Department of General Internal Medicine, Beijing Tsinghua Changgung Hospital, Beijing, China.
Department of Dermatology, Air Force Medical Center, PLA, Beijing, China.
Shock. 2024 Mar 1;61(3):433-441. doi: 10.1097/SHK.0000000000002304. Epub 2024 Jan 8.
Background: Treatment of acute compartment syndrome (ACS)-induced skeletal muscle injury remains a challenge. Previous studies have shown that octanoic acid is a promising treatment for ACS owing to its potential ability to regulate metabolic/epigenetic pathways in ischemic injury. The present study was designed to investigate the efficacy and underlying mechanism of octanoic acid in ACS-induced skeletal muscle injury. Methods: In this study, we established a saline infusion ACS rat model. Subsequently, we assessed the protective effects of sodium octanoate (NaO, sodium salt of octanoic acid) on ACS-induced skeletal muscle injury. Afterward, the level of acetyl-coenzyme A and histone acetylation in the skeletal muscle tissue were quantified. Moreover, we investigated the activation of the AMP-activated protein kinas pathway and the occurrence of mitophagy in the skeletal muscle tissue. Lastly, we scrutinized the expression of proteins associated with mitochondrial dynamics in the skeletal muscle tissue. Results: The administration of NaO attenuated muscle inflammation, alleviating oxidative stress and muscle edema. Moreover, NaO treatment enhanced muscle blood perfusion, leading to the inhibition of apoptosis-related skeletal muscle cell death after ACS. In addition, NaO demonstrated the ability to halt skeletal muscle fibrosis and enhance the functional recovery of muscle post-ACS. Further analysis indicates that NaO treatment increases the acetyl-CoA level in muscle and the process of histone acetylation by acetyl-CoA. Lastly, we found NaO treatment exerts a stimulatory impact on the activation of the AMPK pathway, thus promoting mitophagy and improving mitochondrial dynamics. Conclusion: Our findings indicate that octanoic acid may ameliorate skeletal muscle injury induced by ACS. Its protective effects may be attributed to the promotion of acetyl-CoA synthesis and histone acetylation within the muscular tissue, as well as its activation of the AMPK-related mitophagy pathway.
急性间隔综合征(ACS)引起的骨骼肌损伤的治疗仍然是一个挑战。先前的研究表明,辛酸由于其在缺血性损伤中调节代谢/表观遗传途径的潜在能力,是治疗 ACS 的一种很有前途的方法。本研究旨在探讨辛酸在 ACS 诱导的骨骼肌损伤中的疗效和作用机制。
在这项研究中,我们建立了盐水输注 ACS 大鼠模型。随后,我们评估了辛酸钠(NaO,辛酸的钠盐)对 ACS 诱导的骨骼肌损伤的保护作用。之后,定量检测骨骼肌组织中的乙酰辅酶 A 水平和组蛋白乙酰化。此外,我们研究了骨骼肌组织中 AMP 激活的蛋白激酶途径的激活和细胞自噬的发生。最后,我们检查了骨骼肌组织中线粒体动力学相关蛋白的表达。
NaO 的给药减轻了肌肉炎症,缓解了氧化应激和肌肉水肿。此外,NaO 治疗增强了肌肉血液灌注,从而抑制 ACS 后与凋亡相关的骨骼肌细胞死亡。此外,NaO 显示出阻止肌肉纤维化和增强 ACS 后肌肉功能恢复的能力。进一步的分析表明,NaO 处理增加了肌肉中的乙酰辅酶 A 水平和乙酰辅酶 A 过程中的组蛋白乙酰化。最后,我们发现 NaO 处理对 AMPK 途径的激活有刺激作用,从而促进自噬和改善线粒体动力学。
我们的研究结果表明,辛酸可能改善 ACS 引起的骨骼肌损伤。其保护作用可能归因于促进肌肉组织中乙酰辅酶 A 的合成和组蛋白乙酰化,以及激活与 AMPK 相关的自噬途径。