Department of Translational Medicine, Interdisciplinary Research Center of Autoimmune Diseases (IRCAD), and Biotechnology Center for Applied Medical Research (BRMA), Università del Piemonte Orientale "Amedeo Avogadro" — Alessandria, Novara, Vercelli, Italy.
J Clin Invest. 2013 Feb;123(2):611-22. doi: 10.1172/JCI39920. Epub 2013 Jan 2.
Cachexia is a wasting syndrome associated with cancer, AIDS, multiple sclerosis, and several other disease states. It is characterized by weight loss, fatigue, loss of appetite, and skeletal muscle atrophy and is associated with poor patient prognosis, making it an important treatment target. Ghrelin is a peptide hormone that stimulates growth hormone (GH) release and positive energy balance through binding to the receptor GHSR-1a. Only acylated ghrelin (AG), but not the unacylated form (UnAG), can bind GHSR-1a; however, UnAG and AG share several GHSR-1a-independent biological activities. Here we investigated whether UnAG and AG could protect against skeletal muscle atrophy in a GHSR-1a-independent manner. We found that both AG and UnAG inhibited dexamethasone-induced skeletal muscle atrophy and atrogene expression through PI3Kβ-, mTORC2-, and p38-mediated pathways in myotubes. Upregulation of circulating UnAG in mice impaired skeletal muscle atrophy induced by either fasting or denervation without stimulating muscle hypertrophy and GHSR-1a-mediated activation of the GH/IGF-1 axis. In Ghsr-deficient mice, both AG and UnAG induced phosphorylation of Akt in skeletal muscle and impaired fasting-induced atrophy. These results demonstrate that AG and UnAG act on a common, unidentified receptor to block skeletal muscle atrophy in a GH-independent manner.
恶病质是一种与癌症、艾滋病、多发性硬化症和其他几种疾病状态相关的消耗综合征。它的特征是体重减轻、疲劳、食欲不振和骨骼肌萎缩,并与患者预后不良有关,因此成为重要的治疗靶点。Ghrelin 是一种肽激素,通过与受体 GHSR-1a 结合刺激生长激素 (GH) 释放和正能平衡。只有酰化 ghrelin (AG),而不是未酰化形式 (UnAG),可以与 GHSR-1a 结合;然而,UnAG 和 AG 具有几种 GHSR-1a 非依赖性的生物学活性。在这里,我们研究了 UnAG 和 AG 是否可以通过非 GHSR-1a 依赖的方式来预防骨骼肌萎缩。我们发现,AG 和 UnAG 均可通过 PI3Kβ、mTORC2 和 p38 介导的途径抑制肌管中地塞米松诱导的骨骼肌萎缩和萎缩基因的表达。在小鼠中循环 UnAG 的上调会损害由禁食或去神经支配引起的骨骼肌萎缩,而不会刺激肌肉肥大和 GHSR-1a 介导的 GH/IGF-1 轴的激活。在 Ghsr 缺陷小鼠中,AG 和 UnAG 均可诱导骨骼肌中 Akt 的磷酸化,并损害禁食诱导的萎缩。这些结果表明,AG 和 UnAG 通过一种共同的、未鉴定的受体发挥作用,以非 GH 依赖的方式阻断骨骼肌萎缩。