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Modulating effects of exercise training regimen on skeletal muscle properties in female polo ponies

Background The match play patterns in equestrian polo are unique and require specific training programs to ensure sport performance. The effect of commonly used exercise training regimens on the adaptation of skeletal muscle is unclear. The present study investigated the modulating effects of the classic training regimen, comprised of aerobic exercise training with increasing exercise intensities and varying duration combined with match play, on the properties of muscle in polo ponies. Nine healthy adult female polo ponies were subjected to four consecutive subsets of 1 year classic training regimen including basal activity (B), low intensity (L), low to moderate intensity (LM), and low to moderate intensity training plus match play during polo tournament (LMP), respectively. At the end of each training period, gluteus medius muscle samples were taken for determination of muscle fiber type distribution, muscle metabolic capacity, capillary density, and lipid and glycogen content. The expression profile of metabolic genes including succinate dehydrogenase (SDH), phosphofructokinase (PFK), glycogen phosphorylase (PYG), and glycogen synthase (GYS) were also measured. Results Among all exercise training subsets, only LMP exercise period caused an increase in the number of oxidative fibers (type IIa), along with increases in properties related to oxidative metabolism including high capillary density, intramuscular lipid content, and expression of SDH and PYG genes, with a corresponding decrease in the number of type IIx muscle fibers. Conclusion The combination of low to moderate and high intensity training in LMP are only sufficient to induce changes in oxidative characteristics. As the first scientific evidence providing such insight about the classic polo training regimen, the data forms a basis for further consideration in training program design. Electronic supplementary material The online version of this article (doi:10.1186/s12917-016-0874-6) contains supplementary material, which is available to authorized users.


Background
Achievement in competition of athletic horses depends on genetic contributions and the ability to improve muscle performance via exercise training. The effectiveness of the response to the training depends upon the extent of stimuli [1], training volume, as determined by frequency, intensity, and duration [2]. Adaptation of muscle properties to exercise training is well documented in several equestrian disciplines including racing [2,3], endurance riding [4], and show jumping [5]. Aerobic exercise training is generally included in basic exercise training programs in all equestrian horses inducing adaptation of skeletal muscle towards oxidative characteristics [2,6,7]. Increases in the proportion of oxidative muscle fibers (type IIa), number of capillaries, and SDH activity have been demonstrated after aerobic exercise training in Thoroughbred horses [2]. Moreover, aerobic training reportedly increases activity of 3-hydoxyacyl-CoA dehydrogenase (HAD) and citrate synthase (CS) accompanied by decreased glycogen utilization in Standardbred horses [6]. At a cellular level, exercise training effects several genes responsible for oxidative energy metabolism and muscle structure. Training increases expression of cytochrome c oxidase subunit 4 (COX4), pyruvate dehydrogenase complex (PDC), and pyruvate dehydrogenase kinase (PDK) in Thoroughbred horse [8,9]. In contrast, anaerobic exercise training promotes glycolytic capacity in some sport disciplines, i.e. Thoroughbred racehorses [10].
Although the majority of horses in equestrian sports undergo individual exercise training and competition, the difference in exercise regimen is notable in equestrian polo. Polo ponies are trained as a group during the preparation period before tournaments. In tournaments, two teams of four players play against each other on a grass field area of approximately ten acres [11]. A game is made up of 4-6 periods (chukkas) 7 min in duration each. The common training regimen in equestrian polo, consists of three phases of increasing intensity, starting with low to moderate intensitywalking and trottingand progressing to high intensityparticular field training for specific activities and match play [12]. During polo games, the horses undergo intermittent high intensity exercise as well as swift changes in speed and direction. Hence, both muscle oxidative and glycolytic capacities are crucial factors for accomplishment during polo match play in seasonal tournaments. Unfortunately, there is no evidence of the effectiveness of the classic exercise training regimen commonly used in polo ponies on their skeletal muscle properties. Therefore, the present study investigated the effects of the polo training regimen on the skeletal muscle properties related to the muscular performance including fiber type composition, metabolic capacity, substrate utilization, and the expression of metabolic genes in polo ponies.

Horses
Nine healthy polo ponies (mares, age 11.9 ± 2 years, weight 452.6 ± 14.8 kg) from a Thai polo and equestrian club (Pattaya, Chonburi, Thailand) were recruited. All horses regularly participated in polo seasonal tournaments (5 months/year). They were housed in 3 × 3 m 2 separate stalls, fed with standard commercial pellet twice daily, and had free access to water and pangola hay.

Exercise training program and muscle sampling
All horses were subjected to a training program with progressive increases in exercise intensity. Horses were randomly assigned to participate in 0-14 goal match play during polo tournament. The exercise program consisted of four consecutive periods of different exercise intensities including basal activity (B); low intensity (L); low to moderate intensity exercise (LM); and low to moderate intensity plus match play (LMP). The LMP period was divided into low to moderate intensity exercise (LM), training match play (TM), and official match play (OM). The activities, mode, frequency, and duration of each training period are summarized in Table 1. Exercise intensity was determined by heart rate (HR), expressed as a percent of maximum heart rate (%HR max ) based on the regression analysis [13]. The duration of training period, speed, distance covered, and HR were recorded using Polar RC3 GPS sport watches connected to H3 heart rate sensors (Polar Electro, Kempele, Finland). Blood lactate concentrations were determined before and immediately after exercise sessions and match play using an Accutrend® Plus system autoanalyzer (Roche Diagnostics, Rotkreuz, Switzerland). During training match or official match play, all parameters were recorded from the horses ridden by the player at position number 2 (attack) for four chukkas.
Twenty-four hours after each training session, gluteus medius samples were taken by microbiopsy according to the modified method of Lindholm and Piehl [14]. Briefly, skin was subcutaneously injected with local anesthesia (1 ml of 2 % lidocaine) (L.B.S. Laboratory, Bangkok, Thailand). Then, muscle samples were taken at the middle of an imaginary line from tuber coxae to the greater trochanter of femoral bone at 50 mm depth using a 14 G semi-automated microbiopsy needle (SuperCore™, Argon Medical Devices, Texas, USA). The biopsy depth used has been employed in previous studies to collect mixed types of muscle fibers [15][16][17]. Muscle samples (wet weight approximately 60-70 mg) were divided into two portions. A piece of each sample was immediately embedded with optimal cutting temperature (O.C.T.) compound (Electron Microscopy Sciences, Pennsylvania, USA), then frozen in melting isopentane (Sigma-Aldrich, Missouri, USA), and stored at −80°C for histochemical/immunohistochemical analyses. The other muscle portion was directly frozen in liquid nitrogen and stored at −80°C for molecular analyses.

Histochemical and immunohistochemical analyses
Transverse cross-sections of O.C.T. preserved samples were obtained using cryostat (Leica Biosystems, Nussloch, Germany) at −20°C. Five μm thickness serial sections were stained for succinate dehydrogenase (SDH) level, fiber type composition, and capillary density evaluations. The intramuscular lipid and glycogen contents were also stained using ten μm thickness serial sections. All protocols were performed at room temperature unless noted.

Fiber type composition
Muscle fiber types were determined according to the modified method of Kawai et al. [18]. Sections were air dried for 10 min and pre-incubated in 1 % normal goat serum (Sigma-Aldrich, Missouri, USA) for 10 min. Thereafter, three different primary monoclonal antibodies were applied separately including: 1) fast myosin (Sigma-Aldrich, Missouri, USA) (1:4000) that specifically binds with myosin heavy chain (MHC) IIa and IIx; 2) SC-71 (Developmental Studies Hybridoma Bank, Iowa, USA) (1:1000) that specifically binds with MHC-IIa; and 3) BF-35 (Developmental Studies Hybridoma Bank, Iowa, USA) (1:1000) that reacts with all MHCs except MHC-IIx. The serial sections were then incubated overnight in a moist chamber. After washing with PBS, the sections were incubated with goat anti-mouse IgG conjugated with horseradish peroxidase (HRP) secondary antibody (Merck Millipore, Massachusetts, USA) (1:500) for 2 h and washed with PBS. Subsequently, sections were incubated with diaminobenzidine tetrahydrochloride (DAB) (Sigma-Aldrich, Missouri, USA) in a dark environment for 3 min and mounted with temporary mounting medium (Vectors Lab, California, USA).

Muscle oxidative capacity
Oxidative fibers were determined by SDH staining according to the method previously described [19]. Briefly, muscle sections were incubated at 37°C in solution containing 0.2 M PBS, succinic acid disodium, and nitroblue tetrazolium (Sigma-Aldrich, Missouri, USA) in a dark environment for 1 h. Thereafter, the sections were rinsed with series of acetone (30, 60, and 30 % concentrations) followed by distilled water prior to mounting with temporary mounting medium (Vectors Lab, California, USA).

Intramuscular lipid and glycogen content
Lipid content was determined using Oil Red O staining according to the method of Lillie and Ashburn [20]. Glycogen content was evaluated by using Periodic Acid Schiff (PAS) staining according to the modified method of Kocsis et al. [21].

Image analysis
All stained sections were visualized under a microscope (Olympus BX53) connected with a digital camera (Olympus DP73) (Olympus, Tokyo, Japan) and captured at 200× magnification, except fiber type composition determination that were captured at 100× magnification. All histological images were quantified using ImageJ software version 1.47v. Histological images of SDH, Oil Red O, and PAS stained sections were analyzed as the area of expression according to the modified method of Rinnankoski-Tuikka et al. [22]. A minimum of four captured images were analyzed for each staining. The color images were converted to 8-bit gray-scale (range of grey levels 0-255) images before processing. The threshold of staining was manually adjusted and kept constant between samples. The oxidative capacity, intramuscular lipid, and glycogen contents were expressed as percentage of the measured area. Muscle fiber types were classified according to the specific reaction with antibodies as type I, IIa, IIa/x, and IIx. The percentage of fiber distribution and cross-sectional area were measured and calculated from between 300-500 muscle fibers. The capillary

Statistical analysis
The data from histological analysis and metabolic enzyme mRNA expression were analyzed using one-way ANOVA with repeated measurement followed by Tukey's post hoc. Normal distribution and homogeneity of variance were analyzed by Kolmogorov Smirnov test and Levene's test, respectively. Paired Student's t-test was used where applicable. The statistical analysis was performed using SPSS version 18.0.0. All data are expressed as means ± SD. Significant differences were considered at p < 0.05.

Heart rate and blood lactate concentration
Heart rate and blood lactate concentration in relation to distance covered and speed during each exercise training period of the classic polo training regimen are shown in Of note, exercise in both L and LM periods produced blood lactate below threshold (<4 mmol/L); while, exercise in both kinds of match play (TM and OM) sessions produced blood lactate above threshold (>4 mmol/L). Furthermore, lactate concentration during OM was considerably higher than during TM (OM; 8.9 ± 0.6 mmol/L vs. TM; 4.2 ± 0.8 mmol/L). Maximum heart rate variation corresponded to exercise intensitylow, moderate, and moderate to very hard for L, LM, and LMP, respectively.

Muscle fiber type composition and fiber size
As shown in Fig. 1 (Fig. 2a). The decrease in the number of type IIx was accompanied by an increase in the number of type IIa and I muscle fibers, but this finding was not statistically significant (p > 0.05). Analysis of changes of fiber type in individual animals revealed 8 out of 9 animals experienced increases in type IIa fibers, and 7 out of 9 animals experienced increases in type I fibers after the LMP period compared to after the L period. Additional details are provided in the Additional file 1. The cross-sectional area (CSA) (μm 2 ) for muscle fiber types I, IIa, IIa/x, and IIx, were 2971 ± 549.5, 3176 ± 822.7, 3177 ± 578.9, and 4100 ± 434.2 μm 2 respectively. No statistically significant differences in CSA of individual muscle fiber types were found throughout the course of the study (Fig. 2b).

Oxidative capacity, substrate contents, and capillary density
Histological images of SDH staining, as well as intramuscular lipid and glycogen contents are shown in Fig. 3 (Fig. 4).

Expression of metabolic genes
As the exercise intensity and the histological results of basal activity (B) and low intensity exercise training (L) period were similar, mRNA expression analysis at B period was omitted. After the polo tournaments (LMP period), expression of SDH and PYG genes increased significantly (~3.5 fold, p < 0.01, and~3 fold, p < 0.05, respectively); whereas, there was a tendency to increase expression of PFK and GYS genes (~1.6 fold, p = 0.076, and~2.3 fold, p = 0.072, respectively) (Fig. 5).

Discussion
According to the unique pattern of competition in equestrian polo, the properties of skeletal muscle are crucial factors determining performance in official match play. Surprisingly, little is known about the effects of the classic exercise regimen in equestrian polo on the adaptation of skeletal muscle properties and their relationship to the specific physiological demands of the sport. Interestingly, the major finding in the present study showed the exercise training regimen, particularly in LPM period of equestrian polo involving high intensity activity, evoked adaptation towards oxidative characteristics rather than glycolytic properties. Additionally, the training volume of the other training phases (L and LM) in the classic training regimen were not sufficient to induce changes in muscle properties. The oxidative adaptation of muscle fibers in the present study was evident in both biochemical and histological alterations. Muscle fiber types transitioned from fast to slow MHC phenotypes together with increased capillary density, oxidative enzymes, and associated substrates. The findings represent the first report on muscle adaptation in response to the classic exercise regimen in polo ponies.  Percent of maximal heart rate (%HR max ) has been used as an alternative to percent of VO 2max to indicate exercise intensity [13,23,24]. In the present study, exercise intensity was estimated from %HR max and was classified as follows: very low (<50 % HR max ), low (50-63 % HR max ), moderate (64-76 % HR max ), hard (77-93 % HR max ), and very hard (≥94 % HR max ) as previously described [23]. Exercise intensity in L and LM were considered very light (L: 17 %%HR max ; LM: 33%HR max ), with a higher average heart rate during exercise in LM period reflecting the slightly higher intensity of exercise compared to L period. When horses participated in polo match play ,~7 min/chukka, they spent~1 min ridden above 90 % HR max (HR ≈ 195-208 bpm), followed by~3 min ridden within~68-89 % HR max (HR ≈ 150-195 bpm), and another~3 min ridden within~41-68 % HR max (HR ≈ 90-150 bpm). Thus, the majority of exercise period during match play in LMP period was considered moderate to very hard. The classical exercise pattern in equestrian polo utilizes both aerobic and anaerobic energy [24]. The latter is commonly indicated by blood lactate accumulation [25,26]. In the present study, after low intensity (L) and low to moderated intensity (LM) exercise periods, blood lactate concentrations were far below the anaerobic threshold (<4 mmol/L), indicating these training regimens rely mainly on aerobic energy metabolism. However, it is worth noting that both intermittent high intensity exercise training match play (TM) and official match play (MO) in the LMP produced blood lactate concentrations above the anaerobic threshold (>4 mmol/L), indicating the anaerobic energy pathway becomes involved during polo match play. Accordingly, muscle glycolytic capacity is also crucial for this sport; however, classic exercise training regimens promotes the muscle oxidative capacity in all polo ponies rather than anaerobic properties found in only a few horses (Fig. 5c). The disparity between high glycolytic capacity required in match play and a training program promoting oxidative capacity only does not promote the sport capability of polo ponies. As glycolytic capacity is enhanced by anaerobic exercise training, the question arises as to whether additional anaerobic exercise -such as sprint exercise trainingcould increase glycolytic capacity, in turn, improving sport performance.
The effect of aerobic exercise training on muscle fiber type composition in horses has been reported [27,28]. Transitions of MHC from type IIx to IIa during early training phases at approximately 3 months were observed [28]. As training duration increased up to 8 months, further muscle fiber transitions from MHC IIa to I were noted [20]. The changes reflected a doseresponse relationship between exercise duration and magnitude of muscle property changes [21]. In the present study, type IIx fibers decreased along with marginal  Analysis of fiber type changes in individual animals revealed eight out of nine animals showed increases in type IIa fibers, and seven out of nine animals showed increases in type I fibers after LMP compared to after L period. Thus, exercise intensity, duration, and the time course for sample collection are the primary variables accounting for the present results. As muscle samples were obtained at 1 month (L period), 2 months (LM period), and 7 months (LMP period) post-exercise onset (B period); it is possible insufficient exercise volume after 1 and 2 months of exercise training explains the lack of observable changes in fiber composition. Samples to represent LMP period were collected after 7 months of training; therefore, muscle fiber transitions from MHC IIa to I may be partially attributed to training duration instead of mode or phase; however, there was only a marginal increase in MHC IIa and a very slight increase in MHC I at the end of LMP period (Fig. 2a).
Increased oxidative capacity, as evidenced by SDHpositive staining, was concomitant with increased capillary density in polo ponies as has been reported in studies of angiogenesis [29]. Increased blood flow to muscle leads to splitting of capillaries as well as extensive endothelial cell proliferation and the formation of microtubes [30]. Thus, the classic exercise training regimen promotes oxidative properties in skeletal muscle of polo ponies.
In addition, expression of metabolic gene mRNA was consistent with phenotypic adaptation to training in polo ponies. At the end of polo tournaments, increased expression of oxidative marker (SDH) gene was closely correlated with increased numbers of SDH positivestained fibers, indicating the classic exercise regimen induced oxidative capacity adaptation at a cellular level. Also, as anaerobic glycolysis exclusively uses carbohydrates in the absence of oxygen, increases in PYG along with marginal elevations of GYS and PFK mRNA expression were consistent with the increase in anaerobic glycolysis during polo tournaments. The classic exercise training regimen could increase, to a lesser extent than oxidative characteristics, glycolytic properties in muscle of polo ponies.
Since there were no changes to muscle properties after LM training period in the classic exercise regimen, polo ponies may start participating in polo tournaments with insufficient sport-specific performance. As a result, polo  e Capillary density expressed as capillary per fiber ratio. Scale bars = 50 μm. ** p < 0.01, significantly different from B value; ## p < 0.01, significantly different from L value ponies are at potential risk of physical injury and metabolic disorderssuch as exertional rhabdomyolysisduring and after polo match play. To improve muscle performance and minimize injury risk, starting exercise training further in advance of competition, as well as incorporating more intensity and longer duration sessions may be useful for the improvement of muscle performance.

Conclusion
The classic exercise regimen in polo ponies profoundly enhances oxidative capacity of muscle. To a lesser extent, it had a tendency to elevate glycolytic capacity. These results provide beneficial information for future research on the development of training programs to improve specific muscle performance in equestrian polo and associated equestrian sports.

Section
Clinical pathology, physiology and immunology.

Additional file
Additional file 1: Table S1.