Abbreviations: ADAMTS5, ADAM metallopeptidase with thrombospondin type 1 motif 5; BHLHE40, basic helix-loop-helix family member E40; CTGF, connective tissue growth factor; Cyr61, cysteine-rich angiogenic inducer 61; FiO 2 , fraction of inspired oxygen; GM-CSF, granulocyte macrophage colony stimulating factor; Gulp1, GULP PTB domain containing engulfment adaptor 1; HIF-1, hypoxia-inducible factor-1; IFNγ, interferon gamma; IGF, insulin-like growth factor; Il, interleukin; IKzf2, IKAROS family zinc finger 2; MRF, myogenic regulatory factors; Myf5, myogenic factor 5; MyoD, myogenic differentiation; NF-κB, nuclear factor kappa B; Pax7, paired box 7; Pmp22, peripheral myelin protein 22; STAT3, signal transducer and activator of transcription 3; TAZ, Taffazin; TNFα, tumor necrosis factor alpha; YAP, yes associated protein.
AbstractAcute environmental hypoxia may potentiate muscle hypertrophy in response to resistance training but the mechanisms are still unknown. To this end, twenty subjects performed a 1-leg knee extension session (8 sets of 8 repetitions at 80% 1 repetition maximum, 2-min rest between sets) in normoxic or normobaric hypoxic conditions (FiO2 14%). Muscle biopsies were taken 15 min and 4 hours after exercise in the vastus lateralis of the exercised and the non-exercised legs. Blood samples were taken immediately, 2h and 4h after exercise. In vivo, hypoxic exercise fostered acute inflammation mediated by the TNFα/NF-κB/IL-6/STAT3 (+333%, +194%, + 163% and +50% respectively) pathway, which has been shown to contribute to satellite cells myogenesis. Inflammation activation was followed by skeletal muscle invasion by CD68 (+63%) and CD197 (+152%) positive immune cells, both known to regulate muscle regeneration. The role of hypoxia-induced activation of inflammation in myogenesis was confirmed in vitro. Acute hypoxia promoted myogenesis through increased Myf5 (+300%), MyoD (+88%), myogenin (+1816%) and MRF4 (+489%) mRNA levels in primary myotubes and this response was blunted by siRNA targeting STAT3. In conclusion, our results suggest that hypoxia could improve muscle hypertrophic response following resistance exercise through IL-6/STAT3-dependent myogenesis and immune cells-dependent muscle regeneration.
K E Y W O R D Sexercise, hypoxia, inflammation, muscle, myogenesis 1886 | BRITTO eT al.