2.1 Reagents
The COP that is light yellow powder, was prepared by Zhejiang Haishi Biotechnology Co., Ltd (Zhoushan, China). DEX was procured from Solarbio Science & Technology Co., Ltd (Beijing, China), the purity is more than 98%.
Antibodies against FoxO3a, Phospho-FoxO3a (Ser253), MyoD, NF-κBp65, Akt, mTOR, GAPDH, Phospho-Akt and Pax7 were respectively purchased from HuaBio (Hangzhou, China), Cell Signaling Technology (Massachusetts, USA), Abcam (London, UK), Proteintech (Wuhan, China). The secondary horseradish peroxidase (HRP) antibodies (Anti-rabbit and anti-mouse) were bought from Elabscience Biotechnology Co., Ltd (Wuhan, China). The extraction of RNA was performed by Animal Total RNA Isolation Kit of Vazyme (Nanjing, China), and subsequently RNA reverse transcription and real-time quantitative polymerase chain reaction (RT-qPCR) experiments were carried out by Iscript cDNA Synthesis Kit (Bio-Rad, USA) and Real Time PCR EasyTM-AYBR GreenⅠ Kit (Foregene, China). The other reagents used were all commercially available.
2.2 Animal
One hundred and twelve SD male rats (specific pathogen-free, 6–7 weeks old, 240-260g) were bought from Charles River Laboratory Animal Technology Company (Beijing, China, Permit No.: SCXK [zhe]2019–0001). All rats were raised in the SPF Animal Center of West China School of Public Health of Sichuan University (25℃±2℃; 50–60% humidity; 12 h light/dark cycle, Permit No.: SYXK [chuan] 2018–011). Animal experiments and care were conducted according to the West China Hospital Sichuan University Guide for the Care and Use of Laboratory Animals and were approved by the Animal Ethics Committee of our Institute (Animal ethical approval No.: 20211548A). Prior to the experiments, rats were fed a standard laboratory pellet diet and water ad libitum for five days to acclimate.
2.3 Experimental Scheme
In order to successfully construct an animal model of muscular dystrophy, rats were randomly divided into two groups: CON group (n = 40) and Model group (n = 72) before the COP intervention. Rats in the Model group were administrated with 1.0mg/kg DEX by intraperitoneal injection once a day for 2 weeks, whereas rats in CON group were administrated with saline. The duration and dose of DEX in order to induce of skeletal muscle atrophy were adopted on the basis of previous study16. After a 2-week model building stage, to determine whether the success of the model or not, eight rats from CON group and Model group respectively were sacrificed to measure body composition, grip straight and muscle weight. Subsequently, rats in the Model group were randomly divided into two groups (n = 32 each group): DEX group (0.5mg/kg DEX by intraperitoneal injection and normal diet), DEX + COP group (0.5mg/kg DEX by intraperitoneal injection and 2.0g/kg COP by intragastric administration). The stage of COP intervention lasted for 5 weeks. The duration and dose of COP were selected based on our previous study. The reason of halving the dose of DEX at COP intervention stage was an increase in mortality after 2-week DEX treatment, and DEX at a dose of 0.5mg/kg is also frequently used in the construction of muscle atrophy models17. Body weights were recorded twice every week. The protocol of entire experimental is presented in Fig. 1.
At the dissection days, after the rats were fasted overnight, they were anesthetized with sodium pentobarbital (30 mg/kg) by intraperitoneal injection, and whereafter their gastrocnemius (GA), soleus (Sol), tibialis anterior (TA) and plantaris (Pla) muscles were speedily anatomized, weighed, snap frozen in liquid nitrogen and stored at − 80 ℃ (muscles collected for follow-up experiments).
2.4 Body composition
Body composition was assessed with an EchoMRI™ 2012 analyzer (USA) in model building stage rats. Rats were placed into a transparent measuring tube containing small holes for air exchange in the wall at the end of the tube. To minimize movement while the measurement is taking place, rats were restrained by introducing another tube with a smaller diameter.
2.5 Skeletal muscle function tests
The grip strength was estimated by measuring peak force of forelimbs grip using a Grip Strength Meter (YLS-13A; Jinan Yiyan Science & Technology Development Co., Ltd, China). In brief, a rat was held by the base of its tail between the thumb and the forefinger and placed with its forelimbs on the metal sensors of the Grip Strength Meter. When the rat was grasping properly with forelimbs, it was pulled along a straight line leading away from the sensor until the grip was released. A total of five trials were performed with at least 15 min break between trials. For each rat, the maximum and minimum values of five trials are removed and the remaining 3 values are averaged as its grip force value.
The exercise tolerance test was performed on a six-lane open treadmill system (Jiangsu SANS Biological Technology Co. Ltd., Jiangsu, China). On the testing day, Maximum endurance was evaluated by letting the rats run on a treadmill with 5° inclination using a long duration incremental step protocol: 5 min at 15 m/min, 5 min at 20 m/min, 20 min at 25 m/min and 70 min at 30m/min. Exhaustion was determined by the rats failing to remain on the treadmill belt despite a mild electric stimulus (2mA) or completing the duration incremental step protocol. Maximum running capacity was estimated using two parameters: the distance ran (m), the duration of the run (h). To ensure the reliability of the experimental data, the six channels of the treadmill were placed in different groups rats respectively during every exercise tolerance experiment.
2.6 Muscle weights
The hindlimb skeletal muscles (GA, Sol, TA, Pla) were excised and weighed under anesthesia. The muscle weights were adjusted by wet muscle weight/fasting body weight *100.
2.7 Myofiber cross-sectional area (CSA) measurement
After fixed, processed, and embedded, muscle tissues were sliced into 5–7µm thick transverse sections by an automated microtome (Thermo Fisher, USA), and installed on slides. Subsequently, hematoxylin and eosin (H&E) was implemented to stain these samples, and slides were scanned by light microscopy (UNIC TECHNOLOGIES INC, China). Finally, to determine muscle fiber CSA, Image Pro Plus software (Bethesda, MD, USA) was performed to measure 60 muscle fibers from 3 random fields (n = 6 mice per treatment).
2.8 Quantitative real-time PCR
Following the manufacturer's protocols, animal total RNA isolation kit was used to extract total RNA from the samples and purity was evaluated using the NanoDrop TM 2000 (A260/A280 and A260/A230 values were > 1.9, Thermo Fisher). Reverse transcription was performed using the Iscript cDNA Synthesis Kit as directed by the manufacturer. Primer sequences of target genes were commercially designed and synthesized by Sangon Biotech Company (Table 1). In a CFX96 Real-Time PCR Detection System (Bio-Rad, USA), the following conditions were performed to amplify the genes using Real Time PCR EasyTM-SYBR Green I kits (Bio-Rad, USA): 3 min of enzyme activation at 95°C, followed by 40 cycles of denaturation at 95°C for 10 s, and then 30 s of annealing and extension at 65°C. To confirm primer specificity, the melting curve was routinely established at 65°C-95°C for 5 s. The GAPDH gene was used as an internal control. Relative gene expression levels were determined using the comparative ∆∆CT method: ∆CT = CT (target gene) − CT (GAPDH gene). ∆∆CT=∆CT (treatment group) −∆CT (CON group). Lastly, the relative levels of mRNA expression for the target-genes were determined using the 2−∆∆CT method and displayed as fold changes compared to the CON group.
Table 1 Primer sequences used for RT-PCR (5′-3′)
Gene
|
Sequences
|
Amplicon (bp)
|
FoxO3
|
Forward: CCTTCCGTAAGCAAGCCGTGTAC
Reverse: TGGTCTGTTCTCCTGGATGGTCTG
|
303
|
Atrogin-1
|
Forward: ACTACGATGTTGCAGCCAAGAAGAG
Reverse: AGGATGTGTAGAGGGTCTGGAGAAG
|
363
|
MuRF-1
|
Forward: GTTTGACGCCCTCTACGCCATC
Reverse: CTTGATCCTCCTCCTCCTCCTCTTC
|
389
|
LC3-Ⅰ
|
Forward: GAGCGAGTTGGTCAAGATCATCCG
Reverse: GATGTCAGCGATGGGTGTGGATAC
|
115
|
ULK1
|
Forward: GGTTCTGTACTTGAAGGTGGCTGAG
Reverse: ATGTCTGCCTGGTCCGTGAGAG
|
381
|
GSK-3β
|
Forward: GGCTGTGTGTTGGCTGAATTGTTG
Reverse: AAAGTTGAAGAGGGCAGGTGTGTC
|
357
|
p70S6K
|
Forward: CGTGCTGTGGATTGGTGGAGTC
Reverse: AGAGTTGAGTCATCGGGGCTGTC
|
386
|
GAPDH
|
Forward: GTCCATGCCATCACTGCCACTC
Reverse: CGCCTGCTTCACCACCTTCTTG
|
264
|
2.9 Western blot analysis
Muscle tissue that was preconditioned by rinsing 2–3 times with a pre-cooled PBS buffer to remove blood and cut into small pieces was homogenized in RIPA buffer (P0013D, Beyotime) using a homogenizer (KZ-Ⅲ-FP, Servicebio,). Subsequently, transferring the homogenate to the centrifuge tube, icing bath for 30 min, and the supernatant was gained by centrifugation at 12000 rpm at 4℃ for 5 min as the total protein solution. Subsequently, protein concentration was measured with the PierceTM Rapid Gold BCA Protein Assay Kit (A53225, Thermo Fisher), and samples concentration were unified according to the minimum concentration using RIPA buffer, added 1/4 volume loading buffer that included SDS (#S8010-500g, Solarbio), boiled for 5 min at 100°C. Equal amounts of protein were separated on Precast Protein Gels (10% separation gel and 5% concentration gel, G2003-50T, Servicebio) and transferred on PVDF membranes (IPVH00010, Millipore). Membranes were blocked for 1 h in 5% milk (5 g skim milk powder was dissolved into 100 ml TBS-T that contained Tris-buffered saline and 0.1%Tween 20) before overnight incubation at 4°C and shaken with the following antibodies: GAPDH (1:10000 in 5%BSA, ab8245, Abcam), NF-κBp65 (1:1000 in 5%BSA, #8242, CST), mTOR (1:1000 in 5%BSA, ab32028, Abcam), Phospho-FoxO3a (1:5000 in 5%BSA, ET1609-49, Huabio), FoxO3a (1:1000 in 5%BSA, ER1706-79, Huabio), Phospho-Akt (1:10000 in 5%BSA, 66444-1-Ig, Proteintech), Akt (1:1000 in 5%BSA, #4691, CST). After TBS-T washing, membranes were incubated with peroxidase-conjugated secondary antibodies (1:3000 in 5% milk, Elabscience) for 1 h at RT, followed by antibody binding detection using chemiluminescence horseradish peroxidase substrate detection kits (ECL, 170–5060, Bio-Rad) and Chemiluminescence imager (Monad, China). The optical density of the target bands was analyzed by ImageJ software 8.0 (NIH, USA). Relative protein levels were determined by normalizing the band intensity of the target to the loading control (GAPDH) within one gel.
2.10 Immunofluorescence staining of MyoD and Pax7 in TA muscles
After being fixed in 4% paraformaldehyde for 48 hours, muscle sections were embedded in paraffin. Two representative sample from each group was stained with Immunofluorescence. Muscle sections were deparaffinized and hydrated routinely. For antigen retrieval, slices were dissolved in a 50X TRIS-EDTA buffer (pH 9.0, BL617A, Biosharp) and heated for 23 minutes in a microwave oven (Midea, China).To eliminate the interference of tissue own fluorescence, muscle sections were dropped into tissue autofluorescence quench solution A, and incubated at RT for 30 min. Followed by sections were blocked with 5% normal goat serum (primary liquid: PBS = 1:19) for 30 min at RT and incubated with anti-MyoD (1:200, 18943-1-AP, Proteintech) and anti-Pax7 (1:100, ET1612-60, Huabio) primary antibodies overnight at 4℃. Whereafter, at RT, the sections were incubated with secondary antibody (CY3 labeled goat anti-rabbit (BS-0295G-Cy3, 1:500, Bioss) for 50 minutes. For staining nuclei, sections were counterstained with 4,6-diamidino-2-phenylindole (DAPI) (BS097, Biosharp) in PBS for 10 minutes, followed by dropping again with tissue autofluorescence quench solution B for 5 min, and washing with running water for 3 min. Finally, sections were mounted using mounting medium (Solarbio). Three random microscopic fields from each sample were photographed with a fluorescence microscope (Beijing Century Science Instrument Co., LTD, China), according to DAPI emitted bule light (UV excitation wavelength of 510–560 nm, emission wavelength of 420 nm), and CY3 emitted red light (UV excitation wavelength of 330–380 nm, emission wavelength of 590 nm). Image-pro Plus 6.0 software was used to calculate the percentage of MyoD and Pax7 positive cells in TA muscle sections.
2.11 Statistical analysis
All data was expressed as mean ± standard deviation (SD) and was performed statistical analysis using IBM SPSS 26.0 (USA). At the model building stage, t-test was implemented to compare differences between CON group and Model group. At the intervene stage, the one-way analysis of variance (ANOVA) was used for analyzing the total differences between groups, and when P<0.05, Dunnett-T was used to further compare the difference between DEX group and other two groups.