The amount of extracellular accumulation of potassium in working muscles is higher than initially thought, a new study reveals.

Clausen measured the changes in concentration of sodium, potassium, and chloride ions in working rat extensor digitorum longus (ESL) muscles. Remarkably, when their muscles were stimulated to fire at a rate of 5 Hz (comparable to that in the legs of a person riding a bicycle) for five minutes, sufficient intracellular potassium was lost to lead to an extracellular concentration that would interfere with further excitation. These results suggest that accumulation of extracellular potassium is a much larger contributor to muscle fatigue than previously thought, which may be of particular importance in such conditions as hyperkalemic periodic paralysis and other channelopathies that affect skeletal muscle. These changes in ion distribution are opposed through the action of the "Na+/K+ pump"—which expends energy to move sodium out of the cell and potassium into it—and will therefore be even more pronounced under disease- and injury-related conditions associated with decreased pump activity.
Source-Eurekalert
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