Tan Zhidan, Zhao Manzhi, Li Jing, Li Siqi, Zhu Su, Yao Xiaoxuan, Gao Xinglin, Yang Shifang
Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, China.
Ann Transl Med. 2022 Feb;10(4):162. doi: 10.21037/atm-22-377.
Skeletal muscle dysfunction (SMD) is one of the most prominent extrapulmonary effects of chronic obstructive pulmonary disease (COPD). Myostatin negatively regulates the growth of skeletal muscle. We confirmed that myostatin expression is significantly increased in the quadriceps femoris muscle tissue of rats with COPD and is involved in the development of SMD in COPD, but the mechanism by which this occurs has yet to be uncovered. Dynamin-related protein 1 (Drp-1) has been shown to promote apoptosis and affect cellular energy metabolism by mediating enhanced mitochondrial division. Preliminary findings from our group illustrated that mitochondrial division and Drp-1 expression were increased in COPD quadriceps femoris cells. However, it is not yet clear whether mitochondrial dynamics are affected by myostatin in COPD quadriceps myocytes.
The study sought to explore the effects and potential mechanisms of myostatin on skeletal muscle atrophy, mitochondrial dynamics, apoptosis, and the links between related processes in COPD.
Our findings showed that cigarette smoke exposure stimulated an increase in myostatin, increased superoxide production, decreased mitochondrial membrane potential, significantly promoted Drp-1-mediated mitochondrial fission, and promoted apoptosis.
In summary, our study demonstrated that cigarette smoke led to increased Drp-1 expression and enhanced mitochondrial division by upregulating myostatin, which in turn promoted apoptosis and affected cellular energy metabolism, leading to the development of SMD in COPD. This study extends understandings of skeletal muscle function in COPD and provides a basis for the use of myostatin and Drp-1 as novel therapeutic targets for SMD in COPD.
骨骼肌功能障碍(SMD)是慢性阻塞性肺疾病(COPD)最显著的肺外效应之一。肌肉生长抑制素对骨骼肌生长起负调节作用。我们证实,COPD大鼠股四头肌组织中肌肉生长抑制素表达显著增加,且参与COPD中SMD的发生发展,但其中的具体机制尚待揭示。动力相关蛋白1(Drp-1)已被证明可通过介导增强的线粒体分裂促进细胞凋亡并影响细胞能量代谢。我们团队的初步研究结果表明,COPD股四头肌细胞中线粒体分裂和Drp-1表达增加。然而,尚不清楚COPD股四头肌细胞中的线粒体动力学是否受肌肉生长抑制素影响。
本研究旨在探讨肌肉生长抑制素对COPD患者骨骼肌萎缩、线粒体动力学、细胞凋亡以及相关过程之间联系的影响及潜在机制。
我们的研究结果表明,香烟烟雾暴露会刺激肌肉生长抑制素增加、超氧化物生成增加、线粒体膜电位降低,显著促进Drp-1介导的线粒体分裂,并促进细胞凋亡。
总之,我们的研究表明,香烟烟雾通过上调肌肉生长抑制素导致Drp-增加和线粒体分裂增强,进而促进细胞凋亡并影响细胞能量代谢,导致COPD中SMD的发生发展。本研究拓展了对COPD骨骼肌功能的认识,并为将肌肉生长抑制素和Drp-1作为COPD中SMD的新型治疗靶点提供了依据。