The Utility of Increased Adrenin in the Blood as an Antidote to the Effects of Fatigue
The function which the discharged adrenin itself might have in favoring vigorous muscular contraction has already been suggested in the chapter on the effect of adrenin in restoring the irritability of fatigued muscle. Some of the earliest evidence proved that removal of the adrenal glands has a debilitating effect on muscular power, and that injection of adrenal extract has an invigorating effect. For these reasons it seemed possible that increased adrenal secretion, as a reflex result of pain or the major emotions, might act in itself as a dynamogenic factor in the performance of muscular work. It was on the basis of that possibility that Nice and I tested the effect of stimulating the splanchnic nerves (thus causing adrenal secretion), or injecting adrenin, on the contraction of the fatigued tibialis anticus. We found, as already described, that when arterial pressure was of normal height, and was prevented from rising in the legs while the splanchnic was being stimulated, there was a distinct rise in the height of contraction of the fatigued muscle. And we drew the inference that adrenin set free in the blood may operate favorably to the organism by preparing fatigued muscles for better response to the nervous discharges sent forth in great excitement.
This inference led to the experiments by Gruber, who examined the effects of minute amounts of adrenin (0.1 or 0.5 cubic centimeter, 1:100,000), and also of splanchnic stimulation, on the threshold stimulus of fatigued neuro-muscular and muscular apparatus. Fatigue, the reader will recall, raises the threshold not uncommonly 100 or 200 per cent, and in some instances as much as 600 per cent. Rest will restore the normal threshold in periods varying from fifteen minutes to two hours, according to the length of previous stimulation. If a small dose of adrenin is given, however, the normal threshold may be restored in three to five minutes.
From the foregoing evidence the conclusion is warranted that adrenin, when freely liberated in the blood, not only aids in bringing out sugar from the liver’s store of glycogen, but also has a remarkable influence in quickly restoring to fatigued muscles, which have lost their original irritability, the same readiness for response which they had when fresh. Thus the adrenin set free in pain and in fear and rage would put the muscles of the body unqualifiedly at the disposal of the nervous system; the difficulty which nerve impulses might have in calling the muscles into full activity would be practically abolished; and this provision, along with the abundance of energy-supplying sugar newly flushed into the circulation, would give to the animal in which these mechanisms are most efficient the best possible conditions for putting forth supreme muscular efforts.[*]
[*] If these results of emotion and pain are not “worked off” by action, it is conceivable that the excessive adrenin and sugar in the blood may have pathological effects. (Cf. Cannon: Journal of the American Medical Association, 1911, lvi, p. 742.)