1996), decreasing muscle temperature (Maughan et al. 1995; Debold et al. 2006; Nelson and Fitts 2014) or inducing fatigue, which also impairs SR Ca2+ release (Westerblad and Allen 1991, 1993).
Although there are concurrent measurements of free Ca2+ and force from intact single fibres (González et al. 2003), as well as combined measurements from single fibres and whole muscle (Andersson et al. 2011; Umanskaya et al. 2014), respectively, that implicate impaired SR Ca2+ release as an important determinant of the age-related deficit in specific force, it is unlikely that this mechanism is wholly responsible. Specific force remains lower for old compared to young intact single fibres after caffeine administration, which mitigates the age-related deficit in free Ca2+ concentration (González et al. 2003). Corroborating this finding are numerous studies using skinned fibres from young and old muscle (Lowe et al. 2002; D’Antona et al. 2003; Zhong et al. 2006; Yu et al. 2007; Kim and Thompson 2013; Hvid et al. 2013; Lamboley et al. 2015), some of which demonstrated a deficit in specific force of 25% or more (Thompson and Brown 1999; Frontera et al. 2000; Lowe et al. 2001; Ochala et al. 2007; Power et al. 2016; Brocca et al. 2017). These bodies of work, along with our findings, suggest that a substantial proportion of the deficit in tetanic specific force exhibited by intact single fibres, as well as whole muscle, is independent of lower tetanic free Ca2+ concentration. Although, as we have illustrated, the latter may exert a more considerable effect when accompanied by a moderate-to-large reduction in Ca2+ sensitivity.
4.4 CE-SEE interaction
In addition to activation dynamics, force development is regulated by the intrinsic speed of shortening and the stiffness of the SEE being acted upon by the CE (Hill 1938; Edman and Josephson 2007). Incorporating ageing-related reductions in Vmax and SEE stiffness slowed and prolonged the rise of force. During a twitch or brief tetanic contraction, both modifications also attenuated peak force. The effect on force development of a given reduction in intrinsic shortening speed depended on SEE stiffness, being more modest for low normalised SEE compliances (< 8%), suggesting that force rise during a twitch of a single fibre may not be appreciably affected by a slower Vmax. The current work supports the involvement of slower intrinsic shortening speed and higher SEE compliance as factors contributing to prolonged and slower force rise in advanced age, although consideration may need to be given to the muscle preparation. Elevated tendon stiffness, conversely, would likely act to offset factors causing force development to be slowed or twitch force to be attenuated.
The simulations with altered SEE stiffness are generally consistent with experimental work with added compliance (Hill 1951; Brown and Matthews 1960; Bawa et al. 1976; Mayfield et al.2016b) and where active shortening has been limited by means of a small muscle stretch (Hill 1949; Griffiths 1991; Sawicki and Roberts 2009; Mayfield et al. 2016a). Our findings also appear to be quantitively appropriate, although there is limited information to draw upon. We found that 33 (5 vs. 3.33 P0·L0−1) and 53% (5 vs. 2.33 P0·L0−1) reductions in normalised SEE stiffness reduced twitch force by 16 and 29%, respectively. Cat soleus twitch force was reduced by 35–40% (Bawa et al. 1976) following the addition of a spring that we estimate reduced the in-series stiffness by ~ 87% [isometric twitch force: ~ 5 N; spring stiffness: ~ 1.52 N·mm-1; tendon stiffness from spindle null method at 5 N: ~ 10 N·mm-1 (Rack and Westbury 1984)].
We found that twitch force and contraction time were similarly affected by increased SEE compliance. However, empirical measurements show that the reduction in force mediated by added compliance is more pronounced compared to the associated delay in peak force, and that the latter may not increase in proportion to the former (Hill 1951; Bawa et al. 1976; Mayfield et al. 2016b). Modest delays in peak force in response to a large amount of added compliance may relate to the effects of length or active shortening on factors such as cross-bridge kinetics (Fenwick et al. 2021), Ca2+ sensitivity of force (Stephenson and Williams 1982; Martyn and Gordon 1988), and force depression (Joumaa et al. 2012). With this observation in mind and the fact that imposing lower SEE stiffness prolonged the twitch contraction time by just 13%, it appears that this adaptation may not be an important determinant of twitch rise time.
Importantly, neither adaptation produced other facets of slowed contractile speed, such as slower force decay or elevated force at submaximal stimulation frequencies. Whilst the effect of added compliance on force decay is inconsistent and only modest (Bawa et al. 1976; Mayfield et al. 2016b), slower force decay should accompany a slower intrinsic shortening speed, especially at intermediate loads (Jones et al. 2006). Ignoring a dramatic change in SEE stiffness, which would bring force–length effects and possibly length-dependent Ca2+ sensitivity into play, a shift in the force-frequency relationship must arise from factors affecting Ca2+ concentration and calcium-activated force. Greater compliance and slower intrinsic shortening may minimise force oscillations or increase the apparent degree of fusion without affecting average force.
4.5 Model simulation of age effect observed for experimental twitch data
The age-related prolonging of force rise and decay during a twitch observed for the plantar flexors in this study was within the range of slowing reported by others for the same muscle group (Davies et al. 1986; Vandervoort and McComas 1986; Simoneau et al. 2005; Dalton et al. 2009, 2010b). Simulating this age-related shift in twitch contraction speed was possible with parameter adjustments that fell within the ranges of age-related adaptation obtained from empirical observations used to inform earlier simulations. Specifically, the slower, weaker twitch was achieved with reductions in force-generating capacity (23%), Ca2+ uptake rate (24%), Vmax (20%), and SEE stiffness (6%). Multiple solutions were possible, and it is likely that the slowing of twitch speed could have been emulated with parameter adjustments more consistent with an increase in type I fibre content. An increase in Ca2+ sensitivity and reduction in cooperativity would likely lessen the required reduction in Ca2+ uptake rate. We speculate because we imposed parameter limits that were consistent with the directionality of impairment reported in the literature.
5 Summary
Age-related reductions in Ca2+ sensitivity and Ca2+ release abbreviated the twitch and dramatically lowered force during submaximal contractions (e.g., twitch, unfused tetanic contraction) without greatly influencing maximum tetanic force, even when acting in concert (< 10%). These predictions are at odds with experimental observations of the effect of age on indices of isometric contraction speed (i.e., twitch contraction time and half-relaxation time, force-frequency relationship), and suggest that reduced Ca2+ sensitivity and impaired SR Ca2+ release may contribute only modestly to the reduction in specific force in advanced age (depending on Ca2+ saturation during tetanic stimulation). Conversely, simulations that incorporated slowed Ca2+ removal or a greater fractional area of type I fibres prolonged the rise and decay of twitch force and shifted the force-frequency relationship leftward. These predictions are consistent with the characteristic fast-to-slow shift in contractile performance associated with ageing. Slowed and prolonged force development, and lower twitch force, also resulted from imposing a slower intrinsic shortening speed and lower SEE stiffness but occurred without a concomitant slowing of force decay or elevation of submaximal force. As such, these properties alone did not produce the characteristic slowing of contraction speed. The effect of Vmax depended on SEE stiffness, and empirical observations do not always support a pronounced delay in peak force from added compliance, possibly because of additional factors related to active shortening not captured in the model. Simulating the slower, weaker twitch observed experimentally for the plantar flexors of older men required significant slowing of Ca2+ uptake (~ 25%) and could be coupled with an appreciable reduction in force-generating capacity (i.e., the reduction in force-generating capacity exceeded that of the deficit in twitch force). Slowed Ca2+ removal, when acting in concert, negated the depressive effects of moderate and large reductions in Ca2+ release and Ca2+ sensitivity, respectively.
6 Conclusion
Whole muscle contractile performance in advanced age is characterised by slowed isometric contraction speed. This work provides support for the involvement of multiple mechanisms, although these adaptations do not necessarily affect the same aspects of contraction speed. As such, identifying the most important adaptations should be aided by characterising an array of isometric contractile properties in advanced age. Both slower Ca2+ uptake and a greater fractional area of type I fibres seem to be suitable mechanisms for explaining the slower isometric contraction speed exhibited by aged muscle. Simulations incorporating these adaptations with a degree of impairment reported in the literature generated realistic age-related changes in contractile behaviour. Ageing-appropriate adjustments to these parameters also emulated the age-related slowing of twitch speed observed experimentally. In general, the model simulations were well-supported by empirical observations. We propose that this model or similar models might be effective in determining a meaningful impairment threshold or identifying the factors contributing to altered contractile properties.
Adaptation of muscle function and structure in advanced age is inconsistent and wide-ranging, thus, careful consideration should be given to the strength of evidence implicating the presence of a particular adaptation (e.g., fibre type, species, activity level, age). With the multifaced nature of impairment in mind, we adjusted multiple model parameters concurrently and have illustrated the importance of considering interaction effects. Inconsistent reports regarding the effect of age on contractile performance may relate to variation in the disruption of function and structure. We believe this work underscores the utility of simple, yet physiologically-grounded and parameter rich Hill-type muscle models for studying conditions that involve a multitude of adaptations (e.g. ageing, disuse, training). Such models also hold great value in being able to predict functional performance (e.g. walking, standing from a chair) when used in musculoskeletal simulations (e.g. Song and Geyer 2018; Ong et al. 2019).
Data availability
The Hill-type muscle model developed in Simulink and a MATLAB application that can be used to run simulations are accessible as open source (under the MIT license) from GitHub [https://github.com/dlmayfield/Muscle-Model (Mayfield and Lichtwark 2022)]. Experimental twitch data from young and older human adults are accessible from this repository.
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Acknowledgements
This study benefited from the contributions of members belonging to the University of Jyväskylä Neuromuscular Research Centre, in particular, Drs Janne Avela and Marko Korhonen. We are also grateful to Dr Andrew Cresswell for insightful discussions, the participants who volunteered for this study, and two anonymous reviewers for their constructive comments.
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No funds, grants, or other support was received to directly support this work. G.A.L. is supported by an Australian Research Council Future Fellowship (FT190100129).
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Conceptualization: D.L.M., N.J.C., and G.A.L.; Investigation: D.L.M. and N.J.C.; Software: D.L.M. and G.A.L.; Formal analysis: D.L.M.; Visualisation: D.L.M; Writing—original draft: D.L.M.; Writing—review & editing: D.L.M., N.J.C., and G.A.L.
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Experimental work was approved by and performed in accordance with the guidelines outlined by the human research ethical review committee of the University of Jyväskylä. Written informed consent was obtained from all participants.
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Mayfield, D.L., Cronin, N.J. & Lichtwark, G.A. Understanding altered contractile properties in advanced age: insights from a systematic muscle modelling approach. Biomech Model Mechanobiol 22, 309–337 (2023). https://doi.org/10.1007/s10237-022-01651-9
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DOI: https://doi.org/10.1007/s10237-022-01651-9