Saeman Melody R, DeSpain Kevin, Liu Ming-Mei, Wolf Steven E, Song Juquan
Division of Burn/Trauma/Critical Care, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Division of Burn/Trauma/Critical Care, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
J Surg Res. 2016 May 15;202(2):372-9. doi: 10.1016/j.jss.2016.02.037. Epub 2016 Mar 4.
Severe burn causes muscle mass loss and atrophy. The balance between muscle cell death and growth maintains tissue homeostasis. We hypothesize that preexisting cellular structural defects will exacerbate skeletal muscle mass loss after burn. Using a Duchenne muscular dystrophy (mdx) mutant mouse, we investigated whether severe burn caused more damage in skeletal muscle with preexisting muscle disease.
The mdx mice and wild-type (WT) mice received 25% total body surface area scald burn. Gastrocnemius (GM), tibialis anterior, and gluteus muscles were obtained at days 1 and 3 after burn. GM muscle function was measured on day 3. Animals without burn served as controls.
Wet tissue weight significantly decreased in tibialis anterior and gluteus in both mdx and WT mice after burn (P < 0.05). The ratio of muscle to body weight decreased in mdx mutant mice (P < 0.05) but not WT. Isometric force was significantly lower in mdx GM, and this difference persisted after burn (P < 0.05). Caspase-3 activity increased significantly after burn in both the groups, whereas HMGB1 expression was higher in burn mdx mice (P < 0.05). Proliferating cell nuclear antigen decreased significantly in mdx mice (P < 0.05). Myogenic markers pax7, myoD, and myogenin increased after burn in both the groups and were higher in mdx mice (P < 0.05).
More muscle loss occurred in response to severe burn in mdx mutant mice. Cell turnover in mdx mice after burn is differed from WT. Although markers of myogenic activation are elevated in mdx mutant mice, the underlying muscle pathophysiology is less tolerant of traumatic injury.
严重烧伤会导致肌肉质量下降和萎缩。肌肉细胞死亡与生长之间的平衡维持着组织的稳态。我们推测,预先存在的细胞结构缺陷会加剧烧伤后骨骼肌质量的损失。我们使用杜氏肌营养不良(mdx)突变小鼠,研究严重烧伤是否会对已存在肌肉疾病的骨骼肌造成更大损伤。
mdx小鼠和野生型(WT)小鼠接受25%体表面积的烫伤。在烧伤后第1天和第3天获取腓肠肌(GM)、胫前肌和臀肌。在第3天测量GM肌肉功能。未烧伤的动物作为对照。
烧伤后,mdx小鼠和WT小鼠的胫前肌和臀肌湿组织重量均显著下降(P<0.05)。mdx突变小鼠的肌肉与体重之比下降(P<0.05),而WT小鼠则未下降。mdx GM的等长力显著较低,且烧伤后这种差异持续存在(P<0.05)。两组烧伤后Caspase-3活性均显著增加,而烧伤mdx小鼠中HMGB1表达更高(P<0.05)。mdx小鼠中增殖细胞核抗原显著降低(P<0.05)。两组烧伤后成肌标志物pax7、myoD和肌细胞生成素均增加,且mdx小鼠中更高(P<0.05)。
mdx突变小鼠对严重烧伤的反应是肌肉损失更多。mdx小鼠烧伤后的细胞更新与WT小鼠不同。尽管mdx突变小鼠中成肌激活标志物升高,但其潜在的肌肉病理生理学对创伤性损伤的耐受性较低。