The effect of acid–base changes on skeletal muscle twitch tension

The effects of acid–base alterations produced by changing bicarbonate (metabolic type), carbon dioxide tension (respiratory type), or both bicarbonate and carbon dioxide tension (compensated type) on skeletal muscle twitch tension, intracellular pH, and intracellular potassium were studied in vitro. Hemidiaphragm muscles from normal rats and rats fed a potassium-deficient diet were used. Decreasing the extracellular pH by decreasing bicarbonate or increasing CO 2 in the bathing fluid produced a decrease in intracellular pH, intracellular K + , and muscle twitch tension. However, at a constant extracellular pH, an increase in CO 2 (compensated by an increase in bicarbonate) produced an increase in intracellular K + and twitch tension in spite of a decrease in intracellular pH. The effect on twitch tension of the hemidiaphragms showed a rapid onset, was reversible, persisted until the buffer composition was changed, and was independent of synaptic transmission.It is concluded that the twitch tension of the skeletal muscle decreases with a decrease in intracellular K + . The muscle tension also decreases with an increase in the ratio of intracellular and extracellular H + concentration. However, there is no consistent relationship between muscle tension and extracellular or intracellular pH. The muscle tension of the diaphragms taken from K + -deficient rats is more sensitive to variations in CO 2 , pH, and bicarbonate concentration of the medium than that of the control rat diaphragms.