Skeletal Muscle Cell Oxidative Stress as a Possible Therapeutic Target in a Denervation-Induced Experimental

Hideyuki Kinoshita1, Sumihisa Orita1, Kazuhide Inage1

  • 1Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Spine
|October 10, 2018
PubMed
Abstract

Insights

Oxidative stress contributes to sarcopenia, a muscle-wasting condition. N-acetyl-L-cysteine (NAC) demonstrated antioxidant effects, preventing muscle degeneration in cell and animal models of sarcopenia.

Area of Science:

  • Muscle physiology and pathology
  • Oxidative stress mechanisms
  • Neurogenic muscle atrophy

Background:

  • Oxidative stress is implicated in various pathologies, including musculoskeletal disorders.
  • The precise role of oxidative stress in sarcopenia, a potential cause of lower back pain, remains unclear.

Purpose of the Study:

  • To investigate the contribution of oxidative stress to muscle degeneration in sarcopenia.
  • To evaluate the efficacy of antioxidant treatment using N-acetyl-L-cysteine (NAC) in a neurogenic sarcopenia animal model.

Main Methods:

  • In vitro: C2C12 myoblasts treated with hydrogen peroxide (H2O2) and NAC; assessed apoptosis and viability.
  • In vivo: Rodent model of neurogenic sarcopenia induced by sciatic nerve axotomy; NAC administered orally.
  • Evaluated muscle weight, histological changes, and protein expression.

Main Results:

  • H2O2-induced oxidative stress activated mitogen-activated protein kinases (MAPKs) in C2C12 cells, an effect reversed by NAC.
  • NAC pretreatment prevented H2O2-induced apoptosis and cell death in vitro.
  • NAC administration mitigated gastrocnemius muscle weight loss and fiber reduction in the axotomy model, demonstrating antioxidant effects against amyotrophy.

Conclusions:

  • Oxidative stress plays a role in sarcopenic pathology, as evidenced by in vitro and in vivo findings.
  • N-acetyl-L-cysteine (NAC) shows potential as an anti-sarcopenic therapeutic agent, effectively preventing muscle atrophy and fatty degeneration.

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