Muscle, organ and cell physiology
Skeletal muscle physiology, organ communication & integrative exercise physiology and low back pain.
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Physiology of Skeletal Muscles
Skeletal muscle tissue is one of the most plastic tissues in the human body and primarily consists of proteins. Muscle mass depends on the balance between protein synthesis and protein breakdown and is influenced by nutritional status, physical activity, exercise, and injury or pathology. The microscopic architecture of skeletal muscles is characterized by the complex organization of muscle cells (also known as muscle fibers) and the associated connective tissue.
The total cross-sectional area (CSA) of the muscle is usually determined by the number and CSA of the muscle fibers within that muscle. Muscle surface area can be altered by pathological changes, such as the infiltration of fat and connective tissue between muscle fibers. Skeletal muscles are characterized by the organization of the individual skeletal muscle fibers that compose the muscle.
Skeletal muscles contain different types of muscle fibers. The composition of the skeletal muscle fibers is crucial for the metabolic and functional properties of the muscle. The ability of a muscle to respond to various functional demands is due to this heterogeneous composition of skeletal muscle fibers. The composition of skeletal muscle fibers is characterized by a high degree of plasticity, with inactivity and physical activity as the main regulators.
Within the REVAL research group, Prof. Dr. Frank Vandenabeele and his team have developed extensive expertise in studying the microscopic characteristics of skeletal muscle fibers (using immunofluorescence) in muscle samples obtained from healthy subjects and various patient populations (MS, DM, obesity, COPD, low back pain, COVID, cancer). These structural muscle properties are studied in relation to the functional properties of these muscles and muscle volume (determined by 3D free-hand ultrasound). Muscle samples are obtained using a "fine needle" biopsy technique, guided by ultrasound.
Frank Vandenabeele
Organ crosstalk and integrative exercise physiology
Each individual is made up of trillions of cells, which communicate with their environment but also internally to enable specific tasks and collaboration between cells. The cooperation between cells within a certain tissue, and even between cells in different tissues, is key for our bodily functions. This crosstalk is organized in many ways, hormones being the best known example. It has recently been shown that cells also communicate via the secretion of small bubble-like structures, called extracellular vesicles, which can be released by all body cells. The content of these cellular vesicles more or less reflect the state of the sender (cell of origin) and the processes that happening within this cell. The extracellular vesicles, and in particular their content, may in turn influence the behaviour and/or metabolism of the recipient cells.
During physical exercise, these extracellular vesicles are also prominent (e.g. in the bloodstream). Skeletal muscle is considered an important source of circulating extracellular vesicles during exercise. To date, the relative contribution of different metabolically important tissues to the circulating extracellular vesicles and their destination is largely unknown. Research on the role of exercise and/or exercise training and their relation to extracellular vesicles is still in its infancy, a field in which we have recently focused on in our research group.
Kenneth Verboven
Dominique Hansen
Low back pain
Pre- and postoperative rehabilitation for patients undergoing single or double-level lumbar fusion for degenerative conditions
Lumbar fusion shows an international rising trend. Despite high fusion rates of more than 80%, approximately 40% of patients report suboptimal functional recovery and postoperative return to work is
underwhelming, thereby further increase the socio-economic impact.
This draws the attention towards rehabilitation in both the pre- and postoperative period. To date, high variability exists among health care providers in availability and content of rehabilitation, reflecting
the lack of scientific consensus.
The present research proposal seeks to address this need for consensus, by 1) developing a perioperative rehabilitation program for single- and double level lumbar fusion for degenerative conditions, that is endorsed by stakeholders and 2) evaluate the effectiveness of this rehabilitation program to improve important
outcomes for patients and our society.
Lotte Janssens