<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">CellBio</journal-id><journal-title-group><journal-title>CellBio</journal-title></journal-title-group><issn pub-type="epub">2325-7776</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/cellbio.2012.11001</article-id><article-id pub-id-type="publisher-id">CellBio-22497</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject><subject> Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  The Number of Cyclic Stretch Regulates Cellular Elasticity in C2C12 Myoblasts
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>enji</surname><given-names>Takemoto</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Takeomi</surname><given-names>Mizutani</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kazushi</surname><given-names>Tamura</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kazuki</surname><given-names>Takeda</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hisashi</surname><given-names>Haga</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kazushige</surname><given-names>Kawabata</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Faculty of Advanced Life Sciences, Hokkaido University, Sapporo, Japan</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>mizutani@sci.hokudai.ac.jp(TM)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>20</day><month>09</month><year>2012</year></pub-date><volume>01</volume><issue>01</issue><fpage>1</fpage><lpage>10</lpage><history><date date-type="received"><day>April</day>	<month>28,</month>	<year>2012</year></date><date date-type="rev-recd"><day>May</day>	<month>30,</month>	<year>2012</year>	</date><date date-type="accepted"><day>June</day>	<month>15,</month>	<year>2012</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Mechanical stimulations have been shown to regulate cellular mechanical properties. However, the stimulation patterns for effective regulation are as yet unclear. We investigated the effects of application of differing numbers of mechanical stimulation sets, each set consisting of 8% extension and compression to cells via deformation of cell culture elastic chamber, on cellular elasticity. Elasticity increased with only a single step-like stretch and with a single step-like stretch after 1 set of mechanical stimulation, whereas elasticity did not change with a single step-like stretch after 10 sets of mechanical stimulation. These results indicate that the increase in cellular elasticity with the single step-like stretch depends on the number of applied mechanical stimulations. Immunofluorescence staining showed that phosphorylation and dephosphorylation of myosin regulatory light chain (MRLC), which regulates intracellular contractile force and cellular elasticity, accompanied cellular elasticity changes. These findings suggest that cellular elasticity changes under cyclic and step-like stretches are mediated by MRLC.
 
</p></abstract><kwd-group><kwd>Cellular Elasticity; Mechanical Stimulation; Atomic Force Microscopy; Myosin Regulatory Light Chain; Regulation of Cellular Function</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Cellular responses to external mechanical stimuli, such as gravity, stretch and shear flow, and ultrasound, play important roles in expressing cellular physiological functions [1-4]. For example, cardiac or smooth muscle cells respond to the stretch induced by elevated blood pressure and alter their mechanical properties to modulate blood pressure to maintain adequate blood circulation [<xref ref-type="bibr" rid="scirp.22497-ref5">5</xref>]. In addition, bone cells respond to ultrasound by increasing cellular growth rate and extracellular matrix secretion [<xref ref-type="bibr" rid="scirp.22497-ref6">6</xref>]. Such controlled cellular growth and matrix secretion is expected to be available in the clinical field. Thus, cellular response to external mechanical stimuli is not only a fundamental cellular function, but it is also adaptable for medical usage. Therefore, investigation of the types of available mechanical stimulus and their resulting cellular responses are of great interest in both cell biology and biophysics.</p><p>Mechanical stretch has the ability to change cellular physiological functions, such as differentiation and cellular morphology. For example, cyclic stretch (with some additives) inhibits to differentiate myoblasts into myotubes [<xref ref-type="bibr" rid="scirp.22497-ref7">7</xref>]. In addition, uniaxial cyclic stretch induces cell orientation perpendicular to the stretch axis [<xref ref-type="bibr" rid="scirp.22497-ref8">8</xref>], although other stretch patterns like a single step-like stretch do not induce such effects. In the case of a single step-like stretch, this mechanical stimulus also keeps cells stretched, i.e., mechanical stimulus continues to be impressed to cells; however, cellular responses to a single step-like stretch are different from responses to cyclic stretches. To use mechanical stretch more effectively for cell regulation, it is important to consider its application pattern.</p><p>Our previous work showed that cellular elasticity could be regulated by mechanical stretch [<xref ref-type="bibr" rid="scirp.22497-ref9">9</xref>]. Briefly, application of only a single step-like stretch increased cellular elasticity, while more than 30 sets of cyclic stretch before the single step-like stretch inhibited the increase in cellular elasticity. These results indicate that adequate patterns of mechanical stretch are available to regulate cellular elasticity. However, the stretch patterns for effective regulation of cellular elasticity are not clear as yet.</p><p>The purpose of this study was to determine the number of cyclic stretches that are sufficient to inhibit the increase in cellular elasticity after the single step-like stretch. We examined the cellular elasticity response by changing the number of cyclic stretches from 1 to 10 sets. In addition, we examined signaling cascades known to be involved in the regulation of cellular elasticity following cyclic stretches. Cellular elasticity is known to be related to actomyosin-based contractile force [<xref ref-type="bibr" rid="scirp.22497-ref10">10</xref>]. As candidates for regulating contractile force under mechanical stretch, we examined changes in phosphorylation of myosin regulatory light chain (MRLC) and intracellular Ca<sup>2+</sup>. Our results indicated that the number of cyclic stretches regulated phosphorylation of MRLC and resulting cellular elasticity. We discuss the need to investigate the relationship between the expected cellular physiological response and mechanical stimulation parameters, and we address the regulatory mechanism of cellular elasticity following mechanical stimulation.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Cell Culture</title><p>Murine C<sub>2</sub>C<sub>12</sub> skeletal myoblasts obtained from RIKEN Cell Bank (Tsukuba, Japan) were cultured on plastic flasks supplied with Dulbecco’s modified Eagle’s medium (DMEM; Sigma-Aldrich, MO, USA), 10% FBS, and 1% antibiotic solution (Sigma-Aldrich) at 37<sup>&#176;</sup>C in a humidified atmosphere of 5% CO<sub>2</sub>.</p></sec><sec id="s2_2"><title>2.2. Stretch Device and Sample Preparation</title><p>Living cells were stretched or contracted via deformation of a deformable elastic cell culture chamber combined with a uniaxial stretch device [<xref ref-type="bibr" rid="scirp.22497-ref11">11</xref>]. For cellular elasticity measurements, an elastic chamber was formed into a 5-mm thick bottom (30 &#215; 30 mm) with a wall height of 20 mm by using transparent silicone rubber (SYLGARD 184; Dow Corning, Michigan, USA). For immunofluorescence observation, we used 10 μm of a thin-bottom elastic chamber and a high magnification lens. To deform the chamber at a constant velocity and degree, we used a motor-driven uniaxial slide stage (TAM-401SOMEBMDC(15); Sigma Koki, Tokyo, Japan): 2 ends of the chamber were attached to the stage with handmade steel clamps (Figures 1(A) and (B)). By using this experimental setup, we applied 8% rectangular-like repetitive strain or a single step-like strain to cells. One set of rectangular-like strain consisted of the following 4 steps: stretch (from 0% to 8% of strain with 200 μm/s velocity); rest (maintaining the 8% strain for 18 s); compression (from 8% to 0% of strain with 200 μm/s velocity); rest (maintaining the 0% of strain for 18 s). Thus, application of 1 set of rectangular-like strain took 1 min. A set of rectangular-like strain was defined as 1 set of cyclic stretch.</p><p>The chamber was sterilized by exposure to ultraviolet light for 6 h, and then the bottom of the chamber was coated with 20 μg/ml fibronectin (Roche Diagnostics, Basel, Switzerland) in PBS for 30 min. Cells grown on</p><p>the plastic flasks were trypsinized and cultivated in the incubator for 1 day prior to the stretch experiments. A few hours before the stretch experiments, the cell culture medium was replaced with 4-(2-hydroxyethyl)-1- piperazineethanesulfonic acid (HEPES)-buffered DMEM (pH 7.2 - 7.3) with 10% FBS and 1% antibiotic solution.</p></sec><sec id="s2_3"><title>2.3. Cellular Elasticity Mapping with Atomic Force Microscopy</title><p>Cellular elasticity mapping was achieved by a combination of a commercial atomic force microscope (AFM) and our developed force mapping method [<xref ref-type="bibr" rid="scirp.22497-ref12">12</xref>]. The AFM (NanoScope IIIa BioScope; Veeco, CA, USA) was equipped with a piezo translator with a maximum xy scan range of 100 μm and a z range of 10 μm. We used a silicon-nitride cantilever (MLCT-AUNM; Veeco, CA, USA) with the following specifications: a spring constant of 0.01 N/m; tip geometry, pyramidal shape with an opening angle of 35˚. The spatial distribution of cellular elasticity was measured by the force mapping method. Briefly, the relationship between the force acting on the cantilever versus distance between the cantilever and sample (so-called force curve) was taken at each pixel point in a scan area. The force versus distance curves were taken typically at 5.0 Hz with a z range of 1500 nm. The force curves were fit to the Hertzian contact model for a pyramidal indenter by using the non-linear leastsquares method. The Hertzian contact model predicts the following relation:</p><disp-formula id="scirp.22497-formula3796"><label>(1)</label><graphic position="anchor" xlink:href="1-224009\b4e124fa-33cd-44a0-a1cc-019e64605044.jpg"  xlink:type="simple"/></disp-formula><p>where z is the position of the piezo scanner, F is the loading force, v is the Poisson ratio, and α is the halfopening angle of the cantilever tip. Here v was assumed as 0.5 for simplification. Young’s modulus (elasticity) E was acquired as fit parameters when the force curve data were fit to the above model.</p><p>To monitor minute time scale of cellular elasticity change, we improved temporal resolution to obtain representative cellular elasticity at each condition. Conventional force mapping mode for 64 pixels &#215; 64 lines requires about 30 min to obtain one image. The 64 pixels &#215; 64 lines measurement has an advantage for comparison of cellular elasticity maps and immunofluorescent images [<xref ref-type="bibr" rid="scirp.22497-ref12">12</xref>] because of the better spatial resolution. On the contrary, it has a weakness in the temporal resolution to obtain one image. In the present study, we prioritized temporal resolution over the spatial resolution by the reduction of target pixel points to 16 pixels &#215; 16 lines. A measurement for the 16 pixels &#215; 16 lines takes 2 - 3 min.</p><p>To ensure that the targeted measurement region on a cell is identical during a set of AFM measurements, we used an inverted optical microscope (TE2000; Nikon, Tokyo, Japan) and adjusted the center of the target region onto the cellular nucleus by transference of the cantilever position (Figures 1(C)-(E)). As a representative value of cellular elasticity at each condition, we applied averaged elasticity from the 16 &#215; 16 pixel points for a 15 μm scan area. To compare cellular elasticity under mechanical stimulations, we chose cells with initial elasticity of 10 to 12 kPa.</p></sec><sec id="s2_4"><title>2.4. Intracellular Ca<sup>2+</sup> Measurement</title><p>Changes in cytosolic Ca<sup>2+</sup> concentration ([Ca<sup>2+</sup>]) in response to mechanical stretch were measured using a Ca<sup>2+</sup> indicator (Quest Fluo-8™ AM; AAT Bioquest, Inc., CA, USA). We prepared a Fluo-8 stock solution (50 mM of Fluo-8 AM esters in DMSO) and stored them at –20<sup>&#176;</sup>C. For [Ca<sup>2+</sup>] measurements, we added 200 μl of DMEM with 10% FBS and 1% antibiotic solution to 10 μl of the stock solution. Cells were then incubated with the Fluo-8 AM mixture overnight at 37˚C, and then culture media was replaced with HEPES-buffered DMEM (pH 7.2 - 7.3) containing 1.8 mm Ca<sup>2+</sup> prior to the mechanical stretch application. Intracellular Ca<sup>2+</sup> signals were measured by a confocal laser scanning microscope (TCS-SP5 confocal imaging system; Leica) with a 20&#215; objective lens every 15 s. We recorded the fluorescence intensity over 520 nm excited by 490 nm. The effects of cyclic stretch on relative [Ca<sup>2+</sup>]<sub>r</sub> were estimated from the following equation:</p><disp-formula id="scirp.22497-formula3797"><label>(2)</label><graphic position="anchor" xlink:href="1-224009\c10aabca-0ade-4553-8a55-f187b2005be5.jpg"  xlink:type="simple"/></disp-formula><p>where I<sub>after</sub> and I<sub>before</sub> are the intensities after and before the cyclic stretch, and B<sub>after</sub> and B<sub>before</sub> are the corresponding background autofluorescence values.</p></sec><sec id="s2_5"><title>2.5. Immunofluorescence Microscopy and Quantification of Changes in Diphosphorylated Myosin Regulatory Light Chain</title><p>Cells were fixed with 1% formaldehyde in PBS for 5 min and permeabilized with 0.5% Triton-X100 in PBS for 5 min. For staining diphosphorylated MRLC (pp-MRLC), cells were incubated with rabbit anti-pp-MRLC primary antibody (dilution 1:250; 3671S; Cell Signaling Technology, MA, USA) diluted in PBS containing 0.5% skim milk (SM-PBS) for 2 h, then with Alexa594-conjugated goat anti-rabbit IgG secondary antibody (dilution 1:500; Invitrogen) diluted in SM-PBS and AlexaFluor-488 phalloidin (dilution 1:200; Invitrogen) for 1 h. The stained cells were observed using a confocal laser scanning microscope (C1 confocal imaging system; Nikon) with a 60&#215; objective lens. To quantify the changes in pp-MRLC under mechanical stretch, we measured the relative intensity of pp-MRLC. The pp-MRLC intensities on an F-actin-positive area in a cell were summed using ImageJ software (NIH, MD, USA). The values from 40 - 50 cells in each condition were averaged and normalized to the average under static conditions.</p></sec></sec><sec id="s3"><title>3. Results and Discussion</title><p>To determine the number of cyclic stretches that are sufficient to inhibit the cellular elasticity increase after the single step-like stretch, we examined the cellular elasticity response by changing the number of cyclic stretch sets from 0 to 10. <xref ref-type="fig" rid="fig2">Figure 2</xref>(A) shows the cellular elasticity map on the nucleus with 10 sets of cyclic stretch and a subsequent single step-like stretch. The elasticities were averaged and their time course was plotted (<xref ref-type="fig" rid="fig2">Figure 2</xref>(B)). The immediate increase after the cyclic stretch and the decrease after 20 min were similar to data previously reported [<xref ref-type="bibr" rid="scirp.22497-ref13">13</xref>]. After these responses,</p><p>the elasticity did not increase despite the application of a single step-like stretch (arrow and arrowhead in <xref ref-type="fig" rid="fig2">Figure 2</xref>(B)). In contrast, with 1 set of cyclic stretch, cellular elasticity increased in response to the subsequent single step-like stretch (Figures 2(C) and (D)). To characterize the cellular elasticity response to a single step-like stretch after a different number of cyclic stretches, relative elasticity changes were statistically analyzed using data from 4 independent experiments (<xref ref-type="fig" rid="fig3">Figure 3</xref>(B)). Elasticity with only a single step-like stretch, 1 or 2 sets of cyclic stretch followed by a single step-like stretch significantly increased compared to changes in static conditions. On the other hand, elasticity changes with 7 or 10 sets of cyclic stretch followed by a single step-like stretch were not significantly different than changes under static conditions. Furthermore, the elasticity changes with 10 sets of cyclic stretch were significantly smaller than changes with 1 set of cyclic stretch. These results indicate that both a single step-like stretch, 1 and 2 sets of cyclic stretch with a single step-like stretch increase cellular elasticity, while 7 and 10 sets of cyclic stretch inhibit the increase caused by single step-like stretch. In other wordscellular elasticity responses with a single step-like stretch are dependent on the number of cyclic stretches that are applied prior to the single step-like stretch.</p><p>Next, we elucidated the residual effect directly on cellular elasticity after 10 or 2 sets of cyclic stretch. Cellular elasticity is known to be in a range [<xref ref-type="bibr" rid="scirp.22497-ref14">14</xref>]. We observed an increase in elasticity after 10 or 2 sets of cyclic stretch, which then decreased (Figures 2 and 3). If elasticity reaches a maximum after the cyclic stretches and the time constants for the decay in elasticity are different, elasticity changes on the single step-like stretch following the cyclic stretch would be different until the residual effect by the cyclic stretch disappears. To examine our hypothesis, we measured the time constant of elasticity decay by the 10 or 2 sets of cyclic stretch (<xref ref-type="fig" rid="fig4">Figure 4</xref>). Cellular elasticity immediately increased after the application of 10 sets of cyclic stretch and decreased to a constant value for the following 15 min (i.e., time constant = 15 min). In the case of 2 sets of cyclic stretch, the profile of the change was similar to that of the 10 sets cyclic stretch, although the time constant</p><p>was 25 min. These results imply that there may be a residual effect on elasticity during the 25 min after the application of 10 or 2 sets of cyclic stretch. In other words, 30 min is sufficient to eliminate the residual effect on elasticity by the cyclic stretches. Taken together, our finding that 10 or 2 sets of cyclic stretch differently affect the cellular elasticity response induced by the single step-like stretch is valid because we used 30 min intervals between the end of the cyclic stretch and the beginning of the single step-like stretch (Figures 2(B) and (D)).</p><p>To survey molecular mechanisms as to how cyclic stretch affect the cellular elasticity response by a single step-like stretch, we focused on phosphorylation of MRLC, which are thought to contribute to cellular elasticity [<xref ref-type="bibr" rid="scirp.22497-ref15">15</xref>]. First, we examined changes in pp-MRLC with a single step-like stretch and/or with cyclic stretches. Previous reports have shown that pp-MRLC increases intracellular contractile force and cellular elasticity [<xref ref-type="bibr" rid="scirp.22497-ref15">15</xref>], and diphosphorylation can be induced by a single step-like stretch [<xref ref-type="bibr" rid="scirp.22497-ref16">16</xref>]. To quantify changes in pp-MRLC, we stained cells with anti-pp-MRLC and measured the intensity (<xref ref-type="fig" rid="fig5">Figure 5</xref>). The pp-MRLC intensity with only a single step-like stretch was significantly larger than the intensity under static conditions. A similar change was seen after the single step-like stretch following 2 sets of cyclic stretch. However, the intensity after a single step like stretch following 10 sets of cyclic stretch did not show clear differences compared to the static conditions. These results correlate with the cellular elasticity data (Figures 2 and 3). We also verified that there was no residual pp-MRLC induced by the 2 or 10 sets of cyclic stretch prior to the single step-like stretch. Taken together, these results suggest that the cellular elasticity response under mechanical stimulation originates from the pp-MRLC change.</p><p>Next, we investigated the contribution of cellular [Ca<sup>2+</sup>] to the diphosphorylation of MRLC because many groups have reported that [Ca<sup>2+</sup>] increases with cyclic stretch [<xref ref-type="bibr" rid="scirp.22497-ref8">8</xref>], and MRLC phosphorylation is induced by activation of myosin light-chain kinase (MLCK) in a Ca<sup>2+</sup>-dependent manner [<xref ref-type="bibr" rid="scirp.22497-ref17">17</xref>]. Our preliminary data showed that [Ca<sup>2+</sup>] did not change after1 or 10 sets of cyclic stretch and a subsequent single step-like stretch (<xref ref-type="fig" rid="fig6">Figure 6</xref>). This result implies that Ca<sup>2+</sup> does not contribute to regulation of elasticity changes.</p><p>A variety of mechanical stimuli have the potential to regulate cellular physiology. With respect to cyclic stretch, changing the magnitude or frequency rearranges cell orientation [8,18] and cytoskeletal networks [<xref ref-type="bibr" rid="scirp.22497-ref19">19</xref>], and upor down-regulates cell growth rate and protein synthesis [<xref ref-type="bibr" rid="scirp.22497-ref20">20</xref>]. Moreover, application of a large number (~1000) of cyclic stretches also affects cell growth [<xref ref-type="bibr" rid="scirp.22497-ref21">21</xref>] and cell orientation. In the present study, we showed that application of even a small number (1 - 10) of cyclic stretches differently changed the cellular elasticity response (Figures 2 and 3) and molecular activity (<xref ref-type="fig" rid="fig5">Figure 5</xref>), although cell alignment did not change (<xref ref-type="fig" rid="fig7">Figure 7</xref>). Thus, there may be a relationship between the predicted cellular physiological response and parameters of the mechanical stimulations. To regulate cellular functions more effectively, the parameters of mechanical stimulation should be considered.</p><p>To discuss the mechanism as to how cells change their elasticity after mechanical stretches, changes in the cytoskeleton and activity of its regulators should be considerd. Many types of cells are reported to sense mechanical stimulation, which are transformed into intracellular signals [22,23]. With respect to regulators of cellular mechanical properties, Ca<sup>2+</sup> influx, integrin complex activation, and RhoA activation are known to act as first messengers [<xref ref-type="bibr" rid="scirp.22497-ref24">24</xref>]. As such, F-actin polymerization, cellular elasticity change, and focal adhesion (FA) creation are induced [13,25]. In these processes, MRLC phosphorylation is thought to be a principal mediator (An and Hai 2000). Our results showed that MRLC phosphorylation and dephosphorylation accompanied cellular elasticity changes (Figures 2 and 3) and FA area (<xref ref-type="fig" rid="fig8">Figure 8</xref>). Taken together, these data indicate cellular elasticity changes resulting from cyclic and step-like stretches are likely mediated by MRLC. Furthermore, we hypothesize that MRLC changes are indendent of Ca<sup>2+</sup> because the Ca<sup>2+</sup> time-course was diffent from time-course of ppMRLC and elasticity (<xref ref-type="fig" rid="fig6">Figure 6</xref>), which is supported by a previous report indicatingthat influx of Ca<sup>2+ </sup>by cyclic stretch occurs in second time scale [<xref ref-type="bibr" rid="scirp.22497-ref8">8</xref>]. To investigate our hypothesis, experiments using expression of a non&#160;&#160;</p><p><img src="1-224009\41890311-8781-42b9-86f3-6420fde46a2f.jpg" /></p><p>where A<sub>vin</sub> is the total areas of vinculin within a cell and A<sub>F-actin</sub> is the total areas of F-actin. Each data represent mean &#177; standard errors from 40 - 50 cells for two independent experiments. <sup>*</sup>indicates significant differences (p &lt; 0.01) and <sup>**</sup>also indicates significant differences (p &lt; 0.05) [<xref ref-type="bibr" rid="scirp.22497-ref26">26</xref>].</p><p>phosphorylatable MRLC [<xref ref-type="bibr" rid="scirp.22497-ref27">27</xref>] and RhoA inhibitors [<xref ref-type="bibr" rid="scirp.22497-ref28">28</xref>] are necessary.</p><p>Although it is still unclear how the different elasticity responses to single step-like stretch after 2 or 10 sets of cyclic stretch are induced, we predict that it may be due to a balance between activation and deactivation of MRLC. We observed that a single step-like stretch increased elasticity, and 2 sets of cyclic stretch did not alter the elasticity response; however, 10 sets of cyclic stretch inhibited the increase caused by the single stepike stretch (Figures 2 and 3). As these elasticity changes were accompanied with diand de-phosphorylation of MRLC (<xref ref-type="fig" rid="fig5">Figure 5</xref>), proteins that activate (kinases) or inhibit (phosphatases) the activity of MRLC may be involved in the elasticity response depending on the number of cyclic stretches. We hypothesize the following: net MRLC photion is determined by a balance of activity between MRLC kinases and phosphatases; differences in reaction rate between kinases and phosphatases responding to the cyclic stretch; homeostatic mechanism in kinase and phosphatase activity. To investigate these hypothezes, future work will include measuring the time course of both kinase and phosphatase activity after application of the cyclic stretches.</p></sec><sec id="s4"><title>4. Acknowledgements</title><p>This work is supported by Scientific Research (C) (2157- 0158) to H. H., by Exploratory Research (21654058) to K. K., and by Grant-in-Aid for Young Scientists (B) (23770167) to T. 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