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Structure-Guided Design and Development of Novel Cyclophilin A Inhibitors and Ganoderiol-F Derivatives: An In-Silico Approach
Published on: June 23, 2026
Cyclosporin A preferentially attenuates skeletal slow-twitch muscle regeneration
E H Miyabara1, M S Aoki, A S Moriscot
1Departamento de Biologia Celular e do Desenvolvimento, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brasil.
Abstract:
Calcineurin, a Ca2+/calmodulin-dependent phosphatase, is associated with muscle regeneration via NFATc1/GATA2-dependent pathways. However, it is not clear whether calcineurin preferentially affects the regeneration of slow- or fast-twitch muscles. We investigated the effect of a calcineurin inhibitor, cyclosporin A (CsA), on the morphology and fiber diameter of regenerating slow- and fast-twitch muscles. Adult Wistar rats (259.5 +/- 9 g) maintained under standard conditions were treated with CsA (20 mg/kg body weight, ip) for 5 days, submitted to cryolesion of soleus and tibialis anterior (TA) muscles on the 6th day, and then treated with CsA for an additional 21 days. The muscles were removed, weighed, frozen, and stored in liquid nitrogen. Cryolesion did not alter the body weight gain of the animals after 21 days of regeneration (P = 0.001) and CsA significantly reduced the body weight gain (15.5%; P = 0.01) during the same period. All treated TA and soleus muscles showed decreased weights (17 and 29%, respectively, P < 0.05). CsA treatment decreased the cross-sectional area of both soleus and TA muscles of cryoinjured animals (TA: 2108 +/- 930 vs 792 +/- 640 microm(2); soleus: 2209 +/- 322 vs 764 +/- 439 m(2); P < 0.001). Histological sections of both muscles stained with Toluidine blue revealed similar regenerative responses after cryolesion. In addition, CsA was able to minimize these responses, i.e., centralized nuclei and split fibers, more efficiently so in TA muscle. These results indicate that calcineurin preferentially plays a role in regeneration of slow-twitch muscle.
Insights
Cyclosporin A (CsA) inhibited muscle regeneration. Calcineurin inhibition preferentially impaired slow-twitch muscle regeneration, suggesting a key role in slow-twitch muscle repair.
Area of Science:
- Muscle physiology and regeneration
- Biochemistry and molecular biology
Background:
- Calcineurin, a calcium/calmodulin-dependent phosphatase, is implicated in muscle regeneration through NFATc1/GATA2 pathways.
- The specific impact of calcineurin on slow- versus fast-twitch muscle regeneration remains unclear.
Purpose of the Study:
- To investigate the effect of the calcineurin inhibitor cyclosporin A (CsA) on the regeneration of slow- and fast-twitch muscles following cryolesion.
- To determine if calcineurin plays a preferential role in the regeneration of slow-twitch muscle fibers.
Main Methods:
- Adult Wistar rats were treated with CsA (20 mg/kg) for 5 days prior to cryolesion of soleus (slow-twitch) and tibialis anterior (TA) (fast-twitch) muscles.
- CsA treatment continued for 21 days post-lesion.
- Muscle morphology, fiber diameter, and regenerative markers (centralized nuclei, split fibers) were analyzed.
Main Results:
- CsA treatment significantly reduced body weight gain and muscle weight in both soleus and TA muscles.
- CsA decreased the cross-sectional area of both soleus and TA muscles.
- While CsA minimized regenerative responses in both muscle types, it was more effective in the TA (fast-twitch) muscle.
Conclusions:
- Calcineurin inhibition by CsA impairs muscle regeneration in both slow- and fast-twitch muscles.
- Calcineurin appears to play a preferential role in the regeneration of slow-twitch muscle fibers.
- These findings highlight calcineurin's specific involvement in slow-twitch muscle repair mechanisms.
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