Laboratory of Proteomics and Lipidomics, IRCCS Orthopedic Institute Galeazzi, 20161 Milan, Italy.
Department of Biomedical Sciences for Health, University of Milan, 20090 Segrate, Italy.
Int J Mol Sci. 2024 Aug 14;25(16):8852. doi: 10.3390/ijms25168852.
Tendon disorders often result in decreased muscle function and atrophy. Pulsed Electromagnetic Fields (PEMFs) have shown potential in improving tendon fiber structure and muscle recovery. However, the molecular effects of PEMF therapy on skeletal muscle, beyond conventional metrics like MRI or markers of muscle decline, remain largely unexplored. This study investigates the metabolic and structural changes in PEMF-treated muscle tissue using proteomics in a rat model of Achilles tendinopathy induced by collagenase. Sprague Dawley rats were unilaterally induced for tendinopathy with type I collagenase injection and exposed to PEMFs for 8 h/day. extracts from untreated or PEMF-treated rats were analyzed with LC-MS/MS, and proteomics differential analysis was conducted through label-free quantitation. PEMF-treated animals exhibited decreased glycolysis and increased LDHB expression, enhancing NAD signaling and ATP production, which boosted respiratory chain activity and fatty acid beta-oxidation. Antioxidant protein levels increased, controlling ROS production. PEMF therapy restored PGC1alpha and YAP levels, decreased by tendinopathy. Additionally, myosins regulating slow-twitch fibers and proteins involved in fiber alignment and force transmission increased, supporting muscle recovery and contractile function. Our findings show that PEMF treatment modulates NAD signaling and oxidative phosphorylation, aiding muscle recovery through the upregulation of YAP and PGC1alpha and increasing slow myosin isoforms, thus speeding up physiological recovery.
肌腱疾病常导致肌肉功能下降和萎缩。脉冲电磁场(PEMFs)已显示出改善肌腱纤维结构和肌肉恢复的潜力。然而,PEMF 治疗对骨骼肌的分子效应,除了 MRI 或肌肉下降标志物等常规指标外,在很大程度上仍未得到探索。本研究使用蛋白质组学在胶原酶诱导的跟腱病大鼠模型中研究了 PEMF 治疗肌肉组织的代谢和结构变化。将 Sprague Dawley 大鼠单侧注射 I 型胶原酶诱导肌腱病,并每天暴露于 PEMF 中 8 小时。对未处理或 PEMF 处理的大鼠的提取物进行 LC-MS/MS 分析,并通过无标记定量进行蛋白质组学差异分析。PEMF 处理的动物表现出糖酵解减少和 LDHB 表达增加,增强了 NAD 信号和 ATP 产生,从而提高了呼吸链活性和脂肪酸β氧化。抗氧化蛋白水平增加,控制 ROS 产生。PEMF 治疗恢复了 PGC1alpha 和 YAP 的水平,这些水平因肌腱病而降低。此外,调节慢肌纤维的肌球蛋白和参与纤维排列和力传递的蛋白质增加,支持肌肉恢复和收缩功能。我们的研究结果表明,PEMF 治疗调节 NAD 信号和氧化磷酸化,通过上调 YAP 和 PGC1alpha 以及增加慢肌球蛋白同工型来加速生理恢复,从而促进肌肉恢复。
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