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Neuromuscular electrical stimulation training induces myonuclear accretion and hypertrophy in mice without overt signs of muscle damage and regeneration.
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-05 DOI: 10.1186/s13395-024-00372-0
Aurélie Fessard, Aliki Zavoriti, Natacha Boyer, Jules Guillemaud, Masoud Rahmati, Peggy Del Carmine, Christelle Gobet, Bénédicte Chazaud, Julien Gondin

Background: Skeletal muscle is a plastic tissue that adapts to increased mechanical loading/contractile activity through fusion of muscle stem cells (MuSCs) with myofibers, a physiological process referred to as myonuclear accretion. However, it is still unclear whether myonuclear accretion is driven by increased mechanical loading per se, or occurs, at least in part, in response to muscle injury/regeneration. Here, we developed a non-damaging protocol to evaluate contractile activity-induced myonuclear accretion/hypertrophy in physiological conditions.

Methods: Contractile activity was generated by applying repeated electrical stimuli over the mouse plantar flexor muscles. This method is commonly referred to as NeuroMuscular Electrical Simulation (NMES) in Human. Each NMES training session consisted of 80 isometric contractions delivered at ∼15% of maximal tetanic force to avoid muscle damage. C57BL/6J male mice were submitted to either a short (i.e., 6 sessions) or long (i.e., 12 sessions) individualized NMES training program while unstimulated mice were used as controls. Histological investigations were performed to assess the impact of NMES on MuSC number and status, myonuclei content and muscle tissue integrity, typology and size.

Results: NMES led to a robust proliferation of MuSCs and myonuclear accretion in the absence of overt signs of muscle damage/regeneration. NMES-induced myonuclear accretion was specific to type IIB myofibers and was an early event preceding muscle hypertrophy inasmuch as a mild increase in myofiber cross-sectional area was only observed in response to the long-term NMES training protocol.

Conclusion: We conclude that NMES-induced myonuclear accretion and muscle hypertrophy are driven by a mild increase in mechanical loading in the absence of overt signs of muscle injury.

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引用次数: 0
Aminoguanidine hemisulfate improves mitochondrial autophagy, oxidative stress, and muscle force in Duchenne muscular dystrophy via the AKT/FOXO1 pathway in mdx mice. 半硫酸氨基胍通过AKT/FOXO1通路改善mdx小鼠Duchenne肌营养不良的线粒体自噬、氧化应激和肌力。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-01-13 DOI: 10.1186/s13395-024-00371-1
Shiyue Sun, Tongtong Yu, Joo Young Huh, Yujie Cai, Somy Yoon, Hafiz Muhammad Ahmad Javaid

Background: Duchenne muscular dystrophy (DMD) is a prevalent, fatal degenerative muscle disease with no effective treatments. Mdx mouse model of DMD exhibits impaired muscle performance, oxidative stress, and dysfunctional autophagy. Although antioxidant treatments may improve the mdx phenotype, the precise molecular mechanisms remain unclear. This study investigates the effects of aminoguanidine hemisulfate (AGH), an inhibitor of reactive oxygen species (ROS), on mitochondrial autophagy, oxidative stress, and muscle force in mdx mice.

Methods: Male wild-type (WT) and mdx mice were divided into three groups: WT, mdx, and AGH-treated mdx mice (40 mg/kg intraperitoneally for two weeks) at 6 weeks of age. Gene expression, western blotting, H&E staining, immunofluorescence, ROS assays, TUNEL apoptosis, glutathione activity, and muscle force measurements were performed. Statistical comparisons used one-way ANOVA.

Results: AGH treatment significantly reduced the protein levels of LC3, and p62 in mdx mice, indicating improved autophagy activity and the ability to clear damaged mitochondria. AGH restored the expression of mitophagy-related genes Pink1 and Parkin and increased Mfn1, rebalancing mitochondrial dynamics. It also increased Pgc1α and mtTFA levels, promoting mitochondrial biogenesis. ROS levels were reduced, with higher Prdx3 and MnSOD expression, improving mitochondrial antioxidant defenses. AGH normalized the GSSG/GSH ratio and decreased glutathione reductase and peroxidase activities, further improving redox homeostasis. Additionally, AGH reduced apoptosis, shown by fewer TUNEL-positive cells and lower caspase-3 expression. Histological analysis revealed decreased muscle damage and fewer embryonic and neonatal myosin-expressing fibers. AGH altered fiber composition, decreasing MyH7 while increasing MyH4 and MyH2. Muscle force improved significantly, with greater twitch and tetanic forces. Mechanistically, AGH modulated the AKT/FOXO1 pathway, decreasing myogenin and Foxo1 while increasing MyoD.

Conclusions: AGH treatment restored mitochondrial autophagy, reduced oxidative stress, apoptosis, and altered muscle fiber composition via the AKT/FOXO1 pathway, collectively improving muscle force in mdx mice. We propose AGH as a potential therapeutic strategy for DMD and related muscle disorders.

背景:杜氏肌营养不良症(DMD)是一种常见的致死性退行性肌肉疾病,目前尚无有效的治疗方法。Mdx小鼠DMD模型表现出肌肉功能受损、氧化应激和功能失调的自噬。虽然抗氧化处理可能改善mdx表型,但确切的分子机制尚不清楚。本研究探讨了半硫酸氨基胍(AGH)对mdx小鼠线粒体自噬、氧化应激和肌力的影响,AGH是一种活性氧(ROS)抑制剂。方法:6周龄雄性野生型(WT)和mdx小鼠分为WT、mdx和agh处理mdx小鼠(40 mg/kg腹腔注射2周)3组。进行基因表达、western blotting、H&E染色、免疫荧光、ROS测定、TUNEL凋亡、谷胱甘肽活性和肌肉力测量。统计比较采用单因素方差分析。结果:AGH处理显著降低mdx小鼠LC3和p62蛋白水平,表明自噬活性和清除受损线粒体的能力增强。AGH恢复了线粒体自噬相关基因Pink1和Parkin的表达,增加了Mfn1,重新平衡了线粒体动力学。同时增加Pgc1α和mtTFA水平,促进线粒体生物发生。ROS水平降低,Prdx3和MnSOD表达升高,线粒体抗氧化防御能力增强。AGH使GSSG/GSH比值正常化,降低谷胱甘肽还原酶和过氧化物酶活性,进一步改善氧化还原稳态。此外,AGH减少凋亡,表现为tunel阳性细胞减少和caspase-3表达降低。组织学分析显示肌肉损伤减少,胚胎和新生儿肌球蛋白表达纤维减少。AGH改变了纤维组成,降低了MyH7,增加了MyH4和MyH2。肌肉力量明显改善,有更大的抽搐和强直力。在机制上,AGH调节AKT/FOXO1通路,降低肌生成素和FOXO1,增加MyoD。结论:AGH处理通过AKT/FOXO1通路恢复线粒体自噬,减少氧化应激和细胞凋亡,改变肌纤维成分,共同改善mdx小鼠的肌肉力量。我们建议AGH作为DMD和相关肌肉疾病的潜在治疗策略。
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引用次数: 0
Sarcolemma resilience and skeletal muscle health require O-mannosylation of dystroglycan. 肌膜弹性和骨骼肌健康需要o -甘露糖醛基化。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-01-09 DOI: 10.1186/s13395-024-00370-2
Jeffrey M Hord, Sarah Burns, Tobias Willer, Matthew M Goddeeris, David Venzke, Kevin P Campbell

Background: Maintaining the connection between skeletal muscle fibers and the surrounding basement membrane is essential for muscle function. Dystroglycan (DG) serves as a basement membrane extracellular matrix (ECM) receptor in many cells, and is also expressed in the outward-facing membrane, or sarcolemma, of skeletal muscle fibers. DG is a transmembrane protein comprised of two subunits: alpha-DG (α-DG), which resides in the peripheral membrane, and beta-DG (β-DG), which spans the membrane to intracellular regions. Extensive post-translational processing and O-mannosylation are required for α-DG to bind ECM proteins, which is mediated by a glycan structure known as matriglycan. O-mannose glycan biosynthesis is initiated by the protein O-mannosyltransferase 1 (POMT1) and POMT2 enzyme complex and leads to three subtypes of glycans called core M1, M2, and M3. The lengthy core M3 is capped with matriglycan. Genetic defects in post-translational O-mannosylation of DG interfere with its receptor function and result in muscular dystrophy with central nervous system and skeletal muscle pathophysiology.

Methods: To evaluate how the loss of O-mannosylated DG in skeletal muscle affects the development and progression of myopathology, we generated and characterized mice in which the Pomt1 gene was specifically deleted in skeletal muscle (Pomt1skm) to interfere with POMT1/2 enzyme activity. To investigate whether matriglycan is the primary core M glycan structure that provides the stabilizing link between the sarcolemma and ECM, we generated mice that retained cores M1, M2, and M3, but lacked matriglycan (conditional deletion of like-acetylglucosaminyltransferase 1; Large1skm). Next, we restored Pomt1 using gene transfer via AAV2/9-MCK-mPOMT1 and determined the effect on Pomt1skm pathophysiology.

Results: Our data showed that in Pomt1skm mice O-mannosylated DG is required for sarcolemma resilience, remodeling of muscle fibers and muscle tissue, and neuromuscular function. Notably, we observed similar body size limitations, sarcolemma weakness, and neuromuscular weakness in Large1skm mice that only lacked matriglycan. Furthermore, our data indicate that genetic rescue of Pomt1 in Pomt1skm mice limits contraction-induced sarcolemma damage and skeletal muscle pathology.

Conclusions: Collectively, our data indicate that DG modification by Pomt1/2 results in core M3 capped with matriglycan, and that this is required to reinforce the sarcolemma and enable skeletal muscle health and neuromuscular strength.

背景:维持骨骼肌纤维与周围基底膜之间的连接对肌肉功能至关重要。歧合聚糖(DG)在许多细胞中作为基底膜细胞外基质(ECM)受体,也在骨骼肌纤维的外膜或肌膜中表达。DG是一种跨膜蛋白,由两个亚基组成:α-DG (α-DG),位于外周膜上,β-DG (β-DG)横跨膜到细胞内区域。α-DG结合ECM蛋白需要广泛的翻译后加工和o -甘露糖基化,这是由一种被称为基质聚糖的聚糖结构介导的。o -甘露糖聚糖的生物合成由蛋白质o -甘露糖基转移酶1 (POMT1)和POMT2酶复合物启动,并导致三种亚型的聚糖,称为核心M1, M2和M3。长芯M3用矩阵can覆盖。DG翻译后o -甘露糖基化的遗传缺陷干扰其受体功能,导致中枢神经系统和骨骼肌病理生理的肌肉萎缩。方法:为了评估骨骼肌中o -甘露糖基化DG的缺失如何影响肌病的发生和进展,我们生成了骨骼肌中Pomt1基因(Pomt1skm)被特异性删除以干扰Pomt1 /2酶活性的小鼠并对其进行了表征。为了研究基质多糖是否是在肌膜和ECM之间提供稳定联系的主要核心M聚糖结构,我们产生了保留核心M1、M2和M3的小鼠,但缺乏基质多糖(条件缺失样乙酰氨基葡萄糖转移酶1;Large1skm)。接下来,我们通过AAV2/9-MCK-mPOMT1基因转移恢复Pomt1,并确定对Pomt1skm病理生理的影响。结果:我们的数据显示,Pomt1skm小鼠的肌膜弹性、肌肉纤维和肌肉组织的重塑以及神经肌肉功能都需要o -甘露糖基化DG。值得注意的是,我们在只缺乏基质蛋白的大体型小鼠中观察到类似的体型限制、肌膜无力和神经肌肉无力。此外,我们的数据表明,Pomt1在Pomt1skm小鼠中的遗传拯救限制了收缩诱导的肌膜损伤和骨骼肌病理。结论:总的来说,我们的数据表明,Pomt1/2修饰DG导致核心M3被基质覆盖,这是增强肌膜、保持骨骼肌健康和神经肌肉力量所必需的。
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引用次数: 0
Fully-automated segmentation of muscle and inter-/intra-muscular fat from magnetic resonance images of calves and thighs: an open-source workflow in Python. 从小腿和大腿的磁共振图像中全自动分割肌肉和肌肉间/肌肉内脂肪:Python的开源工作流程。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-27 DOI: 10.1186/s13395-024-00365-z
Kenneth Tam, Si Wen Liu, Sarah Costa, Eva Szabo, Shannon Reitsma, Hana Gillick, Jonathan D Adachi, Andy Kin On Wong

Background: INTER- and INTRAmuscular fat (IMF) is elevated in high metabolic states and can promote inflammation. While magnetic resonance imaging (MRI) excels in depicting IMF, the lack of reproducible tools prevents the ability to measure change and track intervention success.

Methods: We detail an open-source fully-automated iterative threshold-seeking algorithm (ITSA) for segmenting IMF from T1-weighted MRI of the calf and thigh within three cohorts (CaMos Hamilton (N = 54), AMBERS (N = 280), OAI (N = 105)) selecting adults 45-85 years of age. Within the CaMos Hamilton cohort, same-day and 1-year repeated images (N = 38) were used to evaluate short- and long-term precision error with root mean square coefficients of variation; and to validate against semi-automated segmentation methods using linear regression. The effect of algorithmic improvements to fat ascertainment using 3D connectivity and partial volume correction rules on analytical precision was investigated. Robustness and versatility of the algorithm was demonstrated by application to different MR sequences/magnetic strength and to calf versus thigh scans.

Results: Among 439 adults (319 female(89%), age: 71.6 ± 7.6 yrs, BMI: 28.06 ± 4.87 kg/m2, IMF%: 10.91 ± 4.57%), fully-automated ITSA performed well across MR sequences and anatomies from three cohorts. Applying both 3D connectivity and partial volume fat correction improved precision from 4.99% to 2.21% test-retest error. Validation against semi-automated methods showed R2 from 0.92 to 0.98 with fully-automated ITSA routinely yielding more conservative computations of IMF volumes. Quality control shows 7% of cases requiring manual correction, primarily due to IMF merging with subcutaneous fat. A full workflow described methods to export tags for manual correction.

Conclusions: The greatest challenge in segmenting IMF from MRI is in selecting a dynamic threshold that consistently performs across repeated imaging. Fully-automated ITSA achieved this, demonstrated low short- and long-term precision error, conducive of use within RCTs.

背景:肌间和肌内脂肪(IMF)在高代谢状态下升高,可促进炎症。虽然磁共振成像(MRI)在描绘IMF方面表现出色,但缺乏可重复的工具阻碍了测量变化和跟踪干预成功的能力。方法:我们详细介绍了一种开源的全自动迭代阈值搜索算法(ITSA),用于在三个队列(CaMos Hamilton (N = 54), AMBERS (N = 280), OAI (N = 105))中从小腿和大腿的t1加权MRI中分割IMF,这些队列选择了45-85岁的成年人。在CaMos Hamilton队列中,使用当天和1年重复图像(N = 38)评估短期和长期精度误差的均方根变异系数;并对使用线性回归的半自动分割方法进行验证。研究了利用三维连通性和部分体积校正规则改进脂肪确定算法对分析精度的影响。该算法的鲁棒性和通用性通过应用于不同的磁共振序列/磁场强度以及小腿和大腿扫描来证明。结果:在439名成年人中(319名女性,占89%),年龄:71.6±7.6岁,BMI: 28.06±4.87 kg/m2, IMF%: 10.91±4.57%),全自动ITSA在三个队列的MR序列和解剖结构中表现良好。同时应用3D连通性和部分体积脂肪校正,可将精度从4.99%提高到2.21%。对半自动方法的验证表明,在全自动ITSA常规方法下,R2为0.92至0.98,得到的IMF体积计算更为保守。质量控制显示,7%的病例需要人工矫正,主要是由于IMF与皮下脂肪合并。完整的工作流程描述了导出标签以进行手动更正的方法。结论:从MRI中分割IMF的最大挑战是选择一个动态阈值,该阈值在重复成像中始终如一。全自动ITSA实现了这一点,证明了较低的短期和长期精度误差,有利于在随机对照试验中使用。
{"title":"Fully-automated segmentation of muscle and inter-/intra-muscular fat from magnetic resonance images of calves and thighs: an open-source workflow in Python.","authors":"Kenneth Tam, Si Wen Liu, Sarah Costa, Eva Szabo, Shannon Reitsma, Hana Gillick, Jonathan D Adachi, Andy Kin On Wong","doi":"10.1186/s13395-024-00365-z","DOIUrl":"10.1186/s13395-024-00365-z","url":null,"abstract":"<p><strong>Background: </strong>INTER- and INTRAmuscular fat (IMF) is elevated in high metabolic states and can promote inflammation. While magnetic resonance imaging (MRI) excels in depicting IMF, the lack of reproducible tools prevents the ability to measure change and track intervention success.</p><p><strong>Methods: </strong>We detail an open-source fully-automated iterative threshold-seeking algorithm (ITSA) for segmenting IMF from T1-weighted MRI of the calf and thigh within three cohorts (CaMos Hamilton (N = 54), AMBERS (N = 280), OAI (N = 105)) selecting adults 45-85 years of age. Within the CaMos Hamilton cohort, same-day and 1-year repeated images (N = 38) were used to evaluate short- and long-term precision error with root mean square coefficients of variation; and to validate against semi-automated segmentation methods using linear regression. The effect of algorithmic improvements to fat ascertainment using 3D connectivity and partial volume correction rules on analytical precision was investigated. Robustness and versatility of the algorithm was demonstrated by application to different MR sequences/magnetic strength and to calf versus thigh scans.</p><p><strong>Results: </strong>Among 439 adults (319 female(89%), age: 71.6 ± 7.6 yrs, BMI: 28.06 ± 4.87 kg/m<sup>2</sup>, IMF%: 10.91 ± 4.57%), fully-automated ITSA performed well across MR sequences and anatomies from three cohorts. Applying both 3D connectivity and partial volume fat correction improved precision from 4.99% to 2.21% test-retest error. Validation against semi-automated methods showed R<sup>2</sup> from 0.92 to 0.98 with fully-automated ITSA routinely yielding more conservative computations of IMF volumes. Quality control shows 7% of cases requiring manual correction, primarily due to IMF merging with subcutaneous fat. A full workflow described methods to export tags for manual correction.</p><p><strong>Conclusions: </strong>The greatest challenge in segmenting IMF from MRI is in selecting a dynamic threshold that consistently performs across repeated imaging. Fully-automated ITSA achieved this, demonstrated low short- and long-term precision error, conducive of use within RCTs.</p>","PeriodicalId":21747,"journal":{"name":"Skeletal Muscle","volume":"14 1","pages":"37"},"PeriodicalIF":5.3,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11674188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mll4 in skeletal muscle fibers maintains muscle stem cells. 骨骼肌纤维中的Mll4维持肌肉干细胞。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-23 DOI: 10.1186/s13395-024-00369-9
Yea-Eun Kim, Sang-Hyeon Hann, Young-Woo Jo, Kyusang Yoo, Ji-Hoon Kim, Jae W Lee, Young-Yun Kong

Background: Muscle stem cells (MuSCs) undergo numerous state transitions throughout life, which are critical for supporting normal muscle growth and regeneration. Epigenetic modifications in skeletal muscle play a significant role in influencing the niche and cellular states of MuSCs. Mixed-lineage leukemia 4 (Mll4) is a histone methyltransferase critical for activating the transcription of various target genes and is highly expressed in skeletal muscle. This raises the question of whether Mll4 has a regulatory function in modulating the state transitions of MuSCs, warranting further investigation.

Methods: To assess if myofiber-expressed Mll4, a histone methyltransferase, contributes to the maintenance of MuSCs, we crossed MCKCre/+ or HSAMerCreMer/+ mice to Mll4f/f mice to generate myofiber-specific Mll4-deleted mice. Investigations were conducted using 8-week-old and 4-week-old MCKCre/+;Mll4f/f mice, and adult HSAMerCreMer/+;Mll4f/f mice between the ages of 3 months and 6 months.

Results: During postnatal myogenesis, Mll4 deleted muscles were observed with increased number of cycling MuSCs that proceeded to a differentiation state, leading to MuSC deprivation. This phenomenon occurred independently of gender. When Mll4 was ablated in adult muscles using the inducible method, adult MuSCs lost their quiescence and differentiated into myoblasts, also causing the depletion of MuSCs. Such roles of Mll4 in myofibers coincided with decreased expression levels of distinct Notch ligands: Jag1 and Dll1 in pubertal and Jag2 and Dll4 in adult muscles.

Conclusions: Our study suggests that Mll4 is crucial for maintaining MuSCs in both pubertal and adult muscles, which may be accomplished through the modulation of distinct Notch ligand expressions in myofibers. These findings offer new insights into the role of myofiber-expressed Mll4 as a master regulator of MuSCs, highlighting its significance not only in developmental myogenesis but also in adult muscle, irrespective of sex.

背景:肌肉干细胞(MuSCs)在一生中经历了许多状态转变,这对于支持正常的肌肉生长和再生至关重要。骨骼肌的表观遗传修饰在影响MuSCs的生态位和细胞状态方面起着重要作用。混合谱系白血病4 (Mll4)是一种组蛋白甲基转移酶,对激活各种靶基因的转录至关重要,在骨骼肌中高度表达。这就提出了Mll4是否在调节musc的状态转变中具有调节功能的问题,值得进一步研究。方法:为了评估肌纤维表达的Mll4(一种组蛋白甲基转移酶)是否有助于维持musc,我们将MCKCre/+或HSAMerCreMer/+小鼠与Mll4f/f小鼠杂交,以产生肌纤维特异性Mll4缺失小鼠。研究对象为8周龄和4周龄MCKCre/+;Mll4f/f小鼠,以及3 ~ 6月龄的成年HSAMerCreMer/+;Mll4f/f小鼠。结果:在出生后的肌肉形成过程中,观察到Mll4缺失的肌肉中循环MuSC的数量增加,这些MuSC进入分化状态,导致MuSC剥夺。这种现象的发生与性别无关。当用诱导法切除成人肌肉中的Mll4时,成人musc失去了静止状态并分化为成肌细胞,也导致了musc的消耗。Mll4在肌纤维中的这种作用与不同Notch配体的表达水平下降相一致:青春期的Jag1和Dll1以及成年肌肉的Jag2和Dll4。结论:我们的研究表明,Mll4对于维持青春期和成年肌肉中的musc至关重要,这可能通过调节肌纤维中不同的Notch配体表达来实现。这些发现为肌纤维表达的Mll4作为musc的主要调节因子的作用提供了新的见解,强调了它不仅在发育性肌肉发生中而且在成人肌肉中不分性别的重要性。
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引用次数: 0
Comparative lipidomic and metabolomic profiling of mdx and severe mdx-apolipoprotein e-null mice. mdx和重度mdx载脂蛋白e缺失小鼠的比较脂质组学和代谢组学分析。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-23 DOI: 10.1186/s13395-024-00368-w
Ram B Khattri, Abhinandan Batra, Zoe White, David Hammers, Terence E Ryan, Elisabeth R Barton, Pascal Bernatchez, Glenn A Walter

Despite its notoriously mild phenotype, the dystrophin-deficient mdx mouse is the most common model of Duchenne muscular dystrophy (DMD). By mimicking a human DMD-associated metabolic comorbidity, hyperlipidemia, in mdx mice by inactivating the apolipoprotein E gene (mdx-ApoE) we previously reported severe myofiber damage exacerbation via histology with large fibro-fatty infiltrates and phenotype humanization with ambulation dysfunction when fed a cholesterol- and triglyceride-rich Western diet (mdx-ApoEW). Herein, we performed comparative lipidomic and metabolomic analyses of muscle, liver and serum samples from mdx and mdx-ApoEW mice using solution and high-resolution-magic angle spinning (HR-MAS) 1H-NMR spectroscopy. Compared to mdx and regular chow-fed mdx-ApoE mice, we observed an order of magnitude increase in lipid deposition in gastrocnemius muscle of mdx-ApoEW mice including 11-fold elevations in -CH3 and -CH2 lipids, along with pronounced elevations in serum cholesterol, fatty acid, triglyceride and phospholipids. Hepatic lipids were also elevated but did not correlate with the extent of muscle lipid infiltration or differences in serum lipids. This study provides the first lipometabolomic signature of severe mdx lesions exacerbated by high circulating lipids and lends credence to claims that the liver, the main regulator of whole-body lipoprotein metabolism, may play only a minor role in this process.

尽管其众所周知的轻度表型,肌营养不良蛋白缺陷mdx小鼠是杜氏肌营养不良症(DMD)最常见的模型。通过失活载脂蛋白E基因(mdx- apoe),我们在mdx小鼠中模拟人类dmd相关的代谢合并症,高脂血症,我们之前报道了在喂食富含胆固醇和甘油三酯的西方饮食(mdx- apoew)时,通过组织学表现出大量纤维脂肪浸润和表现出行走功能障碍的人源化,严重的肌纤维损伤加剧。在此,我们使用溶液和高分辨率魔角旋转(HR-MAS) 1H-NMR光谱对mdx和mdx- apoew小鼠的肌肉、肝脏和血清样本进行了比较脂质组学和代谢组学分析。与mdx和正常喂养的mdx- apoe小鼠相比,我们观察到mdx- apoe小鼠腓肠肌脂质沉积增加了一个数量级,包括-CH3和-CH2脂质增加了11倍,同时血清胆固醇、脂肪酸、甘油三酯和磷脂明显升高。肝脏脂质也升高,但与肌脂浸润程度或血清脂质差异无关。该研究首次提供了由高循环脂质加剧的严重mdx病变的脂肪代谢组学特征,并证实了肝脏作为全身脂蛋白代谢的主要调节者在这一过程中可能只起次要作用的说法。
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引用次数: 0
Wnt7a is required for regeneration of dystrophic skeletal muscle. Wnt7a是营养不良骨骼肌再生所必需的。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-19 DOI: 10.1186/s13395-024-00367-x
Uxia Gurriaran-Rodriguez, Kasun Kodippili, David Datzkiw, Ehsan Javandoost, Fan Xiao, Maria Teresa Rejas, Michael A Rudnicki

Intramuscular injection of Wnt7a has been shown to accelerate and augment skeletal muscle regeneration and to ameliorate dystrophic progression in mdx muscle, a model for Duchenne muscular dystrophy (DMD). Here, we assessed muscle regeneration and function in wild type (WT) and mdx mice where Wnt7a was deleted in muscle using a conditional Wnt7a floxed allele and a Myf5-Cre driver. We found that both WT and mdx mice lacking Wnt7a in muscle, exhibited marked deficiencies in muscle regeneration at 21 d following cardiotoxin (CTX) induced injury. Unlike WT, deletion of Wnt7a in mdx resulted in decreased force generation prior to CTX injury. However, both WT and mdx muscle lacking Wnt7a displayed decreased force generation following CTX injection. Notably the regeneration deficit in mdx mice was rescued by a single tail vein injection of extracellular vesicles containing Wnt7a (Wnt7a-EVs). Therefore, we conclude that the regenerative capacity of muscle in mdx mice is highly dependant on the upregulation of endogenous Wnt7a following injury, and that systemic delivery of Wnt7a-EVs represents a therapeutic strategy for treating DMD.

肌内注射Wnt7a已被证明可以加速和增强骨骼肌再生,并改善mdx肌的营养不良进展,mdx肌是杜氏肌营养不良(DMD)的一种模型。在这里,我们使用条件Wnt7a受限等位基因和Myf5-Cre驱动基因评估了肌肉中Wnt7a缺失的野生型(WT)和mdx小鼠的肌肉再生和功能。我们发现肌肉中缺乏Wnt7a的WT和mdx小鼠在心脏毒素(CTX)诱导损伤后21 d表现出明显的肌肉再生缺陷。与WT不同,mdx中Wnt7a的缺失导致CTX损伤前产生的力减少。然而,在注射CTX后,缺乏Wnt7a的WT和mdx肌肉产生的力量都减少了。值得注意的是,mdx小鼠的再生缺陷可以通过单次尾静脉注射含有Wnt7a的细胞外囊泡(Wnt7a- ev)来修复。因此,我们得出结论,mdx小鼠肌肉的再生能力高度依赖于损伤后内源性Wnt7a的上调,并且全身递送Wnt7a- ev代表了治疗DMD的治疗策略。
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引用次数: 0
Intramuscular fatty infiltration and its correlation with muscle composition and function in hip osteoarthritis. 髋关节骨关节炎患者肌内脂肪浸润及其与肌肉成分和功能的关系。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-19 DOI: 10.1186/s13395-024-00364-0
Tatiane Gorski, Nicola C Casartelli, Gillian Fitzgerald, Astrid M H Horstman, Evi Masschelein, Kalliopi J Essers, Nicola A Maffiuletti, Reto Sutter, Michael Leunig, Katrien De Bock

Background: Hip osteoarthritis patients display higher levels of fatty infiltration (FI) in the gluteus minimus (GM) compared to other hip muscles. We investigated specific histological factors such as fiber type composition and collagen deposition, and functional outcomes like muscle strength and activation associated with FI in these patients.

Methods: In twelve men (67 ± 6 y) undergoing total hip replacement (THR), hip and knee muscle strength and activation (electromyography, EMG) were assessed bilaterally. Magnetic resonance imaging (MRI) was used to compare the relative FI area and muscle cross sectional area (CSA) of the GM, rectus femoris (RF), tensor fascia latae (TFL) and vastus lateralis (VL). Adipocyte content, fiber type composition, grouping, fiber size, centrally nucleated fiber frequency, collagen deposition, satellite cell density and capillarization were assessed in intraoperative biopsies of the four muscles. Differences between GM and other muscles were assessed with repeated-measures one-way ANOVA followed by Dunnett's post-hoc test. Pearson coefficients were calculated for the correlations between FI measurements and the other histological and functional parameters.

Results: Strength was lower in the affected limb. Knee extensor weakness was accompanied by lower VL muscle activation. Muscle CSA and FI did not differ between sides. In the affected limb, GM displayed larger relative FI area (MRI) compared to RF and VL. Biopsy adipocyte content was higher in GM than RF and TFL. Compared to the other hip muscles, GM displayed higher type 1 fiber content while its type 2X fiber content was lower. Fiber grouping levels were higher in GM than the other muscles. Collagen content was higher in GM than TFL and VL.  FI in GM was associated with type 1 (r = 0.43) and type 2X (r = -0.34) fiber content, fiber grouping (r = 0.39), and collagen deposition (r = 0.37). FI in VL was negatively associated with maximal knee extension strength (r = -0.65).

Conclusions: In patients undergoing THR, the higher FI levels of GM compared to other hip muscles were associated with fiber type composition and grouping, and with higher collagen deposition. Experimental studies exploring these associations could potentially uncover new targets for the treatment of intramuscular FI and related impairments in muscle function.

Trial registration: KEK number: 2016-01852, date of registration: 12-4-2017.

背景:与其他髋关节肌肉相比,髋关节骨关节炎患者臀小肌(GM)脂肪浸润(FI)水平更高。我们研究了这些患者与FI相关的特定组织学因素,如纤维类型组成和胶原沉积,以及肌肉力量和激活等功能结果。方法:对12例(67±6岁)接受全髋关节置换术(THR)的男性患者进行双侧髋关节和膝关节肌力和激活(肌电图,EMG)评估。采用磁共振成像(MRI)比较GM、股直肌(RF)、阔筋膜张肌(TFL)和股外侧肌(VL)的相对FI面积和肌肉横截面积(CSA)。术中对4块肌肉进行活检,评估脂肪细胞含量、纤维类型组成、纤维分组、纤维大小、中心有核纤维频率、胶原沉积、卫星细胞密度和毛细血管化。GM和其他肌肉之间的差异采用重复测量的单因素方差分析和Dunnett事后检验进行评估。计算了FI测量值与其他组织学和功能参数之间的相关性的Pearson系数。结果:患肢力量降低。膝伸肌无力伴下VL肌活化。两侧肌肉CSA和FI无差异。在患肢中,与RF和VL相比,GM显示出更大的相对FI面积(MRI)。活检脂肪细胞含量在GM高于RF和TFL。与其他臀部肌肉相比,GM的1型纤维含量较高,而2X型纤维含量较低。GM肌肉的纤维分组水平高于其他肌肉。GM的胶原蛋白含量高于TFL和VL。GM的FI与1型(r = 0.43)和2X型(r = -0.34)纤维含量、纤维分组(r = 0.39)和胶原沉积(r = 0.37)相关。VL的FI与最大膝关节伸展强度呈负相关(r = -0.65)。结论:在接受THR的患者中,与其他髋关节肌肉相比,GM较高的FI水平与纤维类型组成和分组以及较高的胶原沉积有关。探索这些关联的实验研究可能会发现治疗肌内FI和相关肌肉功能损伤的新靶点。试验报名:KEK号:2016-01852,报名日期:12-4-2017。
{"title":"Intramuscular fatty infiltration and its correlation with muscle composition and function in hip osteoarthritis.","authors":"Tatiane Gorski, Nicola C Casartelli, Gillian Fitzgerald, Astrid M H Horstman, Evi Masschelein, Kalliopi J Essers, Nicola A Maffiuletti, Reto Sutter, Michael Leunig, Katrien De Bock","doi":"10.1186/s13395-024-00364-0","DOIUrl":"10.1186/s13395-024-00364-0","url":null,"abstract":"<p><strong>Background: </strong>Hip osteoarthritis patients display higher levels of fatty infiltration (FI) in the gluteus minimus (GM) compared to other hip muscles. We investigated specific histological factors such as fiber type composition and collagen deposition, and functional outcomes like muscle strength and activation associated with FI in these patients.</p><p><strong>Methods: </strong>In twelve men (67 ± 6 y) undergoing total hip replacement (THR), hip and knee muscle strength and activation (electromyography, EMG) were assessed bilaterally. Magnetic resonance imaging (MRI) was used to compare the relative FI area and muscle cross sectional area (CSA) of the GM, rectus femoris (RF), tensor fascia latae (TFL) and vastus lateralis (VL). Adipocyte content, fiber type composition, grouping, fiber size, centrally nucleated fiber frequency, collagen deposition, satellite cell density and capillarization were assessed in intraoperative biopsies of the four muscles. Differences between GM and other muscles were assessed with repeated-measures one-way ANOVA followed by Dunnett's post-hoc test. Pearson coefficients were calculated for the correlations between FI measurements and the other histological and functional parameters.</p><p><strong>Results: </strong>Strength was lower in the affected limb. Knee extensor weakness was accompanied by lower VL muscle activation. Muscle CSA and FI did not differ between sides. In the affected limb, GM displayed larger relative FI area (MRI) compared to RF and VL. Biopsy adipocyte content was higher in GM than RF and TFL. Compared to the other hip muscles, GM displayed higher type 1 fiber content while its type 2X fiber content was lower. Fiber grouping levels were higher in GM than the other muscles. Collagen content was higher in GM than TFL and VL.  FI in GM was associated with type 1 (r = 0.43) and type 2X (r = -0.34) fiber content, fiber grouping (r = 0.39), and collagen deposition (r = 0.37). FI in VL was negatively associated with maximal knee extension strength (r = -0.65).</p><p><strong>Conclusions: </strong>In patients undergoing THR, the higher FI levels of GM compared to other hip muscles were associated with fiber type composition and grouping, and with higher collagen deposition. Experimental studies exploring these associations could potentially uncover new targets for the treatment of intramuscular FI and related impairments in muscle function.</p><p><strong>Trial registration: </strong>KEK number: 2016-01852, date of registration: 12-4-2017.</p>","PeriodicalId":21747,"journal":{"name":"Skeletal Muscle","volume":"14 1","pages":"32"},"PeriodicalIF":5.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulation of injury-induced skeletal myofiber regeneration by glucose transporter 4 (GLUT4). 葡萄糖转运蛋白4 (GLUT4)对损伤诱导的骨骼肌纤维再生的调控。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-19 DOI: 10.1186/s13395-024-00366-y
Tyler J Sermersheim, LeAnna J Phillips, Parker L Evans, Barbara B Kahn, Steven S Welc, Carol A Witczak

Background: Insulin resistance and type 2 diabetes impair cellular regeneration in multiple tissues including skeletal muscle. The molecular basis for this impairment is largely unknown. Glucose uptake via glucose transporter GLUT4 is impaired in insulin resistance. In healthy muscle, acute injury stimulates glucose uptake. Whether decreased glucose uptake via GLUT4 impairs muscle regeneration is presently unknown. The goal of this study was to determine whether GLUT4 regulates muscle glucose uptake and/or regeneration following acute injury.

Methods: Tibialis anterior and extensor digitorum longus muscles from wild-type, control, or muscle-specific GLUT4 knockout (mG4KO) mice were injected with the myotoxin barium chloride to induce muscle injury. After 3, 5, 7, 10, 14, or 21 days (in wild-type mice), or after 7 or 14 days (in control & mG4KO) mice, muscles were isolated to examine [3H]-2-deoxyglucose uptake, GLUT4 levels, extracellular fluid space, fibrosis, myofiber cross-sectional area, and myofiber centralized nuclei.

Results: In wild-type mice, muscle glucose uptake was increased 3, 5, 7, and 10 days post-injury. There was a rapid decrease in GLUT4 protein levels that were restored to baseline at 5-7 days post-injury, followed by a super-compensation at 10-21 days. In mG4KO mice, there were no differences in muscle glucose uptake, extracellular fluid space, muscle fibrosis, myofiber cross-sectional areas, or percentage of centrally nucleated myofibers at 7 days post-injury. In contrast, at 14 days injured muscles from mG4KO mice exhibited decreased glucose uptake, muscle weight, myofiber cross sectional areas, and centrally nucleated myofibers, with no change in extracellular fluid space or fibrosis.

Conclusions: Collectively, these findings demonstrate that glucose uptake via GLUT4 regulates skeletal myofiber regeneration following acute injury.

背景:胰岛素抵抗和2型糖尿病损害包括骨骼肌在内的多种组织的细胞再生。这种损伤的分子基础在很大程度上是未知的。通过葡萄糖转运体GLUT4的葡萄糖摄取在胰岛素抵抗中受损。在健康肌肉中,急性损伤会刺激葡萄糖的摄取。目前尚不清楚通过GLUT4减少葡萄糖摄取是否会损害肌肉再生。本研究的目的是确定急性损伤后GLUT4是否调节肌肉葡萄糖摄取和/或再生。方法:将野生型、对照型和肌肉特异性GLUT4敲除(mG4KO)小鼠的胫骨前肌和指长伸肌注射肌毒素氯化钡诱导肌肉损伤。在3、5、7、10、14或21天后(野生型小鼠),或在7或14天后(对照组和mG4KO小鼠),分离肌肉以检测[3H]-2-脱氧葡萄糖摄取、GLUT4水平、细胞外液间隙、纤维化、肌纤维横截面面积和肌纤维集中核。结果:野生型小鼠损伤后3、5、7、10天肌肉葡萄糖摄取增加。GLUT4蛋白水平迅速下降,在损伤后5-7天恢复到基线水平,随后在10-21天出现超补偿。在mG4KO小鼠中,损伤后7天,肌肉葡萄糖摄取、细胞外液空间、肌肉纤维化、肌纤维横截面面积或中央有核肌纤维百分比没有差异。相比之下,在第14天,mG4KO小鼠的损伤肌肉表现出葡萄糖摄取,肌肉重量,肌纤维横截面积和中央有核肌纤维减少,细胞外液空间或纤维化没有变化。结论:总的来说,这些发现表明葡萄糖摄取通过GLUT4调节急性损伤后骨骼肌纤维再生。
{"title":"Regulation of injury-induced skeletal myofiber regeneration by glucose transporter 4 (GLUT4).","authors":"Tyler J Sermersheim, LeAnna J Phillips, Parker L Evans, Barbara B Kahn, Steven S Welc, Carol A Witczak","doi":"10.1186/s13395-024-00366-y","DOIUrl":"10.1186/s13395-024-00366-y","url":null,"abstract":"<p><strong>Background: </strong>Insulin resistance and type 2 diabetes impair cellular regeneration in multiple tissues including skeletal muscle. The molecular basis for this impairment is largely unknown. Glucose uptake via glucose transporter GLUT4 is impaired in insulin resistance. In healthy muscle, acute injury stimulates glucose uptake. Whether decreased glucose uptake via GLUT4 impairs muscle regeneration is presently unknown. The goal of this study was to determine whether GLUT4 regulates muscle glucose uptake and/or regeneration following acute injury.</p><p><strong>Methods: </strong>Tibialis anterior and extensor digitorum longus muscles from wild-type, control, or muscle-specific GLUT4 knockout (mG4KO) mice were injected with the myotoxin barium chloride to induce muscle injury. After 3, 5, 7, 10, 14, or 21 days (in wild-type mice), or after 7 or 14 days (in control & mG4KO) mice, muscles were isolated to examine [<sup>3</sup>H]-2-deoxyglucose uptake, GLUT4 levels, extracellular fluid space, fibrosis, myofiber cross-sectional area, and myofiber centralized nuclei.</p><p><strong>Results: </strong>In wild-type mice, muscle glucose uptake was increased 3, 5, 7, and 10 days post-injury. There was a rapid decrease in GLUT4 protein levels that were restored to baseline at 5-7 days post-injury, followed by a super-compensation at 10-21 days. In mG4KO mice, there were no differences in muscle glucose uptake, extracellular fluid space, muscle fibrosis, myofiber cross-sectional areas, or percentage of centrally nucleated myofibers at 7 days post-injury. In contrast, at 14 days injured muscles from mG4KO mice exhibited decreased glucose uptake, muscle weight, myofiber cross sectional areas, and centrally nucleated myofibers, with no change in extracellular fluid space or fibrosis.</p><p><strong>Conclusions: </strong>Collectively, these findings demonstrate that glucose uptake via GLUT4 regulates skeletal myofiber regeneration following acute injury.</p>","PeriodicalId":21747,"journal":{"name":"Skeletal Muscle","volume":"14 1","pages":"33"},"PeriodicalIF":5.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fibro-adipogenic progenitor cells in skeletal muscle unloading: metabolic and functional impairments. 骨骼肌卸荷中的纤维脂肪祖细胞:代谢和功能损伤。
IF 5.3 2区 医学 Q2 CELL BIOLOGY Pub Date : 2024-12-06 DOI: 10.1186/s13395-024-00362-2
Margarita Sorokina, Danila Bobkov, Natalia Khromova, Natalia Vilchinskaya, Boris Shenkman, Anna Kostareva, Renata Dmitrieva

Background: Skeletal muscle resident fibro-adipogenic progenitor cells (FAPs) control skeletal muscle regeneration providing a supportive role for muscle stem cells. Altered FAPs characteristics have been shown for a number of pathological conditions, but the influence of temporary functional unloading of healthy skeletal muscle on FAPs remains poorly studied. This work is aimed to investigate how skeletal muscle disuse affects the functionality and metabolism of FAPs.

Methods: Hindlimb suspension (HS) rat model employed to investigate muscle response to decreased usage. FAPs were purified from m. soleus functioning muscle (Contr) and after functional unloading for 7 and 14 days (HS7 and HS14). FAPs were expanded in vitro, and tested for: immunophenotype; in vitro expansion rate, and migration activity; ability to differentiate into adipocytes in vitro; metabolic changes. Crosstalk between FAPs and muscle stem cells was estimated by influence of medium conditioned by FAP's on migration and myogenesis of C2C12 myoblasts. To reveal the molecular mechanisms behind unloading-induced alterations in FAP's functionality transcriptome analysis was performed.

Results: FAPs isolated from Contr and HS muscles exhibited phenotype of MSC cells. FAPs in vitro expansion rate and migration were altered by functional unloading conditions. All samples of FAPs demonstrated the ability to adipogenic differentiation in vitro, however, HS FAPs formed fat droplets of smaller volume and transcriptome analysis showed fatty acids metabolism and PPAR signaling suppression. Skeletal muscle unloading resulted in metabolic reprogramming of FAPs: decreased spare respiratory capacity, decreased OCR/ECAR ratio detected in both HS7 and HS14 samples point to reduced oxygen consumption, decreased potential for substrate oxidation and a shift to glycolytic metabolism. Furthermore, C2C12 cultures treated with medium conditioned by FAPs showed diverse alterations: while the HS7 FAPs-derived paracrine factors supported the myoblasts fusion, the HS14-derived medium stimulated proliferation of C2C12 myoblasts; these observations were supported by increased expression of cytokines detected by transcriptome analysis.

Conclusion: the results obtained in this work show that the skeletal muscle functional unloading affects properties of FAPs in time-dependent manner: in atrophying skeletal muscle FAPs act as the sensors for the regulatory signals that may stimulate the metabolic and transcriptional reprogramming to preserve FAPs properties associated with maintenance of skeletal muscle homeostasis during unloading and in course of rehabilitation.

背景:骨骼肌常驻纤维脂肪原细胞(FAPs)控制骨骼肌再生,为肌肉干细胞提供支持作用。在许多病理条件下,FAPs的特征已经改变,但健康骨骼肌的暂时功能卸载对FAPs的影响仍未得到充分研究。这项工作旨在研究骨骼肌废用如何影响FAPs的功能和代谢。方法:采用后肢悬吊(HS)大鼠模型,观察肌肉对减少使用的反应。FAPs分别从比目鱼肌功能肌(control)和功能卸载后7天和14天(HS7和HS14)中纯化。体外扩增FAPs,检测免疫表型;体外扩增率、迁移活性;体外分化为脂肪细胞的能力;代谢的变化。通过FAP调节的培养基对C2C12成肌细胞迁移和成肌发生的影响,估计FAPs与肌肉干细胞之间的串扰。为了揭示卸载诱导的FAP功能改变背后的分子机制,进行了转录组分析。结果:从control和HS肌肉分离的FAPs表现出MSC细胞的表型。功能卸载条件改变FAPs体外扩增率和迁移率。所有FAPs样品在体外均表现出成脂分化能力,但HS FAPs形成的脂肪滴体积较小,转录组分析显示脂肪酸代谢和PPAR信号传导受到抑制。骨骼肌卸载导致FAPs的代谢重编程:在HS7和HS14样品中检测到的备用呼吸能力下降,OCR/ECAR比下降,这表明氧气消耗减少,底物氧化潜力下降,并向糖酵解代谢转变。此外,经FAPs调节的培养基处理的C2C12细胞表现出不同的变化:HS7 FAPs衍生的旁分泌因子支持成肌细胞融合,hs14衍生的培养基刺激C2C12成肌细胞的增殖;转录组分析检测到细胞因子表达增加,支持了这些观察结果。结论:本研究结果表明,骨骼肌功能卸载以时间依赖的方式影响FAPs的特性:在萎缩的骨骼肌中,FAPs作为调节信号的传感器,可能刺激代谢和转录重编程,以保持FAPs在卸载和康复过程中与维持骨骼肌稳态相关的特性。
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引用次数: 0
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Skeletal Muscle
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