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Sarah Hodges ‘04
Hodges SH, Anderson AL, Connor NP. Remodeling of neuromuscular junctions
in aged rat genioglossus muscle. Ann Otol Rhinol Laryngol, 2003, 113:
175-179. (See Award Below)
Speech
and swallowing disorders represent a large clinical problem in elderly
persons. The tongue has a vital role in both of these functions, and poor
lingual control is associated with both speech and swallowing impairment.
However, muscles of the tongue have been understudied in aging research,
presumably due to the technical challenge created by the complex, overlapping
architecture of the intrinsic and extrinsic muscles. Previous studies
in limb and laryngeal muscles suggest that age-related musculoskeletal
changes may be characterized by remodeling of muscles, nerves and their
connection at the neuromuscular junction (NMJ). To determine if dynamic
remodeling of NMJ structure is found in the tongue as a function of aging,
tongues from 10 aged and 10 young Fischer 344/Brown Norway rats were quickly
excised and frozen after animals were euthanized. A fluorescent, triple
label, immunohistochemical technique was then used with genioglossus (GG)
muscle samples to allow confocal microscopic visualization of receptor
clusters, nerve terminals, axons, and synaptic vesicles. Computer-assisted
image analysis was performed and quantitative measurements of superficial
NMJs were made. We found that normal axon terminals and receptor clusters
were easily identified in young rat GG muscles, while aging appeared to
induce sprout-like nerve terminal remodeling and receptor dispersal. These
results suggest that NMJ remodeling is found in aged GG muscles and may
underlie the progressive neuromuscular changes observed in the elderly.
Figure: Neuromuscular junction from an aged rat genioglossus muscle.
Scale bar = microns.
Award
Hodges SH, Anderson A, Connor NP.
"Neuromuscular junction changes in aged rat genioglossus
muscle. "
Steven Dean Gray Resident Essay Contest, 1st place, American Broncho-Esophagological
Association - Nashville, TN, May 5, 2003.
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