Inhibition of IkappaB kinase alpha (IKKα) or IKKbeta (IKKβ) plus forkhead box O (Foxo) abolishes skeletal muscle

S A Reed1, S M Senf, E W Cornwell

  • 1Department of Physical Therapy, University of Florida, 101 S. Newell Drive, Gainesville, FL 32610, USA.

Insights

Inhibiting nuclear factor κB (NF-κB) and forkhead box O (Foxo) transcription factors together significantly prevents muscle atrophy caused by immobilization. Combined inhibition shows additive effects, highlighting their cumulative role in muscle wasting.

Area of Science:

  • Muscle physiology and molecular biology
  • Skeletal muscle atrophy mechanisms
  • Transcription factor regulation

Background:

  • Nuclear factor κB (NF-κB) and forkhead box O (Foxo) are key transcription factors activated during skeletal muscle wasting.
  • Both NF-κB and Foxo are individually sufficient to cause muscle fiber atrophy and are required for significant atrophy during muscle disuse.
  • The combined effect of inhibiting both NF-κB and Foxo during physiological muscle atrophy has not been previously investigated.

Purpose of the Study:

  • To determine if combined inhibition of Foxo and NF-κB activation prevents muscle atrophy induced by cast immobilization.
  • To investigate the additive or synergistic effects of inhibiting these two transcription factor families.
  • To elucidate the roles of NF-κB and Foxo in the signaling pathways leading to immobilization-induced muscle atrophy.

Main Methods:

  • Utilized a mouse model of cast immobilization for 7 days to induce muscle atrophy.
  • Transfected immobilized muscles with dominant-negative (d.n.) expression plasmids for IKKα, IKKβ (inhibitors of NF-κB), and Foxo.
  • Measured mean fiber cross-sectional area (CSA) in 72 muscles to quantify atrophy and inhibition effects.

Main Results:

  • Immobilization caused a 47% decrease in fiber CSA in control muscles.
  • Individual inhibition of IKKα, IKKβ, or Foxo reduced atrophy by 22%, 57%, and 76%, respectively.
  • Combined inhibition of IKKα and Foxo reduced atrophy by 89%; combined inhibition of IKKβ and Foxo reduced atrophy by 95%.

Conclusions:

  • Combined inhibition of NF-κB and Foxo transcriptional activity additively prevents immobilization-induced muscle atrophy.
  • These findings demonstrate a cumulative effect of NF-κB and Foxo in muscle atrophy signaling and/or gene expression.
  • Targeting both NF-κB and Foxo pathways offers a potential therapeutic strategy for mitigating muscle wasting conditions.

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