Tissue-resident skeletal muscle macrophages promote recovery from viral pneumonia-induced sarcopenia in normal aging

Constance E Runyan1, Lucy Luo1, Lynn C Welch1

  • 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Simpson Querrey Lung Institute for Translational Sciences. Northwestern University. Chicago, IL, USA.

Insights

Aging impairs muscle regeneration after viral pneumonia. A specific macrophage-myofiber interaction, crucial for recovery, is lost with age but can be preserved by targeting the Mertk receptor, offering a potential therapeutic strategy for age-related sarcopenia.

Area of Science:

  • Gerontology
  • Immunology
  • Skeletal Muscle Biology

Background:

  • Sarcopenia, a decline in muscle mass and function, worsens with age and is exacerbated by viral infections like influenza and COVID-19.
  • Age-related changes in the skeletal muscle microenvironment contribute to impaired regeneration.
  • Tissue-resident macrophages play a role in muscle repair, but their function declines with aging.

Purpose of the Study:

  • To investigate the mechanisms underlying age-related sarcopenia following viral pneumonia.
  • To identify cellular players and molecular pathways involved in impaired muscle regeneration in older mice.
  • To explore potential therapeutic targets for mitigating age-related muscle loss after viral infections.

Main Methods:

  • A mouse model of influenza A pneumonia was used to study age-dependent sarcopenia.
  • Immunohistochemistry and cell-specific gene manipulation (Mertk, Cx3cr1) were employed to analyze macrophage-satellite cell-myofiber interactions.
  • Gain-of-function mutations in Mertk and heterochronic parabiosis were utilized to assess their impact on muscle regeneration.

Main Results:

  • Young mice recovered from influenza-induced sarcopenia, while older mice did not.
  • A specific population of tissue-resident skeletal muscle macrophages interacting with satellite cells and myofibers was identified in young mice but lost in aged mice.
  • Preserving the macrophage-myofiber niche via Mertk gain-of-function mutation restored muscle regeneration in aged mice.
  • Deletion of Mertk or Cx3cr1 disrupted this niche and prevented muscle recovery.

Conclusions:

  • Age-related loss of Mertk signaling in muscle-resident macrophages disrupts the cellular niche essential for muscle regeneration after viral pneumonia.
  • Targeting Mertk in macrophages presents a potential therapeutic strategy to combat age-related sarcopenia and improve recovery from viral infections in the elderly.