Xu S, Pratt SJ, Spangenburg EE, Lovering RM. Early metabolic changes measured by 1 H MRS in healthy and dystrophic muscle after injury. J Appl Physiol 113: 808 -816, 2012. First published June 28, 2012 doi:10.1152/japplphysiol.00530.2012.-Skeletal muscle injury is often assessed by clinical findings (history, pain, tenderness, strength loss), by imaging, or by invasive techniques. The purpose of this work was to determine if in vivo proton magnetic resonance spectroscopy ( 1 H MRS) could reveal metabolic changes in murine skeletal muscle after contraction-induced injury. We compared findings in the tibialis anterior muscle from both healthy wild-type (WT) muscles (C57BL/10 mice) and dystrophic (mdx mice) muscles (an animal model for human Duchenne muscular dystrophy) before and after contraction-induced injury. A mild in vivo eccentric injury protocol was used due to the high susceptibility of mdx muscles to injury. As expected, mdx mice sustained a greater loss of force (81%) after injury compared with WT (42%). In the uninjured muscles, choline (Cho) levels were 47% lower in the mdx muscles compared with WT muscles. In mdx mice, taurine levels decreased 17%, and Cho levels increased 25% in injured muscles compared with uninjured mdx muscles. Intramyocellular lipids and total muscle lipid levels increased significantly after injury but only in WT. The increase in lipid was confirmed using a permeable lipophilic fluorescence dye. In summary, loss of torque after injury was associated with alterations in muscle metabolite levels that may contribute to the overall injury response in mdx mice. These results show that it is possible to obtain meaningful in vivo 1 H MRS regarding skeletal muscle injury.in vivo magnetic resonance spectroscopy; eccentric injury; mdx; muscle damage INTENSE PHYSICAL EXERCISE can cause skeletal muscle damage and inflammation, resulting in pain and a loss of maximal force production. Skeletal muscle injury resulting from high-force lengthening contractions, such as intense physical exercise, is clinically termed a "muscle strain" and is one of the most common ailments seen by physicians. A diagnosis of acute muscle strains is still typically made based on physical exam and patient history. Several direct and indirect indicators of skeletal muscle damage have been observed, including disruption of contractile tissue, cellular accumulation of calcium, delayed onset muscle soreness, a prolonged reduction in muscular strength and range of motion, and an increase in the appearance of muscle proteins in the blood, such as creatine (Cr) kinase (CK), lactate dehydrogenase, and myoglobin (2, 6, 19). Duchenne muscular dystrophy (DMD) is characterized clinically by severe, progressive, and irreversible loss of muscular function. The disease is caused by the lack of dystrophin, a large membrane-associated protein expressed in skeletal muscle and localized to the inner face of the sarcolemma (63). There are significant parallels between the damage incurred after lengthening ("eccentric") contractions ...