A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1

Background Duchenne muscular dystrophy (DMD) is a progressive muscle disease caused by the loss of dystrophin, which results in inflammation, fibrosis, and the inhibition of myoblast differentiation in skeletal muscle. Catalpol, an iridoid glycoside, improves skeletal muscle function by enhancing my...

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Main Authors: Dengqiu Xu, Lei Zhao, Jingwei Jiang, Sijia Li, Zeren Sun, Xiaofei Huang, Chunjie Li, Tao Wang, Lixin Sun, Xihua Li, Zhenzhou Jiang, Luyong Zhang
Format: Article
Language:English
Published: Wiley 2020-10-01
Series:Journal of Cachexia, Sarcopenia and Muscle
Subjects:
Online Access:https://doi.org/10.1002/jcsm.12581
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author Dengqiu Xu
Lei Zhao
Jingwei Jiang
Sijia Li
Zeren Sun
Xiaofei Huang
Chunjie Li
Tao Wang
Lixin Sun
Xihua Li
Zhenzhou Jiang
Luyong Zhang
author_facet Dengqiu Xu
Lei Zhao
Jingwei Jiang
Sijia Li
Zeren Sun
Xiaofei Huang
Chunjie Li
Tao Wang
Lixin Sun
Xihua Li
Zhenzhou Jiang
Luyong Zhang
author_sort Dengqiu Xu
collection DOAJ
description Background Duchenne muscular dystrophy (DMD) is a progressive muscle disease caused by the loss of dystrophin, which results in inflammation, fibrosis, and the inhibition of myoblast differentiation in skeletal muscle. Catalpol, an iridoid glycoside, improves skeletal muscle function by enhancing myogenesis; it has potential to treat DMD. We demonstrate the positive effects of catalpol in dystrophic skeletal muscle. Methods mdx (loss of dystrophin) mice (n = 18 per group) were treated with catalpol (200 mg/kg) for six consecutive weeks. Serum analysis, skeletal muscle performance and histology, muscle contractile function, and gene and protein expression were performed. Molecular docking and ligand–target interactions, RNA interference, immunofluorescence, and plasmids transfection were utilized to explore the protective mechanism in DMD by which catalpol binding with transforming growth factor‐β–activated kinase 1 (TAK1) in skeletal muscle. Results Six weeks of catalpol treatment improved whole‐body muscle health in mdx mice, which was characterized by reduced plasma creatine kinase (n = 18, −35.1%, P < 0.05) and lactic dehydrogenase (n = 18, −10.3%, P < 0.05) activity. These effects were accompanied by enhanced grip strength (n = 18, +25.4%, P < 0.05) and reduced fibrosis (n = 18, −29.0% for hydroxyproline content, P < 0.05). Moreover, catalpol treatment protected against muscle fatigue and promoted muscle recovery in the tibialis anterior (TA) and diaphragm (DIA) muscles (n = 6, +69.8%, P < 0.05 and + 74.8%, P < 0.001, respectively), which was accompanied by enhanced differentiation in primary myoblasts from DMD patients (n = 6, male, mean age: 4.7 ± 1.9 years) and mdx mice. In addition, catalpol eliminated p‐TAK1 overexpression in mdx mice (n = 12, −21.3%, P < 0.05) and primary myoblasts. The catalpol‐induced reduction in fibrosis and increased myoblast differentiation resulted from the inhibition of TAK1 phosphorylation, leading to reduced myoblast trans‐differentiation into myofibroblasts. Catalpol inhibited the phosphorylation of TAK1 by binding to TAK1, possibly at Asp‐206, Thr‐208, Asn‐211, Glu‐297, Lys‐294, and Tyr‐293. Conclusions Our findings show that catalpol and TAK1 inhibitors substantially improve whole‐body muscle health and the function of dystrophic skeletal muscles and may provide a novel therapy for DMD.
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spelling doaj.art-887ee74267ff40d29395a0f2e459507d2024-04-17T00:07:32ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092020-10-011151306132010.1002/jcsm.12581A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1Dengqiu Xu0Lei Zhao1Jingwei Jiang2Sijia Li3Zeren Sun4Xiaofei Huang5Chunjie Li6Tao Wang7Lixin Sun8Xihua Li9Zhenzhou Jiang10Luyong Zhang11Jiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaDepartment of Neurology Children's Hospital of Fudan University Shanghai ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaDepartment of Neurology Children's Hospital of Fudan University Shanghai ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaJiangsu Key Laboratory of Drug Screening China Pharmaceutical University Nanjing ChinaBackground Duchenne muscular dystrophy (DMD) is a progressive muscle disease caused by the loss of dystrophin, which results in inflammation, fibrosis, and the inhibition of myoblast differentiation in skeletal muscle. Catalpol, an iridoid glycoside, improves skeletal muscle function by enhancing myogenesis; it has potential to treat DMD. We demonstrate the positive effects of catalpol in dystrophic skeletal muscle. Methods mdx (loss of dystrophin) mice (n = 18 per group) were treated with catalpol (200 mg/kg) for six consecutive weeks. Serum analysis, skeletal muscle performance and histology, muscle contractile function, and gene and protein expression were performed. Molecular docking and ligand–target interactions, RNA interference, immunofluorescence, and plasmids transfection were utilized to explore the protective mechanism in DMD by which catalpol binding with transforming growth factor‐β–activated kinase 1 (TAK1) in skeletal muscle. Results Six weeks of catalpol treatment improved whole‐body muscle health in mdx mice, which was characterized by reduced plasma creatine kinase (n = 18, −35.1%, P < 0.05) and lactic dehydrogenase (n = 18, −10.3%, P < 0.05) activity. These effects were accompanied by enhanced grip strength (n = 18, +25.4%, P < 0.05) and reduced fibrosis (n = 18, −29.0% for hydroxyproline content, P < 0.05). Moreover, catalpol treatment protected against muscle fatigue and promoted muscle recovery in the tibialis anterior (TA) and diaphragm (DIA) muscles (n = 6, +69.8%, P < 0.05 and + 74.8%, P < 0.001, respectively), which was accompanied by enhanced differentiation in primary myoblasts from DMD patients (n = 6, male, mean age: 4.7 ± 1.9 years) and mdx mice. In addition, catalpol eliminated p‐TAK1 overexpression in mdx mice (n = 12, −21.3%, P < 0.05) and primary myoblasts. The catalpol‐induced reduction in fibrosis and increased myoblast differentiation resulted from the inhibition of TAK1 phosphorylation, leading to reduced myoblast trans‐differentiation into myofibroblasts. Catalpol inhibited the phosphorylation of TAK1 by binding to TAK1, possibly at Asp‐206, Thr‐208, Asn‐211, Glu‐297, Lys‐294, and Tyr‐293. Conclusions Our findings show that catalpol and TAK1 inhibitors substantially improve whole‐body muscle health and the function of dystrophic skeletal muscles and may provide a novel therapy for DMD.https://doi.org/10.1002/jcsm.12581TAK1Duchenne muscular dystrophyCatalpolFibrosisMyogenesis
spellingShingle Dengqiu Xu
Lei Zhao
Jingwei Jiang
Sijia Li
Zeren Sun
Xiaofei Huang
Chunjie Li
Tao Wang
Lixin Sun
Xihua Li
Zhenzhou Jiang
Luyong Zhang
A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
Journal of Cachexia, Sarcopenia and Muscle
TAK1
Duchenne muscular dystrophy
Catalpol
Fibrosis
Myogenesis
title A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
title_full A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
title_fullStr A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
title_full_unstemmed A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
title_short A potential therapeutic effect of catalpol in Duchenne muscular dystrophy revealed by binding with TAK1
title_sort potential therapeutic effect of catalpol in duchenne muscular dystrophy revealed by binding with tak1
topic TAK1
Duchenne muscular dystrophy
Catalpol
Fibrosis
Myogenesis
url https://doi.org/10.1002/jcsm.12581
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