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利拉鲁肽可改善高脂诱导的小鼠骨骼肌纤维化和脂联素下调OA北大核心CSTPCD

Effect of liraglutide on high-fat induced skeletal muscle fibrosis and adiponectin downregulation

中文摘要英文摘要

目的 探讨利拉鲁肽改善高脂饮食诱导的小鼠骨骼肌纤维化的作用,并进一步阐述可能的作用机制.方法 30 只 6 周龄C57BL/6 雄性小鼠,随机分成 3 组(10 只/组):普通饮食对照组(NC组)以普通饮食饲养,高脂饮食组(HF组)和高脂饮食加利拉鲁肽干预组(HFL组)以高脂饮食饲养,至 14 周龄(14 周).自15 周龄起HFL组腹腔注射利拉鲁肽600 μg/(kg·d),另2 组给予等体积生理盐水,连续干预至30 周龄(30 周).利用相对抓力(绝对抓力/体质量)评价小鼠肌肉力量.用双能X射线吸收法测量小鼠体质量和后肢质量,计算相对瘦质量及相对脂肪质量.实验结束时,用Western blot法检测股四头肌组织蛋白表达.实时定量逆转录PCR法检测组织中相关基因表达.结果 在 30 周末时,与NC组相比,HF组小鼠体质量增加,而全身相对瘦质量和后肢相对瘦质量下降,后肢相对脂肪质量显著增加(P<0.001);与HF组相比,HFL组小鼠体质量减轻(P<0.001),全身相对瘦质量和后肢相对瘦质量有所升高,同时后肢相对脂肪质量降低,但差异无统计学意义(P>0.05).14 周末时,HF组和 HFL组小鼠的相对抓力较 NC组均有显著下降(P<0.001);30 周末时HF组小鼠相对抓力较NC组进一步下降,而HFL组较HF组有显著升高(P<0.001).Western blot和定量逆转录PCR结果显示,与NC组相比,HF组小鼠股四头肌组织中Ⅰ型胶原蛋白(collagenⅠ,col-Ⅰ)、col-Ⅲ、col-Ⅳ蛋白含量、α1-Ⅰ型胶原(collagen type Ⅰ alpha 1,COL1A1)、COL3A1、COL4A1 mRNA相对表达量和基质金属蛋白酶 2(matrix metalloproteinase 2,MMP-2)和MMP-9蛋白量显著升高,股四头肌组织中脂联素(adiponectin,APN)蛋白含量(P<0.001)和内脏脂肪中APN mRNA相对表达量(P<0.001)显著下降;而HFL组则可逆转上述变化,与HF组相比,HFL组小鼠股四头肌组织中col-Ⅰ、col-Ⅲ、col-Ⅳ蛋白相对表达量、COL1A1、COL3A1、COL4A1 mRNA表达和MMP-2、MMP-9 蛋白量显著降低,股四头肌组织中APN蛋白量(P<0.001)和内脏脂肪中APN mRNA相对表达量(P<0.001)明显升高.结论 利拉鲁肽可以减少高脂饮食诱导的大鼠骨骼肌纤维化,促进骨骼肌质量和力量的增加,其抗骨骼肌纤维化的作用机制可能与上调APN水平且抑制骨骼肌组织中MMP-2、MMP-9表达有关.

Objective To explore the effect of liraglutide on skeletal muscle fibrosis induced by high-fat diet in mice,and elucidate its possible mechanism of action.Methods Thirty 6-week-old C57BL/6 male mice were randomly di-vided into three groups(10 mice/group):the control group(NC group)was fed with a regular diet,the high-fat diet group(HF group)and the high-fat diet intervention group(HFL group)were fed with a high-fat diet,until 14 weeks of age(14 week).From the age of 15 weeks,the HFL group received intraperitoneal injection of 600 μg/(kg·d)of liraglutide,while the other two groups were given an equal volume of physiological saline for continuous intervention until the age of 30 weeks(30 week).Relative grip(absolute grip/body weight)was used to evaluate mouse muscle strength.Dualenergy X-ray absorption assay was used to scan the body and hind limb,to calculate the relative lean mass and relative fat mass.At the end of the experiment,Western blot was used to detect protein expression in the quadriceps femoris muscle tissue.Quantita-tive reverse transcription PCR was used to detect the expression of related genes in tissues.Results At the end of 30 weeks,compared with the NC group,the mice in the HF group gained weight,while the relative lean mass of the whole body and hind limbs decreased,and the relative fat mass of the hind limbs significantly increased(P<0.001).Compared with the HF group,the HFL group mice showed weight loss(P<0.001),increased relative lean mass of the whole body and hind limbs,and decreased relative fat mass of the hind limbs,but without statistical difference(P>0.05).At the end of the 14 week,the relative grip of the HF and HFL groups of mice decreased significantly compared to the NC group(P<0.001).At the end of 30 weeks,the relative grip of the HF group mice further decreased compared to the NC group,while the HFL group showed a significant increase compared to the HF group(P<0.001).Western blot and real-time quan-titative reverse transcription PCR(RT-qPCR)showed that,compared with the NC group,the protein contents of collagenⅠ(col-Ⅰ),col-Ⅲcol-Ⅳand the relative mRNA expression of collagen type I alpha 1(COL1A1),COL3A1,COL4A1 and the protein levels of matrix metalloproteinase 2(MMP-2),MMP-9 significantly increased in the quadriceps femoris muscle of mice in HF group,while the protein content of adiponectin(APN)in quadriceps femoris muscle tissue(P<0.001)and the relative expression of APN mRNA in visceral adipose(P<0.001)significantly decreased.However,compared with HF group,the protein contents of col-Ⅰ,col-Ⅲ,col-Ⅳ,MMP-2,MMP-9 and the mRNA expressions of COL1A1,COL3A1,COL4A1 in the quadriceps femoris muscle of mice in HFL group significantly decreased.APN protein level in quadriceps femoris muscle(P<0.001)and APN mRNA relative expression level in visceral adipose(P<0.001)significantly increased.Conclusion Liraglutide can reduce skeletal muscle fibrosis induced by high-fat diet,and increase skeletal mus-cle mass and strength.The mechanism of liraglutide against skeletal muscle fibrosis may be related to the up-regulation of APN level and the inhibition of MMP-2 and MMP-9 expression in skeletal muscle.

傅饶;吴永鑫;余靖;代昕;吴尧璇;李沅芬;吴江豪;张莹宵;肖谦

400010 重庆,重庆医科大学第一临床学院老年医学400010 重庆,重庆医科大学附属第一医院老年病科402160 重庆,重庆医科大学第五临床学院全科医学400010 重庆,重庆医科大学第一临床学院全科医学

临床医学

利拉鲁肽骨骼肌纤维化脂联素基质金属蛋白酶

liraglutideskeletal muscle fibrosisadiponectinmatrix metalloproteinase

《中华骨质疏松和骨矿盐疾病杂志》 2024 (001)

41-49 / 9

国家博士后科学基金(2022TQ0398);重庆医科大学附属第一医院基金项目(PYJJ2022-01)

10.3969/j.issn.1674-2591.2024.01.005

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