Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss

Abstract Volumetric muscle loss (VML) is a severe injury resulting in substantial skeletal muscle loss, leading to a complex pathology that culminates in suboptimal tissue repair and significant long-term functional deficits. This study employs a rodent model of VML to investigate the impact of biol...

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Main Authors: Jessica M. Motherwell, Isabella J. Meerzaman, Sergey S. Kanovka, Michael S. Valerio, Claudia E. Hernandez, Zachary G. Davis, Andrew R. Clark, Stephen M. Goldman, Christopher L. Dearth
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-05166-y
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author Jessica M. Motherwell
Isabella J. Meerzaman
Sergey S. Kanovka
Michael S. Valerio
Claudia E. Hernandez
Zachary G. Davis
Andrew R. Clark
Stephen M. Goldman
Christopher L. Dearth
author_facet Jessica M. Motherwell
Isabella J. Meerzaman
Sergey S. Kanovka
Michael S. Valerio
Claudia E. Hernandez
Zachary G. Davis
Andrew R. Clark
Stephen M. Goldman
Christopher L. Dearth
author_sort Jessica M. Motherwell
collection DOAJ
description Abstract Volumetric muscle loss (VML) is a severe injury resulting in substantial skeletal muscle loss, leading to a complex pathology that culminates in suboptimal tissue repair and significant long-term functional deficits. This study employs a rodent model of VML to investigate the impact of biological sex on the injury pathobiology and its potential influence on the response to autologous minced muscle grafting (MMG) as a regenerative therapy. While no significant differences were observed between the end-stage male and female responses to VML, both male and female subjects appeared to benefit from MMG treatment. Females demonstrated improved neuromuscular function, while males exhibited reduced fibrosis at the site of injury. Additional differences in the wound healing response included distinct variations in myofiber characteristics, with females exhibiting a lower proportion of Type 2a fibers and elevated levels of myogenin. These findings suggest that regenerative therapies, such as MMG, may exhibit sex-specific benefits. Future studies will further explore sexual dimorphism in the acute response to injury to identify potential therapeutic targets that may yield greater therapeutic efficacy for each sex.
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institution Kabale University
issn 2045-2322
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publishDate 2025-07-01
publisher Nature Portfolio
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series Scientific Reports
spelling doaj-art-e2665b0389014cc7aceb8aec5d5fbec52025-08-20T03:38:13ZengNature PortfolioScientific Reports2045-23222025-07-0115111310.1038/s41598-025-05166-yEvaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle lossJessica M. Motherwell0Isabella J. Meerzaman1Sergey S. Kanovka2Michael S. Valerio3Claudia E. Hernandez4Zachary G. Davis5Andrew R. Clark6Stephen M. Goldman7Christopher L. Dearth8Extremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyExtremity Trauma and Amputation Center of Excellence, Defense Health AgencyAbstract Volumetric muscle loss (VML) is a severe injury resulting in substantial skeletal muscle loss, leading to a complex pathology that culminates in suboptimal tissue repair and significant long-term functional deficits. This study employs a rodent model of VML to investigate the impact of biological sex on the injury pathobiology and its potential influence on the response to autologous minced muscle grafting (MMG) as a regenerative therapy. While no significant differences were observed between the end-stage male and female responses to VML, both male and female subjects appeared to benefit from MMG treatment. Females demonstrated improved neuromuscular function, while males exhibited reduced fibrosis at the site of injury. Additional differences in the wound healing response included distinct variations in myofiber characteristics, with females exhibiting a lower proportion of Type 2a fibers and elevated levels of myogenin. These findings suggest that regenerative therapies, such as MMG, may exhibit sex-specific benefits. Future studies will further explore sexual dimorphism in the acute response to injury to identify potential therapeutic targets that may yield greater therapeutic efficacy for each sex.https://doi.org/10.1038/s41598-025-05166-ySex characteristicsWound healingSkeletal muscleRegenerationTrauma
spellingShingle Jessica M. Motherwell
Isabella J. Meerzaman
Sergey S. Kanovka
Michael S. Valerio
Claudia E. Hernandez
Zachary G. Davis
Andrew R. Clark
Stephen M. Goldman
Christopher L. Dearth
Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
Scientific Reports
Sex characteristics
Wound healing
Skeletal muscle
Regeneration
Trauma
title Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
title_full Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
title_fullStr Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
title_full_unstemmed Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
title_short Evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
title_sort evaluation of biological sex on endstage pathobiology and regenerative treatment of volumetric muscle loss
topic Sex characteristics
Wound healing
Skeletal muscle
Regeneration
Trauma
url https://doi.org/10.1038/s41598-025-05166-y
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