Respiratory and limb muscle weakness induced by tumor necrosis factor-α: involvement of muscle myofilaments

MB Reid, J Lännergren… - American journal of …, 2002 - atsjournals.org
MB Reid, J Lännergren, H Westerblad
American journal of respiratory and critical care medicine, 2002atsjournals.org
The respiratory and limb skeletal muscles become weakened in sepsis, congestive heart
failure, and other inflammatory diseases. A potential mediator of muscle weakness is tumor
necrosis factor (TNF)-α, a cytokine that can stimulate muscle wasting and also can induce
contractile dysfunction without overt catabolism. This study addressed the latter process.
Murine diaphragm and limb muscle (flexor digitorum brevis [FDB]) preparations were used
to determine the relative sensitivities of these muscles to TNF-α. Intact muscle fibers were …
The respiratory and limb skeletal muscles become weakened in sepsis, congestive heart failure, and other inflammatory diseases. A potential mediator of muscle weakness is tumor necrosis factor (TNF)-α, a cytokine that can stimulate muscle wasting and also can induce contractile dysfunction without overt catabolism. This study addressed the latter process. Murine diaphragm and limb muscle (flexor digitorum brevis [FDB]) preparations were used to determine the relative sensitivities of these muscles to TNF-α. Intact muscle fibers were isolated from FDB and microinjected with indo-1 to measure changes in sarcoplasmic calcium regulation. We found that TNF-α depressed tetanic force of the diaphragm and FDB to comparable degrees across a range of stimulus frequencies. In isolated muscle fibers, TNF-α decreased tetanic force without altering tetanic calcium transients or resting calcium levels. We conclude that (1) TNF-α compromises contractile function of diaphragm and limb muscle similarly, and (2) TNF-α decreases force by blunting the response of muscle myofilaments to calcium activation.
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