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From the Department of Molecular Therapy,* National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo; and the Third Department of Internal Medicine,
National Defense Medical College, Saitama, Japan
| Abstract |
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The muscle regeneration process is very similar to myogenesis during development except for the infiltration of inflammatory cells into the damaged muscle. It is widely accepted that the inflammatory cells, particularly macrophages, have important roles in muscle regeneration.6-8 Macrophages serve as a local source of cytokines, which act on various cells such as the inflammatory cells and satellite cells. To determine which cytokines dominate the complex but highly coordinated muscle regeneration process, and to clarify which cytokines regulate the activation, proliferation, and differentiation of the satellite cells, we examined the expression of cytokines and their related genes during muscle regeneration. We injected a snake venom, cardiotoxin, into mouse tibialis anterior (TA) muscle to induce muscle regeneration, and examined it at different stages of regeneration by using a cDNA macroarray. We found that a number of genes, especially chemokines and their receptors, were increased at 48 hours, 96 hours, and 7 days after cardiotoxin injection. Among them, the gene expression of osteopontin (OPN), a versatile regulator of inflammation,9-11 was drastically increased at 48 hours and 96 hours after cardiotoxin injection. We confirmed the expression of the gene by Northern blotting. We also detected OPN expression in both the cytoplasm of macrophages and necrotic muscle fibers with macrophage infiltration by immunohistochemistry using an anti-OPN antibody. Our studies suggest that OPN may be an important mediator in the early phase of muscle regeneration.
| Materials and Methods |
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ICR male mice (8 to 9 weeks old) were purchased from Nihon CLEA (Tokyo, Japan). Mice were anesthetized by inhalation of diethylether (Wako Chemicals, Osaka, Japan), and 100 µl of cardiotoxin12 of Naja naja atra venom (10 µmol/L in saline, Wako Chemicals) was injected into the right TA muscle with a 27-gauge needle. The concentration of cardiotoxin was determined by a previous study.13 Our conditions ensure minimal damage to satellite cells and also to the nerves and blood vessels of the original muscles.13 The contralateral untreated TA muscle served as the control.
Tissue Preparation
For cDNA array and histochemical analysis, mice were sacrificed at 24, 48, or 96 hours, and 7, 14, or 28 days after cardiotoxin injection. After cervical dislocation, bilateral TA muscles were rapidly dissected out and frozen in liquid nitrogen. Some tissues were fixed with 10% formalin and embedded in paraffin.
cDNA Array
The mouse cytokine array purchased from R&D Systems (Minneapolis, MN) provided a pair of charged nylon membranes. Each of them contained 514 different cytokine and cytokine-related genes. According to the manufacturers instructions, they were classified as 1) adhesion molecules, 2) angiogenic factors, 3) apoptosis-related factors, 4) binding proteins, 5) cell surface proteins, 6) chemokines and their receptors, 7) cytokines and their receptors, 8) developmental factors, 9) epidermal growth factor family genes, 10) ephrins and their receptors, 11) fibroblast growth factor (FGF) family genes, 12) integrins, 13) interleukins (ILs) and their receptors, 14) neurotrophic factors, 15) nitric oxide metabolism genes, 16) proteases or related factors, 17) signal transduction-related genes, 18) telomerase-related genes, 19) transforming growth factor-ß superfamily genes, 20) genes of tumor necrosis factor-
superfamilies, and 21) weight regulation-related genes. The array also contained 8 housekeeping genes and 16 spots of mouse genomic DNA.
Total RNA was isolated from 10 pooled TA muscles with RNAzol B (Tel-Test Inc., Friendswood, TX). Poly(A)+ RNAs were then purified from total RNAs with an Oligotex-DT mRNA purification kit according to the manufacturers protocol (TaKaRa, Shiga, Japan). 32P-Radiolabeled cDNA probes for array hybridization were generated by reverse transcriptase reaction. In brief, 500 ng of poly(A)+ RNAs were annealed with the provided mouse-specific primer (R&D Systems), incubated for 2 minutes at 90°C, and gradually cooled down to 42°C. Then, radiolabeling was performed in a reverse transcription buffer containing 333 µmol/L of dATP, dTTP, dGTP; 1.67 µmol/L of dCTP; 20 µCi [32P]-dCTP (1000 to 3000 Ci/mmol/L; Amersham Pharmacia, Piscataway, NJ); 20 U of RNase inhibitor (Ambion, Austin, TX); and 25 U of AMV reverse transcriptase (Life Technologies, Inc., Grand Island, NY). After 3 hours of incubation at 42°C, they were cleared by passage through CHROMA Spin TE-10 (Clontech, Palo Alto, CA). The cDNA array membranes were prehybridized for more than 1 hour and incubated with radiolabeled cDNA probes at 65°C overnight in a buffer containing 5x saline-sodium phosphate-EDTA (SSPE), 2% (W/V) sodium dodecyl sulfate (SDS), 5x Denhardts solution, and 100 µg/ml sonicated salmon testes DNA. The membranes were then washed with washing buffers (0.5x SSPE and 1% SDS and 0.1x SSPE and 1% SDS) at 65°C for more than 30 minutes. The signals (pixel intensity/mm2) were quantified using a Phosphorimager (BAS-2500; Fuji Film, Tokyo, Japan) and BAStation (Fuji Film) and analyzed with Microsoft Excel 98 (Microsoft, Redmond, WA).
Data Quantification and Analysis
cDNA array experiments were performed three times with three independent samples from each time point. To compare the injected and control muscles, we used the following data corrections. cDNAs were spotted in duplicate at 10 ng per spot of each gene. First, the average signal intensity (pixel intensity/mm2) of two spots of each gene was calculated (A). The background signal (B) was determined by measuring the signals of spots of negative controls on the array membranes. The corrected signal (C) was obtained from C = A - B. Next, the corrected signals of mouse genomic DNAs on the two sheets were calculated, and the ratio (C.injection of genomic DNA/C.normal of genomic DNA) was used to normalize the corrected signals of the two membranes. We did not use the housekeeping genes to normalize the corrected signals because their expressions change greatly during the muscle regeneration process. The normalized signal of each gene in injected muscle is expressed as A.injection - B.injection (=C.injection), and that of normal muscle is expressed as C.normal x (C.injection of genomic DNA/C.normal of genomic DNA). After normalization, the induction ratio was calculated as the ratio of the normalized signal of the injected control side to that of nontreated side. These results were expressed as -fold increase or decrease. The fold inductions in Tables 1, 3, 4, and 6
are averages of three independent experiments.
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Frozen TA muscles were cut at 10 µm, air-dried, and fixed with acetone at -20°C for 10 minutes. Paraffin sections were cut at 6 µm, deparaffinized with xylene, hydrated with decreasing concentrations of ethanol, and washed twice with 0.01 mol/L of phosphate-buffered saline (pH. 7.4) containing 0.1% Triton X-100 (PBS-T). Sections were treated with 0.03% hydrogen peroxide to deplete endogenous peroxidase activity and washed twice with PBS-T. For immunolabeling of OPN, sections were microwaved in 10 mmol/L of citric acid buffer (pH 6.0) for 10 minutes. After incubation with PBS-T containing 5% bovine serum albumin and 10% goat serum for 1 hour, the sections were probed with either rabbit anti-mouse OPN polyclonal antibody (1:100 dilution; IBL, Gunma, Japan) or rat anti-F4/80 antibody (1:20; OBM, Tokyo, Japan) overnight. After several washings with PBS-T, the sections were incubated with appropriate second antibodies for 1 hour. The second antibodies were biotinylated goat anti-rabbit immunoglobulin (1:200; BD Phar-mingen, La Jolla, CA), biotinylated rabbit anti-rat immunoglobulin (1:300; DAKO, Glostrup, Denmark), Alexa Fluor 594-labeled goat anti-rat IgG or 488-labeled anti-rabbit IgG (1:600; Molecular Probes, Eugene, OR). The sections were then rinsed with PBS-T twice. Some sections were incubated with Vectastain ABC reagents (Vector Laboratories, Burlingame, CA) for 1 hour. After three washings with PBS, the sections were incubated with 0.02% solution of 3,3-diaminobenzidine tetrahydrochloride, 0.01% H2O2 in Tris-buffered saline. Light counterstaining of nuclei using methyl green or TOTO-3 (Molecular Probes) was performed. As negative controls, the primary antibody was substituted with 5% bovine serum albumin.
Northern Blotting
Ten µg of total RNAs were separated on a 1.5% denaturing agarose gel, blotted onto Hybond-N+ membrane (Amersham Pharmacia Biotech, Buckinghamshire, UK) for 6 hours, and then probed with either 32P-dCTP-labeled cDNA of OPN or 18s RNA. The cDNA fragment of mouse OPN was generated by reverse transcriptase-polymerase chain reaction with the following primers: forward primer, 5'-CGA CCA TGA GAT TGG CAG TGA TTT G, and reverse primer, 5'-CCA CTG AAC TGA GAA ATG AGC. The primer designs were based on the sequences of Gene Bank accession no. NM-009263. The expected 996-bp polymerase chain reaction products were cloned into a TA cloning vector (Invitrogen, Carlsbad, CA), sequenced, and labeled with 32P-dCTP using a Random Priming DNA Labeling kit (TaKaRa). The hybridization was performed overnight at 42°C in ULTRAhybe solution (Ambion). Subsequently membranes were washed three times in 2x standard saline citrate and 0.1% SDS at 42°C for 20 minutes and in 0.1x standard saline citrate and 0.1% SDS at 42°C for 20 minutes. To normalize the signals, the membranes were subsequently rehybridized with a 32P-labeled cDNA probe of 18s RNA (Ambion). The images were visualized and quantified by a BAS2500 Phosphorimager (Fuji Film).
| Results |
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To examine the expression of cytokine and related genes during muscle regeneration, cardiotoxin was injected into right TA muscles of 8- to 9-week-old ICR male mice. Cardiotoxin is a snake venom12
that selectively injures myofibers but leaves nerves, blood vessels, and satellite cells morphologically intact.13
Hematoxylin and eosin (H&E) staining revealed that many mononucleated cells had infiltrated the necrotic area 48 hours after toxin treatment (Figure 1B)
, and that they had also penetrated swollen necrotic muscle fibers (Figure 1B
, arrows). After 96 hours, mononucleated cells still actively infiltrated the necrotic area, but newly regenerating myotubes with central nuclei were also observed (Figure 1C
, arrow). Seven days after injury, the numbers of infiltrating cells and necrotic fibers were greatly reduced and the diameter of regenerating muscle fibers with central nuclei had become considerably larger (Figure 1D)
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A part of the raw images of cDNA array analyses of damaged and control muscles at 48 hours after cardiotoxin injection is shown (Figure 2A)
. Each spot of the injected side is clearly recognizable, whereas some genes in the control side are not. The scattergraphs of all genes examined at 48 hours and 96 hours after muscle damage induced by cardiotoxin are also shown (Figure 2B)
. The signal of each gene and the number of up-regulated genes tended to be greater 96 hours after treatment when compared with those of 48 hours, although expressions of many genes were changed within a cutoff point (fivefold). In Figure 2C
, scattergraphs show induction or reduction of expression of several relevant gene families. Based on the induction pattern, they could be divided into approximately three groups. The first group included the genes whose expressions were increased at both 48 hours and 96 hours. These gene families were chemokines and their receptors, ILs and their receptors, and integrins (Figure 2C)
. The second group included genes whose expressions were increased at 96 hours but not at 48 hours after injection. These included the FGF family, neurotrophic factors (Figure 2C)
, and ephrins and their receptors. The third group included the genes that were induced slightly at both time points. This group was composed of transcription factors and angiogenic factors (Figure 2C)
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We first analyzed the cytokine gene expression in injured and control TA muscles 48 hours after cardiotoxin injection. As shown in Figure 1
, mononucleated cells were densely infiltrating into the TA muscle 48 hours after injury. At this stage, numerous inflammation-related cytokines and chemokines were up-regulated (see scattergraphs in Figure 2
). In Table 1
, we listed the genes that increased more than fivefold when compared with the contralateral muscle. Table 2
is a list of genes that were up-regulated during muscle regeneration despite negligible expression in the control muscle; the induction ratio was not calculated for these genes. The total number of genes listed in Tables 1 and 2
is 40, which corresponds to 8.7% of the 522 examined genes. Many chemokines and their receptors were up-regulated at this early inflammatory stage of muscle regeneration. The majority of these genes belong to the C-C chemokine/receptor subfamily.14
JE/MCP-1/CCL2, MIP-1ß/CCL4, and C10/CCL6 increased more than 30-fold (Table 1)
, and other C-C chemokines (MIP-1
/CCL3, MIP-1
/CCL9, MCP-3/CCL7, and MCP-5/CCL12) were also up-regulated (Table 2)
. The expression of their corresponding receptors (CCR1, CCR2, and CCR5) was also increased. Genes encoding ILs and their receptors were up-regulated at this stage (Figure 2C)
.
Several genes of other categories were also up-regulated. Mannose receptors and Mer are related to macrophage phagocytosis.15
Matrix metalloproteinase-12 (MMP-12) is required when macrophages penetrate the basement membrane, which surrounds muscle fibers.16
Tissue inhibitor of matrix metalloproteinase-1 (TIMP-1), a natural inhibitor of MMPs, was also increased. Notably, the expression of OPN was most highly up-regulated among the 522 genes on the array (Table 1)
.
The leukemia inhibitory factor (LIF), and hepatocyte growth factor (HGF) which can regulate proliferation of the satellite cells in vitro and/or in vivo1-6,17-21
were modestly increased: LIF, 2.8-fold; HGF,
3.5-fold.
At this time point, FGF family genes (eg, FGF-2 and FGF-6) and transforming growth factor-ß superfamily genes were not greatly up-regulated. Similarly, growth factors such as platelet-derived growth factors, insulin-like growth factor (IGF)-1, and IGF-2, which could be potent regulators of satellite cells,1-6,20,21 were not highly up-regulated.
A list of the down-regulated genes (less than one-fifth) at 48 hours after cardiotoxin treatment is shown in Table 3
. Nine genes were decreased to less than one-fifth when compared to control muscle. IGF-binding protein (IGFBP)-5 was reported to regulate the effect of IGFs on myogenic cells in culture.22
Some genes that regulate angiogenesis [eg, vascular endothelial growth factor (VEGF)-A, VEGF-B, and TIE-2] were reduced at this stage. The reduction of erbB3, which is normally expressed in the neuromuscular junction,23
may reflect reorganization of the neuromuscular junction after muscle necrosis.
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We next analyzed the expression of the genes at 96 hours after cardiotoxin injection. Highly up-regulated genes at 96 hours after cardiotoxin injection are shown in Tables 4 and 5
. Genes that were up-regulated during muscle regeneration despite the nearly complete lack of expression in the control muscle are shown in Table 5
. The majority of highly up-regulated genes 96 hours after cardiotoxin injection are chemokines and their receptors, as at 48 hours after injection. For instance, the expression of Mig/CXCL9 and RANTES/CCL5 was increased. The expression of MCP-1 and MIP-1ß was also elevated at 96 hours, but their induction ratios were decreased when compared with those at 48 hours after injection. ILs and their receptors and integrins were also found in the up-regulated genes.
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Cytokine cDNA Array Analysis 7 Days after Cardiotoxin Injection
Tables 6 and 7
show up-regulated genes at 7 days after muscle injury. A much smaller number of genes was up-regulated more than fivefold at this stage. Most of them are also recognized to be increased at 96 hours after muscle injury and are related to maturation of regenerating myofibers or tissue remodeling.
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OPN Expression in Regenerating Muscle
Our array experiments showed that the OPN gene was one of the most prominently up-regulated genes (Tables 1 and 4)
. Northern blotting confirmed that expression of the OPN gene occurred at 8 hours after cardiotoxin injection. The expression level of the OPN gene was greatly up-regulated 48 hours after injection but was slightly down-regulated at 96 hours, as shown in Figure 3
. The OPN signals in control muscles were quite low. When the 18s RNA signal was used as an internal control, the induction ratio of OPN was calculated as 84-fold at 48 hours and 45-fold at 96 hours after injection, respectively. Seven days after injection, expression of OPN had declined greatly. These results indicate that the expression level of the OPN gene was elevated during the early phases of inflammation and decreased rapidly thereafter.
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| Discussion |
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A Large Number of Cytokines Were Up-Regulated in Injured Muscle
Our results showed that many cytokine genes and cytokine-related genes are up-regulated at the inflammatory stage (48 hours), at the stage of differentiation into myotubes (96 hours), and at the stage of maturation of myofibers (7 days). The results indicate that migration and adhesion of inflammatory cells, activation of satellite cells, reorganization of the extracellular matrix, and removal of necrotic debris actively and almost simultaneously occur throughout the process of muscle regeneration. Among the genes examined, up-regulation of several chemokines and growth factors for satellite cells, was found, and OPN was the one most characteristically changed in this study. In turn, the expression of angiogenic factors (VEGF and VEGF receptor, and TIE) were reduced at 48 hours after cardiotoxin injection. These findings contrasted sharply to those of ischemic injury, which induced the expression of VEGF and receptor 2 in skeletal muscle tissue.36
Recently, Paoni and colleagues37
also reported induction of hypoxia-induced factor-1
, which is an important regulator of VEGF production under different oxygen concentrations,38
in femoral artery ligation models by using a cDNA array.37
The unique characteristics of cardiotoxin, which selectively damages muscle fibers and leaves satellite cells, nerves, and vascular endothelial cells morphologically intact,13
may account for these differences.
The limitations of cDNA array are that the changes of mRNA level do not always correlate with the changes in protein level and that changes in mRNA levels do not reveal the functional role(s) of the molecules. For example, FGF-2 mRNA was not highly up-regulated after cardiotoxin treatment although FGF-2 is a potent stimulator of the proliferation of myogenic cells in vitro. In contrast, previous studies showed elevated levels of FGF-2 protein in regenerating muscle after crush injury.39 Furthermore, a rapid increase of expression of FGF-2 expression was detected in crush-injured muscle by immunohistochemistry, implying exposure of the epitope of pre-existing growth factor because of muscle necrosis rather than new translation of FGF-2.39 In addition, administration of exogenous FGF-2 has little additional effect on normal regeneration30,40 indicating that FGF-2 is not normally a limiting factor.3,4 Instead, the availability of specific receptors and proteoglycans that facilitate binding of growth factor to their receptors is more likely the crucial factor. Thus, careful consideration is required for the interpretation of the data obtained by cDNA array in light of these complex relationships among the mRNA level, protein level, and functional roles of each molecule during muscle regeneration.
Comparison of the Cytokine Expression Profile in the Regeneration Model with Those of Dystrophic Muscle and Inflammatory Myopathies
cDNA array technologies are now extensively used to elucidate the molecular pathogenesis of human muscle diseases.41-43
In muscular dystrophies such as Duchenne muscular dystrophy, however, muscle regeneration and inflammatory responses are usually limited. Indeed, the levels of inflammatory cytokines in human muscular dystrophies seem much lower than in the cardiotoxin-induced regeneration model.41,42
Very interestingly, expression profiles of mdx mice, an animal model of Duchenne muscular dystrophy, indicated an active inflammatory response in the limb muscles.44,45
Further, expression profiles of mdx mice are qualitatively similar to those of cardiotoxin-induced muscle regeneration. For example, up-regulation of several chemokines (MCP-1, C10, MIP-1
, MCP-3, CCR2, and CXCR4), IL receptors (IL-10 receptor and IL-1ra), MMPs (MMP-3 and MMP-12), and several cytokines (OPN and IGF-2) were observed in both the mdx and cardiotoxin-induced regeneration models.44
Many features of dystrophin-deficient muscle pathology are not clearly related to the loss of mechanical support of muscle membrane by dystrophin, and some changes could be ascribed to chronic inflammatory responses.46
Taken together, active inflammation, associated with active regeneration, may in part explain the phenotypic differences between mdx mice and Duchenne muscular dystrophy.
Human idiopathic myositis is characterized by many infiltrating leukocytes, which produced large amounts of inflammatory cytokines in skeletal muscle.43
Importantly, however, different sets of cytokines are overexpressed in human myositis compared with cardiotoxin-induced muscle regeneration. For example, many immune-related cytokines and their receptors (eg, IL-1
, IL-2, IL-4, IL-6, tumor necrosis factor-ß, interferon-
, and their receptors) are expressed in inflammatory myopathies,43,47
but are not extensively expressed in the cardiotoxin-injection model. Active muscle regeneration exists beside muscle necrosis in polymyositis/dermatomyositis, but the qualitative difference between cardiotoxin models and polymyositis/dermatomyositis may be ascribed to the immune response in the latter condition.
Up-Regulation of Chemokines
Previous studies have demonstrated that infiltration of macrophages triggers the regeneration process,7,8
and molecules that recruit macrophages are expressed in the injured muscle tissue.6,48
Several cytokines such as platelet-derived growth factor, transforming growth factor-ß, FGF-2, LIF, and HGF have been shown to promote chemotaxis of macrophages or muscle satellite cells.48,49
In the present study, we found that C-C chemokines/receptors, which regulate the infiltration of monocytes/macrophages, were highly up-regulated: eg, MIP-1
and MCP-1 are ligands for CCR1, MCP-1 and MCP-3 for CCR2, and MIP-1
and MIP-1ß for CCR5.14
Monocytes/macrophages have expressed CCR1, CCR2, and CCR5.50
Although the precise cellular sources of these chemokines remain to be determined, the parallel expression patterns between ligands and receptors and the close relationship between gene expressions and histological changes suggest that these chemokines may participate in the infiltration of monocytes/macrophages into the injured muscle. Furthermore, it is interesting that the expression levels of C10/CCL6 were high at both 48 and 96 hours after injury, whereas those of MCP-1/CCL2 and MIP-1ß/CCL4 had rapidly declined by 96 hours. The expression of chemokines might be strictly controlled throughout the time course of inflammation associated with muscle regeneration.
Growth Factors that Activate Satellite Cells
Satellite cells modulate their cell-cycle state in response to growth factors.1-6 In fact, there are many reports that growth factors (eg, HGF, FGFs, IGFs) stimulate proliferation of satellite cells in vitro; however, which cytokines activate dormant satellite cells and promote the proliferation of satellite cells during muscle regeneration in vivo is not well established. It is also unclear which molecules regulate the timing of differentiation. At 48 hours after cardiotoxin injection, we detected modest induction of HGF and LIF. At 96 hours after the cardiotoxin injection, HGF, IGF-1, and IGF-2 mRNAs were found to be considerably elevated. High levels of IGF-1 and IGF-2 mRNA expression are still observed 7 days after injury. Up-regulation of IGF-1 and IGH-2 is consistent with previous findings and further supports the idea that IGF-1 and IGF-2 are the major factors that promote both the proliferation of satellite cells and muscle growth during muscle regeneration.51,52
IGF-1 and IGF-2 can stimulate both proliferation and differentiation of myoblasts through the same type 1 IGF receptor.53 The use of binding proteins such as IGFBPs and vitronectin is essential to their biological activity,54 and IGFBPs are suggested to determine whether myoblasts respond to IGFs by proliferation or differentiation.53,55 Therefore, it is interesting to note that IGFBP-5 was decreased at 48 hours and then recovered at 96 hours after injection. IGFBP-5 can inhibit both proliferative and differentiative effects of IGF-2 in cultured myogenic cells.22 On the other hand, IGFBP-7, which was up-regulated at 96 hours, has been recently shown to inhibit differentiation without affecting the proliferative effects of IGFs in myogenic cell culture.24 These changes of IGFBP expression may finely regulate proliferation and differentiation of myoblasts.
Role of OPN in Skeletal Muscle Regeneration
OPN (also called secreted phosphoprotein-1, minopontin, or Eta-1) is a phosphorylated glycoprotein that contains an arginine-glycine-aspartate (RGD) sequence, is present in mineralized tissues as extracellular matrices, and is implicated in many pathological conditions as a multifunctional cytokine.9-11,56,57 In this study, we showed that OPN was highly up-regulated during the muscle regeneration process. In the context of inflammation and the tissue repair/remodeling process, OPN has been implicated as a chemoattractant for monocytes/macrophages and an adhesive molecule for various cells.9-11 But what is the most important role of OPN in the muscle regeneration process?
OPN may not be directly involved in the macrophage influx process of muscle regeneration. Indeed, the role of OPN as a macrophage guide is less than conclusive,11 and the results differ according to the experimental model.35,58-62 In our series of cDNA array experiments, the expressions of not only OPN but of several chemokines for monocytes/macrophages, such as MCP-1, were highly increased in regenerating muscle. Further, we observed that gene expression of MCP-1 was much greater than that of OPN at 8 hours after cardiotoxin injection (unpublished observations).
Alternatively, OPN secreted by macrophages may serve as an adhesion molecule for macrophages to promote phagocytosis.63
This study revealed that a major source of OPN was the macrophages themselves, and protein localization of OPN was associated with the necrotic fibers under invasion by macrophages. It has been shown that macrophages can produce integrin 
ß3, a receptor for OPN, which plays a role in macrophage phagocytosis.64
Indeed, supporting this idea, one of the most striking differences between mice lacking OPN and the wild type was decreased clearance of tissue debris and infectious agents.61,62
Finally, OPN might have accessory roles in muscle regeneration, because this molecule is a multifunctional cytokine. In particular, OPN affects vascularization65 and collagen synthesis and fibrosis61,66 during muscle regeneration.44,67
In conclusion, our cDNA array experiment contributes to the understanding of the muscle regeneration phenomenon, a highly coordinated, dynamic event that results from an interplay of numerous inflammatory and myogenic regulators. In particular, further investigation into the role for OPN in muscle regeneration could provide a novel intervention for muscular dystrophy.
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| Acknowledgements |
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| Footnotes |
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Supported by grants-in-aid for scientific research from the Center of Excellence, Research on Nervous and Mental Disorders (10B-1, 13B-1), health science research grants for research on the human genome and gene therapy (H10-genome-015, H13-genome-001), for research on brain science (H12-brain-028) from the Ministry of Health, Labor, and Welfare; grants-in aid for scientific research (10557065, 11470153, 11170264, and 14657158) from the Ministry of Education, Culture, Sports, Science, and Technology; and a research grant from the Human Frontier Science Project.
Accepted for publication April 4, 2003.
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