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Irisin ameliorated skeletal muscle atrophy by inhibiting fatty acid oxidation and pyroptosis induced by palmitic acid in chronic kidney disease

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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
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关键词: Pyroptosis Irisin Chronic kidney disease Muscle atrophy

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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.

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基金编号: KZ 202110025038 81570663

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 3 区 泌尿学与肾脏学 4 区 外周血管病 4 区 生理学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 生理学 4 区 外周血管病 4 区 泌尿学与肾脏学
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出版当年[2021]版:
Q2 PHYSIOLOGY Q2 UROLOGY & NEPHROLOGY Q3 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q2 PERIPHERAL VASCULAR DISEASE Q2 UROLOGY & NEPHROLOGY Q3 PHYSIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Changchun St 45, Beijing 100053, Peoples R China
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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
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