Stitt Trevor N, Drujan Doreen, Clarke Brian A, Panaro Frank, Timofeyva Yekatarina, Kline William O, Gonzalez Michael, Yancopoulos George D, Glass David J
Regeneron Pharmaceuticals, Inc., 777 Old Saw Mill River Road, Tarrytown, NY 10591, USA.
Mol Cell. 2004 May 7;14(3):395-403. doi: 10.1016/s1097-2765(04)00211-4.
Skeletal muscle size depends upon a dynamic balance between anabolic (or hypertrophic) and catabolic (or atrophic) processes. Previously, no link between the molecular mediators of atrophy and hypertrophy had been reported. We demonstrate a hierarchy between the signals which mediate hypertrophy and those which mediate atrophy: the IGF-1/PI3K/Akt pathway, which has been shown to induce hypertrophy, prevents induction of requisite atrophy mediators, namely the muscle-specific ubiquitin ligases MAFbx and MuRF1. Moreover, the mechanism for this inhibition involves Akt-mediated inhibition of the FoxO family of transcription factors; a mutant form of FOXO1, which prevents Akt phosphorylation, thereby prevents Akt-mediated inhibition of MuRF1 and MAFbx upregulation. Our study thus defines a previously uncharacterized function for Akt, which has important therapeutic relevance: Akt is not only capable of activating prosynthetic pathways, as previously demonstrated, but is simultaneously and dominantly able to suppress catabolic pathways, allowing it to prevent glucocorticoid and denervation-induced muscle atrophy.
骨骼肌大小取决于合成代谢(或肥大)与分解代谢(或萎缩)过程之间的动态平衡。此前,尚未有关于萎缩和肥大的分子介质之间存在联系的报道。我们证明了介导肥大的信号与介导萎缩的信号之间存在层级关系:已被证明可诱导肥大的IGF-1/PI3K/Akt通路可阻止必需的萎缩介质的诱导,即肌肉特异性泛素连接酶MAFbx和MuRF1。此外,这种抑制机制涉及Akt介导的对FoxO转录因子家族的抑制;一种阻止Akt磷酸化的FOXO1突变形式,从而阻止Akt介导的对MuRF1和MAFbx上调的抑制。因此,我们的研究确定了Akt以前未被描述的功能,这具有重要的治疗意义:Akt不仅如先前所示能够激活合成代谢途径,而且同时并主要能够抑制分解代谢途径,使其能够预防糖皮质激素和去神经支配诱导的肌肉萎缩。