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Reduced adenosine diphosphate sensitivity in skeletal muscle mitochondria increases reactive oxygen species production in mouse models of aging and oxidative stress but not denervation. 在衰老和氧化应激小鼠模型中,骨骼肌线粒体中二磷酸腺苷敏感性的降低会增加活性氧的产生,但不会导致神经紧张。
Pub Date : 2021-01-01 Epub Date: 2020-12-28 DOI: 10.1002/rco2.29
Gavin Pharaoh, Jacob Brown, Rojina Ranjit, Zoltan Ungvari, Holly Van Remmen

Background: Mitochondrial bioenergetics are sensitive to adenosine diphosphate (ADP) concentration. Reactive oxygen species (ROS) production and respiration [oxygen consumption rate (OCR)] are altered at physiological ADP concentrations (i.e. ADP insensitivity) in aged human muscle. Here, we investigate ADP sensitivity in mouse muscle mitochondria.

Methods: We measured OCR and ROS production in permeabilized gastrocnemius fibres using an ADP titration protocol and the Oroboros O2k respirometer and fluorometer. We measured changes in ADP sensitivity in muscle from mice at different ages, after sciatic nerve transection (denervation), and in response to increased oxidative stress (Sod1 -/- mice). Further, we asked whether the mitochondrial-targeted peptide SS-31 can modulate ADP insensitivity and contractile function in the Sod1 -/- mouse model.

Results: Reduced ADP sensitivity is associated with increases in mitochondrial ROS production in aged (62%) and Sod1 -/- (33%) mice. The maximal capacity to produce ROS does not increase with age, and there is no effect of age on ADP sensitivity for OCR in mouse gastrocnemii. Denervation does not induce ADP insensitivity for either ROS generation or OCR. Treatment of Sod1 -/- mice with SS-31 increases ADP sensitivity for both OCR and ROS, decreases maximal ROS production (~40%), and improves resistance to muscle fatigue.

Conclusions: Adenosine diphosphate sensitivity for ROS production decreases in aged mouse gastrocnemius muscle fibres, although aged mice do not exhibit a difference in OCR. Denervation does not induce ADP insensitivity; however, insensitivity to ADP is induced in a model of oxidative stress. ADP insensitivity could contribute to muscle fatigue, and SS-31 may be the first drug capable of targeting this aging phenotype.

背景:线粒体生物能对二磷酸腺苷(ADP)浓度很敏感。在人体老化的肌肉中,活性氧(ROS)的产生和呼吸[耗氧率(OCR)]在生理 ADP 浓度下会发生改变(即 ADP 不敏感)。在此,我们研究了小鼠肌肉线粒体对 ADP 的敏感性:方法:我们使用 ADP 滴定方案和 Oroboros O2k 呼吸计和荧光计测量透化腓肠肌纤维的 OCR 和 ROS 生成。我们测量了不同年龄小鼠、坐骨神经切断(去神经支配)后小鼠以及氧化应激增加时(Sod1 -/-小鼠)小鼠肌肉中 ADP 敏感性的变化。此外,我们还询问了线粒体靶向肽 SS-31 是否能调节 Sod1 -/- 小鼠模型的 ADP 不敏感性和收缩功能:结果:在老龄小鼠(62%)和 Sod1 -/-小鼠(33%)中,ADP 敏感性的降低与线粒体 ROS 生成的增加有关。产生 ROS 的最大能力不会随着年龄的增长而增加,而且年龄对小鼠胃肠对 OCR 的 ADP 敏感性没有影响。去神经支配不会诱导对 ROS 生成或 OCR 的 ADP 不敏感。用 SS-31 处理 Sod1 -/- 小鼠可提高 ADP 对 OCR 和 ROS 的敏感性,减少最大 ROS 产生量(约 40%),并提高肌肉抗疲劳能力:结论:老龄小鼠腓肠肌纤维对 ROS 生成的二磷酸腺苷敏感性降低,尽管老龄小鼠在 OCR 方面没有表现出差异。神经支配不会诱导对二磷酸腺苷不敏感,但在氧化应激模型中会诱导对二磷酸腺苷不敏感。ADP 不敏感可能会导致肌肉疲劳,而 SS-31 可能是第一种能够针对这种衰老表型的药物。
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引用次数: 0
Polyamine pathway is associated with muscle anabolic effects by androgen receptor ligand 多胺途径与雄激素受体配体对肌肉合成代谢的影响有关
Pub Date : 2020-11-19 DOI: 10.1002/rco2.28
M. Kanou, Katsuyuki Nakamura, Kyohei Horie, H. Sakai, Yuta Yanagihara, Iori Sakakibara, K. Yamana, Yuuki Imai
Muscle wasting is a common condition concomitant with aging. Androgens significantly increase skeletal muscle mass, but the role of the androgen receptor (AR) in skeletal muscle is not well established. TEI‐SARM2, a novel selective androgen receptor modulator (SARM), was developed as a pharmaceutical candidate for the treatment of muscle wasting diseases.
肌肉萎缩是伴随衰老的常见疾病。雄激素显著增加骨骼肌质量,但雄激素受体(AR)在骨骼肌中的作用尚不明确。TEI‐SARM2是一种新型选择性雄激素受体调节剂(SARM),被开发为治疗肌肉萎缩性疾病的候选药物。
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引用次数: 2
The prevalence of sarcopenia in middle‐aged and older patients in post‐acute inpatient rehabilitation: a cross‐sectional study 急性住院康复后中老年患者肌肉减少症的患病率:一项横断面研究
Pub Date : 2020-07-22 DOI: 10.1002/rco2.25
I. Churilov, L. Churilov, K. Brock, Navina Curtain, D. Murphy, Kavitha Muthukrishnan, R. MacIsaac, E. Ekinci
Despite the recommendation of European Working Group on Sarcopenia in Older People 2 (EWGSOP2) consensus statement not to exclude patients younger than 65 years, the prevalence of sarcopenia has not been investigated in younger post‐acute inpatient rehabilitation population. The objectives of this study were to: i) estimate the prevalence of sarcopenia in post‐acute inpatient rehabilitation population; ii) compare the prevalence of sarcopenia in patients above and below 65 years.
尽管欧洲老年人少肌症工作组2(EWGSOP2)一致声明不排除65岁以下的患者,但尚未对年轻的急性后住院康复人群中少肌症的患病率进行调查。本研究的目的是:i)估计急性住院后康复人群中少肌症的患病率;ii)比较65岁以上和65岁以下患者少肌症的患病率。
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引用次数: 1
Janus kinase inhibitors suppress cancer cachexia-associated anorexia and adipose wasting in mice Janus激酶抑制剂抑制癌症恶病质相关的小鼠厌食症和脂肪消耗
Pub Date : 2020-07-21 DOI: 10.1002/rco2.24
Gurpreet K. Arora, Arun Gupta, Tong Guo, Aakash Y. Gandhi, Aaron Laine, Dorothy L. Williams, Chul Ahn, Puneeth Iyengar, Rodney E. Infante

Background

Cachexia, a syndrome of muscle atrophy, adipose loss, and anorexia, is associated with reduced survival in cancer patients. The colon adenocarcinoma C26c20 cell line secretes the cytokine leukaemia inhibitory factor (LIF), which induces cachexia. We characterized how LIF promotes cachexia-associated weight loss and anorexia in mice through Janus kinase (JAK)-dependent changes in adipose and hypothalamic tissues.

Methods

Cachexia was induced in vivo with the heterotopic allotransplanted administration of C26c20 colon adenocarcinoma cells or the intraperitoneal administration of recombinant LIF in the absence or presence of JAK inhibitors. Blood, adipose, and hypothalamic tissues were collected and processed for cytokine/adipokine enzyme-linked immunosorbent assays, immunoblot analysis, and quantitative reverse transcription polymerase chain reaction (RT-PCR). Cachexia-associated lipolysis was induced in vitro by stimulating differentiated adipocytes with recombinant LIF or interleukin (IL)-6 in the absence or presence of lipase or JAK inhibitors. These adipocytes were processed for glycerol release into the media, immunoblot analysis, and RT-PCR.

Results

Tumour-secreted LIF induced changes in adipose tissue expression and serum levels of IL-6 and leptin in a JAK-dependent manner influencing cachexia-associated adipose wasting and anorexia. We identified two JAK inhibitors that block IL-6 family-mediated adipocyte lipolysis and IL-6 induction using an in vitro cachexia lipolysis assay. JAK inhibitors administered to the in vivo C26c20 cancer cachexia mouse models led to (i) a decrease in signal transducer and activator of transcription 3 phosphorylation in hypothalamic and adipose tissues, (ii) a reverse in the cachexia serum cytokine/adipokine signature, (iii) a delay in cancer cachexia-associated anorexia and adipose loss, and (iv) an improvement in overall survival.

Conclusions

JAK inhibitors suppress LIF-associated adipose loss and anorexia in both in vitro and in vivo models of cancer cachexia.

背景恶病质是一种肌肉萎缩、脂肪丢失和厌食症综合征,与癌症患者生存率降低有关。结肠癌C26c20细胞系分泌细胞因子白血病抑制因子(LIF),诱导恶病质。我们描述了LIF如何通过脂肪和下丘脑组织中Janus激酶(JAK)依赖性的变化来促进小鼠恶病质相关的体重减轻和厌食症。方法在不存在或存在JAK抑制剂的情况下,异位移植C26c20结肠癌细胞或腹膜内注射重组LIF在体内诱导恶病质。收集血液、脂肪和下丘脑组织并进行细胞因子/脂肪因子酶联免疫吸附测定、免疫印迹分析和定量逆转录聚合酶链式反应(RT-PCR)处理。在不存在或存在脂肪酶或JAK抑制剂的情况下,通过用重组LIF或白细胞介素(IL)-6刺激分化的脂肪细胞,在体外诱导恶病质相关的脂解。对这些脂肪细胞进行处理,以将甘油释放到培养基中,进行免疫印迹分析和RT-PCR。结果肿瘤分泌的LIF以JAK依赖的方式诱导脂肪组织表达和血清IL-6和瘦素水平的变化,影响恶病质相关的脂肪消耗和厌食症。我们使用体外恶病质脂解测定确定了两种JAK抑制剂,它们阻断IL-6家族介导的脂肪细胞脂解和IL-6诱导。给予体内C26c20癌症恶病质小鼠模型的JAK抑制剂导致(i)下丘脑和脂肪组织中信号转导子和转录激活子3磷酸化的降低,(ii)恶病质血清细胞因子/脂肪因子信号的逆转,(iii)癌症恶病质相关厌食症和脂肪损失的延迟,以及(iv)总体生存率的提高。结论JAK抑制剂在癌症恶病质的体内外模型中均能抑制LIF相关的脂肪损失和厌食症。
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引用次数: 22
Computed tomography, not bioelectrical impedance analysis, is the proper method for evaluating changes in skeletal muscle mass in liver disease 计算机断层扫描,而不是生物电阻抗分析,是评估肝病骨骼肌质量变化的正确方法
Pub Date : 2020-07-15 DOI: 10.1002/rco2.20
Masatsugu Ohara, Goki Suda, Megumi Kimura, Osamu Maehara, Tomoe Shimazaki, Taku Shigesawa, Kazuharu Suzuki, Akihisa Nakamura, Naoki Kawagishi, Masato Nakai, Takuya Sho, Mitsuteru Natsuizaka, Kenichi Morikawa, Koji Ogawa, Naoya Sakamoto

Background

Sarcopenia is associated with poor prognosis in patients with chronic liver disease (CLD). As rapid skeletal muscle wasting predicts worse prognosis and a novel therapy for sarcopenia needs to be evaluated for validation, accurate evaluation methods for relative changes in muscle mass are crucial.

Methods

We screened CLD patients who had skeletal muscle mass evaluation between June 2015 and December 2017. Patients were included if they had adequate information, were followed for >6 months, and had skeletal muscle mass evaluation by both bioelectrical impedance analysis (BIA) and computed tomography (CT) imaging at baseline and the second evaluation point. We compared BIA and CT imaging in terms of their ability to quantify skeletal muscle mass and identify relative changes in muscle mass in CLD patients.

Results

Of the screened 447 CLD patients, 110 were included in this study, and 71 (64.5%) were men. The median age was 68 (range 21 to 90) years. In total, 83 (75.5%) and 32 (29.1%) patients had liver cirrhosis and hepatocellular carcinoma, respectively. Of them, 50 (45.5%) patients were liver cirrhosis patients without hepatocellular carcinoma through the observation period. Skeletal muscle mass index (SMI) by BIA, psoas muscle mass index (PMI), and SMI based on CT imaging were significantly correlated at baseline [SMI by simple CT method and SMI by BIA (r = 0.61, P < 0.01), SMI by BIA and PMI (r = 0.65, P < 0.01), and SMI by simple CT method and PMI (r = 0.82, P < 0.01), respectively] and second evaluation point [SMI by simple CT method and SMI by BIA (r = 0.51, P < 0.01), SMI by BIA and PMI (r = 0.58, P < 0.01), and SMI by simple CT method and PMI (r = 0.92, P < 0.01), respectively]. Similar to previous reports, based on the PMI and SMI by simple CT method, patients with more severe liver dysfunction experienced more rapid skeletal muscle mass loss (ΔSimple method/years and ΔPMI/years in patients with Child‑Pugh Classes A, B, and C: Child‑Pugh A, −3.34%; B, −11.77%; C, −18.78%; and Child‑Pugh A, −0.78%; B, −6.33%; C, −7.71%, respectively). Completely opposite results were obtained based on SMI by BIA (Child‑Pugh A, −0.70%; B, 1.42%; C, 12.48%). A subgroup analysis revealed that in patients with fluid retention and diuretic administration, SMI by BIA increased with time (P < 0.01).

Conclusions

慢性肝病(CLD)患者的Sarcopenia与预后不良有关。由于骨骼肌快速萎缩预示着更糟糕的预后,并且需要评估一种新的少肌症治疗方法进行验证,因此准确评估肌肉质量相对变化的方法至关重要。
{"title":"Computed tomography, not bioelectrical impedance analysis, is the proper method for evaluating changes in skeletal muscle mass in liver disease","authors":"Masatsugu Ohara,&nbsp;Goki Suda,&nbsp;Megumi Kimura,&nbsp;Osamu Maehara,&nbsp;Tomoe Shimazaki,&nbsp;Taku Shigesawa,&nbsp;Kazuharu Suzuki,&nbsp;Akihisa Nakamura,&nbsp;Naoki Kawagishi,&nbsp;Masato Nakai,&nbsp;Takuya Sho,&nbsp;Mitsuteru Natsuizaka,&nbsp;Kenichi Morikawa,&nbsp;Koji Ogawa,&nbsp;Naoya Sakamoto","doi":"10.1002/rco2.20","DOIUrl":"10.1002/rco2.20","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sarcopenia is associated with poor prognosis in patients with chronic liver disease (CLD). As rapid skeletal muscle wasting predicts worse prognosis and a novel therapy for sarcopenia needs to be evaluated for validation, accurate evaluation methods for relative changes in muscle mass are crucial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We screened CLD patients who had skeletal muscle mass evaluation between June 2015 and December 2017. Patients were included if they had adequate information, were followed for &gt;6 months, and had skeletal muscle mass evaluation by both bioelectrical impedance analysis (BIA) and computed tomography (CT) imaging at baseline and the second evaluation point. We compared BIA and CT imaging in terms of their ability to quantify skeletal muscle mass and identify relative changes in muscle mass in CLD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the screened 447 CLD patients, 110 were included in this study, and 71 (64.5%) were men. The median age was 68 (range 21 to 90) years. In total, 83 (75.5%) and 32 (29.1%) patients had liver cirrhosis and hepatocellular carcinoma, respectively. Of them, 50 (45.5%) patients were liver cirrhosis patients without hepatocellular carcinoma through the observation period. Skeletal muscle mass index (SMI) by BIA, psoas muscle mass index (PMI), and SMI based on CT imaging were significantly correlated at baseline [SMI by simple CT method and SMI by BIA (<i>r</i> = 0.61, <i>P</i> &lt; 0.01), SMI by BIA and PMI (<i>r</i> = 0.65, <i>P</i> &lt; 0.01), and SMI by simple CT method and PMI (<i>r</i> = 0.82, <i>P</i> &lt; 0.01), respectively] and second evaluation point [SMI by simple CT method and SMI by BIA (<i>r</i> = 0.51, <i>P</i> &lt; 0.01), SMI by BIA and PMI (<i>r</i> = 0.58, <i>P</i> &lt; 0.01), and SMI by simple CT method and PMI (<i>r</i> = 0.92, <i>P</i> &lt; 0.01), respectively]. Similar to previous reports, based on the PMI and SMI by simple CT method, patients with more severe liver dysfunction experienced more rapid skeletal muscle mass loss (ΔSimple method/years and ΔPMI/years in patients with Child‑Pugh Classes A, B, and C: Child‑Pugh A, −3.34%; B, −11.77%; C, −18.78%; and Child‑Pugh A, −0.78%; B, −6.33%; C, −7.71%, respectively). Completely opposite results were obtained based on SMI by BIA (Child‑Pugh A, −0.70%; B, 1.42%; C, 12.48%). A subgroup analysis revealed that in patients with fluid retention and diuretic administration, SMI by BIA increased with time (<i>P</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 ","PeriodicalId":73544,"journal":{"name":"JCSM rapid communications","volume":"3 2","pages":"103-114"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rco2.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47167239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Epidemiology of cancer-related weight loss and sarcopenia in the UK and Ireland: incidence, prevalence, and clinical impact 英国和爱尔兰癌症相关体重减轻和少肌症的流行病学:发病率、患病率和临床影响
Pub Date : 2020-06-08 DOI: 10.1002/rco2.19
Erin S. Sullivan, Louise E. Daly, Derek G. Power, Aoife M. Ryan

Background

Weight loss (WL) and sarcopenia are associated with negative oncological outcomes including poor treatment tolerance, decreased quality of life, and reduced survival. The number of patients affected by sarcopenia and WL in Ireland and the UK is unknown.

Methods

A systematic review was undertaken to determine median rate of WL > 5% and computed tomography-diagnosed sarcopenia in oncology populations. Gaps in the literature were supplemented using local data, collected as part of a 5 year prospective study. Rates of WL and sarcopenia in the population were extrapolated from these data based on incidence and prevalence of each cancer as per national cancer registries.

Results

We estimated that across Ireland and the UK, 128 892 cancer patients (34%) are affected by WL > 5% annually (121 641 UK; 7251 Ireland) and there are 133 707 annual cases of sarcopenia in cancer patients (35%) (126 265 UK; 7442 Ireland). Furthermore, we estimate that there are 716 124 and 771 589 cancer survivors with history of WL > 5% or sarcopenia, respectively.

Conclusions

Large numbers of patients are affected by cancer-related malnutrition. Given the impact of malnutrition on oncological outcomes and long-term frailty, there is an urgent need to improve access to cancer nutrition care.

体重减轻(WL)和少肌症与阴性肿瘤学结果相关,包括治疗耐受性差、生活质量下降和生存率降低。爱尔兰和英国受少肌症和WL影响的患者人数不详。
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引用次数: 5
Increased tumour burden alters skeletal muscle properties in the KPC mouse model of pancreatic cancer 肿瘤负荷的增加改变了KPC小鼠胰腺癌模型的骨骼肌特性
Pub Date : 2020-06-07 DOI: 10.1002/rco2.13
Ravneet Vohra, Matthew D. Campbell, Joshua Park, Stella Whang, Kayla Gravelle, Yak-Nam Wang, Joo-Ha Hwang, David J. Marcinek, Donghoon Lee

Background

Cancer cachexia is a multifactorial wasting syndrome that is characterized by the loss of skeletal muscle mass and weakness, which compromises physical function, reduces quality of life, and ultimately can lead to mortality. Experimental models of cancer cachexia have recapitulated this skeletal muscle atrophy and consequent decline in muscle force-generating capacity. We address these issues in a novel transgenic mouse model Kras, Trp53, and Pdx-1-Cre (KPC) of pancreatic ductal adenocarcinoma using multi-parametric magnetic resonance measures.

Methods

KPC mice (n = 10) were divided equally into two groups (n = 5 per group) depending on the size of the tumour, that is, tumour size <250 and >250 mm3. Using multi-parametric magnetic resonance measures, we demonstrated the changes in the gastrocnemius muscle at the microstructural level. In addition, we evaluated skeletal muscle contractile function in KPC mice using an in vivo approach.

Results

Increase in tumour size resulted in decrease in gastrocnemius maximum cross-sectional area, decrease in T2 relaxation time, increase in magnetization transfer ratio, decrease in mean diffusivity, and decrease in radial diffusivity of water across the muscle fibres. Finally, we detected significant decrease in absolute and specific force production of gastrocnemius muscle with increase in tumour size.

Conclusions

Our findings indicate that increase in tumour size may cause alterations in structural and functional parameters of skeletal muscles and that MR parameters may be used as sensitive biomarkers to non-invasively detect structural changes in cachectic muscles.

癌症恶病质是一种多因素消耗综合征,其特征是骨骼肌质量减少和虚弱,从而损害身体功能,降低生活质量,并最终导致死亡。癌症恶病质的实验模型重现了这种骨骼肌萎缩和随之而来的肌肉发力能力下降。我们利用多参数磁共振测量方法,在一种新型转基因胰腺导管腺癌小鼠模型Kras、Trp53和Pdx-1-Cre (KPC)中解决了这些问题。方法10只KPC小鼠按肿瘤大小分为两组,即肿瘤大小分别为250和250 mm3,每组5只。使用多参数磁共振测量,我们在微观结构水平上展示了腓肠肌的变化。此外,我们使用体内方法评估了KPC小鼠的骨骼肌收缩功能。结果肿瘤大小增大导致腓肠肌最大横截面积减小,T2弛豫时间缩短,磁化传递比增加,平均扩散系数降低,水在肌纤维中的径向扩散系数降低。最后,我们发现随着肿瘤大小的增加,腓肠肌的绝对力和比力产生明显减少。我们的研究结果表明,肿瘤大小的增加可能导致骨骼肌结构和功能参数的改变,MR参数可能用作敏感的生物标志物,用于无创检测恶病质肌肉的结构变化。
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引用次数: 1
Hypothesis: Potassium sparing by angiotensin and aldosterone inhibitors preserves skeletal muscle mass in chronic heart failure 假设:血管紧张素和醛固酮抑制剂节约钾可保护慢性心力衰竭患者的骨骼肌质量
Pub Date : 2020-06-02 DOI: 10.1002/rco2.17
Lara Zwakman-Hessels, Miriam Zeillemaker-Hoekstra, Maarten W. Nijsten

Background

Cachexia complicates many chronic diseases. In chronic or congestive heart failure (CHF), cachexia independently contributes to decreased survival. Although diuretics have long been part of standard treatment of CHF, the addition of angiotensin and aldosterone antagonists to the standard treatment regimen has considerably improved the outcome of CHF. Both loop diuretics and the up-regulation of the renin–angiotensin–aldosterone system caused by CHF induce loss of total body potassium (TBK).

Hypothesis

In addition to the causal association of loss of muscle mass with loss of TBK, we propose that the reverse mechanism also exists. The known beneficial effects of angiotensin and aldosterone inhibition may partly result from preserved TBK with consequent muscle mass preservation.

Conclusion

We propose that monitoring of muscle mass, potassium balances, and TBK should be included in future CHF studies to verify this hypothesis and allow further optimization of therapy.

恶病质是许多慢性病的并发症。在慢性或充血性心力衰竭(CHF)中,恶病质独立地导致生存率降低。虽然利尿剂长期以来一直是CHF标准治疗的一部分,但在标准治疗方案中加入血管紧张素和醛固酮拮抗剂已大大改善了CHF的预后。循环利尿剂和由CHF引起的肾素-血管紧张素-醛固酮系统的上调都会导致全身钾(TBK)的损失。
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引用次数: 0
The wasting-associated metabolite succinate disrupts myogenesis and impairs skeletal muscle regeneration 与消耗相关的代谢物琥珀酸破坏肌肉生成并损害骨骼肌再生
Pub Date : 2020-06-02 DOI: 10.1002/rco2.14
Paige C. Arneson-Wissink, Kelly A. Hogan, Alexandra M. Ducharme, Adrienne Samani, Aminah Jatoi, Jason D. Doles

Background

Muscle wasting is a debilitating co-morbidity affecting most advanced cancer patients. Alongside enhanced muscle catabolism, defects in muscle repair/regeneration contribute to cancer-associated wasting. Among the factors implicated in suppression of muscle regeneration are cytokines that interfere with myogenic signal transduction pathways. Less understood is how other cancer/wasting-associated cues, such as metabolites, contribute to muscle dysfunction. This study investigates how the metabolite succinate affects myogenesis and muscle regeneration.

Methods

We leveraged an established ectopic metabolite treatment (cell permeable dimethyl-succinate) strategy to evaluate the ability of intracellular succinate elevation to (i) affect myoblast homeostasis (proliferation and apoptosis), (ii) disrupt protein dynamics and induce wasting-associated atrophy, and (iii) modulate in vitro myogenesis. In vivo succinate supplementation experiments (2% succinate and 1% sucrose vehicle) were used to corroborate and extend in vitro observations. Metabolic profiling and functional metabolic studies were then performed to investigate the impact of succinate elevation on mitochondria function.

Results

We found that in vitro succinate supplementation elevated intracellular succinate about 2-fold and did not have an impact on proliferation or apoptosis of C2C12 myoblasts. Elevated succinate had minor effects on protein homeostasis (~25% decrease in protein synthesis assessed by O-propargyl-puromycin staining), and no significant effect on myotube atrophy. Succinate elevation interfered with in vitro myoblast differentiation, characterized by significant decreases in late markers of myogenesis and fewer nuclei per myosin heavy chain positive structure (assessed by immunofluorescence staining). While mice orally administered succinate did not exhibit changes in overall body composition or whole muscle weights, these mice displayed smaller muscle myofiber diameters (~6% decrease in the mean of non-linear regression curves fit to the histograms of minimum feret diameter distribution), which was exacerbated when muscle regeneration was induced with barium chloride injury. Significant decreases in the mean of non-linear regression curves fit to the histograms of minimum feret diameter distributions were observed 7 and 28 days post injury. Elevated numbers of myogenin positive cells (three-fold increase) supportive of the differentiation defects observed in vitro were observed 28 days post injury. Metabolic profiling and

背景:肌肉萎缩是影响大多数晚期癌症患者的一种衰弱的合并症。随着肌肉分解代谢的增强,肌肉修复/再生的缺陷会导致癌症相关的消瘦。抑制肌肉再生的因素包括干扰肌源性信号转导通路的细胞因子。对于其他与癌症/消耗相关的线索,如代谢物,是如何导致肌肉功能障碍的,我们了解得较少。本研究探讨代谢物琥珀酸盐如何影响肌肉发生和肌肉再生。方法:我们利用已建立的异位代谢物处理(细胞渗透性二甲基琥珀酸盐)策略来评估细胞内琥珀酸盐升高的能力,以(i)影响成肌细胞稳态(增殖和凋亡),(ii)破坏蛋白质动力学并诱导消耗相关的萎缩,以及(iii)调节体外肌生成。体内琥珀酸盐补充实验(2%琥珀酸盐和1%蔗糖载体)用于证实和扩展体外观察。然后进行代谢分析和功能代谢研究,以研究琥珀酸盐升高对线粒体功能的影响。结果体外添加琥珀酸盐可使细胞内琥珀酸盐升高约2倍,但对C2C12成肌细胞的增殖和凋亡没有影响。升高的琥珀酸盐对蛋白质稳态有轻微影响(o -丙炔-嘌呤霉素染色评估蛋白质合成减少约25%),对肌管萎缩无显著影响。琥珀酸盐升高干扰体外成肌细胞分化,其特征是肌生成晚期标志物显著减少,肌球蛋白重链阳性结构的细胞核减少(通过免疫荧光染色评估)。虽然口服琥珀酸盐的小鼠没有表现出整体组成或全肌肉重量的变化,但这些小鼠的肌肉肌纤维直径较小(与最小肌纤维直径分布直方图拟合的非线性回归曲线平均减少约6%),当氯化钡损伤诱导肌肉再生时,这种情况加剧。损伤后7天和28天,与最小足径分布直方图拟合的非线性回归曲线均值显著降低。损伤28天后,体外观察到支持分化缺陷的肌原素阳性细胞数量增加(增加三倍)。肌母细胞的代谢分析和功能代谢评估显示,琥珀酸盐升高引起广泛的代谢变化,并显著降低最大细胞呼吸(降低约35%)。该研究扩大了可直接调节肌肉祖细胞功能的肌肉萎缩相关因素的范围,并加强了代谢紊乱是肌肉再生受损的重要因素的假设,这是癌症相关肌肉萎缩的一个重要方面。
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引用次数: 8
Overexpression of HSP70 attenuates sarcopenia by suppressing the expression of miR-133b HSP70的过表达通过抑制miR - 133b的表达来减轻肌肉减少症
Pub Date : 2020-06-01 DOI: 10.1002/rco2.12
Tábata L. Nascimento, Ruben Mestril, Elen H. Miyabara

Background

The aim of the present investigation is to evaluate the effect of the overexpression of inducible 70-kDa heat shock protein (HSP70) on sarcopenic muscles of aged mice.

Methods

Tibialis anterior muscles of aged and young transgenic mice overexpressing HSP70 and wild-type mice were evaluated. Old mice were treated with the HSP inducer O-[3-piperidino-2-hydroxy-1-propyl]-nicotinic amidoxime (BGP-15) for 10 days, and their muscles were analysed.

Results

Old HSP70 transgenic mice presented a less pronounced decrease in myofiber size, lower protein levels of Foxo3a, and a spared increase in miRNA-133b expression when compared with old wild-type mice. Moreover, in BGP-15-treated old mice, the reduction in myofiber size was less intense, and the decline in muscle specific force was attenuated.

Conclusions

These results suggest that HSP70 overexpression attenuates sarcopenia in old mice, and this effect may be mediated by miR-133b down-regulation. In addition, BGP-15 treatment may be a useful strategy to mitigate the effects of sarcopenia in old mice.

本研究的目的是评估诱导型70‐kDa热休克蛋白(HSP70)过表达对老年小鼠肌肉减少症的影响。
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引用次数: 1
期刊
JCSM rapid communications
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