Lynch G S, Cuffe S A, Plant D R, Gregorevic P
Department of Physiology, The University of Melbourne, Victoria 3010, Melbourne, Australia.
Neuromuscul Disord. 2001 Apr;11(3):260-8. doi: 10.1016/s0960-8966(00)00192-9.
Although insulin-like growth factor-I (IGF-I) has been proposed for use by patients suffering from muscle wasting conditions, few studies have investigated the functional properties of dystrophic skeletal muscle following IGF-I treatment. 129P1 ReJ-Lama2(dy) (129 ReJ dy/dy) dystrophic mice suffer from a deficiency in the structural protein, laminin, and exhibit severe muscle wasting and weakness. We tested the hypothesis that 4 weeks of IGF-I treatment ( approximately 2 mg/kg body mass, 50 g/h via mini-osmotic pump, subcutaneously) would increase the mass and force producing capacity of skeletal muscles from dystrophic mice. IGF-I treatment increased the mass of the extensor digitorum longus (EDL) and soleus muscles of dystrophic mice by 20 and 29%, respectively, compared with untreated dystrophic mice (administered saline-vehicle only). Absolute maximum force (P(o)) of the EDL and soleus muscle was increased by 40 and 32%, respectively, following IGF-I treatment. Specific P(o) (sP(o)) was increased by 23% in the EDL muscles of treated compared with untreated mice, but in the soleus muscle sP(o) was unchanged. IGF-I treatment increased the proportion of type IIB and type IIA fibres and decreased the proportion of type I fibres in the EDL muscles of dystrophic mice. In the soleus muscles of dystrophic mice, IGF-I treatment increased the proportion of type IIA fibres and decreased the proportion of type I fibres. Average fibre cross-sectional area was increased in the EDL and soleus muscles of treated compared with untreated mice. We conclude that IGF-I treatment ameliorates muscle wasting and improves the functional properties of skeletal muscles of dystrophic mice. The findings have important implications for the role of IGF-I in ameliorating muscle wasting associated with the muscular dystrophies.
尽管有人提出胰岛素样生长因子-I(IGF-I)可用于患有肌肉萎缩症的患者,但很少有研究调查IGF-I治疗后营养不良性骨骼肌的功能特性。129P1 ReJ-Lama2(dy)(129 ReJ dy/dy)营养不良小鼠缺乏结构蛋白层粘连蛋白,表现出严重的肌肉萎缩和无力。我们检验了这样一个假设,即4周的IGF-I治疗(约2毫克/千克体重,通过微型渗透泵皮下注射,每小时50微克)会增加营养不良小鼠骨骼肌的质量和产生力量的能力。与未治疗的营养不良小鼠(仅给予生理盐水载体)相比,IGF-I治疗使营养不良小鼠的趾长伸肌(EDL)和比目鱼肌的质量分别增加了20%和29%。IGF-I治疗后,EDL和比目鱼肌的绝对最大力量(P(o))分别增加了40%和32%。与未治疗的小鼠相比,治疗后小鼠EDL肌肉的比最大力量(sP(o))增加了23%,但比目鱼肌的sP(o)没有变化。IGF-I治疗增加了营养不良小鼠EDL肌肉中IIB型和IIA型纤维的比例,降低了I型纤维的比例。在营养不良小鼠的比目鱼肌中,IGF-I治疗增加了IIA型纤维的比例,降低了I型纤维的比例。与未治疗的小鼠相比,治疗后小鼠EDL和比目鱼肌的平均纤维横截面积增加。我们得出结论,IGF-I治疗可改善肌肉萎缩,并改善营养不良小鼠骨骼肌的功能特性。这些发现对于IGF-I在改善与肌肉营养不良相关的肌肉萎缩中的作用具有重要意义。