Submitted on March 9, 2006
Revised on June 21, 2006
Muscle Wasting and Impaired Muscle Regeneration in a Murine Model of Chronic Pulmonary Inflammation
Ramon C.J. Langen1*, Annemie M.W.J. Schols1, Marco C.J.M. Kelders1, Jos L.J. van der Velden1, Emiel F.M. Wouters1, and Yvonne M.W. Janssen-Heininger2
1 Department of Respiratory Medicine, Maastricht University, Maastricht, The Netherlands,
2 Department of Pathology, University of Vermont, Burlington, VT, USA
* To whom correspondence should be addressed. E-mail: r.langen{at}pul.unimaas.nl.
Muscle wasting and increased circulating levels of inflammatory cytokines, including tumor necrosis factor alpha (TNF
) are common features of COPD. To investigate if inflammation of the lung is responsible for systemic inflammation and muscle wasting, we adopted a mouse model of pulmonary inflammation resulting from directed over-expression of a TNF
transgene controlled by the surfactant protein C (SP-C) promoter. Compared to wild type, SP-C/TNF
mice exhibited increased levels of TNF
in the circulation and increased endogenous TNF
expression in skeletal muscle, potentially reflecting an amplificatory response to circulating TNF
. Decreased muscle and body weights observed in SP-C/TNF
mice were indicative of muscle wasting. Further evaluation of the SP-C/TNF
mouse musculature revealed a decreased muscle regenerative capacity, evidenced by attenuated myoblast proliferation and differentiation in response to reloading of disuse-atrophied muscle, which may contribute to skeletal muscle wasting. Importantly, incubation of cultured myoblasts with TNF
also resulted in elevated TNF
mRNA levels and inhibition of myoblast differentiation.
Collectively, our results demonstrate that chronic pulmonary inflammation results in muscle wasting and impaired muscle regeneration in SP-C/TNF
mice, possibly as a consequence of an amplificatory TNF
expression circuit extending from the lung to skeletal muscle.