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Adipose-Derived Stem Cells Alleviate Denervation-Induced Muscle Atrophy by Promoting M2 Macrophage Polarization and
Qiannan Zhao1, Yoshihiro Sowa1,2, Ogawa Koh1,3
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Muscle & Nerve
|December 9, 2025
Summary
Adipose-derived stem cells (ADSCs) show promise for treating denervation-induced muscle atrophy. Local ADSC delivery improved muscle strength, weight, and fiber size by reducing inflammation and promoting regeneration.
Area of Science:
- Regenerative Medicine
- Stem Cell Therapy
- Muscle Biology
Background:
- Denervation-induced muscle atrophy presents a significant therapeutic challenge.
- Adipose-derived stem cells (ADSCs) offer potential for tissue regeneration and repair.
Purpose of the Study:
- To evaluate the therapeutic effect of local ADSC delivery on denervated muscle.
- To investigate the underlying mechanisms of ADSC action in muscle regeneration.
- To track ADSC distribution and migration in vivo following local delivery.
Main Methods:
- Sciatic nerve transection and reverse autograft repair in a mouse model.
- Local injection of ADSCs or phosphate-buffered saline (PBS) into the gastrocnemius muscle.
- Assessment of muscle function, mass, histology, cellular markers (MyoD, CD163), and gene expression (RT-PCR).
- In vivo imaging (IVIS, MRI) for ADSC tracking.
Main Results:
- ADSC treatment significantly improved normalized muscle strength, gastrocnemius weight, and fiber diameter.
- ADSCs promoted muscle regeneration by upregulating MyoD and M2 macrophage markers (CD163, ARG1).
- ADSC therapy reduced pro-inflammatory gene expression (IL-6, IL-1b) and MMP2 expression.
Conclusions:
- Local ADSC delivery effectively ameliorates denervation-induced muscle atrophy.
- Therapeutic mechanisms involve enhanced muscle regeneration, M2 macrophage polarization, and reduced inflammation.
- ADSCs demonstrate significant potential for treating muscle loss after nerve injury.
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