What makes muscles grow? The obvious answer would be intense
exercise and good nutrition, with enough rest and recuperation to
maximize size and strength gains. The reason lifting weights produces
greater gains in muscle size and strength is that it places more stress
on the muscles compared to other types of exercise, such as stretching or aerobics. The
muscles respond to the stress through adaptation, involving upgraded
muscle protein synthesis.
That’s the general picture of what causes muscle growth. What
happens in the muscle after exercise is a much more complex picture. On a
molecular level, muscle growth is a precise symphony involving the
immune system, inflammation, hormone release and structural changes.
While the knowledge of what’s happening in a muscle during and after
training may seem superfluous to anyone except a research scientist, a
rudimentary understanding of the internal workings of exercised muscles
can tell you what constitutes correct training and rest cycles for gains
in size and strength.
What Is Muscular Hypertrophy?
The term
hypertrophy means “excessive growth,”
and in reference to muscles, that means enlarged muscles usually
acquired through exercise. An ongoing debate in physiology is whether
muscles get bigger through the addition of new fibers—a process called
hyperplasia through which existing muscle fibers split to form new
fibers—or whether muscles grow by thickening existing fibers. The
fiber-thickening scenario is the generally accepted view.
Some studies comparing world-class bodybuilders to untrained college
students showed that both groups’ muscle fibers had similar dimensions
when viewed under a microscope, though the bodybuilders clearly had much
larger muscles. Later studies showed that the bodybuilders had far more
muscle fibers than untrained college students. The speculation is that
years of intense, heavy training promote hyperplasia of muscle fibers.
Muscle size is related to the cross-sectional area of muscle fibers,
or their thickness. As the muscle fiber thickens from a compensation
effect induced by heavy exercise, the muscle gets bigger and stronger.
Big muscles aren’t always stronger muscles, however. What determines
muscle strength is a combination of factors, including favorable
leverage and connective tissue. Most important is the increase in muscle
contractile proteins, specifically actin and myosin. Some pathological
conditions feature large but, paradoxically, weak muscles. An example is
acromegaly, usually the result of a small tumor in the anterior
pituitary gland that causes the release of huge amounts of growth
hormone. People suffering from the disease from an early age wind up
very tall, with larger but weaker muscles.
Indeed, the majority of studies examining the athletic use of growth
hormone injections conclude that the drug promotes larger muscle size
but without an accompanying increase in strength. GH promotes connective
tissue increase in muscle but doesn’t affect the muscle contractile
proteins that are the cornerstone of muscular strength.
Satellite Cells: The Inner Space of Muscles
Satellite cells are so named because of their location on the outer
surface of the muscle fibers, between the muscle cell membrane, or
sarcolemma, and uppermost layer of the basement membrane, or basal
lamina. Satellite cells are muscle precursors, or a type of stem cell,
that usually lie dormant outside existing muscle fibers. They become
activated when any form of trauma, such as damage or injury, occurs to a
muscle fiber.
1 Resistance exercise, as
exemplified by weight training, causes damage to muscle fibers, which
deal with it by marshaling adaptation mechanisms, the most significant
being activation of satellite cells.
The damage causes satellite cells to multiply, and various other
factors, as we’ll see, cause them to migrate toward the injured area.
The satellite cells then fuse to the injured area, while adding a
nucleus to the existing fiber, which aids the regeneration process. That
doesn’t add new muscle fibers but instead leads to an increase in the
amounts of contractile proteins—the actin and myosin—within the fiber.
The net effect is muscular growth and strength. The process peaks at 48
hours but continues for four days after the initial trauma (exercise)
occurs. That’s why you need time to let a muscle recover after a
training session.
Two main types of muscle fibers are found in humans. The first are
known as type 1, or slow-twitch, fibers, also called endurance fibers
because of their capacity for extended exercise, such as long-distance
running. The other type of muscle fiber, type 2, or fast-twitch, are
much larger than the type 1 fibers. They have less endurance but can
exert more force, an effect thought to be related to their having a
larger nerve supply. Type 2 fibers are most amenable to gains in
muscular size and strength, so you’d think they’d have a larger supply
of satellite cells around them. In fact, the type 1 fibers have five to
six times more, which may reflect their greater blood and capillary
supply. (Some studies, however, show an equal number of satellite cells
in both types.)
Another reason for the plethora of satellite cells in type 1 fibers
is that they’re used more frequently than type 2s. Muscles function
through an orderly recruitment system, and the body attempts to husband
its limited energy by activating only enough muscle to do the required
task. The first fibers recruited are type 1s, and so they’re subject to a
greater rate of injury than the type 2s. As type 1 fibers become
fatigued or get stressed by mass or weight, the brain recruits the type 2
muscle fibers. That explains why you need to lift heavy to make maximum
gains in the gym. Lifting light weights for higher reps recruits the
type 1 fibers, which, as noted, are less likely to get bigger and
stronger.
Most people over age 40 will tell you that it’s harder for them to
make significant gains in muscle size, even with regular training. One
reason is a relative lack of testosterone, a hormone required for
building muscle. The level of testosterone that physicians call “normal”
is okay for everyday life, but having a blood testosterone level lower
than 300 makes gains in the gym unlikely at best.
Another reason for the slowdown of muscle gain with age is a loss of
neuromuscular efficiency: The muscles become less responsive to the cues
from the brain. Without the optimal level of nerve force, a muscle
cannot contract as forcefully, and the net effect is a loss of speed,
size and strength. Lessened nerve force is usually the reason
illustrious athletic careers end. The muscles may still be in relatively
good shape, but the response systems are delayed.
Those over 40 also find that it takes longer to recover from training
sessions. Connective tissue, such as ligaments and tendons, has a far
poorer blood supply than muscles, which is why connective tissue
injuries take longer to heal. With age such tissues get dryer, leading
to an even longer recuperation time. Since connective tissue plays a
role in muscle strength, if you attempt to train too much or too
frequently, you won’t make any gains and will feel overtrained.
People 40 and older often have fewer satellite cells than younger
people—40 percent less relative to the total number of muscle nuclei.
Since you need satellite cells to repair damaged muscle, the
significance of the loss is obvious; however, it may not be as extreme
in those with a long history of training. One study of powerlifters
found that the satellite cell content of their trapezius muscles was 70
percent higher than that of nonexercising subjects.
2 The study also featured powerlifters who were taking anabolic steroids, and
their level of satellite cells was similar to that of the “clean”
lifters.
Recent studies show that while heavy resistance exercise is the best
way to recruit and activate satellite cells, endurance exercise can also
increase satellite cell activity. A study of older men involved in
endurance exercise without weight training showed that they had a 29
percent increase in satellite cell activity.
3
What ultimately determines satellite cell activation is the extent of
muscle fiber damage. As you might expect, satellite cell numbers
decrease—gradually but regularly—when training ceases. Training enables
satellite cells to constantly renew themselves.
What Stimulates Satellite Cells?
Clearly, exercise activates satellite cells. Other factors help
maximize the effect. The initial localized inflammation is necessary for
containing and repairing the damage, as well as attracting the immune
cells, or macrophages, that sweep the area of accumulated muscle waste
products. The macrophages secrete cytokines, which are messenger
chemicals that signal the release of various growth factors. Cytokines
also promote the entry of other immune cells into the area of muscle
fiber damage, including lymphocytes, neutrophils and monocytes.
The cytokines involved in muscle repair include interleukin-1,
interleukin-6 and tumor necrosis factor. Other initial inflammatory
substances that are vital for the process are prostaglandins, which are
hormonelike chemicals made from dietary fat. In particular,
prostaglandin F2a, derived from arachidonic acid, is pivotal in muscle
protein synthesis. The importance of the initial inflammation is
illustrated by recent studies showing that when you take an
anti-inflammatory drug following training, muscle repair and muscle
protein synthesis are inhibited. Fortunately, aging doesn’t seem to have
any effect on the prostaglandin response to training.
4
The Muscle Growth Factors
Various growth factors and hormones also are directly involved in the
repair and anabolic processes within exercised muscle. Some are used in
drug form for athletic and bodybuilding purposes.
Insulinlike growth factor 1
IGF-1 is produced both systemically and locally in muscle. It’s a
string of amino acids in a specific sequence. Human growth hormone
stimulates the production of IGF-1 in the liver, and IGF-1 activity is
considered the source of most of the anabolic effects associated with
growth hormone.
In muscle, IGF-1 promotes the activity of satellite cells.
5
It splits into two variants, the other being mechano growth factor. MGF
is considered far more potent than localized IGF-1 in muscle.
6
It replenishes the pool of muscle satellite cells, and a lack of MGF
explains why older people cannot efficiently activate their satellite
cells after exercise. Interestingly, when older men are given growth
hormone and then lift weights, their bodies produce increased levels of
MGF, leading to muscular gains. The growth hormone does that because it
increases IGF-1, which then produces MGF.
Studies of animals injected with MGF show gains of 25 percent in
muscle fiber size after only three weeks. In contrast, using gene
therapy to deliver IGF-1 genes directly into a muscle resulted in a 15
percent muscle size increase after four months.
Research like that has two implications. The first is that gene
therapy involving upgraded local production of IGF-1 or, preferably, MGF
dramatically offsets the loss of muscle size and strength common with
aging, so it may be of use in treating various neuromuscular disorders.
The second is that MGF is a prime candidate for future athletic doping
use. Already, rumors published on the Internet indicate that some
athletes may be using MGF, although how and whether they actually got a
still experimental drug is open to question.
Besides activating satellite cells, IGF-1 sets off so-called
downstream growth pathways, such as the Akt, mTOR and P70 signaling
pathways, all of which are involved in muscle protein synthesis.
7
You may have read recent ads touting products that “turn on the genetic
muscle machinery.” They’re based on the idea that oral intake of
certain nutrients, such as branched-chain amino acids, can activate
downstream growth pathways and overcome age deficits.
8
Hepatocyte growth factor
So named because its growth-promoting effects were originally
observed in liver tissue, HGF is activated by muscle injury and is a
potent stimulant to satellite cell activity. In one study HGF directly
injected into the site of muscle injury led to a 300 percent increase in
satellite cell activity.
9
Its release in injured muscle is instigated by nitric oxide,
explaining one way in which NO promotes muscular growth. Inhibiting the
release of NO also leads to a blockage of HGF release.
Fibroblast growth factor
FGF increases the proliferation of satellite cells following injury
to muscle fibers. Although several FGFs exist, one in particular, FGF-6,
is expressed specifically in muscle and is not upregulated during
regeneration.
11
The Hormonal Effect
Various anabolic hormones, including growth hormone, IGF-1,
testosterone and insulin, all play vital roles in promoting muscular
size and strength gains.
1) Growth hormone
As noted, most of the anabolic effects of GH are attributed to the
stimulation of IGF-1 promoted by GH release. The IGF-1 produced in
muscle splits into two variants, the more potent being MGF. IGF-1 is
likely the most potent growth factor in relation to satellite cells,
since it’s involved in all three processes of satellite cells:
activation, proliferation and differentiation.
Studies show that most of the gains attributed to GH use consist of
water retention and connective tissue, with no effect on muscle
contractile proteins. On the other hand, GH’s effects in maintaining the
integrity and healing ability of connective tissue is beyond debate,
which would mean that it’s still useful to athletes. In addition,
combining weights with GH appears to increase the selective release of
MGF, which is without question anabolic in muscle. MGF is potent enough
to restore muscle gains in older people, indicating a use for GH until
MGF gene therapy is perfected.
Another thing to consider is that GH appears to promote the use of
bodyfat as an energy source while sparing muscle glycogen reserves. That
associates it with a beneficial effect on body composition.
2) Testosterone
Test and its synthetic versions (known as anabolic steroids) is the
primary hormone associated with increased muscle size to most people.
Some recent studies show that testosterone directly activates satellite
cells, which explains a large part of its anabolic effect.
12 That makes sense, since satellite cells are known to produce androgen receptors, which interact with testosterone.
13
In animals and humans, testosterone increases the number of satellite
cells in muscle. It also interacts with growth hormone and IGF-1,
triggering the release of local IGF-1 in muscle. In fact, testosterone
appears to make muscle cells more responsive to the effects of IGF-1,
which could explain why some athletes stack it with growth hormone and
IGF-1.
The importance of testosterone in gaining muscular size and strength is illustrated by a new study.
14
Twenty-two young men, all of whom had some minor experience in weight
training, were divided into groups. One group got a drug called
goserelin (3.6 milligrams), and the other got a placebo. The drug
inhibits gonadotropin-releasing hormone in the hypothalamus, which turns
off the body’s testosterone production. The subjects got it
subcutaneously, or under the skin, every four weeks for 12 weeks. Both
groups engaged in strength training for eight weeks.
The drug suppressed both total and free testosterone in the treated
group to the extent that the subjects’ testosterone levels were 10
percent below normal. Those in the placebo group—who didn’t get the
active drug—made significant gains. Those in the drug group made no
gains whatsoever in muscular size and strength. Even worse: They showed
an increase in fat mass.
The lack of testosterone in the drug group led to a depression in
IGF-1, which in turn led to decreased muscle repair due to satellite
cell depression. Testosterone also offsets the effects of cortisol, a catabolic
adrenal hormone produced during exercise. Having a metabolic profile
that knocks out big T while leaving the effects of cortisol unchecked
inevitably leads to no muscle gains coupled with increased bodyfat,
especially in the trunk.
Interestingly, two subjects in the drug group showed extreme
increases in lean body mass, despite having low testosterone levels. The
authors explain the apparent anomaly by noting that the adrenal glands
produce 10 percent of androgen in men, and that would not be suppressed
by the drug used in the study, which acts only on the pituitary gland to
prevent the release of luteinizing hormone. IGF-1, MGF and other muscle
growth factors may not have been affected in these particular young
men, but they can be considered an exception to the rule, since the
study clearly shows that a lack of sufficient testosterone does prevent
muscle gains in most people.
The Anti-Growth Factors: Myostatin and Cortisol
Some substances that inhibit muscle growth also play a role in how fast you make gains. The most familiar of them is cortisol.
Cortisol is considered a stress hormone, since any type of stress
provides a stimulus for its release from the cortex portion of the
adrenal glands. The release of cortisol is governed by a biochemical
cascade. First, stress is perceived in the brain in the hypothalamus,
which directly interacts with the nervous system. The hypothalamus then
releases corticotropin-releasing hormone, which travels in the brain’s
portal blood system to the pituitary gland. Upon arrival, CRF stimulates
the synthesis and release of ACTH, which then travels in the blood to
the adrenal glands, where it dictates the synthesis and release of
cortisol.
Cortisol has acquired an unsavory reputation as the body’s primary
catabolic hormone. The constant stress of everyday life, including the
stress of intense exercise, leads cortisol to have an overkill effect.
If the level of cortisol exceeds that of its anabolic opposites GH and
testosterone, a catabolic state results, leading to a loss of muscle.
Excess cortisol promotes fat deposition in the trunk, though that is
more often seen in pathologic excesses of cortisol, as occurs with
Cushing’s disease. In normal instances, cortisol encourages the use of
fat as an energy source, particularly after exercise.
Cortisol is also a potent immunosuppressive and anti-inflammatory
mediator—most apparent when certain drugs are used that suppress
cortisol release. Athletes who resort to such drugs often report severe
joint pain, the result of insufficient anti-inflammatory activity.
The good news is that it’s not hard to control cortisol release
through nutrition. Just taking in carbs during and after training
significantly curtails its catabolic effects. Using a supplement rich in
branched-chain amino acids will blunt or prevent them, as will the
amino acid glutamine. A recently published study showed that glutamine
specifically blocked cortisol’s catabolic effects in muscle by
preventing a cortisol-promoted increase in myostatin.
15
Myostatin is a protein made up of 375 amino acids.
16
It was initially identified by a group at the Johns Hopkins Medical
center in Baltimore in 1997. Researchers noticed that mice who lacked
the genes to produce myostatin were 30 percent heavier than normal mice,
and the extra weight consisted entirely of muscle. That effect was also
observed in double-muscled cattle, with the animals having mutations in
the myostatin gene that caused them to have huge, defined muscle. In
2004 a report emerged of a human baby born without myostatin genes who
was also noticeably stronger and more muscular than other children.
Myostatin does its dirty work in muscles—against IGF-1 and other
muscle growth factors—by inhibiting the proliferation and
differentiation of satellite cells. Several top pro bodybuilders are
said to have mutant genes that make them produce less myostatin than
normal. Such people would be far more responsive to training, even
without anabolic steroids and other drugs.
Myostatin and cortisol appear to interact, in that they increase each
other’s levels. Diseases entailing catabolic states, such as certain
forms of cancer and HIV, are characterized by higher levels of both
hormones.
Most but not all studies show that weight training lowers myostatin.
17, 18, 19
One experiment also showed that the effect was accentuated by the use
of a high-quality protein supplement. Excess aerobic exercise (more than
60 minutes in one session) will increase both cortisol and myostatin.
A few years ago some supplement companies attempted to sell a pricey
myostatin blocker derived from a type of seaweed. While it did block
myostatin in the test tube, further trials showed it to be ineffective
in the human body. Subsequently, the researchers who discovered
myostatin announced the production of a drug that was effective in the
body, promoting a 60 percent increase in animal muscle growth. Another
company, Wyeth Pharmacueticals, already has an artificial antibody drug
(MYO-029) that blocks myostatin in the human body, intended for the
treatment of muscular dystrophy. No doubt the drugs will eventually
trickle down into athletic use, and the results should be interesting.
The factors affecting muscle growth and strength gains are complex
and not yet fully understood. What is known and accepted, however, is
that the long-held rules of bodybuilding—proper nutrition, rest and
judicious levels of exercise—will do the most to trigger the internal
events that build muscle.
References
1 Kadi, F., et al. (2005). The behavior of satellite cells in response to exercise: what have we learned from the human studies?
Eur J Physiol. 451:319-27.
2 Kadi, F., et al. (1999). Effects of anabolic steroids on the muscle cells of strength-trained athletes.
Med Sci Sports Exerc. 31:1528-34.
3 Charifi, N., et al. (2003). Effects of endurance training on satellite cell frequency in skeletal muscle of old men.
Muscle Nerve. 28:87-92.
4 Trappe, T., et al. (2006). Effects of age and resistance exercise on skeletal muscle interstitial prostaglandin F2a.
Prostag Leukot Ess Fatty Acids. 74:175-81.
5 Charge, S., et al. (2004). Cellular and molecular regulation of muscle regeneration.
Physiol Rev. 84:209-238.
6 Goldspink, G. (2005). Research on mechano
growth factor: Its potential for optimising physical training as well as
misuse in doping.
Br Sports Med. 39:787-88.
7 Guttridge, D.C. (2004). Signaling pathways weigh in on decisions to make or break skeletal muscle.
Curr Opin Clin Nutr Metab Care. 7:443-50.
8 Proud, C.G. (2002). Regulation of mammalian translation factors by nutrients.
Eur J Biochem. 269:5338-5349.
9 Allen, R.E., et al. (1995). Hepatocyte growth factor activates quiescent skeletal muscle satellite cells in vitro.
J Cell Physiol. 165:307-12.
10 Anderson, J.E. (2000). A role for nitric oxide in muscle repair: Nitric oxide-mediated activation of muscle satellite cells.
Mol Biol Cell. 11:1859-74.
11 Scime, A., et al. (2006). Anabolic potential and regulation of the skeletal muscle satellite cell populations.
Curr Opin Clin Nutr Metabolic Care. 9:214-219.
12 Sinha-Hikim, I., et al. (2003).
Testosterone-induced muscle hypertrophy is associated with an increase
in satellite cell number in healthy, young men.
Am J Physiol Endocrinol Metab. 285:E197-E205.
13 Chen, Y., et al. (2005). Androgen regulation of satellite cell function.
J Endocrin. 186:21-31.
14 Kvorning, T., et al. (2006). Suppression
of endogenous testosterone production attenuates the response to
strength training: A randomized, placebo-controlled and blinded
intervention study.
Am J Physiol Endocrin Metab. 291:E325-E332.
15 Salchian, B., et al. (2006). The effect of
glutamine on prevention of glucocorticoid-induced skeletal muscle
atrophy is associated with myostatin suppression.
Metabolism. 55:1239-47.
16 Gonzalez-Cadavid, N.F., et al. (2004). Role of myostatin in metabolism.
Curr Opin Nutr Metab Care. 7:451-457.
17 Roth, S.M., et al. (2003). Myostatin gene
expression is reduced in humans with heavy resistance strength training:
a brief communication.
Ex Biol. 228:706-09.
18 Walker, K.S., et al. (2004). Resistance training alters plasma myostatin but not IGF-1 in healthy men.
Med Sci Sports Exerc. 36:787-93.
19 Willoughby, D.S. (2004). Effects of heavy resistance training on myostatin mRNA and protein expression.
Med Sci Sports Exerc. 36:574-82.
©,2015 Jerry Brainum. Any reprinting in any type of media, including electronic and foreign is expressly prohibited
Have you been ripped off by supplement makers whose products don’t
work as advertised? Want to know the truth about them? Check out Jerry Brainum's book Natural Anabolics, available at JerryBrainum.com.
The Applied Ergogenics blog is a collection of articles written and
published by Jerry Brainum over the past 20 years. These articles have appeared
in Muscle and Fitness, Ironman, and other magazines. Many of the posts on the
blog are original articles, having appeared here for the first time. For Jerry’s
most recent articles, which are far more in depth than anything that appears on
this blog site, please subscribe to his Applied Metabolics Newsletter, at www.appliedmetabolics.com. This
newsletter, which is more correctly referred to as a monthly e-book, since its
average length is 35 to 40 pages, contains the latest findings about nutrition,
exercise science, fat-loss, anti-aging, ergogenic aids, food supplements, and
other topics. For 33 cents a day you get the benefit of Jerry’s 53 years of
writing and intense study of all matters pertaining to fitness,health,
bodybuilding, and disease prevention.
Want more evidence-based information on
exercise science, nutrition and food supplements, ergogenic aids, and
anti-aging research? Check out Applied Metabolics Newsletter at www.appliedmetabolics.com