Objective: The purpose of this study was to test the hypothesis that c
apillary growth induced by chronic electrical stimulation of skeletal
muscle is accompanied by the growth Of small arterioles. Methods: Lowe
r limb flexor muscles of Sprague-Dawley rats were stimulated by electr
odes implanted in the vicinity of the peroneal nerve at 10 Hz for 8 h/
d for 2 and 7 days. Cryostat sections from the proximal, middle, and d
istal regions of the extensor digitorum longus muscle (EDL) were fluor
escently immunolabeled with alpha-smooth muscle actin (alpha SMA) and
myosin heavy chain (MHC) to identify mature (alpha SMA and MHC-positiv
e) and immature (alpha SMA-positive, MHC-negative) arterioles. The flu
orescent derivative of the lectin Griffonia simplicifolia I (GSI) was
used to identify all microvessels, including arterioles; capillaries,
and venules. Results: The number of vessels positive for GSI or alpha
SMA surrounding muscle fibers was similar in all three muscle regions
(proximal, middle; distal). The mean values +/- SEM for GSI-positive v
essels from all regions were similar in control (4.3 +/- 0.07) and 2-d
ay stimulated (4.7 +/- 0.08) but higher in 7-day stimulated muscles (6
.7 +/- 0.1, p < 0.05), thus confirming the previous findings on capill
ary growth. A similar increase was found in the number of alpha SMA-po
sitive vessels less than or equal to 10 mu m outer diameter (1.3 +/- 0
.09 versus 0.4 +/- 0.03 around muscle fibers in controls). The density
of terminal arterioles (less than or equal to 10 mu m) was slightly b
ut not significantly higher after 2 days of stimulation (19.5 +/- 4 ve
rsus 15.6 +/- 2 profiles/mm(2) in control muscles) and significantly h
igher after ? days (33 +/- 7). While a similar increase was observed i
n the density of preterminal arterioles >10 mu m (17 +/- 3 control, 22
+/- 3 at 2 days and 40 +/- 5 at 7 days), the density of MHC-positive
vessels muscles stimulated for 7 days was unchanged. Seven-day stimula
ted muscle also had a fivefold higher density of microvessel profiles
less than or equal to 10 mu m that were only partially surrounded by a
lpha SMA. This considerably exceeds the relative increase in the numbe
r of capillaries and thus supports the concept of arteriolar growth by
transformation from capillaries. Conclusions: Chronic electrical stim
ulation results in an early increase in the number of immature (MHC-ne
gative), but not mature (MHC-positive) arterioles, a process that acco
mpanies the increase in capillarization. The great increase in the num
ber of microvessels only partially covered bs alpha SMA suggests arter
iolization of capillaries as a contributing mechanism in this growth.