Tuckow AP, Vary TC, Kimball SR, Jefferson LS. Ectopic expression of eIF2Bε in rat skeletal muscle rescues the sepsis-induced reduction in guanine nucleotide exchange activity and protein synthesis. Am J Physiol Endocrinol Metab 299: E241-E248, 2010. First published May 18, 2010; doi:10.1152/ajpendo.00151.2010.-Eukaryotic initiation factor 2B (eIF2B) is a guanine nucleotide exchange factor (GEF) whose activity is both tightly regulated and rate-controlling with regard to global rates of protein synthesis. Skeletal muscle eIF2B activity and expression of its catalytic ε-subunit (eIF2Bε) have been implicated as potential contributors to the altered rates of protein synthesis in a number of physiological conditions and experimental models. The objective of this study was to directly examine the effects of exogenously expressed eIF2Bε in vivo on GEF activity and protein synthetic rates in rat skeletal muscle. A plasmid encoding FLAGeIF2Bε was transfected into the tibialis anterior (TA) of one leg, while the contralateral TA received a control plasmid. Ectopic expression of eIF2Bε resulted in increased GEF activity in TA homogenates of healthy rats, demonstrating that the expressed protein was catalytically active. In an effort to restore a deficit in eIF2B activity, we utilized an established model of chronic sepsis in which skeletal muscle eIF2B activity is known to be impaired. Ectopic expression of eIF2Bε in the TA rescued the sepsis-induced deficit in GEF activity and muscle protein synthesis. The results demonstrate that modulation of eIF2Bε expression may be sufficient to correct deficits in skeletal muscle protein synthesis associated with sepsis and other musclewasting conditions. mRNA translation; in vivo electroporation; muscle wasting SKELETAL MUSCLE exhibits a unique plasticity with regard to its capacity to increase or decrease in size (i.e., hypertrophy or atrophy) in response to a number of nutritional, environmental, and mechanical stimuli. The loss of skeletal muscle mass that occurs in a number of pathophysiological conditions can lead to adverse effects in functional strength and mobility and, in many conditions, is associated with increased morbidity and mortality (e.g., sarcopenia, sepsis, and cancer cachexia) (for reviews see Refs. 2,8,24). In contrast, repetitive application of a mechanical load, such as resistance exercise, leads to a transient shift in the balance between protein synthesis and degradation in favor of net protein synthesis, and thus the cumulative effect of repetitive bouts of resistance exercise is an increase in muscle size (4, 49, 50). To design appropriate therapeutic interventions to ameliorate skeletal muscle atrophy and maintain or increase muscle mass, the mechanisms that regulate skeletal muscle size must be thoroughly understood.In essence, skeletal muscle hypertrophy requires increased rates of protein synthesis relative to rates of protein degradation, such that a net increase in size occurs due to protein accretion (4, 18, 49, 50). The process of protein synthesis...