肝脏分泌的 FGF21 通过 klotho beta 抑制失代偿期肝硬化患者的卫星细胞肌生成,从而诱发肌肉疏松症

IF 10.7 1区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Da Zhou , Yifan Shi , Donghua Zhang , Junbo Zuo , Chenghao Zeng , Gulsudum Mamtawla , LongChang Huang , Xuejin Gao , Li Zhang , Xinying Wang
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引用次数: 0

摘要

背景& 目的肌少症是一种常见病,对失代偿期肝硬化(DC)患者的预后有很大影响。患有肌肉疏松症的肝硬化患者血清成纤维细胞生长因子21(FGF21)水平明显较高。卫星细胞(SC)在衰老和癌症诱发的肌肉疏松症中发挥作用。在此,我们研究了 FGF21 和卫星细胞在 DC 相关性肌少症中的作用及其内在机制。为了研究 KLB 在 FGF21 下游的作用,我们构建了 SCs 中的 Klotho beta (KLB) 基因敲除小鼠。结果在 DC 小鼠模型和 DC 患者中观察到肌肉萎缩和 SC 肌生成受损。观察到肝源性 FGF21 循环水平升高,与骨骼肌质量/骨骼肌指数呈显著负相关。肝脏分泌的 FGF21 会诱发 SC 功能障碍,导致肌肉疏松症。从机理上讲,DC 状态下的 FGF21 与 SC 表面的 KLB 的相互作用增强,导致下游磷酸酶和天丝同源物上调。这抑制了蛋白激酶 B(PI3K/Akt)通路,阻碍了 SC 的增殖和分化,并阻碍了新肌管的形成以修复萎缩。结论肝细胞衍生的FGF21通过抑制PI3K/Akt通路,介导肝脏与肌肉之间的串扰,从而损害肌肉再生,这为DC相关性肌肉疏松症提供了一种新的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Liver-secreted FGF21 induces sarcopenia by inhibiting satellite cell myogenesis via klotho beta in decompensated cirrhosis

Background & aims

Sarcopenia, a prevalent condition, significantly impacts the prognosis of patients with decompensated cirrhosis (DC). Serum fibroblast growth factor 21 (FGF21) levels are significantly higher in DC patients with sarcopenia. Satellite cells (SCs) play a role in aging- and cancer-induced sarcopenia. Here, we investigated the roles of FGF21 and SCs in DC-related sarcopenia as well as the underlying mechanisms.

Methods

We developed two DC mouse models and performed in vivo and in vitro experiments. Klotho beta (KLB) knockout mice in SCs were constructed to investigate the role of KLB downstream of FGF21. In addition, biological samples were collected from patients with DC and control patients to validate the results.

Results

Muscle wasting and impaired SC myogenesis were observed in the DC mouse model and patients with DC. Elevated circulating levels of liver-derived FGF21 were observed, which were significantly negatively correlated with skeletal muscle mass/skeletal muscle index. Liver-secreted FGF21 induces SC dysfunction, contributing to sarcopenia. Mechanistically, FGF21 in the DC state exhibits enhanced interactions with KLB on SC surfaces, leading to downstream phosphatase and tensin homolog upregulation. This inhibits the protein kinase B (PI3K/Akt) pathway, hampering SC proliferation and differentiation, and blocking new myotube formation to repair atrophy. Neutralizing circulating FGF21 using neutralizing antibodies, knockdown of hepatic FGF21 by adeno-associated virus, or knockout of KLB in SCs effectively improved or reversed DC-related sarcopenia.

Conclusions

Hepatocyte-derived FGF21 mediates liver-muscle crosstalk, which impairs muscle regeneration via the inhibition of the PI3K/Akt pathway, thereby demonstrating a novel therapeutic strategy for DC-related sarcopenia.

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来源期刊
Redox Biology
Redox Biology BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
19.90
自引率
3.50%
发文量
318
审稿时长
25 days
期刊介绍: Redox Biology is the official journal of the Society for Redox Biology and Medicine and the Society for Free Radical Research-Europe. It is also affiliated with the International Society for Free Radical Research (SFRRI). This journal serves as a platform for publishing pioneering research, innovative methods, and comprehensive review articles in the field of redox biology, encompassing both health and disease. Redox Biology welcomes various forms of contributions, including research articles (short or full communications), methods, mini-reviews, and commentaries. Through its diverse range of published content, Redox Biology aims to foster advancements and insights in the understanding of redox biology and its implications.
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