Ono Yuko, Saito Masafumi, Sakamoto Kazuho, Maejima Yuko, Misaka Shingen, Shimomura Kenju, Nakanishi Nobuto, Inoue Shigeaki, Kotani Joji
Department of Disaster and Emergency Medicine, Graduate School of Medicine, Kobe University, Kobe, Japan.
Department of Bioregulation and Pharmacological Medicine, School of Medicine, Fukushima Medical University, Fukushima, Japan.
Front Pharmacol. 2022 Dec 16;13:1031906. doi: 10.3389/fphar.2022.1031906. eCollection 2022.
Burn injury is the leading cause of death and disability worldwide and places a tremendous economic burden on society. Systemic inflammatory responses induced by thermal burn injury can cause muscle wasting, a severe involuntary loss of skeletal muscle that adversely affects the survival and functional outcomes of these patients. Currently, no pharmacological interventions are available for the treatment of thermal burn-induced skeletal muscle wasting. Elevated levels of inflammatory cytokines, such as interleukin-6 (IL-6), are important hallmarks of severe burn injury. The levels of signal transducer and activator of transcription 3 (STAT3)-a downstream component of IL-6 inflammatory signaling-are elevated with muscle wasting in various pro-catabolic conditions, and STAT3 has been implicated in the regulation of skeletal muscle atrophy. Here, we tested the effects of the STAT3-specific signaling inhibitor C188-9 on thermal burn injury-induced skeletal muscle wasting and on C2C12 myotube atrophy after the administration of plasma from burn model mice. In mice, thermal burn injury severity dependently increased IL-6 in the plasma and tibialis anterior muscles and activated the STAT3 (increased ratio of phospho-STAT3/STAT3) and ubiquitin-proteasome proteolytic pathways (increased Atrogin-1/MAFbx and MuRF1). These effects resulted in skeletal muscle atrophy and reduced grip strength. In murine C2C12 myotubes, plasma from burn mice activated the same inflammatory and proteolytic pathways, leading to myotube atrophy. In mice with burn injury, the intraperitoneal injection of C188-9 (50 mg/kg) reduced activation of the STAT3 and ubiquitin-proteasome proteolytic pathways, reversed skeletal muscle atrophy, and increased grip strength. Similarly, pretreatment of murine C2C12 myotubes with C188-9 (10 µM) reduced activation of the same inflammatory and proteolytic pathways, and ameliorated myotube atrophy induced by plasma taken from burn model mice. Collectively, these results indicate that pharmacological inhibition of STAT3 signaling may be a novel therapeutic strategy for thermal burn-induced skeletal muscle wasting.
烧伤是全球范围内导致死亡和残疾的主要原因,给社会带来了巨大的经济负担。热烧伤引起的全身炎症反应可导致肌肉萎缩,即骨骼肌严重的非自主性丧失,这对这些患者的生存和功能结局产生不利影响。目前,尚无药物干预措施可用于治疗热烧伤引起的骨骼肌萎缩。炎性细胞因子水平升高,如白细胞介素-6(IL-6),是严重烧伤的重要标志。信号转导和转录激活因子3(STAT3)——IL-6炎性信号的下游成分——的水平在各种促分解代谢条件下随肌肉萎缩而升高,并且STAT3与骨骼肌萎缩的调节有关。在此,我们测试了STAT3特异性信号抑制剂C188-9对热烧伤引起的骨骼肌萎缩以及对烧伤模型小鼠血浆给药后C2C12肌管萎缩的影响。在小鼠中,热烧伤的严重程度依赖性地增加了血浆和胫前肌中的IL-6,并激活了STAT3(磷酸化STAT3/STAT3的比例增加)和泛素-蛋白酶体蛋白水解途径(Atrogin-1/MAFbx和MuRF1增加)。这些作用导致骨骼肌萎缩和握力降低。在小鼠C2C12肌管中,烧伤小鼠的血浆激活了相同的炎症和蛋白水解途径,导致肌管萎缩。在烧伤小鼠中,腹腔注射C188-9(50mg/kg)可降低STAT3和泛素-蛋白酶体蛋白水解途径的激活,逆转骨骼肌萎缩,并增加握力。同样,用C188-9(10µM)预处理小鼠C2C12肌管可降低相同炎症和蛋白水解途径的激活,并改善烧伤模型小鼠血浆诱导的肌管萎缩。总体而言,这些结果表明,STAT3信号的药理学抑制可能是治疗热烧伤引起的骨骼肌萎缩的一种新的治疗策略。