54 Canine Sports Medicine and Rehabilitation
Hypertrophy and sarcopenia
Muscle mass is governed by a complex
combination of mediators including insulin,
insulin‐like growth factors, androgens, myosta
tin, cytokine/myokines, and plasma amino
acids (Solomon & Bouloux, 2006; Spangenburg,
2009). From a veterinary perspective, muscle
hypertrophy has been a desired phenotype in
agriculture and performance arenas. Selective
breeding has perpetuated a genetic mutation
in the myostatin gene that is associated with
constitutive muscle hypertrophy. Myostatin is a
negative regulator of myofiber differentiation,
satellite cell maturation and muscle biosynthetic
activity, and its inactivation leads to hypertro
phy (Bradley et al., 2008). Heterozygotes for
the myostatin loss‐of‐function mutation have
shown improved racing performance, which
has led to perpetuation of this trait within
the Whippet population (Mosher et al., 2007).
Androgens and other anabolic mediators
such as growth hormone play a role in the con
trol of muscle mass; however, the effects of these
compounds on musculoskeletal homeostasis
are highly species‐specific. Normal physiologi
cal concentrations of canine gonadal steroids
may augment the stimulatory effects of exercise
on skeletal myofiber synthesis; however, their
impact on the development and maintenance of
overall muscle mass is less pronounced than in
other species (West & Phillips, 2010). Although
banned within organized canine athletics,
exogenous anabolic steroids and growth hor
mone can induce supraphysiological muscle
hypertrophy. In combination with appropriate
conditioning, this may confer some perfor
mance advantage to canine athletes involved in
resistance events such as weight pulling or
sprinting. However, augmentation of muscle
mass is unlikely to be beneficial in canine
endurance activities.
Sarcopenia refers to the progressive decrease
in muscle mass and strength that occurs with
aging. Sarcopenia reflects loss of myofibers due
to apoptosis, as well as decreases in myofiber
size. Overall muscle circumference is often
maintained during early sarcopenia, as lost
myofibers are replaced with adipose and
fibrous tissue (Freeman, 2012). Declining per
formance may be the only early clinical indica
tor of this condition. Muscle loss becomes
measurable as sarcopenia progresses and is
common in the geriatric population. Until
recently, this phenomenon had not been
documented in dogs, but recent biochemical
assessment of aging canine muscle has con
firmed that the upregulation of autophagy is
occurring in elderly dogs leading to myofiberTr opomyosinTr oponin C
Tr oponin I Ca++Ca++MyosinSarcoplasmic
reticulum
α-actinFigure 3.8 Calcium released from the sarcoplasmic reticulum binds to troponin C, triggering myosin–actin interaction
through conformational changes in tropomyosin. Source: Used with permission from Hand et al., 2010.