Metabolomics and Analytics Centre, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands.
Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
J Cachexia Sarcopenia Muscle. 2024 Jun;15(3):868-882. doi: 10.1002/jcsm.13433. Epub 2024 Apr 30.
Sarcopenia is characterized by loss of skeletal muscle mass and function, and is a major risk factor for disability and independence in the elderly. Effective medication is not available. Dietary restriction (DR) has been found to attenuate aging and aging-related diseases, including sarcopenia, but the mechanism of both DR and sarcopenia are incompletely understood.
In this study, mice body weight, fore and all limb grip strength, and motor learning and coordination performance were first analysed to evaluate the DR effects on muscle functioning. Liquid chromatography-mass spectrometry (LC-MS) was utilized for the metabolomics study of the DR effects on sarcopenia in progeroid DNA repair-deficient Ercc1 and Xpg mice, to identify potential biomarkers for attenuation of sarcopenia.
Muscle mass was significantly (P < 0.05) decreased (13-20%) by DR; however, the muscle quality was improved with retained fore limbs and all limbs grip strength in Ercc1 and Xpg mice. The LC-MS results revealed that metabolites and pathways related to oxidative-stress, that is, GSSG/GSH (P < 0.01); inflammation, that is, 9-HODE, 11-HETE (P < 0.05), PGE, PGD, and TXB (P < 0.01); and muscle growth (PGF) (P < 0.01) and regeneration stimulation (PGE) (P < 0.05) are significantly downregulated by DR. On the other hand, anti-inflammatory indicator and several related metabolites, that is, β-hydroxybutyrate (P < 0.01), 14,15-DiHETE (P < 0.0001), 8,9-EET, 12,13-DiHODE, and PGF (P < 0.05); consumption of sources of energy (i.e., muscle and liver glycogen); and energy production pathways, that is, glycolysis (glucose, glucose-6-P, fructose-6-P) (P < 0.01), tricarboxylic acid cycle (succinyl-CoA, malate) (P < 0.001), and gluconeogenesis-related metabolite, alanine (P < 0.01), are significantly upregulated by DR. The notably (P < 0.01) down-modulated muscle growth (PGF) and regeneration (PGE) stimulation metabolite and the increased consumption of glycogen in muscle and liver may be related to the significantly (P < 0.01) lower body weight and muscle mass by DR. The downregulated oxidative stress, pro-inflammatory mediators, and upregulated anti-inflammatory metabolites resulted in a lower energy expenditure, which contributed to enhanced muscle quality together with upregulated energy production pathways by DR. The improved muscle quality may explain why grip strength is maintained and motor coordination and learning performance are improved by DR in Ercc1 and Xpg mice.
This study provides fundamental supporting information on biomarkers and pathways related to the attenuation of sarcopenia, which might facilitate its diagnosis, prevention, and clinical therapy.
肌少症的特征是骨骼肌质量和功能丧失,是老年人残疾和丧失独立性的主要危险因素。目前尚无有效的药物治疗方法。饮食限制(DR)已被发现可减轻衰老和与衰老相关的疾病,包括肌少症,但 DR 和肌少症的机制尚不完全清楚。
本研究首先分析了小鼠体重、前肢和四肢握力以及运动学习和协调表现,以评估 DR 对肌肉功能的影响。利用液相色谱-质谱(LC-MS)对 DNA 修复缺陷的 Ercc1 和 Xpg 早老模型小鼠的 DR 对肌少症的影响进行代谢组学研究,以确定潜在的肌少症缓解生物标志物。
DR 显著降低(P < 0.05)肌肉质量(13-20%);然而,在 Ercc1 和 Xpg 小鼠中,DR 保留了前肢和四肢握力,改善了肌肉质量。LC-MS 结果显示,与氧化应激相关的代谢物和途径,即 GSSG/GSH(P < 0.01);炎症,即 9-HODE、11-HETE(P < 0.05)、PGE、PGD 和 TXB(P < 0.01);肌肉生长(PGF)(P < 0.01)和再生刺激(PGE)(P < 0.05)显著下调。另一方面,抗炎指标和几种相关代谢物,即 β-羟基丁酸(P < 0.01)、14,15-DiHETE(P < 0.0001)、8,9-EET、12,13-DiHODE 和 PGF(P < 0.05);能量的来源(即肌肉和肝脏糖原)的消耗;以及能量产生途径,即糖酵解(葡萄糖、葡萄糖-6-P、果糖-6-P)(P < 0.01)、三羧酸循环(琥珀酰-CoA、苹果酸)(P < 0.001)和与糖异生相关的代谢物丙氨酸(P < 0.01),均由 DR 显著上调。肌肉生长(PGF)和再生(PGE)刺激代谢物的显著下调以及肌肉和肝脏糖原的消耗增加可能与 DR 导致的体重和肌肉质量显著降低有关。氧化应激、促炎介质的下调和抗炎代谢物的上调导致能量消耗降低,这有助于增强 DR 肌肉质量,并上调能量产生途径。肌肉质量的改善可以解释为什么 DR 能维持握力,并改善 Ercc1 和 Xpg 小鼠的运动协调和学习表现。
本研究为肌少症缓解的生物标志物和途径提供了基本的支持信息,这可能有助于肌少症的诊断、预防和临床治疗。