Hypertrophy mechanisms [2/3] - Muscle Damage [Part 1/2]


Each muscle fiber is a single, multinucleated cell, made up of smaller units called myofibrils. Myofibrils have a repeating pattern called a sarcomere, which is the basic functional unit of muscles. The myofibril is made up of even smaller structures called myofilaments, which are long chains of proteins actin and myosin


Another set of proteins regulates the interaction between actin and myosin. In the actin thin filament there’s a binding site that a myosin head can reach and grab, but the binding sites are covered. Calcium causes configurational changes and uncovers the binding sites for myosin. This calcium is stored in muscle cells in the sarcoplasmic reticulum distributed around the myofibrils.

Strength training can result in localized muscle tissue damage. When a certain threshold is exceeded, sarcomeres break. (It is assumed that optimum sarcomere length is 2.5 μm). This damages contractile elements or myofibrillar structures, disrupts the sarcolemma and sarcoplasmic reticular, causes damage to supportive connective tissue and injuries in the cytoskeleton (1). 

This damage generate a hypertrophic response (2, 3). Muscle damage is a frequent response after unaccustomed exercise, or when performing high intensity exercise. A trainee may experience stiffness and delayed-onset muscle soreness. Other metabolic consequences are increases in creatine-kinase, muscle troponin I, myoglobin and heavy myosin chain (4).

Eccentric actions

The best way to induce micro tears is by emphasizing eccentric training. The eccentric contraction has been proven through countless studies to cause the most damage, which has been shown to mediate a hypertrophic response (5,6), causing myofibrillar remodeling (7,8).

The distribution of sarcomeres on each myofibril is nonuniform, the weakest sarcomeres are located at different regions. This nonuniform lengthening causes a shearing of myofibrils and deforms membranes (4).

The presence of disrupted sarcomeres in myofibrils and damage to the excitation–contraction (E–C) coupling system are signs of damage in a muscle from eccentric exercise (9).

During active stretch of a muscle, most of the length change will be taken up by the weakest sarcomeres (10) in myofibrils (the weakest half-sarcomeres). These sarcomeres become progressively weaker and then lengthen rapidly, uncontrollably, to a point of no myofilament overlap. Then overstretched sarcomeres are distributed at random along muscle fibers. When the muscle relaxes, some myofilaments in the majority of overstretched sarcomeres become disrupted (11).

During repeated eccentric contractions it is postulated that the number of disrupted sarcomeres grows, until a point is reached where membrane damage occurs. It is at this point that damage to elements of the E–C coupling machinery becomes apparent. Subsequently the fiber may die (12) (Fig. 1).


Membrane damage begins with tearing of t-tubules followed by damage to the sarcoplasmic reticulum, uncontrolled Ca2+ release. If the damage is extensive enough, parts of the fiber, or the whole fiber may die. Breakdown products of dead and dying cells would lead to a local inflammatory response associated with tissue oedema and soreness (12). Although it’s not clear, the first step in the damage process can be t-tubule rupture, leading to inactivation of some sarcomeres, but the reverse sequence beginning with sarcomere disruptions can also lead to t-tubule damage (12).

There are also observations of abnormal t-tubular arrangements after eccentric exercise (13).

Eccentric actions and force generation

Muscles achieve higher absolute forces when contracting eccentrically (14,15,16). Heavy negatives, or supramaximal eccentric actions involve eccentric contractions at a weight greater than concentric 1RM. It has been shown that eccentric strength is approximately 20–50% greater than the concentric strength (17) and even predicted to be up to 64% greater (52).

Eccentric contractions could stimulate greater adaptations (18), because increases in strength are thought to be proportional to the magnitude of force developed (19). 

Eccentric training is more effective at increasing total and eccentric strength than concentric training, and appears to be more effective at increasing muscle mass than concentric training, possibly because of the higher forces developed. Adaptations after eccentric training are highly specific to the velocity and type of contraction (20).

Eccentric exercise preferentially recruit fast twitch muscle fibers (53,21,22,23) and perhaps recruitment of previously inactive MUs (21,24). This results in an increased mechanical tension in type II fibers, which have the greatest potential for muscle growth (53,25,26,27).

Compared with concentric contractions, eccentric contractions also produce less fatigue and are more efficient at metabolic level. Unaccustomed eccentric contractions produce transient muscle damage, soreness and force impairments.

Eccentric actions and protein synthesis

Passive muscular tension develops because of lengthening of extra myofibrillar elements, especially collagen (28). This increases the active tension enhancing the hypertrophic response.

Eccentric contractions elicits greater gains in lean muscle compared with concentric and isometric contractions (29,30,31,32). Maximal muscle hypertrophy can only be attained if eccentric muscle actions are performed (33).

When lifting the same weight concentrically and eccentrically no significant difference between the two contractions is observed, if volume is equalized. However in a few studies there’s was a slight advantage for the excentric actions (34,54). Excentric actions are best done supramaximal, above 1RM concentric load.

Lengthening the muscle increase protein synthesis more than a concentric contraction (34), in part by releasing phosphatidic acid, which encourages protein synthesis (35). Another pathway is through the activation of satellite cells located on the outside of muscles. Satellite cells move to the damaged area and fuse to muscle, becoming a part of it (36), increasing muscle fiber size by the addition of the satellite cell's nucleus to the muscle.

The more nuclei, the greater the growth potential. Plateau happens when we can't adequately activate satellite cells (37,38), therefore maximize eccentric loading may be very beneficial.

Other increases have also been observed, such as a faster rise in protein synthesis (39), greater increases in IGF-1 messenger RNA (mRNA) expression (40), and more pronounced elevations in p70S6k (41), when compared with other types of contractions.

As for the tempo, faster speed eccentric contractions release more growth factors, more satellite cells, and greater protein synthesis than slow speed eccentric contractions (42,43). A 2- to 3-second tempo is hypothesized to be ideal for maximizing a hypertrophic response (43).

Eccentric training is also associated with an increased metabolic stress. Higher eccentric intensities elevate lactate buildup and spike anabolic hormonal levels (44).

However another important note: acute measures (1-6h post exercise) of MPS following an initial exposure to RE in novices are not correlated with muscle hypertrophy following chronic RT (55). There’ also a review on the relationship between acute of muscle protein synthesis response and changes in muscle mass (56). Muscle protein breakdown is also important for the regulation of muscle hypertrophy on the long term, and the chronic (positive) balance between MPS and MPB is more important.

Muscle swelling and soreness

In human subjects, the initial fall in tension after eccentric exercise is followed by a slow rise over 2–4 h, presumably recovery from metabolic exhaustion. Then 24 h later there’s a second fall in tension (45).

Eccentric exercise is followed by sensations of stiffness and soreness the next day (46), transient muscle damage, soreness and force impairments (47).

Because of eccentric exercise the contracting muscle is forcibly lengthened. Delayed muscle soreness sets in at about 6–8h after the exercise and peaks at about 48 h (45,48). A second bout of eccentric exercise, a week after the first, leaves us much less stiff and sore.

The injury triggers a local inflammatory response that is accompanied by some oedema. The breakdown products of injured tissues sensitize nociceptors (12,45,49). These nociceptors respond to stimuli that are normally non-noxious, leaving the muscle tender to local palpation, stretch and contraction. A component of the delayed soreness from eccentric exercise may involves large-fiber mechanoreceptors (50,51).

The repair mechanism involves the addition of sarcomeres to regenerating muscle fiber, as shown by animal experiments.

Neutrophils migrate to the area of micro trauma. Damaged fibers release several agents that attract macrophages and lymphocytes to the injury site. The purpose of macrophages is to remove cellular debris and to produce cytokines that activate myoblasts, macrophages and lymphocytes. This response triggers the release of various growth factors that regulate satellite cell proliferation and differentiation (44).

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