Muscle denervation at the neuromuscular junction (NMJ) is thought to be a contributing factor in age-related muscle weakness. Therefore, understanding the mechanisms that modulate NMJ innervation is a key to developing therapies to combat age-related muscle weakness affecting the elderly. Two mouse models, one lacking the Cu/Zn superoxide dismutase (SOD1) gene and another harboring the transgenic mutant human SOD1 gene, display progressive changes at the NMJ, including muscle endplate fragmentation, nerve terminal sprouting, and denervation. These changes at the NMJ share many of the common features observed in the NMJs of aged mice. In this review, research findings demonstrating the effects of PGC-1α, IGF-1, GDNF, MyoD, myogenin, and miR-206 on NMJ innervation patterns in the G93A SOD1 mice will be highlighted in the context of age-related muscle denervation.
Key words: Aging, muscle denervation, amyotrophic lateral sclerosis, SOD1-/-mouse, G93A SOD1 mouse, oxidative stress Many retrospective and prospective studies have shown that age-related muscle weakness (dynapenia) is associated with decreased muscle function and increased risk for mortality in the elderly [1][2][3][4]. Dynapenia is a main cause of muscular instability, contributing to falls and subsequent fractures, ultimately impacting quality of life [5,6]. Both diet and exercise are practical interventions demonstrated to delay many devastating and debilitating age-associated pathologies including type 2 diabetes, cardiovascular disease, cerebrovascular disease, cognitive dysfunction, and even some cancers [7][8][9][10][11][12][13][14]. However, physical activity is the most effective means for increasing the quality of life in the elderly [15,16] and gait speed is a strong predictor of survival rate in elderly subjects [17]. Dynapenia represents a dramatic and inevitable decline in skeletal muscle function, which inevitably poses challenges for implementing a physical activity program to benefit the quality of life in the elderly. It is thought that complex degeneration of the neuromuscular system contributes to dynapenia [18][19][20][21][22].It has been proposed that age-associated changes occur in both the nervous system and the muscular system, leading to an overall loss in muscular strength [23]. In humans, a significant decrease in the number of motor units and muscle strength is observed with aging [24]. Studies using rodent models of aging show extensive alteration in NMJ morphology. Findings from the BaliceGordon lab demonstrated significant instability in the NMJ of aged rats using a longitudinal visualization technique for monitoring the NMJ in vivo [25]. Examination of 12-to 20-month-old rats demonstrated a progressive loss of synaptic areas and fragmentation of muscle endplates, leading to significant losses in pre-and post-synaptic structures over time [26]. Subsequent studies in mice have shown similar NMJ denervation with aging [27][28][29].