Department of Gastroenterology, Nara Medical University, Kashihara, Nara 634-8521, Japan.
Department of Gastroenterology, Nara Medical University, Kashihara, Nara 634-8521, Japan.
Biochim Biophys Acta Mol Basis Dis. 2023 Oct;1869(7):166770. doi: 10.1016/j.bbadis.2023.166770. Epub 2023 Jun 3.
A glucagon-like peptide-1 receptor agonist (GLP-1RA) has recently been established as a pharmacological option for the treatment of type 2 diabetes. Recent studies have demonstrated the molecular role of GLP-1R in skeletal muscle homeostasis; however, the therapeutic efficacy of semaglutide, a GLP-1RA, on skeletal muscle atrophy in chronic liver disease (CLD) under diabetic conditions remains unclear. In the present study, semaglutide effectively inhibited psoas muscle atrophy and suppressed declines in grip strength in a diethoxycarbonyl-1,4-dihydrocollidine (DDC) diet-fed diabetic KK-A mouse model. Moreover, semaglutide inhibited ubiquitin-proteosome-mediated skeletal muscle proteolysis and promoted myogenesis in palmitic acid (PA)-stimulated C2C12 murine myocytes. Mechanistically, this effect of semaglutide on skeletal muscle atrophy was mediated by multiple functional pathways. First, semaglutide protected against hepatic injury in mice accompanied by increased production of insulin-like growth factor 1 and reduced accumulation of reactive oxygen species (ROS). These effects were associated with decreased proinflammatory cytokines and ROS accumulation, leading to the suppression of ubiquitin-proteosome muscle degradation. Moreover, semaglutide inhibited the amino acid starvation-related stress signaling that was activated under chronic liver injury, resulting in the recovery of the mammalian target of rapamycin activity in the skeletal muscle of DDC-diet fed KK-A mice. Second, semaglutide improved skeletal muscle atrophy by directly stimulating GLP-1R in myocytes. Semaglutide induced cAMP-mediated activation of PKA and AKT, enhanced mitochondrial biogenesis, and reduced ROS accumulation, thereby resulting in inhibition of NF-κB/myostatin-mediated ubiquitin-proteosome degradation and the augmentation of heat-shock factor-1-mediated myogenesis. Collectively, semaglutide may have potential as a new therapeutic strategy for CLD-related skeletal muscle wasting.
胰高血糖素样肽-1 受体激动剂 (GLP-1RA) 最近已被确立为治疗 2 型糖尿病的一种药物选择。最近的研究表明 GLP-1R 在骨骼肌稳态中的分子作用;然而,在糖尿病条件下,GLP-1RA 司美格鲁肽对慢性肝病 (CLD) 相关的骨骼肌萎缩的治疗效果尚不清楚。在本研究中,司美格鲁肽可有效抑制二乙氧羰基-1,4-二氢吡啶 (DDC) 饮食喂养的糖尿病 KK-A 小鼠模型的腰肌萎缩,并抑制握力下降。此外,司美格鲁肽抑制棕榈酸 (PA) 刺激的 C2C12 鼠肌细胞中的泛素-蛋白酶体介导的骨骼肌蛋白水解,并促进肌生成。从机制上讲,司美格鲁肽对骨骼肌萎缩的这种作用是通过多种功能途径介导的。首先,司美格鲁肽可防止小鼠肝损伤,同时增加胰岛素样生长因子 1 的产生并减少活性氧 (ROS) 的积累。这些作用与减少促炎细胞因子和 ROS 积累有关,从而抑制泛素-蛋白酶体肌肉降解。此外,司美格鲁肽抑制了在慢性肝损伤下激活的与氨基酸饥饿相关的应激信号,从而恢复 DDC 饮食喂养的 KK-A 小鼠骨骼肌中雷帕霉素靶蛋白的活性。其次,司美格鲁肽通过直接刺激肌细胞中的 GLP-1R 来改善骨骼肌萎缩。司美格鲁肽诱导 cAMP 介导的 PKA 和 AKT 激活,增强线粒体生物发生,并减少 ROS 积累,从而抑制 NF-κB/肌肉生长抑制素介导的泛素-蛋白酶体降解,并增强热休克因子-1 介导的肌生成。总之,司美格鲁肽可能是治疗 CLD 相关骨骼肌消耗的一种新的治疗策略。
Biochim Biophys Acta Mol Basis Dis. 2023-10
J Cachexia Sarcopenia Muscle. 2019-4-24
Biochim Biophys Acta Mol Cell Res. 2024-2
Diabetes Metab Syndr Obes. 2023-8-15
J Cachexia Sarcopenia Muscle. 2022-8
Phytomedicine. 2018-9-5
Int J Mol Sci. 2020-5-29
Int J Mol Sci. 2025-8-21
Reprod Biol Endocrinol. 2025-8-8
Nat Rev Endocrinol. 2025-7-28
Curr Issues Mol Biol. 2024-12-23