Key result
BGP-15 treatment significantly improved soleus muscle fibre force after 5 days of ICU exposure in rats, but had no protective effect at 8 and 10 days when preferential loss of myosin was manifest.
Why the study?
Critical illness myopathy lacks specific treatments beyond supportive care, and the effects of the chaperone co-inducer BGP-15 on limb muscle under ICU conditions remained to be explored.
Does BGP-15 improve soleus muscle fibre force in a rat ICU model?
Does BGP-15 improve soleus muscle fibre force in a rat ICU model?
BGP-15 mitigates early contractile dysfunction in limb muscles in a rat ICU model but loses efficacy once preferential loss of myosin occurs.
BGP-15 may mitigate early limb muscle dysfunction in CIM models; leaves open long-term efficacy and human translation.
AIM: Critical illness myopathy (CIM) represents a common consequence of modern intensive care, negatively impacting patient health and significantly increasing health care costs; however, there is no treatment available apart from symptomatic and supportive interventions. The chaperone co-inducer BGP-15 has previously been shown to have a positive effect on the diaphragm in rats exposed to the intensive care unit (ICU) condition. In this study, we aim to explore the effects of BGP-15 on a limb muscle (soleus muscle) in response to the ICU condition. METHODS: Sprague-Dawley rats were subjected to the ICU condition for 5, 8 and 10 days and compared with untreated sham-operated controls. RESULTS: BGP-15 significantly improved soleus muscle fibre force after 5 days exposure to the ICU condition. This improvement was associated with the protection of myosin from post-translational myosin modifications, improved mitochondrial structure/biogenesis and reduced the expression of MuRF1 and Fbxo31 E3 ligases. At longer durations (8 and 10 days), BGP-15 had no protective effect when the hallmark of CIM had become manifest, that is, preferential loss of myosin. Unrelated to the effects on skeletal muscle, BGP-15 had a strong positive effect on survival compared with untreated animals. CONCLUSIONS: BGP-15 treatment improved soleus muscle fibre and motor protein function after 5 days exposure to the ICU condition, but not at longer durations (8 and 10 days) when the preferential loss of myosin was manifest. Thus, long-term CIM interventions targeting limb muscle fibre/myosin force generation capacity need to consider both the post-translational modifications and the loss of myosin.
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Cacciani et al. (2019) studied Critical illness myopathy (CIM). BGP-15 vs. Untreated sham-operated controls was evaluated on Soleus muscle fibre force. BGP-15 treatment significantly improved soleus muscle fibre force after 5 days of ICU exposure in rats, but had no protective effect at 8 and 10 days when preferential loss of myosin was manifest.
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