Muscle Fiber Hypertrophy -vs- Hyperplasia
WHAT IS HYPERPLASIA?
Hypertrophy refers to an increase in the size of the cell while hyperplasia
refers to an increase in the number of cells or fibers. A single muscle cell
is usually called a fiber.
HOW DO MUSCLE FIBERS ADAPT TO DIFFERENT TYPES OF EXERCISE?
If you look at a good marathon runner's physique and compared him/her to a
bodybuilder it becomes obvious that training specificity has a profound effect.
We know that aerobic training results in an increase in mitochondrial volume/density,
oxidative enzymes, and capillary density (27). Also, in some elite endurance
athletes the trained muscle fibers may actually be smaller than those of a completely
untrained person. Bodybuilders and other strength-power athletes, on the other
hand, have much larger muscles (14,40). That's their primary adaptation, their
muscles get bigger! All the cellular machinery related to aerobic metabolism
(i.e., mitochondria, oxidative enzymes, etc.) is not necessary for maximal gains
in muscle force producing power, just more contractile protein. We know that
this muscle mass increase is due primarily to fiber hypertrophy; that is the
growth of individual fibers, but are their situations where muscles also respond
by increasing fiber number?
EVIDENCE FOR HYPERPLASIA
Scientists have come up with all sorts of methods to study muscle growth in
laboratory animals. You might wonder what relevance this has to humans. Keep
in mind that some of the procedures which scientists perform on animals simply
cannot be done on humans due to ethical and logistical reasons. So the more
convincing data supporting hyperplasia emerges from animal studies. Some human
studies have also suggested the occurence of muscle fiber hyperplasia. I'll
address those studies later.
DOES STRETCH INDUCE FIBER HYPERPLASIA?
This animal model was first used by Sola et al. (38) in 1973. In essence, you
put a weight on one wing of a bird (usually a chicken or quail) and leave the
other wing alone. By putting a weight on one wing (usually equal to 10% of the
bird's weight), a weight-induced stretch is imposed on the back muscles. The
muscle which is usually examined is the anterior latissimus dorsi or ALD (unlike
humans, birds have an anterior and posterior latissimus dorsi). Besides the
expected observation that the individual fibers grew under this stress, Sola
et al. found that this method of overload resulted in a 16% increase in ALD
muscle fiber number. Since the work of Sola, numerous investigators have used
this model (1,2,4-8,10,19,26,28,32,43,44). For example, Alway et al. (1) showed
that 30 days of chronic stretch (i.e., 30 days with the weight on with NO REST)
resulted in a 172% increase in ALD muscle mass and a 52-75% increase in muscle
fiber number! Imagine if humans could grow that fast!
More recently, I performed a study using the same stretch model. In addition,
I used a progressive overload scheme whereby the bird was initally loaded with
a weight equal to 10% of the its weight followed by increments of 15%, 20%,
25%, and 35% of its weight (5). Each weight increment was interspersed with
a 2 day rest. The total number of stretch days was 28. Using this approach produced
the greatest gains in muscle mass EVER recorded in an animal or human model
of tension-induced overload, up to a 334% increase in muscle mass with up to
a 90% increase in fiber number (5,8)! That is pretty impressive training responsiveness
for our feathered descendants of dinosaurs.
But you might ask yourself, what does hanging a weight on a bird have to do
with humans who lift weights? So who cares if birds can increase muscle mass
by over 300% and fiber number by 90%. Well, you've got a good point. Certainly,
nobody out there (that I know of), hangs weights on their arms for 30 days straight
or even 30 minutes for that matter. Maybe you should try it and see what happens.
This could be a different albeit painful way to "train." But actually
the physiologically interesting point is that if presented with an appropriate
stimulus, a muscle can produce more fibers! What is an appropriate stimulus?
I think it is one that involves subjecting muscle fibers to high tension overload
(enough to induce injury) followed by a regenerative period.
WHAT ABOUT EXERCISE?
The stretch induced method is a rather artificial stimulus compared to normal
muscle activity. What about "normal" muscular exercise? Several scientists
have used either rats or cats performing "strength training" to study
the role of muscle fiber hyperplasia in muscular growth (9,13,17,18,20-22,25,33,34,39,41,42).
Dr. William Gonyea of UT Southwestern Medical Center in Dallas was the first
to demonstrate exercised-induced muscle fiber hyperplasia using weight-lifting
cats as the model (20,21,22). Cats were trained to perform a wrist flexion exercise
with one forelimb against resistance in order to receive a food reward. The
non-trained forelimb thus served as a control for comparison. Resistance was
increased as the training period progressed. He found that in addition to hypertrophy,
the forearm muscle (flexor carpi radialis) of these cats increased fiber number
from 9-20%. After examining the training variables that predicted muscle hypertrophy
the best, scientists from Dr. Gonyea's laboratory found that lifting speed had
the highest correlation to changes in muscle mass (i.e., cats which lifted the
weight in a slow and deliberate manner made greater muscle mass gains than cats
that lifted ballistically) (33).
Rats have also been used to study muscle growth (25,39,47). In a model developed
by Japanese researchers (39), rats performed a squat exercise in response to
an electrical stimulation. They found that fiber number in the plantaris muscle
(a plantar flexor muscle on the posterior side of the leg) increased by 14%.
Moreover, an interesting observation has been made in hypertrophied muscle which
suggests the occurrence of muscle fiber hyperplasia (13, 17, 28, 47). Individual
small fibers have been seen frequently in enlarged muscle. Initially, some researchers
believed this to be a sign of muscle fiber atrophy. However, it doesn't make
any sense for muscle fibers to atrophy while the muscle as a whole hypertrophies.
Instead, it seems more sensible to attribute this phenomenon to de novo formation
of muscle fibers (i.e., these are newly made fibers). I believe this is another
piece of evidence, albeit indirect, which supports the occurrence of muscle
fiber hyperplasia.
EXERCISE-INDUCED GROWTH IN HUMANS
The main problem with human studies to determine if muscle fiber hyperplasia
contributes to muscle hypertrophy is the inability to make direct counts of
human muscle fibers. Just the mere chore of counting hundreds of thousands of
muscle fibers is enough to make one forget hopes of graduating! For instance,
one study determined that the tibialis anterior muscle (on the front of the
leg) contains approximately 160,000 fibers! Imagine counting 160,000 fibers
(37), for just one muscle! The biceps brachii muscle likely contains 3 or 4
times that number!
So how do human studies come up with evidence for hyperplasia? Well, it's arrived
at in an indirect fashion. For instance, one study showed that elite bodybuilders
and powerlifters had arm circumferences 27% greater than normal sedentary controls
yet the size (i.e., cross-sectional area) of athlete's muscle fibers (in the
triceps brachii muscle) were not different than the control group (47). Nygaard
and Neilsen (35) did a cross-sectional study in which they found that swimmers
had smaller Type I and IIa fibers in the deltoid muscle when compared to controls
despite the fact that the overall size of the deltoid muscle was greater. Larsson
and Tesch (29) found that bodybuilders possessed thigh circumference measurements
19% greater than controls yet the average size of their muscle fibers were not
different from the controls. Furthermore, Alway et al. (3) compared the biceps
brachii muscle in elite male and female bodybuilders. These investigators showed
that the cross-sectional area of the biceps muscle was correlated to both fiber
area and number. Other studies, on the other hand, have demonstrated that bodybuilders
have larger fibers instead of a greater number of fibers when compared to a
control population (23,30,36). Some scientists have suggested that the reason
many bodybuilders or other athletes have muscle fibers which are the same size
(or smaller) versus untrained controls is due to a greater genetic endowment
of muscle fibers. That is, they were born with more fibers. If that was true,
then the intense training over years and decades performed by elite bodybuilders
has produced at best average size fibers. That means, some bodybuilders were
born with a bunch of below average size fibers and training enlarged them to
average size. I don't know about you, but I'd find that explanation rather tenuous.
It would seem more plausible (and scientifically defensible) that the larger
muscle mass seen in bodybuilders is due primarily to muscle fiber hypertrophy
but also to fiber hyperplasia. So the question that needs to be asked is not
whether muscle fiber hyperplasia occurs, but rather under what conditions does
it occur. I believe the the scientific evidence shows clearly in animals, and
indirectly in humans, that fiber number can increase. Does it occur in every
situation where a muscle is enlarging? No. But can it contribute to muscle mass
increases? Yes.