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Updated: Sep 23, 2026

Identification and Analysis of Myogenic Progenitors In Vivo During Acute Skeletal Muscle Injury by High-Dimensional Single-Cell Mass Cytometry
Published on: December 1, 2023
p21 is essential for normal myogenic progenitor cell function in regenerating skeletal muscle
T J Hawke1, A P Meeson, N Jiang
1Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390-8573, USA.
Abstract:
Despite the ability of myogenic progenitor cells (MPCs) to completely regenerate skeletal muscle following injury, little is known regarding the molecular program that regulates their proliferation and differentiation. Although mice lacking the cyclin-dependent kinase inhibitor p21 (p21-/-), develop normally, we report here that p21-/- MPCs display increased cell number and enhanced cell cycle progression compared with wild-type MPCs. Therefore, we hypothesized that p21-/- mice would demonstrate temporally enhanced regeneration following myotrauma. In response to cardiotoxin-induced injury, p21-/- skeletal muscle regeneration was significantly attenuated vs. regenerating wild-type muscle, contrary to the hypothesis. Regenerating p21-/- skeletal muscle displayed increased proliferative (PCNA positive) nuclei coincident with increased apoptotic nuclei (TUNEL positive) compared with wild-type muscle up to 3 wk after injury. Differentiation of p21-/- MPCs was markedly impaired and associated with increased apoptosis compared with wild-type MPCs, confirming that the impaired differentiation of the p21-/- MPCs was a cell autonomous event. No dysregulation of p27, p53, or p57 protein expression in differentiating p21-/- MPCs compared with wild-type MPCs was observed, suggesting that other compensatory mechanisms are responsible for the regeneration that ultimately occurs. On the basis of these findings, we propose that p21 is essential for the coordination of cell cycle exit and differentiation in the adult MPC population and that in the absence of p21, skeletal muscle regeneration is markedly impaired.
Insights
Mice lacking p21 (cyclin-dependent kinase inhibitor) show impaired skeletal muscle regeneration. This study reveals p21 is crucial for coordinating cell cycle exit and differentiation in myogenic progenitor cells (MPCs) for effective muscle repair.
Area of Science:
- Muscle regeneration
- Cell cycle regulation
- Molecular biology
Background:
- Myogenic progenitor cells (MPCs) are key to skeletal muscle regeneration.
- The molecular mechanisms controlling MPC proliferation and differentiation remain largely unknown.
- The role of cyclin-dependent kinase inhibitor p21 in muscle repair is unclear.
Purpose of the Study:
- To investigate the role of p21 in skeletal muscle regeneration.
- To determine if p21 deficiency enhances or impairs muscle repair.
- To elucidate the effects of p21 on MPC proliferation, cell cycle progression, and differentiation.
Main Methods:
- Utilized p21 knockout (p21-/-) and wild-type mice.
- Induced skeletal muscle injury using cardiotoxin.
- Assessed muscle regeneration, cell proliferation (PCNA), apoptosis (TUNEL), and MPC differentiation in vivo and in vitro.
Main Results:
- Contrary to hypothesis, p21-/- mice exhibited attenuated skeletal muscle regeneration.
- p21-/- muscle showed increased proliferation and apoptosis post-injury.
- MPC differentiation was impaired in p21-/- mice, a cell-autonomous effect.
- No compensatory changes in p27, p53, or p57 were observed.
Conclusions:
- p21 is essential for coordinating cell cycle exit and differentiation in adult MPCs.
- Absence of p21 significantly impairs skeletal muscle regeneration.
- p21 plays a critical role in the molecular program of muscle repair.
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