Mano Yosuke, Tsukamoto Manabu, Wang Ke-Yong, Nabeshima Takayuki, Kosugi Kenji, Tajima Takafumi, Yamanaka Yoshiaki, Suzuki Hitoshi, Kawasaki Makoto, Nakamura Eiichiro, Zhou Qian, Azuma Kagaku, Nakashima Tamiji, Tamura Yuki, Kozaki Karina, Nakazato Koichi, Li Yun-Shan, Kawai Kazuaki, Yatera Kazuhiro, Sakai Akinori
Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Japan.
Shared-Use Research Center, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Japan.
J Bone Miner Metab. 2022 Nov;40(6):927-939. doi: 10.1007/s00774-022-01371-1. Epub 2022 Sep 26.
Sarcopenia is a complication of Chronic Obstructive Pulmonary Disease (COPD) that negatively affects physical activity and quality of life. However, the underlying mechanism by which COPD affects skeletal muscles remains to be elucidated. Therefore, we investigated the association between oxidative stress and structural alterations in muscles in elastase-induced emphysema mouse models.
Twelve-week-old male C57BL/6J mice were treated with either intratracheal porcine pancreatic elastase (PPE) dissolved in saline, or saline alone. The mice were euthanized 12 weeks after treatment, and the lungs and limb muscles were used for protein analysis of oxidative stress, p38 mitogen-activated protein kinase (p38 MAPK) signaling pathway and muscle atrophy signaling pathway related with oxidative stress. Furthermore, C57BL/6J mice treated with PPE or saline were analyzed for the effects of oral administration of astaxanthin or p38 inhibitor.
The weight of the soleus muscle, proportion of type I muscle fibers, and cross-sectional areas of muscle fibers in the PPE group were lower than those in the control group. Oxidative stress marker levels in the PPE group were elevated in skeletal muscles. The p38 MAPK signaling pathway was activated in the soleus muscles, leading to the activation of the ubiquitin-proteasome system and autophagy. Astaxanthin and p38 inhibitors attenuated alterations in muscle structure through the deactivation of the p38 MAPK signaling pathway.
This study provides first evidence in COPD mouse model that oxidative stress trigger a series of muscle structural changes. Our findings suggest a novel target for sarcopenia in COPD.
肌肉减少症是慢性阻塞性肺疾病(COPD)的一种并发症,会对身体活动和生活质量产生负面影响。然而,COPD影响骨骼肌的潜在机制仍有待阐明。因此,我们研究了弹性蛋白酶诱导的肺气肿小鼠模型中氧化应激与肌肉结构改变之间的关联。
将12周龄雄性C57BL/6J小鼠分为两组,分别经气管内给予溶解于生理盐水的猪胰弹性蛋白酶(PPE)或仅给予生理盐水。治疗12周后对小鼠实施安乐死,并取肺和肢体肌肉用于分析氧化应激、p38丝裂原活化蛋白激酶(p38 MAPK)信号通路以及与氧化应激相关的肌肉萎缩信号通路的蛋白质。此外,对接受PPE或生理盐水治疗的C57BL/6J小鼠分析口服虾青素或p38抑制剂的效果。
PPE组比目鱼肌重量、I型肌纤维比例以及肌纤维横截面积均低于对照组。PPE组骨骼肌中氧化应激标志物水平升高。比目鱼肌中的p38 MAPK信号通路被激活,导致泛素-蛋白酶体系统和自噬被激活。虾青素和p38抑制剂通过使p38 MAPK信号通路失活减轻了肌肉结构的改变。
本研究在COPD小鼠模型中首次证明氧化应激会引发一系列肌肉结构变化。我们的研究结果提示了COPD中肌肉减少症的一个新靶点。