The effect of increasing extracellular calcium concentration on spontaneous
transmitter release was studied at both soleus (slow) and fast extensor di
gitorum longus (EDL) nerve terminals of control and streptozotocin-induced
diabetic (STZ-D) young C57 BL mice (7 months old) depolarized by high (20 m
M) extracellular potassium [K](o). Diabetes was induced by i.p. injection w
ith a single dose of streptozotocin (200 mg/kg) at the age 5 months and the
electrophysiological studies were carried out after 8 more weeks. By using
intracellular recording, miniature endplate potentials (MEPPs) were first
recorded in a normal [K](o) Krebs solution. Subsequently, MEPPs were record
ed in high [K](o) Krebs solution with 4 different Ca concentrations: Ca-fre
e/ethylene glycol-bis (beta-aminoethyl either)-N,N,N',N'-tetra acetic acid
(EGTA), 0.5, 1.5 and 2 mM Ca. MEPP frequency was lower at STZ-D than contro
l nerve terminals in EDL but not soleus. However, MEPP frequency was progre
ssively higher at both EDL and soleus of STZ-D than control with increasing
Ca concentration in Krebs that contained 20 mM [K](o). In STZ-D slow soleu
s muscle, depolarization produced 0.7, 4.3, 41.6 and 62.7 vs 1.4, 2.8, 20.7
and 31.6 Hz for control in the 4 different Ca concentrations. In STZ-D fas
t EDL muscle, depolarization produced 0.5, 4.9, 48.2 and 66.8 vs 1.2, 2.5,
27 and 35.4 Hz for control in the 4 different Ca concentrations. Bimodal an
d unimodal MEPP amplitude were present at both slow and fast nerve terminal
s. However, depolarization increased the percentage of bimodal MEPP amplitu
de in STZ-D compared to control (p<0.01) mice in EDL but not soleus. The re
sults revealed that these changes in muscle firing pattern may provide a pr
otective effect against diabetes-induced neuropathy at the neuromuscular ju
nction.