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A mitofusin 2/HIF1α axis sets a maturation checkpoint in regenerating skeletal muscle.


ABSTRACT: A fundamental issue in regenerative medicine is whether there exist endogenous regulatory mechanisms that limit the speed and efficiency of the repair process. We report the existence of a maturation checkpoint during muscle regeneration that pauses myofibers at a neonatal stage. This checkpoint is regulated by the mitochondrial protein mitofusin 2 (Mfn2), the expression of which is activated in response to muscle injury. Mfn2 is required for growth and maturation of regenerating myofibers; in the absence of Mfn2, new myofibers arrested at a neonatal stage, characterized by centrally nucleated myofibers and loss of H3K27me3 repressive marks at the neonatal myosin heavy chain gene. A similar arrest at the neonatal stage was observed in infantile cases of human centronuclear myopathy. Mechanistically, Mfn2 upregulation suppressed expression of hypoxia-induced factor 1α (HIF1α), which is induced in the setting of muscle damage. Sustained HIF1α signaling blocked maturation of new myofibers at the neonatal-to-adult fate transition, revealing the existence of a checkpoint that delays muscle regeneration. Correspondingly, inhibition of HIF1α allowed myofibers to bypass the checkpoint, thereby accelerating the repair process. We conclude that skeletal muscle contains a regenerative checkpoint that regulates the speed of myofiber maturation in response to Mfn2 and HIF1α activity.

SUBMITTER: Wang X 

PROVIDER: S-EPMC9711883 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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A mitofusin 2/HIF1α axis sets a maturation checkpoint in regenerating skeletal muscle.

Wang Xun X   Jia Yuemeng Y   Zhao Jiawei J   Lesner Nicholas P NP   Menezes Cameron J CJ   Shelton Spencer D SD   Venigalla Siva Sai Krishna SSK   Xu Jian J   Cai Chunyu C   Mishra Prashant P  

The Journal of clinical investigation 20221201 23


A fundamental issue in regenerative medicine is whether there exist endogenous regulatory mechanisms that limit the speed and efficiency of the repair process. We report the existence of a maturation checkpoint during muscle regeneration that pauses myofibers at a neonatal stage. This checkpoint is regulated by the mitochondrial protein mitofusin 2 (Mfn2), the expression of which is activated in response to muscle injury. Mfn2 is required for growth and maturation of regenerating myofibers; in t  ...[more]

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