机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Changchun St 45, Beijing 100053, Peoples R China首都医科大学宣武医院[2]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Disorders, Changchun St 45, Beijing 100053, Peoples R China首都医科大学宣武医院
Introduction: Protein-energy waste (PEW) is a common complication in patients with chronic kidney disease (CKD), among which skeletal muscle atrophy is one of the most important clinical features of PEW. Pyroptosis is a type of proinflammatory programmed cell death associated with skeletal muscle disease. Irisin, as a novel myokine, has attracted extensive attention for its protective role in the complications associated with CKD, but its role in muscle atrophy in CKD is unclear.Methods: Palmitic acid (PA) induced muscular atrophy was evaluated by a reduction in C2C12 myotube diameter. Muscle atrophy model was established in male C57BL/6J mice treated with 0.2% adenine for 4 weeks and then fed a 45% high-fat diet.BUN and Cr levels,body and muscle weight, and muscle histology were assessed. The expression of carnitine palmitoyltransferase 1A (CPT1A) and pyroptosis-related protein was analysed by western blots or immunohistochemistry. The release of IL-1 beta was detected by ELISA.Results: In this study, we showed that PA induced muscular atrophy and manifested as a reduction in C2C12 myotube diameter. During this process PA can also induce pyroptosis, as shown by the upregulation of NLRP3, cleaved Caspase1 and GSDMD-N expression and the increased IL-1 beta release and PI-positive cell rate. Inhibition of Caspase1 or NLRP3 attenuated PA-induced pyroptosis and myotube atrophy in C2C12 cells. Importantly, Irisin treatment significantly ameliorated PA-induced skeletal muscle pyroptosis and atrophy. In terms of mechanism, PA upregulated CPT1A, a key enzyme of fatty acid oxidation(FAO), and Irisin attenuated this effect, which was consistent with Etomoxir (CPT1A inhibitor) treatment. Moreover, Irisin improved skeletal muscle atrophy and pyroptosis in adenine-induced mice by regulating FAO. Conclusion: Our study firstly verifies that pyroptosis is a novel mechanism of skeletal muscle atrophy in CKD. Irisin ameliorated skeletal muscle atrophy by inhibiting FAO and pyroptosis in CKD, and Irisin may be developed as a potential therapeutic agent for the treatment of muscle wasting in CKD patients.
基金:
Ministry of Education amp; National Natural Science Foundation of Beijing [KZ 202110025038]; National Natural science Foundation of China [81570663]; Xuanwu Hospital Huizhi talent leader training program to Aihua zhang
第一作者机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Changchun St 45, Beijing 100053, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Changchun St 45, Beijing 100053, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Disorders, Changchun St 45, Beijing 100053, Peoples R China
推荐引用方式(GB/T 7714):
Zhou Ting,Wang Shiyuan,Pan Yajing,et al.Irisin ameliorated skeletal muscle atrophy by inhibiting fatty acid oxidation and pyroptosis induced by palmitic acid in chronic kidney disease[J].KIDNEY & BLOOD PRESSURE RESEARCH.2023,48(1):628-641.doi:10.1159/000533926.
APA:
Zhou, Ting,Wang, Shiyuan,Pan, Yajing,Dong, Xingtong,Wu, Leiyun...&Zhang, Aihua.(2023).Irisin ameliorated skeletal muscle atrophy by inhibiting fatty acid oxidation and pyroptosis induced by palmitic acid in chronic kidney disease.KIDNEY & BLOOD PRESSURE RESEARCH,48,(1)
MLA:
Zhou, Ting,et al."Irisin ameliorated skeletal muscle atrophy by inhibiting fatty acid oxidation and pyroptosis induced by palmitic acid in chronic kidney disease".KIDNEY & BLOOD PRESSURE RESEARCH 48..1(2023):628-641