Novotová, Marta, Michaela Pavlovičová, Vladimir I. Veksler, Renée Ventura-Clapier, and Ivan Zahradník. Ultrastructural remodeling of fast skeletal muscle fibers induced by invalidation of creatine kinase. Am J Physiol Cell Physiol 291: C1279 -C1285, 2006. First published July 19, 2006 doi:10.1152/ajpcell.00114.2006.-Understanding muscle adaptation to various stimuli is difficult because of the complex nature of stimuli and responses. In particular, responses to perturbations in energy metabolism require careful examination, because they may involve both structural and functional elements. To estimate the structural component of the myocyte adaptation to energetic deficiency, we used transgenic mice with blocked expression of mitochondrial and cytosolic creatine kinases (CK). The ultrastructure was analyzed using the stereological method of vertical sections applied to electron microscopic images of ultrathin longitudinal sections of fast muscle fibers of gastrocnemius, known to adapt to CK deficiency by increasing oxidative metabolism. The lack of CK induced a profound structural adaptation response that included changes in the volume and surface densities of major organelles. In addition, using a new stereological parameter, the environment of an organelle, substantial changes in the mitochondrial neighborhood were identified pointing to their relocation closer to the major sites of energy consumption, supposedly to compensate for invalidated energy transfer. Using quantitative arguments, we have shown for the first time that spatial relations among organelles of muscle cells undergo adaptation in response to nonstructural stimuli like metabolic deficiency. skeletal muscle cells; structure; adaptation; energy deficiency CREATINE KINASE (CK) is now recognized as a key player in transport of energy from the mitochondrion and within the cytoplasm, and in its utilization at the sites of consumption (23). The family of CK isoenzymes catalyzes the reversible transfer of a phosphate moiety between creatine and ATP. The major part of muscle CK exists (33) as the cytosolic isoform (MM-CK) and as the mitochondrial isoform (mi-CK). Part of MM-CK is structurally associated with myofibrils and membranes of the sarcoplasmic reticulum and functionally coupled to ATPases for optimal function of the contractile machinery and sarcoplasmic reticulum calcium uptake (18,22,29,31).Transgenic mice represent useful models for studies of effects of specific proteins in cellular functions. Recently, an engineered mouse with invalidated expression of both mi-CK and MM-CK was developed (CK Ϫ/Ϫ mouse) and extensively studied (24 -26) to understand the effects of altered energy metabolism. Functional tests revealed that the fast skeletal muscle of CK Ϫ/Ϫ mice has abnormal calcium transient and lacks burst activity at the onset of stimulation but exhibits paradoxical decreased fatigability (4, 6, 10, 24). Steeghs et al. (24) reported that in CK Ϫ/Ϫ mice, the fast glycolytic skeletal muscle fibers of gastrocnemius muscle show two new distinc...