Role of alpha-actin in muscle damage of injured athletes in comparison with traditional markers.
OBJECTIVE
In order to identify a reliable marker for the early detection of muscle injuries in sports, alpha-actin protein and other markers of muscle damage were studied in sera of uninjured sportspeople and those with skeletal muscle injury.


METHODS
Blood samples were obtained from 20 sportspeople with skeletal muscle injury and 48 uninjured sportspeople. Immunoassays were performed to determine cardiac troponin I (TnI), troponin T, lactate dehydrogenase and myoglobin concentrations. Western blot and densitometry were used to measure alpha-actin concentrations. Skeletal muscle damage was diagnosed according to physical examination, MRI findings and the biochemical criterion of a creatine kinase value >500 IU/l (Rosalki method, Beckman Instruments SL, Fullerton, California, USA). Results were also compared with previously obtained data on injured and uninjured non-sportspeople.


RESULTS
The mean serum concentration of alpha-actin was significantly higher in sportspeople with muscle damage (10.49 microg/ml) than in uninjured sportspeople (3.99 mcirog/ml). Sera from injured sportspeople showed higher levels of alpha-actin than of troponin or myoglobin. No significant difference in TnI levels was observed between the groups.


CONCLUSIONS
According to these results, alpha-actin is a new and reliable marker of skeletal muscle damage in sportspeople which can be used for the detection of muscle injury. Possible cross interference between skeletal and cardiac muscle damage can be discriminated by the combined use of alpha-actin and TnI. These data suggest that early measurement of alpha-actin in sportspeople with suspected muscle damage will allow them to receive earlier and more effective treatment and to return sooner to the practice of their sport.
Martínez Amat
Antonio
A
Department of Health Sciences, University of Jaén, Jaén, Spain. amat103@ugr.es
Marchal Corrales
Juan Antonio
JA
Rodríguez Serrano
Fernando
F
Boulaiz
Houria
H
Prados Salazar
Jose Carlos
JC
Hita Contreras
Fidel
F
Caba Perez
Octavio
O
Carrillo Delgado
Esmeralda
E
Martín
Ignacio
I
Aranega Jimenez
Antonia
A
D000199:Actins / Q000097:blood*; D000328:Adult; D001265:Athletic Injuries / Q000097:blood*; D015415:Biomarkers / Q000097:blood; D015153:Blotting, Western; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000293:injuries*; D009135:Muscular Diseases / Q000097:blood*; D009211:Myoglobin / Q000097:blood; D012680:Sensitivity and Specificity; D014336:Troponin / Q000097:blood
D000199:Actins; D015415:Biomarkers; D009211:Myoglobin; D014336:Troponin; D003402:Creatine Kinase