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GDF8和MSTN在骨骼肌中的信号通路

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Transforming growth factor-in skeletal muscleβ and myostatin signalingHelen D. Kollias and John C. McDermottJ Appl Physioldoi:10.1152/japplphysiol.01091.2007 104:579-587, 2008. First published 21 November 2007;You might find this additional info useful...

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Downloaded from jap.physiology.org on April 6, 2012JApplPhysiol104:579–587,2008;doi:10.1152/japplphysiol.01091.2007.

InvitedReview

Transforminggrowthfactor-␤andmyostatinsignalinginskeletalmuscle

HelenD.Kollias1andJohnC.McDermott21DepartmentofNeurology,JohnsHopkinsHospital,Baltimore,Maryland;and2DepartmentofBiology,YorkUniversity,Toronto,Ontario,Canada

KolliasHD,McDermottJC.Transforminggrowthfactor-␤andmyostatinsignalinginskeletalmuscle.JApplPhysiol104:579–587,2008;doi:10.1152/japplphysiol.01091.2007.—Thesuperfamilyoftransforminggrowthfactor-␤(TGF-␤)cytokineshasbeenshowntohaveprofoundeffectson

深度cellularproliferation,differentiation,andgrowth.Recently,therehavebeenmajor生长advancesinourunderstandingofthesignalingpathway(s)conveyingTGF-␤

运送了解signalstothenucleustoultimatelycontrolgeneexpression.Onetissuethatis

最终potentlyinfluencedbyTGF-␤superfamilysignalingisskeletalmuscle.Skeletalmuscleontogenyandpostnatalphysiologyhaveproventobeexquisitelysensitive

个体发育totheTGF-␤superfamilycytokinemilieuinvariousanimalsystemsfrommicetohumans.Recently,majorstrideshavebeenmadeinunderstandingtheroleofTGF-␤anditscloselyrelatedfamilymember,myostatin,intheseprocesses.Inthisoverview,wewillreviewrecentadvancesinourunderstandingoftheTGF-␤andmyostatinsignalingpathwaysand,inparticular,focusontheimplicationsofthissignalingpathwayforskeletalmuscledevelopment,physiology,andpathology.myogenesis;Smad;MyoD

hasaremarkablemorphogenicabilitytoANOVERVIEWOFTGF-␤SIGNALING

原型regenerateandadapttoenvironmentalstimuli.Fundamen-TGF-␤1ligandisrecognizedastheprototypeofaclassof

tally,skeletalmuscleregenerationistherecapitulationof

multifunctionalgrowthfactorsthatregulatekeyeventsof更新摘要skeletalmuscledevelopmentinapostnatalcontext.Thusanmetazoandevelopment,disease,andrepair(44,45).In1981,understandingoftheregulationofdevelopmentandregen-多细胞动物TGF-␤effectswerefirstreportedbyRobertsandcolleagues

erationaremutuallyreinforcing.Bothregenerationand(65),whofoundthatTGF-␤inducedratkidneyfibroblaststodevelopmentofskeletalmuscleareprofoundlysensitivetoproliferate.Sincethen,TGF-␤hasbeen肾脏foundtohavea

theextracellularmilieu.Inparticular,signaltransductionplethoraofeffects,suchasregulationofcellgrowth,prolifer-pathwaysinitiatedbygrowthfactorssuchasinsulin-likeation,differentiation,adhesion,migration,andapoptosis(re-growthfactor(IGF-1),fibroblastgrowthfactor(FGF),andviewedinRefs.44,46,48).Theseeffectsarehighlycomplextransforminggrowthfactor-␤(TGF-␤)exertapotentlevelandsometimesdifficulttoreconcile;however,oneunifying

发挥ofcontrolovermusclegeneexpression.TheroleofthefeatureofTGF-␤signalingisthatitseffectsareprofoundlyTGF-␤superfamilyofgrowthfactorsisofconsiderabledependentonthecellcontext.Forexample,TGF-␤causesinterestsincemanyfacetsofmuscleontogenyandphysiol-increasedproliferationinfibroblasts(65)butinhibitsprolifer-ogyareregulatedbysomeoftheligandsbelongingtothisationinepithelialcells,causesdifferentiationofneuronalcells,

配体细胞活素cytokinesuperfamily.Inparticular,myostatinisofgrowingbutblocks上皮的differentiationinmesenchymalcells(2,18,19,66,

interestsinceithasbeenshowntoexertprofoundeffectson73).Inskeletalmuscle,TGF-␤superfamilymembershavemuscularityinmice,cattle,andhumans(seeFig.1;Refs.beenshowntohavepotenteffectsonbothmuscledevelopment52,54,68),aswellasotheranimals.TGF-␤superfamilyandpostnatalskeletalmusclemass.signalingreliesonarelativelyparsimoniouscanonicalpath-TheTGF-␤superfamilyconsistsofover50structurally

waythatinterdigitateswithparticularaspectsofthehostrelatedligands,manyofwhichfallintothreemajorsubfami-cellmachinerythroughcell-specificprotein:proteininterac-lies:TGF-␤,bonemorphogenicprotein(BMP),andactivin活化素机制tionsthatallowprecisecellcontext-dependentresponsesto(reviewedinRef.17).Exhaustiveworkonthemolecular

全面theligand.ThisreviewwillfocusonsalientaspectsofcharacterizationoftheTGF-␤signaltransductionpathwayhas

显著影响TGF-␤superfamilysignalingthatpertainspecificallytoledtothedelineationofacanonicalsignalingpathwayforall

勾画skeletalmuscle.Informationfromavarietyofstudiesof-TGF-␤superfamilymembersconsistingofthreemaincompo-feringinsightsintothemoleculareventsofTGF-␤signalnents(74):1)theligand;2)thereceptors(serine/threonine

transduction,thefunctionofTGF-␤inculturedmusclekinases);and3)theintracellularmediators(Smads;seeFig.2).cells,andtheeffectsofTGF-␤inpostnatalskeletalmuscleFortheTGF-␤,Activin,andBMPsubfamiliessignaltransduc-physiology,willprovidethefoundationofthisreview.tionbeginswiththeligandbindingtoitstypeIIreceptor.The

typeIIreceptorassociateswithitscorrespondingtypeIrecep-tor,forminganactivatedheterotetramericreceptorcomplex,Addressforreprintrequestsandothercorrespondence:J.McDermott,327

Farquharson,4700KeeleSt.,Toronto,Ontario,CanadaM3J1P3(e-mail:whichtransphosphorylatesthetypeIreceptoractivatingthe

latentkinaseactivityofthereceptorcomplex.Theactivatedjmcderm@yorku.ca).

SKELETALMUSCLE

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TGF-␤ANDMYOSTATINSIGNALINGINSKELETALMUSCLE

Fig.1.Phenotypeofmysotatinnullvertebrates.A:upperforelimbmusclesofwild-typemouse;B:upperforelimbofmousethatismyostatinnull(52);C:bovinewithmyostatinmutation(54);DandE:humanwithmyostatinmutationasaneonate(D)andat7moofage(E;Ref.68).Copyrightpermissions:copyright1997NationalAcademyofSciencesUSA(AandB);reprintedwithpermissionfromMacmillanPublishers(C):Nature;copyright1997(D)and2004(E)MassachusettsMedicalSociety.Allrightsreserved.

receptorcomplexthenphosphorylatesareceptor-regulatedgationofmesodermalprecursorsintheparaxialregionoftheSmadproteinthatoligomerizeswithacommonSmadorembryo,whichformsomites.Thesomitesarecomposedofco-SmadtermedSmad4.TheSmadoligomertranslocatesintothenucleuswhereitinteractswithSmadbindingpartnerstopluripotentcells,ofwhichsomewillbecomemuscleprogen-regulatetranscription(27).TheseSmadbindingpartnersreg-itorcells(33).Thesemyogenicprogenitorcellsgiverisetoulate,inacelltype-specificmanner,subsetsofgenesthatareproliferatingcellsthatarecommittedtothemyogeniclineagetargetgenesofTGF-␤signaling.AnothergroupofSmads,termedmyoblastsandarederivedfromthemyotomecompart-inhibitorSmads(Smad6andSmad7)servetoabrogateTGF-␤mentofthesomite(33).Proliferatingmyoblastssubsequentlysignalingbyestablishinganautoinhibitoryfeedbackloop.

undergodifferentiation,aprocessthatincludeswithdrawalfromthecellcycle,expressionofmuscle-specificgenes,andSKELETALMUSCLEDEVELOPMENTANDREGENERATION

fusionresultingintheformationofmultinucleatedmyotubes.MyotubeseventuallygiverisetothevastarrayofmusclefibersBriefly,skeletalmuscleontogenyiscomprisedofthreethatareusedtoconstructthecomplexskeletalmusclearchi-developmentalstages:1)determination,2)differentiation,andtectureoftheanimal.Therearetwotypesofmyoblasts,3)maturation(Fig.3).Determinationbeginswiththeaggre-

embryonicandfetal.Mostembryonicmyoblastsdifferentiate

Fig.2.Overviewofthecanonicaltransforminggrowthfactor(TGF)-␤pathway.TheTGFsuper-familymember(ligand)bindstothetypeIIandtypeIreceptors.ThetypeIIreceptorthentransphosphorylatesandactivatesthetypeIrecep-tor.ThetypeIreceptorphosphorylatesreceptor-boundSmads(R-Smads),allowingthemtointer-actwithSmad4,andthiscomplextranslocatesintothenucleus.TheternarySmadcomplex(R-SmadsandSmad4)thencontributestohigherordercomplexeswithtranscriptionfactorsandcofactorsthatregulatetargetgenetranscriptions.AdaptedfromRef.44.

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Fig.3.Schematicdiagramdepictingthestatesofskeletalmuscledevelopmentinthemouse.Stagesofskeletalmuscledevelop-ment:1)determination;2)differentiation(embryonicandfetal);and3)maturation.Determinationendswiththeformationofthemyotomefromthedermomyotome.Embry-onicmyoblastsdifferentiateandfusetoformprimarymusclefibers.Fetalmyoblaststhenundergodifferentiationtoformsecondaryfibersthatsurroundtheprimaryfibers(13,33).Dpc,dayspostconceptioninthemouse.

andfusetoformprimarymusclefibers,butsomecontinuetorestrictedroleinskeletalmuscledevelopment,musclemassproliferateandbecomefetalmyoblasts.Thesefetalmyoblastsregulation,andadiposetissue.Theelucidationoftheroleofformsecondaryfibers,smallerthantheprimaryfibers,whichTGF-␤surroundtheprimaryfibers(13).Fetalmyogenesisismore1inskeletalmusclebeganinexperimentsusingculturedmusclecellsinvitro,whiletheunderstandingoftheroleofsimilartopostnatalmuscleregenerationthanembryonicmyo-myostatinbeganinvivothroughgenetargetingexperimentsingenesis.Postnatally,myotubesmatureintomusclefibers.Intheadult,skeletalmuscleregenerationbeginswithquiescentmice.Thesetwodifferentstartingpointsledtodifferentsatellitecells,locatedbetweenthebasallaminaandthesarco-insightsintotheroleoftheseinterrelatedpathways.TGF-␤1islemmaofthemusclefiber,thatbecomeactivatedbytrauma,bethearchetypalcytokineofthissuperfamilyandmuchoftheitmechanicalorbiological(e.g.,disease).RecentworkhasunderstandingofthecomponentsoftheTGF-␤signalingclassifiedsatellitecellsasaheterogeneouspopulationofcellspathwayhavebeendelineatedbythestudyofTGF-␤1.Con-comprisedofstemcellsandcommittedprogenitorsbasedonversely,becauseofthepervasivehypermuscularphenotypeofthecombinedPax7andMyf5statusofthecells(32).Oncemyostatinnullmice,myostatinresearchhasfocusedmoreonactivated,satellitecellsproliferate,undergodifferentiation,clinicalapplicationsinskeletalmuscleandlessonthedetailedandthenfusetoanexistingmusclefiberoralternatelycreatebiochemicaldissectionofitscognatesignalingpathway.

fibersdenovo(seereview,Refs.9,26).

Inthelate1980s,severalgroupsmadethreekeyobserva-Twofamiliesoftranscriptionalregulatoryproteinsarecrit-tionsthatenabledtheidentificationofanimportantinvivoroleicalinregulatingdevelopmentalmyogenesis:themusclereg-forTGF-␤inskeletalmuscledevelopment.First,TGF-␤isulatoryfactors(MRFs)andthemyocyteenhancerfactor2presentinlargeamountsinthelimbbud,isproducedinthe(MEF2)proteins.MRFmembersareconsideredtheprototypicectoderm,andaffectstheadjacentmesenchymalcells.Second,masterregulatorygenesinskeletalmusclebasedontheirTGF-␤inhibitsdifferentiationoffetal,butnotembryonic,capacitytoconvertsomenonmyogenicfibroblastcellsintoamyoblasts(80).Last,thetreatmentoflimbbudorganculturesmyogeniccellphenotype(61).MEF2familymembersfunctionwithTGF-␤neutralizingantibodiesresultsintheprematureasnecessarycoactivatorsfortheMRFsinanevolutionarilyappearanceoflargemyotubes(secondary;Ref.14).TheseconservedancientcodetospecifyskeletalmuscleontogenyobservationssuggestthatTGF-␤preventsprematuredifferen-(7).BothMRFsandMEF2membershavefunctionalcis-tiationinmigratingmyoblasts,allowingforpropermuscleelementswithinmanyskeletalmuscle-specificpromotersandformationinthedevelopingembryoniclimb.

enhancers(7).

Myostatinwasdiscoveredduringascreenfornovelmam-malianmembersoftheTGF-␤superfamily(54).ExpressionofROLEOFTGF-␤ANDMYOSTATININSKELETALmyostatinmRNAisfirstseenatembryonicday9.5postMUSCLEDEVELOPMENT

conceptioninthemyotomeofdevelopingsomitesandcontin-uesthroughoutmuscledevelopment.ThemyostatingeneisSinceitwouldbeuntenabletoconsiderallTGF-␤ligands,expressedinadultskeletalmuscle,heart,andadiposetissuewewillfocusontheprotypicalTGF-␤1andmyostatinligands(69).Inadditiontoitsrestrictedpatternofexpression,micebecauseoftheirpotentroleinskeletalmuscle(35,37,38,47).homozygousnullforthemyostatingenearetwotothreetimesTGF-␤1andmyostatinsignalinginskeletalmuscleinvolvetwolargerinmassthanthewildtypeduetoanenhancedmassofstrikinglysimilarpathways,whichmediatesomeoverlappingthemusculature(Fig.1,AandB).Theincreaseinskeletalandalsomutuallyexclusiveeffects.TGF-␤1playsanimpor-musclemassisattributedtobothhyperplasia(increaseintantroleinskeletalmuscledevelopmentbutalsoinfluencesmusclefibernumber)andhypertrophy(increaseinmusclefiberdifferenttissuesproducingaplethoraofoutcomes.TGF-␤1size).Myostatinhomozygousnullmicealsohavereducedactivityisveryspecifictothecellularcontext,thatis,itsstoresofadiposetissue(53,54).Furthermore,heterozygoussignalingoutcomeisdeterminedbytheintracellularmilieuof(ϩ/Ϫ)myostatinmicehavea25%increaseinbodyweight,thecell.ThisduplicitousnatureofTGF-␤1provestobewhichisalessereffectthanthatseeninthehomozygousnecessaryforitsinvivofunctionsinceitregulatesmanytissues(Ϫ/Ϫ)mice,suggestingadose-dependenteffectofmyostatinandprocesses.Conversely,myostatinplaysamuchmore

proteinlevelsonskeletalmusclemass.Naturallyoccurring

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myostatinmutationsincattle(BelgianBlue,Piedmontese,andleagues(8)showedthatTGF-␤inhibitedthetranscriptionalMarchigiana)andinhumanshavesubsequentlybeenshownactivityofmyogeninwithoutaffectingitsDNAbindingaffin-alsotoleadtopronouncedhypermuscularity(28,42,54,68;ity.Furthermore,ithasbeenshownthatTGF-␤Fig.1,C-E).Theconsistencyofthehypermuscularphenotype1targetsthecorrespondingtomyostatinnullmutationacrossspeciesisbasichelix-loop-helix(bHLH)regionofallMRFs,decreasingconsistentwiththeevolutionaryconservationofthemyostatintheirDNAtranscriptionalactivitywithoutaffectingtheirbind-geneandproteinproductbetweenhumans,mice,rats,pigs,ingproperties(43).NotonlydoesTGF-␤1inhibitthetran-cows,chickens,andturkeys.

scriptionalactivityoftheMyoDproteinitalsoinhibitstheSincebothTGF-␤transcriptionoftheMyoDgene,thusreducingbothlevelsand1andmyostatinhavebeenshowntoregulatemyogenesisandpostnatalmusclephysiology,acom-activity(76).

parativeanalysisofthetwomayprovideusefulinsightsintoHowdoesTGF-␤1inhibitmyogenesis?WhatroledoSmad2thecommonanddivergentaspectsoftheintracellularsignalingandSmad3haveinmyogenesis?Inrecentyearsseveralstudiesofthesepathways.TGF-␤havebeguntoelucidatetheroleofSmad2andSmad3during1signaltransductionbeginswiththeactiveligandbindingtotheTGF-␤typeIIreceptor(T␤RII)TGF-␤1-mediatedmyogenicinhibitionandin“normal”differ-andeitherALK-1(activinlikekinase-1)orT␤RI/ALK-5entiation(39,62).IthasbeenshownthatSmad3isthekey(TGF-␤typeIreceptor)receptors.MyostatinsignalingbeginsmediatorofTGF-␤inhibitionofmyogenesis.Liuandcol-withtheactivemyostatinligandbindingtoeitheractivinleagues(39)showedthatSmad3alone,andnotSmad2,viareceptortypeIIA(ActR-IIA)orActR-IIBandeitherT␤RI/MyoDinhibitioniscriticalinTGF-␤signalinginmyoblasts.ALK-5orALK-4,typeIreceptors(63).ThemyostatinligandSmad3wasfoundtophysicallyinteractwithMyoD,inhibitinghasahigheraffinityforActR-IIBinvitro(36,63).BoththetransactivationpropertiesofMyoD.Furthermore,Smad3pathwaysconvergeintheactivationofSmad2andSmad3wasalsoshowntophysicallyinteractwithMEF2Candde-followedbyoligomerizationwithSmad4.Next,theSmadcreaseitstranscriptionalactivity(40).However,therelevancecomplextranslocatesintothenucleus,whereitregulatestran-ofthisbiochemicalinteractioninvivoiscontroversialbecausescriptionofgenessuchasMyoD(39,64).Additionalnon-theMEF2CgeneisnotexpressedinmyoblastsendogenouslySmad-dependentsignalinghasalsobeenimplicatedinTGF-␤(50),althoughMEF2Cdoesplayaroleinthelatestagesof1effects,althoughthisissofarlesswellcharacterized(51).TodifferentiationandconditionaldeletioninskeletalmusclecounteractTGF-␤affectssarcomereintegrity(60).

1/myostatinsignaling,repressionofthesig-nalcanbeachievedbytheI-Smads,Smad6andSmad7,oraTheroleofSmad2inTGF-␤inhibitionofmyogenesisislessubiquitin-mediatedproteasomaldegradationpathwaymediatedclear.UsingmyoblastsDeAngelisetal.(15)reportedthatMEF2,bytheSmad-ubiquitinregulatoryfactors(SMURFS;Ref.5).normallyfoundinthenucleus,translocatestothecytoplasmuponSmad7hasbeenpreviouslyshowntoinhibitbothTGF-␤TGF-␤treatment.ForcedexpressionofMEF2CrescuedTGF-␤1andmyostatinsignaling(31,82).Furthermore,Smad7mayhaveinhibitionbymaintainingapoolofMEF2Cinthenucleus.additionalpro-myogenicfunctions.ArecentstudyfromourFurthermore,endogenousSmad2andMEF2arecomplexedgroup(31)hasshownadramaticenhancementofskeletaltogetherinthenucleiofdifferentiatingmyotubes,butnotinmuscledifferentiationandgrowthbythemyostatinsignalingmyoblasts,whereSmad2iscytoplasmicandwhereMEF2AinhibitorSmad7,whichinteractswithandpotentiatesMyoDand2Carenothighlyexpressed(62).Thusthelinkbetweentranscriptionalactivity.However,althoughSmad7isabletoMEF2andSmad2proteiniscomplexandmaydependontheinhibitTGF-␤1signaling,asassessedbyaTGF-␤responsivedifferentiationstatusofthecells.Together,thesedatasuggestpromoter(3TP-lux),itwasnotabletorescueTGF-␤-mediatedthatSmad2isanimportantcomponentofTGF-␤-mediatedinhibitionofmyogenesis.Therefore,considerationofhowtherepressionofdifferentiationinmyoblasts,althoughthepreciseTGF-␤1/myostatindownstreameffectorsintegratewithmechanismmediatingthiseffectstillrequiresfurthercharac-skeletalmuscle-specifictranscriptionalregulatorstocontrolterization(60).

geneexpressionwillbeparamountinunderstandinghowTGF-␤inskeletalmuscle:aroleinvivo.Recently,aninthesegrowthfactorsmodulatethemusclephenotypeduringvivoroleforTGF-␤1inskeletalmuscleregenerationwasdevelopmentandregeneration.

confirmed.Micedeficientinfibrillin-1haveincreasedTGF-␤signalingactivitythatcausesafailureofskeletalmuscletoTGF-␤SIGNALINGINSKELETALMUSCLE

regenerate(11).ThesemiceareusedasamodelfortheMarfansyndrome(MFS)inhumans,whichiscausedbyamutationofTGF-␤repressesskeletalmusclespecificgeneexpressiontheFBN1genethatencodesfibrillin-1(anextracellularmatrixandhasalsobeenreportedtomodulateproliferationinsatelliteprotein).MFSsymptomsincludeboneovergrowth,ocularlenscells(3,12,19,24,47,59).Takentogether,thesestudiesdislocation,emphysema,cardiaccomplications,andaninabil-indicatethatTGF-␤reprogramsgeneexpressioninmuscleitytoincreaseskeletalmusclemassinresponsetoexerciseandcellsresultinginanalterationofproliferativecontrolandaotherphysiologicalsignals(16).AntagonizingTGF-␤signal-potentinhibitionoftheprogramofgeneexpressionunderlyingingwithaTGF-␤neutralizingantibodyorbylosartantreat-myogenicdifferentiation.Askeyorchestratorsofmusclegenementrescuesskeletalmuscleregenerationinthefibrillin-1-expression,theMRFswereshowntobetargetedbyTGF-␤deficientmice.IncreasedTGF-␤signalingwasalsofoundinsignaling.Therefore,logicaltargetsofTGF-␤1arethemyo-theskeletalmuscleofdystrophin-deficientmice,amodelofgenictranscriptionfactors,theMRFsandtheMEF2s,astheDuchennemusculardystrophy,andantagonizingTGF-␤sig-quintessentialregulatorsofmyogenesis.TheMRFsarecom-nalingrestoredtheregenerationprograminthesemice(11).prisedofMyoD,Myf5,myogenin,andMRF4,whereastheFurthermore,thefibrillin-1-deficientmiceexhibitedincreasedMEF2sincludeMEF2A-D.Tothatend,Brennanandcol-satellitecellnumberswhenTGF-␤wasantagonized.Thus

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inhibitionofTGF-␤signalingresultsinanimprovedskeletalincreases,thusdecreasingthetransmissionofforce,aphenom-muscleprofileinseveralgeneticallyinvokedmyopathies.enonpreviouslydescribedbyMaxwelletal.(49).WhiletheInvivostudieshavealsodocumentedthepresenceofTGF-␤lackofanydifferenceinthesPoofthesoleusmuscleismoreduringmuscleinjury.Muscleinjurycausedbyeccentriccon-difficulttoexplain,onetractions(6),cardiotoxininjection(22),andmusclestrain/ϪpossibilityisthatPointhesoleusmuscleoftheMstnϪcomparedwiththewildtypewasnotinjury(72)resultedinincreasedTGF-␤transcriptandproteinlargeenoughtoaffectthesPo.Interestingly,followingtwolevelswithin48hofinjury.However,increasesinTGF-␤1andlengtheningcontractions,theEDLmusclefromtheMstnϪ/ϪTGF-␤2precursorsdidnotcorrespondinglyleadtoanincreasemicehadagreaterforcedeficiencythanthewildtype.How-inTGF-␤activityfollowingmusclestrain,suggestingadelayever,nodifferenceinforceproductionwasfoundinthesoleusinTGF-␤activationafterinjury(72).Furthermore,TGF-␤muscle.MolecularanalysisrevealedthatthelevelsofActRIIBtypeIreceptorexpressionisregulatedbymyotubeexcitability.intheEDLmuscleweretwiceashighasthoseinthesoleusT␤RIwasdownregulatedwhenprimaryratmyotubesweremusclesuggestingthatthehigherlevelsofActRIIBintheEDLelectricallystimulatedandupregulatedinadultratmuscle72hmusclecouldprimeitforgreatersensitivitytotheligandafterdenervation(75).Thuscarefuldissectionoftheroleofcomparedwiththesoleusmuscle.

TGF-␤signalingintheseinvivocontextsiswarrantedtoWhileMendiasetal.(55)havefurtherunderstandtheroleplayedbytheendogenouscytokine./ϪreportedanincreaseinstrengthoftheEDLofMstnϪnullmice,thereissomeNearlythreedecadeshavepassedsincethepotenteffectsofconflictinthisareasinceanotherstudyreportedthatMstnϪ/ϪTGF-␤onmyogenesiswerefirstreportedandonlyrecentlyhasnullmicedonothaveincreasedPogenerationintheirEDLaninvivoroleforTGF-␤beguntobeelucidated.Futuremusclecomparedwithwild-typemicedespitetheirlargerstudiesusingtissue-specificgenetargetingandthediscoveryofmusclemass(4).However,consistentwithotherstudies,thenewTGF-␤pathwaymediatorsmayfurtherelucidatetherolesPointhemyostatin-nullstatewasreducedcomparedwiththatofTGF-␤inskeletalmuscle.

oftheirwild-typelittermates.Aswell,thePowasslightlyhigherintheEDLmuscleoftheMstnϪ/ϪmicecomparedwithMYOSTATINSIGNALINGINSKELETALMUSCLE

thewild-typemice.FurthercomparisonofthecontractileWhiletherelevanceofTGF-␤propertiesoftheEDLmusclefromMstnϪ/Ϫandwild-type1invivohasjustbeguntobeunderstood,theinvivoimportanceofmyostatinwasobviousmiceexhibiteddifferencesϪinsingletwitchcharacteristics.fromtheearlyphaseofitsdiscovery.However,characteriza-EDLmusclefromMstnϪ/micecontractedandrelaxedfastertionoftheintracellularsignalingpathwayformyostatinisstillduringasingletwitch(4).

initsinfancy.MuchofwhatisknownhasbeeninferredbyAgreaterproportionoftypeIIbfibersintheMstnϪ/ϪmiceknowledgeoftheTGF-␤signalingpathwaybuttheremaystillcanexplaintheshortercontractionandrelaxationtimesre-besomesurprisestounfoldsincestudiesarenowidentifyingported.AssessedϪ/byϪmyosinheavychain(MHC)isoformdifferencesinTGF-␤expression,MstnmicehadlessIIaandIIxfibersinEDL,1andmyostatinsignaling(31).

Myostatin:aroleinvivo.Myostatinnullmice(MstnϪ/Ϫ)buthadmoreIIbfibersthanthewild-typemice(4,21).Inthehaveprovedtobeanexcellentmodelforunderstandingthesoleusmuscle,MstnϪ/ϪmicehadlessIIamRNA,butmoreIIxgeneticroleofmyostatinduringbothmuscledevelopmentandandIIbmRNAthanthewildtype,althoughthischangeatthepostnatalmusclephysiology(52).InadditiontoalterationsinmRNAlevelneedstobeconfirmedattheproteinlevel.musclemass,changesinfibercontractileproperties,fibertype,However,functionalassessmentusingATPasestainingandandfiberrecoveryhavenowbeenreportedinthisgeneticsuccinatedehydrogenase(SDH)activitydidconfirmashiftmodel(4,55,79).

towardmorefastfibersandglycolyticfibers,respectively(21).InadditiontotheincreasedmusclemassanddecreasedfatinTheanalysisofoxidativeenzymesintheEDLmusclereportedtheMstnϪ/Ϫmicetherearealsocorrespondingincreasesinadecreaseinmitochondrialenzymes,SDH,cytochromeoxi-strengthandchangesinfibertypedistributionwithashiftdase(COX),andNADHreductase,intheMstnϪ/ϪmicetowardthetypeconsistentwiththeshifttofastglycolyticIIbfibers.Further-Ϫ/ϪIIbfibers.Furthermore,thecontractileprop-ertiesofMstnmicedifferedfromheterozygous(Mstnϩ/Ϫ)more,thenumberofmitochondriaperunitareawasreduced.andwild-typemice(55).InphysiologicalstudiesofskeletalTakentogetherthesedatasuggestthatmodificationofmusclederivedfromthemice,theextensordigitorumlongusmyostatinlevelsdoesalteradultmusclecontractileproperties.(EDL)muscleandthesoleusmuscleareoftenusedasindica-Reducedmyostatinlevelshavebeenshowntobepotentiallytorsoffasttwitchandslowtwitchmusclefibers,respectively.beneficialinagingmuscle.ComparingolderMstnϪ/ϪϪmice/Ϫ(24Invitrocontractilemo)toolderwild-typemiceitwasshownthatMstnmice/ϪanalysisofEDLandsoleusmusclesfromwild-type,Mstnϩ,andMstnϪ/Ϫmicerevealedthatthemax-hadlessIIbfibersandsizelossescomparedwithwild-typemice(70).Geneticremovalofmyostatinfromconceptionimumtetanicforce(Po)intheEDLmuscleandsoleusmuscleexhibitsprofoundeffectsonmusclemassandfibertype,butwasgreaterintheMstnϪ/Ϫthaninthewild-typeanimals(55).anotherextantquestionconcernswhetherpostnatalmyostatinAdditionally,thespecificmaximumtetanicforce(sPo;cor-repressioncanalsohavethesameeffects.ReducingmyostatinrectedϪ/forϪcrosssectionalarea,N/mm2)wasreducedintheinmicepostweaningthroughtheuseofmyostatinneutralizingMstncomparedwiththewild-typeEDLmuscle.However,antibodies,orbypostnatalconditionalgenetictargeting,alsointhe/Ϫsoleus,nodifferencewasfoundinthesPooftheleadstoincreasedmusclemass(77–79).DependingontheMstnϪcomparedwithmicewiththewild-typegenotype.Inlengthoftreatmentandtheageofthemicethereisa10–30%thecaseoftheEDLmuscle,thephenomenonofdecreasedsPoincreaseinmusclemasswithneutralizingantibodies(77).withincreasedPooccursbecauseasthewholemusclecrossWhittemoreandcolleagues(79)reportedthatmicetreatedwithsectionalareaincreasestheangleofpennationbymusclefibers

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increasedgripstrength.Critically,thiswasthefirststudyinmyostatinasanegativeregulatoroffibersize.However,thepostnatalanimalstoshowthatrepressingmyostatinsignalingdecreaseinmyostatinmRNAduringrunningismoredifficultnotonlyincreasesmusclemassbutalsoenhancesfunctionaltoreconcileasonewouldexpectmyostatinlevelstoincreasemusclestrength.Recently,postnatalconditionalgenetictarget-withthisperturbation.

ingofmyostatinalsoshowedincreasemusclemass(78).OlderApossiblemechanismforexercisemodulationofmyostatinmicethathaveceasednormalmusclegrowthalsorespondtomRNAmaybethroughcalcium-dependentsignalingviacal-myostatinrepressionwithincreasedmusclemassbuttoalessercineurin.Calcineurinisacalcium-dependentphosphatasethatdegree.Additionally,short-terminhibitionofmyostatininhasbeenshowntoplayakeyroleinthecontrolofmusclegeneagedmice(14–16mo)enhancedmuscleregenerationandexpressionbyitsregulationofthenuclearfactorofactivatedactivatedsatellitecellactivation(71).Sinceoldermiceretaintranscription(NFAT)transcriptionalregulator(10).Myostatinthecapabilitytorespondtomyostatinrepressionwithin-creasedmusclemassitistantalizingtoconsiderthepossibilitymRNAwasreducedinmouseplantarismusclethatwasover-oftreatingsarcopenia,age-relatedlossofmusclemassandloaded.However,whencalcineurinisinhibitedthroughtheusestrength,byinhibitingmyostatin.ThesefindingsindicatethatofcyclosporinA,myostatinmRNAwasmaintainedatnormalrepressionofmyostatincouldprofferatreatmentforsarcope-levels,suggestingthatcalcineurinmayplayapotentiallyim-nia.Furthermore,inhibitingthemyostatinpathwayusingtheportantroleintheregulationofmyostatinlevelsduringiSmadscouldbeanotherpotentiallytherapeuticstrategyformuscleremodeling(56,57).Furthermore,expressionofmaintainingmusclemassinageinganimals.

constitutivelyactivatedcalcineurinintransgenicmicere-Inconcertwiththefunctionalconsequenceoflossofmyo-sultsinhigherlevelsofmyostatinmRNAlevels(56).Instatinsignaling,whenmyostatinsignalingisincreased,miceaddition,anumberofexperimentalmanipulationsthatresultundergoapredictedseveremuscleloss.Inexperimentsininreducedlevelsofcalcineurinactivity,suchascalmodu-whichmiceweresystemicallyadministeredmyostatin,pro-lin-bindingprotein(CaMBP)-overexpressingmice,parvalbu-nouncedskeletalmusclelosswasobserved(83).Thesemicemin-overexpressingmice,andNFATc2nullmicealsoexhib-exhibitedsymptomssimilartothoseofcachexia,whichoccursitedreducedmyostatinmRNAlevels(56).Collectively,theseinmanydiseasestatessuchascancer,heartfailure,AIDS,anddataclearlyindicateaconnectionbetweencalcineurinactivitysepsis.ThusitisnowbecomingclearthatmyostatinhastheandmyostatinmRNAlevels.

capacitytoactasaspecificandpotentnegativeregulatorofThenextand,probably,mostimportantquestiontoaddressskeletalmusclemassduringdevelopment,whichisalsopar-iswhetherthealterationinmyostatinlevelsisfundamentaltoalleledinpostnatalskeletalmuscle.

theadaptationofthemuscleinthesecontexts.ThequestionasRecently,severalstudieshaveimplicatedmodulationoftowhethermyostatinlevelsarefunctionallylinkedtomusclemyostatinmRNAlevelsinresponsetoalteredfunctionalde-performanceisindeedintriguing.Arecentstudysuggeststhatmandimposedbyexercisetraining.Itisclearthatresistanceitmaybe,basedontheobservationthatinaparticularbreedoftrainingrepressesmyostatinmRNA.Long-termresistanceracingdogs(whippets),performancecharacteristicswerecor-trainingreducesmyostatinlevelsinrodentsandhumans(20,relatedwithamutationinthemyostatingeneinthatthedogs67).Anacuteboutofresistanceexercisealsoinhibitsmyosta-withthemutationarefasterthanthosewiththewild-typealleletinmRNAexpressioninrodentsandhumans(25,29).Further-(58).Thisisthefirstreportofmyostatingenemutationleadingmore,resistancetrainingmitigatesatrophyandincreasesintoenhancedathleticperformance.Althoughincreasedmusclemyostatincausedbyskeletalmuscleunloadinginrodents(1).massandstrengthinmyostatinnullanimalsisfirmlyestab-Interestingly,hypertrophiccapabilityofanindividualhadnolished,therehasbeenlittleevidencetodatethatitnecessarilyimpactonthelevelofmyostatinreductioncausedbyresistancetranslatestoincreasedathleticperformance.Withregardtothisexercise(30).Thusbothlong-termandacuteresistancetrain-issue,whippetsheterozygousforamutantcopyofmyostatininginhibitmyostatinmRNAexpression.However,individuals(mh/ϩ)aremoremuscularthannormalwhippets,ϳ20%morewithgreaterhypertrophyinresponsetotrainingdidnotmass/heightcomparedwithnormals,andareamongthefastest,concomitantlyhavethelowestlevelsofmyostatin.

asdeterminedbytheirracinggrade.Interestingly,whippetsTheeffectofsubmaximalintensityrunningexerciseonhomozygousforthemutantcopyofmyostatin(mh/mh)aremyostatinmRNAlevelshasalsobeenreported(41).Acuteconsiderablymoremuscular(60%moremass/height)com-boutsofbothresistanceexercise(3setsof10paredwithnormalwhippets,butwerenotasfastasthe70%1RM)andsubmaximalrunning(75%V

˙repetitionsat

heterozygousdogs.ThusitisimportanttoconsiderthattheO2maxfor30min)reducedmyostatinmRNAlevelsinyounguntrainedpartici-balancebetweenmusclemassandmuscularperformancemaypants.Postexercisetimepointscomparingthetwomodesofbemoreoptimalintheheterozygousratherthanthehomozy-acuteexerciseshowedthatresistanceexercisehasamoregousnullstate.

pronouncedandlongersuppressionofmyostatin.Resistanceexercisereducedmyostatinoversixfoldfor23h(1–24hFUTUREPERSPECTIVES

postexercise)whilesubmaximalrunningdecreasedmyostatinRepressingTGF-␤andmyostatinsignalinginmusclecouldoverthreefoldfor3h(8–12hpostexercise).Myostatinexpres-havepotentialtherapeuticapplicationssincebothTGF-␤andsionissuppressedbybothresistanceexerciseandrunning,butmyostatinactivityareelevatedinavarietyofclinicalcondi-withtheformerbeingamuchmorerobustsuppressor.Thustionsassociatedwithmuscleloss.IncreasedTGF-␤signalingthesedataimplicateaninversecorrelationbetweenexerciseinmicedeficientinfibrillin-1haveimpairedskeletalmuscletrainingandmyostatinmRNAlevelsinavarietyofexerciseregeneration(11).Acorrelationbetweenenhancedmyostatinregimens.DecreasesinmyostatinmRNAlevelsinresponsetolevelsandmuscleatrophyhasalsobeenobservedinAIDSresistanceexerciseareconsistentwiththeknownroleof

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