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

:骨骼肌的损伤和再生与炎症反应密切相关,炎症反应通常以嗜中性粒细胞和单核细胞或巨噬细胞的顺序募集为特征。选择性巨噬细胞耗竭模型显示,巨噬细胞对于冷冻损伤,毒素损伤,局部缺血-再灌注以及后肢卸载和再加载后肌肉纤维的完全再生至关重要。尽管越来越多的证据表明巨噬细胞具有主要的生肌能力,但尚不清楚是否可以优化巨噬细胞的积极作用来刺激肌肉再生。我们在体内和体外萎缩小鼠模型中研究了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。当肌肉萎缩的比目鱼肌肌肉内注射M-CSF时,我们观察到7天后巨噬细胞密度增加了1.6倍,肌肉力量恢复更快(20%),同时肌肉纤维直径增加了(10%)与注射PBS的比目鱼肌相比,此外,有或没有骨髓源性巨噬细胞(BMDM)和/或M-CSF的萎缩肌管的共培养显示,BMDM和M-CSF的组合需要促进肌管生长(15%)。更具体地说,M-CSF促进了抗炎巨噬细胞的表型,从而使生长中的肌管中的蛋白质降解和MuRF-1表达降低了25%。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肉细胞的再生。

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