Histochemical Characteristics of Muscle Fiber Types in the Posterior Cricoarytenoid Muscle

Abstract

The muscle fiber type composition of the human posterior cricoarytenoid muscle (PCA) was examined using a large battery of histochemical techniques. Staining for myosin ATPase (pH 9.9) indicated that the muscles were composed of 52% ± 11.8 SD type 1 (slowly contracting) fibers and 48% ± 11.9 SD type 2 (rapidly contracting) fibers. In order to obtain information concerning the probable fatigue resistance of the type 2 fibers, serial sections were processed to determine the relative extent of ATPase inactivation at various pH levels in the acid range and to obtain data concerning the relative activities of oxidative and glycolytic enzymes and their substrates. The great majority of the type 2 fibers were of the 2A (fatigue resistant) fiber type. This indication of a capacity for prolonged activity was substantiated by the presence of high activities of succinic dehydrogenase, a mitochondrial enzyme which is involved in oxidative metabolism. Type 2C fibers (generally considered to be an undifferentiated fiber type) were also present but relatively rare. The overall enzyme profiles of many of the muscle fibers in the human PCA differed from those typical of fibers having the same alkaline ATPase and acid ATPase characteristics in most other mammalian muscles. Since muscle fiber biochemistry reflects the activity pattern of the motor unit, these unusual enzyme profiles may be the result of activity patterns that are associated with the inspiratory cycle and/or patterns of activity that are relatively specific to the PCA. Four of the ten muscles examined had unequivocal evidence of muscle fiber type grouping, a manifestation of partial denervation followed by reinnervation. This is interesting since most of the cases were in the fifth decade. Muscle fiber type grouping has been shown to occur selectively in certain other human muscles and to increase with age, eventually resulting in muscle atrophy. This suggests the possibility that the human PCA is for some reason selectively vulnerable to partial denervation and indicates the need for more extensive data concerning the relationship of muscle fiber type grouping in the PCA and other laryngeal muscles to age.