Skeletal muscle injury and regeneration are closely associated with an inflammatory reaction that is usually characterized by sequential recruitment of neutrophils and monocytes or macrophages. Selective macrophage depletion models have shown that macrophages are essential for complete regeneration of muscle fibers after freeze injuries, toxin injuries, ischemia-reperfusion, and hindlimb unloading and reloading. Although there is growing evidence that macrophages possess major myogenic capacities, it is not known whether the positive effects of macrophages can be optimized to stimulate muscle regrowth. We used in vivo and in vitro mouse models of atrophy to investigate the effects of stimulating macrophages with macrophage colony-stimulating factor (M-CSF) on muscle regrowth. When atrophied soleus muscles were injected intramuscularly with M-CSF, we observed a 1.6-fold increase in macrophage density and a faster recovery in muscle force (20%), combined with an increase in muscle fiber diameter (10%), after 7 days of reloading, compared with PBS-injected soleus muscles. Furthermore, coculture of atrophied myotubes with or without bone marrow-derived macrophages (BMDM) and/or M-CSF revealed that the combination of BMDMs and M-CSF was required to promote myotube growth (15%). More specifically, M-CSF promoted the anti-inflammatory macrophage phenotype, which in turn decreased protein degradation and MuRF-1 expression by 25% in growing myotubes. These results indicate that specific macrophage subsets can be stimulated to promote muscle cell regrowth after atrophy.

译文

骨骼肌损伤和再生与炎症反应密切相关,炎症反应通常以中性粒细胞和单核细胞或巨噬细胞的连续募集为特征。选择性巨噬细胞耗竭模型表明,巨噬细胞对于冷冻损伤,毒素损伤,缺血再灌注以及后肢卸载和重新加载后的肌纤维完全再生至关重要。尽管越来越多的证据表明巨噬细胞具有主要的肌源性能力,但尚不清楚是否可以优化巨噬细胞的积极作用以刺激肌肉再生。我们使用体内和体外萎缩小鼠模型来研究巨噬细胞集落刺激因子 (m-csf) 刺激巨噬细胞对肌肉再生的影响。当肌注m-csf肌注萎缩的比目鱼肌时,与注射PBS的比目鱼肌相比,在重装7天后,我们观察到巨噬细胞密度增加了1.6倍,肌力恢复更快 (20%),并增加了肌纤维直径 (10%)。此外,具有或不具有骨髓来源的巨噬细胞 (BMDM) 和/或m-csf的萎缩肌管的共培养表明,需要BMDMs和m-csf的组合来促进肌管生长 (15%)。更具体地,m-csf促进抗炎巨噬细胞表型,这反过来通过25% 在生长的肌管中降低蛋白质降解和MuRF-1表达。这些结果表明,萎缩后可以刺激特定的巨噬细胞亚群以促进肌细胞再生。

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