Parathyroid Hormone Inhibits Fatty Infiltration and Muscle Atrophy After Rotator Cuff Tear by Browning of Fibroadipogenic Progenitors in a Rodent Model

Background: Progressive fatty infiltration and muscle atrophy after rotator cuff tears lead to tendon repair failure and poor outcomes. Fibro-adipogenic progenitors (FAPs) are involved in fatty infiltration and muscle homeostasis of skeletal muscle. Inducing FAP differentiation into brown adipocyte–...

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Veröffentlicht in:The American journal of sports medicine 2023-10, Vol.51 (12), p.3251-3260
Hauptverfasser: Iio, Ryosuke, Manaka, Tomoya, Takada, Naoki, Orita, Kumi, Nakazawa, Katsumasa, Hirakawa, Yoshihiro, Ito, Yoichi, Nakamura, Hiroaki
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container_end_page 3260
container_issue 12
container_start_page 3251
container_title The American journal of sports medicine
container_volume 51
creator Iio, Ryosuke
Manaka, Tomoya
Takada, Naoki
Orita, Kumi
Nakazawa, Katsumasa
Hirakawa, Yoshihiro
Ito, Yoichi
Nakamura, Hiroaki
description Background: Progressive fatty infiltration and muscle atrophy after rotator cuff tears lead to tendon repair failure and poor outcomes. Fibro-adipogenic progenitors (FAPs) are involved in fatty infiltration and muscle homeostasis of skeletal muscle. Inducing FAP differentiation into brown adipocyte–like “beige adipocytes” suppresses fatty infiltration and muscle atrophy. Hypothesis: Parathyroid hormone (PTH) suppresses fatty infiltration and muscle atrophy after rotator cuff tears in a rat model by browning of FAPs. Study Design: Controlled laboratory study. Methods: PTH was administered subcutaneously for 4 or 8 weeks to a rotator cuff tear model in rats. After treatment, fatty infiltration of supraspinatus muscles was assessed using Oil Red O staining and muscle atrophy using wet muscle weight and muscle fiber cross-sectional area. Costaining of platelet-derived growth factor receptor α (FAP marker) and uncoupling protein 1 (browning marker) was performed to confirm FAP browning by PTH. Mouse-isolated FAPs were cultured with PTH and evaluated for browning-related gene expression and adipogenic differentiation using BODIPY staining. Myogenic differentiation of C2C12 myoblasts was evaluated using coculture of PTH-treated browning FAPs with C2C12. Results: PTH inhibited fatty infiltration after rotator cuff tear at 8 weeks. Rotator cuff wet muscle loss of PTH-treated rats was inhibited at 4 and 8 weeks. Furthermore, PTH-treated rats demonstrated larger myofiber cross-sectional area than did untreated rats at 4 and 8 weeks. Costaining indicated colocalization of platelet-derived growth factor receptor α and uncoupling protein 1 and promoted PTH-induced FAP browning. PTH increased the expression of browning-related genes in FAPs and suppressed fat droplet accumulation in vitro. Coculture with PTH-treated FAPs promoted C2C12 cell differentiation into myotubes. Conclusion: PTH induced FAP-derived beige adipocytes by upregulating browning-related gene expression, and the browning effect of PTH on FAPs inhibited fatty infiltration and muscle atrophy in the rat rotator cuff tear model. PTH might have potential as a therapeutic drug for fatty infiltration and muscle atrophy after rotator cuff tears. Clinical Relevance: PTH may expand treatment options for rotator cuff tears by reducing fatty infiltration and muscle atrophy after rotator cuff tears by browning of FAPs.
doi_str_mv 10.1177/03635465231190389
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Fibro-adipogenic progenitors (FAPs) are involved in fatty infiltration and muscle homeostasis of skeletal muscle. Inducing FAP differentiation into brown adipocyte–like “beige adipocytes” suppresses fatty infiltration and muscle atrophy. Hypothesis: Parathyroid hormone (PTH) suppresses fatty infiltration and muscle atrophy after rotator cuff tears in a rat model by browning of FAPs. Study Design: Controlled laboratory study. Methods: PTH was administered subcutaneously for 4 or 8 weeks to a rotator cuff tear model in rats. After treatment, fatty infiltration of supraspinatus muscles was assessed using Oil Red O staining and muscle atrophy using wet muscle weight and muscle fiber cross-sectional area. Costaining of platelet-derived growth factor receptor α (FAP marker) and uncoupling protein 1 (browning marker) was performed to confirm FAP browning by PTH. Mouse-isolated FAPs were cultured with PTH and evaluated for browning-related gene expression and adipogenic differentiation using BODIPY staining. Myogenic differentiation of C2C12 myoblasts was evaluated using coculture of PTH-treated browning FAPs with C2C12. Results: PTH inhibited fatty infiltration after rotator cuff tear at 8 weeks. Rotator cuff wet muscle loss of PTH-treated rats was inhibited at 4 and 8 weeks. Furthermore, PTH-treated rats demonstrated larger myofiber cross-sectional area than did untreated rats at 4 and 8 weeks. Costaining indicated colocalization of platelet-derived growth factor receptor α and uncoupling protein 1 and promoted PTH-induced FAP browning. PTH increased the expression of browning-related genes in FAPs and suppressed fat droplet accumulation in vitro. Coculture with PTH-treated FAPs promoted C2C12 cell differentiation into myotubes. Conclusion: PTH induced FAP-derived beige adipocytes by upregulating browning-related gene expression, and the browning effect of PTH on FAPs inhibited fatty infiltration and muscle atrophy in the rat rotator cuff tear model. PTH might have potential as a therapeutic drug for fatty infiltration and muscle atrophy after rotator cuff tears. 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Fibro-adipogenic progenitors (FAPs) are involved in fatty infiltration and muscle homeostasis of skeletal muscle. Inducing FAP differentiation into brown adipocyte–like “beige adipocytes” suppresses fatty infiltration and muscle atrophy. Hypothesis: Parathyroid hormone (PTH) suppresses fatty infiltration and muscle atrophy after rotator cuff tears in a rat model by browning of FAPs. Study Design: Controlled laboratory study. Methods: PTH was administered subcutaneously for 4 or 8 weeks to a rotator cuff tear model in rats. After treatment, fatty infiltration of supraspinatus muscles was assessed using Oil Red O staining and muscle atrophy using wet muscle weight and muscle fiber cross-sectional area. Costaining of platelet-derived growth factor receptor α (FAP marker) and uncoupling protein 1 (browning marker) was performed to confirm FAP browning by PTH. Mouse-isolated FAPs were cultured with PTH and evaluated for browning-related gene expression and adipogenic differentiation using BODIPY staining. Myogenic differentiation of C2C12 myoblasts was evaluated using coculture of PTH-treated browning FAPs with C2C12. Results: PTH inhibited fatty infiltration after rotator cuff tear at 8 weeks. Rotator cuff wet muscle loss of PTH-treated rats was inhibited at 4 and 8 weeks. Furthermore, PTH-treated rats demonstrated larger myofiber cross-sectional area than did untreated rats at 4 and 8 weeks. Costaining indicated colocalization of platelet-derived growth factor receptor α and uncoupling protein 1 and promoted PTH-induced FAP browning. PTH increased the expression of browning-related genes in FAPs and suppressed fat droplet accumulation in vitro. Coculture with PTH-treated FAPs promoted C2C12 cell differentiation into myotubes. Conclusion: PTH induced FAP-derived beige adipocytes by upregulating browning-related gene expression, and the browning effect of PTH on FAPs inhibited fatty infiltration and muscle atrophy in the rat rotator cuff tear model. PTH might have potential as a therapeutic drug for fatty infiltration and muscle atrophy after rotator cuff tears. Clinical Relevance: PTH may expand treatment options for rotator cuff tears by reducing fatty infiltration and muscle atrophy after rotator cuff tears by browning of FAPs.</description><subject>Adipocytes</subject><subject>Atrophy</subject><subject>Gene expression</subject><subject>Growth factors</subject><subject>Rotator cuff</subject><subject>Sports medicine</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kVFLHDEUhUOx4Gr9Ab5d6EtfRpPJZjJ53C5dFZSK6POQZJLdyGyyTTLI_JL-3WZdQVD6dO7lfudw4SB0TvAFIZxfYtpQNm9YTQkRmLbiC5oRxuqK0oYdodn-Xu2BY3SS0jPGmPCmnaG_9zLKvJlicD1ch7gN3sCN3zjlcoKVzHkqq3VDLpgLHqTv4W5MejCwyDHsNhMsbDYRHkKWOURYjtbCo5ER1AQ_Y3jxzq8hWFg5FYPs3S6sjXca7uPrUDwJXAkuCb3xGe6KDN_QVyuHZM7e9BQ9rX49Lq-r299XN8vFbaXrBudKECEsNwpbrjXVrFZMCoM1UcIo3qjW9GyOla2xaojFje6ZEoQQVmvCNFP0FP045O5i-DOalLutS9oMg_QmjKmrW8bbOcaCF_T7B_Q5jNGX7wrFcSv4XNBCkQOlY0gpGtvtotvKOHUEd_uquk9VFc_FwZPk2ryn_t_wD_4HlVs</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Iio, Ryosuke</creator><creator>Manaka, Tomoya</creator><creator>Takada, Naoki</creator><creator>Orita, Kumi</creator><creator>Nakazawa, Katsumasa</creator><creator>Hirakawa, Yoshihiro</creator><creator>Ito, Yoichi</creator><creator>Nakamura, Hiroaki</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>202310</creationdate><title>Parathyroid Hormone Inhibits Fatty Infiltration and Muscle Atrophy After Rotator Cuff Tear by Browning of Fibroadipogenic Progenitors in a Rodent Model</title><author>Iio, Ryosuke ; Manaka, Tomoya ; Takada, Naoki ; Orita, Kumi ; Nakazawa, Katsumasa ; Hirakawa, Yoshihiro ; Ito, Yoichi ; Nakamura, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c260t-9199f7eb0f7cc3c52b5a9e0c1b9eb76b8ed540bf20b61f06cd5b911152c15c5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adipocytes</topic><topic>Atrophy</topic><topic>Gene expression</topic><topic>Growth factors</topic><topic>Rotator cuff</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iio, Ryosuke</creatorcontrib><creatorcontrib>Manaka, Tomoya</creatorcontrib><creatorcontrib>Takada, Naoki</creatorcontrib><creatorcontrib>Orita, Kumi</creatorcontrib><creatorcontrib>Nakazawa, Katsumasa</creatorcontrib><creatorcontrib>Hirakawa, Yoshihiro</creatorcontrib><creatorcontrib>Ito, Yoichi</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iio, Ryosuke</au><au>Manaka, Tomoya</au><au>Takada, Naoki</au><au>Orita, Kumi</au><au>Nakazawa, Katsumasa</au><au>Hirakawa, Yoshihiro</au><au>Ito, Yoichi</au><au>Nakamura, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parathyroid Hormone Inhibits Fatty Infiltration and Muscle Atrophy After Rotator Cuff Tear by Browning of Fibroadipogenic Progenitors in a Rodent Model</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2023-10</date><risdate>2023</risdate><volume>51</volume><issue>12</issue><spage>3251</spage><epage>3260</epage><pages>3251-3260</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Background: Progressive fatty infiltration and muscle atrophy after rotator cuff tears lead to tendon repair failure and poor outcomes. Fibro-adipogenic progenitors (FAPs) are involved in fatty infiltration and muscle homeostasis of skeletal muscle. Inducing FAP differentiation into brown adipocyte–like “beige adipocytes” suppresses fatty infiltration and muscle atrophy. Hypothesis: Parathyroid hormone (PTH) suppresses fatty infiltration and muscle atrophy after rotator cuff tears in a rat model by browning of FAPs. Study Design: Controlled laboratory study. Methods: PTH was administered subcutaneously for 4 or 8 weeks to a rotator cuff tear model in rats. After treatment, fatty infiltration of supraspinatus muscles was assessed using Oil Red O staining and muscle atrophy using wet muscle weight and muscle fiber cross-sectional area. Costaining of platelet-derived growth factor receptor α (FAP marker) and uncoupling protein 1 (browning marker) was performed to confirm FAP browning by PTH. Mouse-isolated FAPs were cultured with PTH and evaluated for browning-related gene expression and adipogenic differentiation using BODIPY staining. Myogenic differentiation of C2C12 myoblasts was evaluated using coculture of PTH-treated browning FAPs with C2C12. Results: PTH inhibited fatty infiltration after rotator cuff tear at 8 weeks. Rotator cuff wet muscle loss of PTH-treated rats was inhibited at 4 and 8 weeks. Furthermore, PTH-treated rats demonstrated larger myofiber cross-sectional area than did untreated rats at 4 and 8 weeks. Costaining indicated colocalization of platelet-derived growth factor receptor α and uncoupling protein 1 and promoted PTH-induced FAP browning. PTH increased the expression of browning-related genes in FAPs and suppressed fat droplet accumulation in vitro. Coculture with PTH-treated FAPs promoted C2C12 cell differentiation into myotubes. Conclusion: PTH induced FAP-derived beige adipocytes by upregulating browning-related gene expression, and the browning effect of PTH on FAPs inhibited fatty infiltration and muscle atrophy in the rat rotator cuff tear model. PTH might have potential as a therapeutic drug for fatty infiltration and muscle atrophy after rotator cuff tears. Clinical Relevance: PTH may expand treatment options for rotator cuff tears by reducing fatty infiltration and muscle atrophy after rotator cuff tears by browning of FAPs.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/03635465231190389</doi><tpages>10</tpages></addata></record>
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source SAGE Complete A-Z List; Alma/SFX Local Collection
subjects Adipocytes
Atrophy
Gene expression
Growth factors
Rotator cuff
Sports medicine
title Parathyroid Hormone Inhibits Fatty Infiltration and Muscle Atrophy After Rotator Cuff Tear by Browning of Fibroadipogenic Progenitors in a Rodent Model
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