PMID- 17717057 OWN - NLM STAT- MEDLINE DCOM- 20081118 LR - 20220317 IS - 1473-0480 (Electronic) IS - 0306-3674 (Linking) VI - 42 IP - 9 DP - 2008 Sep TI - Neutralisation of muscle tumour necrosis factor alpha does not attenuate exercise-induced muscle pain but does improve muscle strength in healthy male volunteers. PG - 758-62 AB - OBJECTIVE: Inflammatory mediators, such as tumour necrosis factor alpha (TNFalpha), may contribute to delayed-onset muscle soreness. The effect of neutralising TNFalpha with etanercept, a soluble TNFalpha receptor, on delayed-onset muscle soreness (DOMS) induced in the quadriceps muscle was analysed. DESIGN: On two separate occasions at least 6 weeks apart, etanercept 25 mg or vehicle was given subcutaneously 1 hour before unaccustomed exercise to 12 healthy men in a randomised double-blind cross-over format. To induce DOMS, subjects completed 4 sets of 15 repetitions at 80% of their one-repetition maximum (1RM), using a 45 degrees inclined leg press. Muscle soreness was assessed using a 100-mm visual analogue scale (VAS), and pressure pain threshold (PPT) on the thigh before and 24, 48 and 72 hours after exercise. Changes in the subject's muscle strength were detected by reassessing the subject's 1RM 24, 48 and 72 hours after exercise. RESULTS: Muscle strength decreased 24 and 48 hours after exercise regardless of agent administered (analysis of variance, p<0.001). At 72 hours after exercise, muscle strength was significantly greater (p<0.01) after etanercept than after placebo. The exercise protocol induced significant DOMS for up to 72 hours, as reflected by reduced PPT and increased VAS scores (p<0.001). Etanercept had no effect on PPT or VAS. CONCLUSION: TNFalpha does not affect muscle soreness associated with unaccustomed exercise, but may improve the recovery of muscle function. FAU - Rice, T L AU - Rice TL AD - Brain Function Research Unit, School of Physiology, University of the Witwatersrand, Johannesburg, South Africa. FAU - Chantler, I AU - Chantler I FAU - Loram, L C AU - Loram LC LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20070823 PL - England TA - Br J Sports Med JT - British journal of sports medicine JID - 0432520 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Immunoglobulin G) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 2.7.3.2 (Creatine Kinase) RN - OP401G7OJC (Etanercept) SB - IM MH - Adult MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacology MH - Creatine Kinase/blood MH - Cross-Over Studies MH - Double-Blind Method MH - Etanercept MH - Exercise/*physiology MH - Humans MH - Immunoglobulin G/*pharmacology MH - Male MH - Muscle Strength/*physiology MH - Muscle, Skeletal/*physiology MH - Pain/etiology/prevention & control MH - Pain Measurement MH - Receptors, Tumor Necrosis Factor MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors EDAT- 2007/08/25 09:00 MHDA- 2008/11/19 09:00 CRDT- 2007/08/25 09:00 PHST- 2007/08/25 09:00 [pubmed] PHST- 2008/11/19 09:00 [medline] PHST- 2007/08/25 09:00 [entrez] AID - bjsm.2007.038067 [pii] AID - 10.1136/bjsm.2007.038067 [doi] PST - ppublish SO - Br J Sports Med. 2008 Sep;42(9):758-62. doi: 10.1136/bjsm.2007.038067. Epub 2007 Aug 23.