Liu Chaoran, Wong Pui Yan, Wang Qianjin, Wong Hei Yuet, Huang Tao, Cui Can, Zhang Ning, Cheung Wing Hoi, Wong Ronald Man Yeung
Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Cachexia Sarcopenia Muscle. 2024 Dec;15(6):2387-2401. doi: 10.1002/jcsm.13573. Epub 2024 Oct 31.
BACKGROUND: Sarcopenia is a prevalent muscle disorder in old people leading to higher fracture rate, mortality, and other adverse clinical outcomes. Evidence indicates that short-chain fatty acids (SCFAs), which are beneficial gut microbial metabolites, were reduced in old people with sarcopenia. This study aimed to determine whether the use of SCFAs as a supplement can be a therapeutic strategy of sarcopenia in a pre-clinical model. METHODS: Seven-month-old pre-sarcopenic senescent accelerated mouse prone 8 (SAMP8) mice received daily SCFAs cocktail (acetate, butyrate, and propionate) for 3 months. Age-matched senescence accelerated mouse resistant 1 (SAMR1) and SAMP8 mice receiving sodium-matched drinking water were control groups. The gut microbiota composition analysis of aged mice with or without sarcopenia was conducted by 16S rDNA sequencing. Gut barrier-related proteins and lipopolysaccharide (LPS) concentration were biomarkers of gut permeability. Colon inflammation levels, circulatory SCFAs concentration, muscle quality, function, and underlying pathways were detected by cell number counting, RT-qPCR, gas chromatography-mass spectrometry, measurements of muscle wet weight and grip strength, ex vivo functional test, treadmill endurance test, transcriptomic sequencing, morphological and immunofluorescent staining, as well as western blot. To investigate the role of mTOR signalling pathways in SCFAs treatment, C2C12 myotubes were treated with rapamycin. RESULTS: Aged SAMP8 mice had different microbiota composition, and lower serum butyric acid compared with SAMR1 mice (P < 0.05). SCFAs treatment reversed the increment of colon inflammation (2.8-fold lower of il-1β) and gut barrier permeability (1.7-fold lower of LPS) in SAMP8 mice. Increased muscle mass, myofibre cross-sectional area, grip strength, twitch and tetanic force were found in SCFAs-treated mice compared with control SAMP8 mice (P < 0.05). Anti-fatigue capacity (1.6-fold) and muscle glycogen (2-fold) also improved after SCFAs treatment (P < 0.05). Transcriptomic analysis showed that AMPK, insulin, and mTOR pathways were involved in SCFAs treatment (P < 0.05). Regulation of AKT/mTOR/S6K1 and AMPK/PGC1α pathways were found. SCFAs attenuated fat infiltration and improved mitochondria biogenesis of atrophic muscle. In vitro studies indicated that SCFAs inhibited FoxO3a/Atrogin1 and activated mTOR pathways to improve myotube growth (P < 0.05), and rapamycin attenuated the effect of SCFAs through the inhibition of mTOR pathways. CONCLUSIONS: This study demonstrated that bacterial metabolites SCFAs could attenuate age-related muscle loss and dysfunction, and protein synthesis-related mTOR signalling pathways were involved both in vivo and in vitro.
背景:肌肉减少症是老年人中一种普遍存在的肌肉疾病,会导致更高的骨折率、死亡率和其他不良临床结局。有证据表明,作为有益的肠道微生物代谢产物的短链脂肪酸(SCFAs)在患有肌肉减少症的老年人中含量降低。本研究旨在确定在临床前模型中使用SCFAs作为补充剂是否可以成为治疗肌肉减少症的策略。 方法:7个月大的肌肉减少症前期衰老加速小鼠8型(SAMP8)小鼠每天接受SCFAs混合物(乙酸盐、丁酸盐和丙酸盐)治疗3个月。年龄匹配的衰老加速抗性小鼠1型(SAMR1)和接受钠匹配饮用水的SAMP8小鼠为对照组。通过16S rDNA测序对有或无肌肉减少症的老年小鼠的肠道微生物群组成进行分析。肠道屏障相关蛋白和脂多糖(LPS)浓度是肠道通透性的生物标志物。通过细胞计数、RT-qPCR、气相色谱-质谱法、肌肉湿重和握力测量、离体功能测试、跑步机耐力测试、转录组测序、形态学和免疫荧光染色以及蛋白质印迹法检测结肠炎症水平、循环SCFAs浓度、肌肉质量、功能及潜在途径。为了研究mTOR信号通路在SCFAs治疗中的作用,用雷帕霉素处理C2C12肌管。 结果:与SAMR1小鼠相比,老年SAMP8小鼠的微生物群组成不同,血清丁酸含量更低(P<0.05)。SCFAs治疗逆转了SAMP8小鼠结肠炎症的增加(白细胞介素-1β降低2.8倍)和肠道屏障通透性的增加(LPS降低1.7倍)。与对照SAMP8小鼠相比,SCFAs治疗的小鼠肌肉质量、肌纤维横截面积、握力、抽搐和强直力增加(P<0.05)。SCFAs治疗后抗疲劳能力(提高1.6倍)和肌肉糖原(提高2倍)也得到改善(P<0.05)。转录组分析表明,AMPK、胰岛素和mTOR途径参与了SCFAs治疗(P<0.05)。发现了对AKT/mTOR/S6K1和AMPK/PGC1α途径的调节。SCFAs减少了脂肪浸润,改善了萎缩肌肉的线粒体生物合成。体外研究表明,SCFAs抑制FoxO3a/Atrogin1并激活mTOR途径以改善肌管生长(P<0.05),雷帕霉素通过抑制mTOR途径减弱了SCFAs的作用。 结论:本研究表明,细菌代谢产物SCFAs可减轻与年龄相关的肌肉损失和功能障碍,且蛋白质合成相关的mTOR信号通路在体内和体外均有参与。
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