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Published ahead of print on June 11, 2009
Am. J. Respir. Cell Mol. Biol. 2009, doi:10.1165/rcmb.2008-0382OC
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Submitted on October 8, 2008
Accepted on June 10, 2009

Cellular Markers of Muscle Atrophy in Chronic Obstructive Pulmonary Disease (COPD)

Pamela J Plant1, Dina Brooks2, Marie Faughnan1, Tanya Bayley1, James Bain3, Lianne Singer4, Judy Correa1, Dawn Pearce5, Matthew Binnie1, and Jane Batt1*

1 Department of Medicine and St Michaels Hospital, University of Toronto, Toronto, Canada, 2 Department of Physical Therapy, University of Toronto and Toronto Rehab Institute, Toronto, Canada, 3 Surgery, McMaster University, Hamilton, Canada, 4 Medicine, University of Toronto, Toronto General Hospital, University Health Network, Toronto, Canada, 5 Department of Radiology and St Michaels Hospital, University of Toronto, Toronto, Canada

* To whom correspondence should be addressed. E-mail: jane.batt{at}utoronto.ca.

Skeletal muscle atrophy in individuals with advanced COPD is associated with diminished quality of life, increased health resource utilization and worsened survival. Muscle wasting results from an imbalance between protein degradation and synthesis and is enhanced by decreased regenerative repair. We investigated the activation of cellular signalling networks known to mediate muscle atrophy and regulate muscle regenerative capacity in rodent models, in individuals with COPD (FEV1 < 50% predicted). Nine COPD patients and nine control individuals were studied. Quadriceps femoris muscle isometric contractile force and cross-sectional area were confirmed to be significantly smaller in the COPD patients compared to controls. The Vastus Lateralis muscle was biopsied and muscle transcript and/or protein levels of key components of ubiquitin-mediated proteolytic systems (MuRF1, atrogin-1, Nedd4), inflammatory mediators (I{kappa}B{alpha}, NF{kappa}Bp65/p50), AKT network (AKT, GSK3{beta}, p70S6kinase), mediators of autophagy (Beclin-1, LC3) and myogenesis (myogenin, MyoD, myf5, myostatin) were determined. Atrogin-1 and Nedd4, two ligases regulating ubiquitin-mediated protein degradation and myostatin, a negative regulator of muscle growth, were significantly increased in the muscle of COPD patients. MuRF1, Myf5, myogenin and MyoD were not differentially expressed. There were no differences in the level of phosphorylation of AKT, GSK3{beta}, p70S6kinase or I{kappa}B{alpha}, activation of NF{kappa}Bp65 or NF{kappa}Bp50, or level of expression of Beclin-1 or LC3, suggesting that AKT signalling was not downregulated and the NF{kappa}B inflammatory pathway and autophagy were not activated in the COPD muscle. We conclude muscle atrophy associated with COPD results from the recruitment of specific regulators of ubiquitin-mediated proteolytic pathways and inhibition of muscle growth.


Key words: ubiquitin ligase • Nedd4 • atrogin-1 • vastus lateralis • muscle atrophy







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