Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.

Critical illness myopathy (CIM) is a debilitating common consequence of modern intensive care, characterized by severe muscle wasting, weakness and a decreased myosin/actin (M/A) ratio. Limb/trunk muscles are primarily affected by this myopathy while cranial nerve innervated muscles are spared or le...

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Main Authors: Hazem Akkad, Rebeca Corpeno, Lars Larsson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092622&type=printable
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author Hazem Akkad
Rebeca Corpeno
Lars Larsson
author_facet Hazem Akkad
Rebeca Corpeno
Lars Larsson
author_sort Hazem Akkad
collection DOAJ
description Critical illness myopathy (CIM) is a debilitating common consequence of modern intensive care, characterized by severe muscle wasting, weakness and a decreased myosin/actin (M/A) ratio. Limb/trunk muscles are primarily affected by this myopathy while cranial nerve innervated muscles are spared or less affected, but the mechanisms underlying these muscle-specific differences remain unknown. In this time-resolved study, the cranial nerve innervated masseter muscle was studied in a unique experimental rat intensive care unit (ICU) model, where animals were exposed to sedation, neuromuscular blockade (NMB), mechanical ventilation, and immobilization for durations varying between 6 h and 14d. Gel electrophoresis, immunoblotting, RT-PCR and morphological staining techniques were used to analyze M/A ratios, myofiber size, synthesis and degradation of myofibrillar proteins, and levels of heat shock proteins (HSPs). Results obtained in the masseter muscle were compared with previous observations in experimental and clinical studies of limb muscles. Significant muscle-specific differences were observed, i.e., in the masseter, the decline in M/A ratio and muscle fiber size was small and delayed. Furthermore, transcriptional regulation of myosin and actin synthesis was maintained, and Akt phosphorylation was only briefly reduced. In studied degradation pathways, only mRNA, but not protein levels of MuRF1, atrogin-1 and the autophagy marker LC3b were activated by the ICU condition. The matrix metalloproteinase MMP-2 was inhibited and protective HSPs were up-regulated early. These results confirm that the cranial nerve innervated masticatory muscles is less affected by the ICU-stress response than limb muscles, in accordance with clinical observation in ICU patients with CIM, supporting the model' credibility as a valid CIM model.
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spelling doaj-art-4eaa73cdd01348bda18ef98b5b39dd1d2025-08-20T02:15:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9262210.1371/journal.pone.0092622Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.Hazem AkkadRebeca CorpenoLars LarssonCritical illness myopathy (CIM) is a debilitating common consequence of modern intensive care, characterized by severe muscle wasting, weakness and a decreased myosin/actin (M/A) ratio. Limb/trunk muscles are primarily affected by this myopathy while cranial nerve innervated muscles are spared or less affected, but the mechanisms underlying these muscle-specific differences remain unknown. In this time-resolved study, the cranial nerve innervated masseter muscle was studied in a unique experimental rat intensive care unit (ICU) model, where animals were exposed to sedation, neuromuscular blockade (NMB), mechanical ventilation, and immobilization for durations varying between 6 h and 14d. Gel electrophoresis, immunoblotting, RT-PCR and morphological staining techniques were used to analyze M/A ratios, myofiber size, synthesis and degradation of myofibrillar proteins, and levels of heat shock proteins (HSPs). Results obtained in the masseter muscle were compared with previous observations in experimental and clinical studies of limb muscles. Significant muscle-specific differences were observed, i.e., in the masseter, the decline in M/A ratio and muscle fiber size was small and delayed. Furthermore, transcriptional regulation of myosin and actin synthesis was maintained, and Akt phosphorylation was only briefly reduced. In studied degradation pathways, only mRNA, but not protein levels of MuRF1, atrogin-1 and the autophagy marker LC3b were activated by the ICU condition. The matrix metalloproteinase MMP-2 was inhibited and protective HSPs were up-regulated early. These results confirm that the cranial nerve innervated masticatory muscles is less affected by the ICU-stress response than limb muscles, in accordance with clinical observation in ICU patients with CIM, supporting the model' credibility as a valid CIM model.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092622&type=printable
spellingShingle Hazem Akkad
Rebeca Corpeno
Lars Larsson
Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
PLoS ONE
title Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
title_full Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
title_fullStr Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
title_full_unstemmed Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
title_short Masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model.
title_sort masseter muscle myofibrillar protein synthesis and degradation in an experimental critical illness myopathy model
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092622&type=printable
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AT rebecacorpeno massetermusclemyofibrillarproteinsynthesisanddegradationinanexperimentalcriticalillnessmyopathymodel
AT larslarsson massetermusclemyofibrillarproteinsynthesisanddegradationinanexperimentalcriticalillnessmyopathymodel