Here, we investigated the changes in muscle transcriptome, contractile force and phenotype of both fast, glycolytic and slow, oxidative muscle with myofibre-specific receptor knockout of either individual or both Acvr1b and Tgfbr1. Our data show that simultaneous myofibre-specific knockout of both TGF-β type I receptors induced the most differentially expressed genes in gastrocnemius muscle, including genes related to muscle growth, contraction, differentiation, filament organization, matrix remodelling, and metabolism, while the transcriptome in soleus of dKO mice was affected to a lesser extent. Moreover, double knockout of both TGF-β type I receptors induced substantial hypertrophy which was accompanied by an increase in muscle force-generating capacity. In contrast, knockout of individual receptors had little effect on the changes of muscle mass and strength. For fast-type muscle in dKO mice, muscle mass was increased by 60%, while maximal isometric contraction force was only increased by 30%, resulting in a 23% reduction in specific force. For slow-type soleus muscle, the magnitude of hypertrophy was substantially lower (23%), the maximal isometric contractile force was increased by 66%, yielding an unaltered specific force. Strikingly, for both fast- and slow-type muscles of dKO mice increased myofibre CSA was accompanied by increased integrated SDH and cytochrome C oxidase activity in muscles, indicating increased oxidative capacity. In addition, capillary to myofibre ratio was increased and myoglobin concentration was unchanged within myofibres in low oxidative region of gastrocnemius and soleus lacking both type I receptors, suggesting enhanced oxygen supply and sustained intracellular oxygen transportation in hypertrophic muscle. Our study reveals a critical role of TGF-β type I receptors in the regulation of muscle type-specific strength, phenotype, metabolism and provides targets and cues for the development of treatment for muscle wasting disorders.
Fast-type gastrocnemius muscle lacking both TGF-β type I receptors shows the largest number of DEGs and highest increase in muscle mass
Targeting both Acvr1b and Tgfbr1 in fast-type muscles resulted in the largest number of DEGs and sizable muscle hypertrophy compared to control (wild-type) muscles. Simultaneous receptor knockout induced modest DEGs and a lesser extent of hypertrophy in the soleus. Although transcriptomic profiles in both gastrocnemius and soleus of single knockout mice were different from those of wild-type mice, the lack of either Acvr1b or Tgfbr1 induced modest muscle hypertrophy and phenotype alterations. These results imply functional redundancy of ACVR1B and TGFBR1 in skeletal muscle. The larger number of DEGs and muscle hypertrophy in gastrocnemius of dKO mice may contribute to the higher gene expression levels of Acv1b and Tgfbr1 than in soleus. Since gene expression level of Acvr1b and Tgfbr1 in the soleus of control mice was 10% and 40% of that in gastrocnemius of control mice, respectively (Fig. 1. C, D), low expression levels of TGF-β type I receptors likely resulted in a less pronounced effect of gene knockout on muscle transcriptomic profile and phenotype. In addition, most of the DEGs in fast-type muscle of dKO mice were associated with muscle contraction, muscle growth and differentiation, sarcomere organization, matrix remodeling, and metabolism (Fig. 1. K). These findings indicate that TGF-β signalling plays an important role in several cellular processes and physiological activities in skeletal muscle.
In addition to the largest number of DEGs, double knockout of TGF-β type I receptors induced the largest hypertrophy in fast-type muscle. Previously we have shown that 5 weeks after tamoxifen-induced knockout of both TGF-β type I receptors in skeletal muscle, type IIB myofibre CSA of tibialis anterior muscle was increased by twofold, while type I myofibre CSA was not changed 40. Here, three months after inducible knockout of both type I receptors, FCSA was increased in both fast-and slow-type muscles. Interestingly, FCSA in low oxidative region of gastrocnemius muscles which consist predominantly of type IIB myofibre was increased by 3.2-fold in dKO mice (Fig. 2. E), while FCSA in high oxidative region of gastrocnemius and soleus of dKO mice was increased by 1.5-fold (Fig. 2. G). These observations are in line with previous observations that fast-type myofibres of human and rodents have a stronger potential to hypertrophy in response to hypertrophic stimuli by resistance exercise 41,42 or mechanical overload 43. In addition, the increased Hgf expression, particularly in gastrocnemius muscles of dKO mice, may have contributed to the substantial muscle hypertrophy in this muscle which exceeded that shown in soleus. HGF induces both protein synthesis signalling in muscle cells and activates MuSCs 44,45, the increased expression of Hgf in gastrocnemius of dKO mice likely stimulated an increase in protein synthesis rate and may have supported regeneration of myofibres in the outer region (Fig. 4. J). Since Hgf expression was still upregulated after 3 months of dKO mice, it is highly conceivable that HGF was a key factor in the continuous elevated protein synthesis in fast-type muscle.
Maximum isometric force is increased while specific force is reduced in fast-type muscle in the absence of both TGF-β type I receptors
Despite the substantial muscle hypertrophy induced by double knockout of TGF-β type I receptors in gastrocnemius, muscle maximum isometric force was not proportionally increased, resulting in reduced specific force. In contrast, specific force was not decreased in soleus (Fig. 2. H, I). The faster rate of hypertrophy and the discrepancy in hypertrophy and force-generating capacity in fast-type myofibres raise the question what the mechanism is underling these differences between fast-type and slow-type myofibres and what the explanation is for the differential effects on force-generating capacity. Several factors determine the maximal force-generating capacity of a muscle (e.g., myofibre type composition, cross bridge density, and muscle architecture) 46.
The disproportional changes in muscle size and strength in the fast-type myofibres may be explained by two mechanisms. One explanation may be an unbalanced increase in contractile protein content and in systems for excitation-contraction coupling (ECC). Although fast-type myofibres generate higher specific forces than slow-type myofibres 47,48, the increase in myofibre CSA occurred concurrently with a reduction in specific force 49. Previously it has been shown that supplementation of insulin stimulates hypertrophy of mature single myofibres in vitro, while the increase in maximal force remains half of the percentage of increase in CSA when the number of sarcomeres in series is unchanged 50. It is conceivable that the production of contractile machinery and functional improvement is delayed compared to the increase in muscle mass 51. This observation is in line with the concurrently reduced specific force and myosin content in myostatin-null mice, indicating a reduced number of functional bound cross-bridges 30. Here in the current study, the reduced gene expressions of Mylk2, Myl2, Myh7 and Myh6 in gastrocnemius of dKO mice suggests a reduced expression of proteins involved in the contractile machinery. The imbalance in contractile and total protein content in myofibres of dKO mice likely contributed to the reduction in specific force of gastrocnemius. In addition, in our transcriptomic analysis, sarcolipin (Sln), a negative regulator of sarcoplasmic reticulum ATPase (SERCA), showed a 20-fold increase in gastrocnemius muscles of dKO mice, suggesting an enhanced inhibition of cytosolic calcium reuptake in the sarcoplasmic reticulum. Inhibition of SERCA protein activity disrupts the ECC process, which has been related to increased cytosolic calcium and muscle weakness 52. It has been shown that overexpression of Sln reduced peak twitch force and tetanic force in soleus muscle 53, and also reduced contractility of cardiac myocytes due to the reduced calcium uptake rate of sarcoplasmic reticulum 54. The substantially increase in Sln expression level in gastrocnemius may explain the reduced specific force. The differences in the fold increase of Sln expression between gastrocnemius and soleus (20-fold vs. 2.3-fold) of dKO mice potentially have contributed to the differences in muscle force generating compacity (i.e. specific force).
A second explanation could be the impaired replacement of dysfunctional contractile and cytoskeletal proteins. Our RNA-seq data show that gene expression of Foxo1 was decreased in gastrocnemius of dKO mice, indicating inhibition of protein degradation (Supplementary Data). The inhibition of protein degradation rate may lead to accumulation of dysfunctional myofibrils both quantitively and qualitatively, causing a reduced force production 55. These observations are in line with the reduced specific force in EDL muscle of myostatin-null mice, which was accompanied by reduced expression levels of atrogin-1 and ubiquitinated myosin heavy chain 56. Similarly, muscle-specific knockout of Foxo1, 3 and 4 in mice increased myofibre CSA while maximal gastrocnemius contraction force was also reduced 57. Skinned myofibre segment experiments are warranted to reveal the contribution of the impact of dysfunctional proteins in the reduction of specific force.
Lack of both type I receptors reduces eccentric contraction force in gastrocnemius muscles while has minor effects on muscle force-frequency relationship
Susceptibility to eccentric contraction-induced injury was examined for both the soleus and gastrocnemius muscles. For all groups, the relative force exerted during the series of eccentric contractions was less in gastrocnemius muscles of dKO mice rather than in soleus muscles of dKO mice compared to other groups, suggesting that fast, glycolytic muscle is more susceptible to eccentric loading induced strength loss (Fig. 4. A). This observation was in line with those of other studies showing a larger drop in force in fast, low oxidative EDL muscles compared to slow, high oxidative soleus muscles after eccentric contractions, followed by a higher release of lactase dehydrogenase, indicating more sarcolemmal damage in the fast-type muscle 26,58. Type II myofibres are more damaged after eccentric contraction than type I myofibres 59. Cytoskeletal elements play critical roles in maintaining myofibre structural integrity. Fibre type relative differences in Z-line composition, the titin isoform stiffness, nebulin size, dystrophin content and length have been argued to contribute to the higher vulnerability to injury and the force loss 60. However, we did not observe any differences in the expression of related genes.
Another factor that may have contributed to the enhanced susceptibility to injury is related to the increase in gene expression of Mybph (Fig. 3. N). Mybph encodes a homologue of MYBPC. MYBPH is presumed as a putative skeletal muscle biomarker of amyotrophic lateral sclerosis and signals the onset of disruption of actin-myosin interaction 61. Upregulation of Mybph is a feature of severe myopathy 62,63. The extent to which the elevated Mybph expression in dKO muscles contributes to the susceptibility of eccentric contraction-induced strength loss remains to be determined.
In addition, we observed an increase in Obsl1 expression in both fast- and slow-type muscles of dKO mice (Fig. 3. M). Obsl1 encodes for obscurin-like 1 (OBSL1) which is a homologue of obscurin. Both obscurin and OBSL1 bind to myomesin and titin in the M-band to stabilize sarcomere structure 64. The increased Obsl1 expression suggests an adaptation of the cytoskeleton in response to the high forces that was exerted by hypertrophic myofibres. Despite the elevated levels of Obsl1 in dKO mice, the substantial loss in gastrocnemius muscle strength of dKO suggests that assembly of cytoskeleton proteins was not optimal in fast-type muscle. As the function of OBSL1 is not fully understood yet, the disruption of sarcomeric alignment and actin-myosin function during eccentric contraction in fast-type muscle of dKO mice requires further investigation.
Alternatively, high forces generated by the hypertrophic myofibres may cause high, local sarcomere strains along the sarcolemma, resulting in an increased susceptibility to contraction induced injury. Moreover, as part of the cytoskeleton, actin filaments are linked to the syntrophin complex by dystrophin. In acinar cells, knockout of Sntb1 has been shown to result in dispersed actin and defective actin assembly 65. Here, reduced expression of Sntb1 in gastrocnemius muscles of dKO mice is suggested to destabilize the sarcomeres. Given that dystrophin-deficient mice are particularly susceptible to damage from eccentric contractions due to the disruption of DGC complex 66, it is conceivable that in dKO gastrocnemius the reduced Sntb1 expression, as one of the DGC elements, may jeopardize cell membrane integrity and increase susceptibility to contraction-induced muscle damage 67. As a result, the scar tissue and regenerating myofibres observed in regions of in low oxidative region of dKO gastrocnemius may lead to further muscle injury and force loss after eccentric contraction (Fig. 4. J). In addition, reduced Sntb1 expression levels have been shown to be associated with increased myotube diameter in vitro, suggesting the regulatory effect of SNTB1 on muscle size 68.
This study shows that endomysium and perimysium thickness in muscles lacking both type I receptors were increased in proportion with the increase in myofibre CSA (Fig. 4. H, I). The increase endomysium and perimysium thickness could be an adaptation to the higher forces exerted by hypertrophic myofifbre 69 and as such does not explain the enhanced eccentric contraction-induced reduction in force-generating capacity in dKO gastrocnemius muscle.
Lack of both Acvr1b and Tgfbr1 stimulates hypertrophy and oxidative metabolic capacity
Here we demonstrate that simultaneous myofibre-specific knockout of both TGF-β type I receptors allows for simultaneous increase myofibre size and oxidative capacity. Myofibres that lack both Tgfbr1 and Acvr1b show increased integrated SDH activity compared to myofibres of similar size of control mice and other species. In general, throughout a range of species myofibre size and oxidative metabolism are inversely related 13,39, indicating that hypertrophy and an increase in oxidative metabolism are mutually exclusive. Generally, it is a challenge to simultaneously increase muscle size and oxidative capacity cf.13. In human, the increase in muscle mass induced by resistance training was blunted by concurrently performing endurance training which increased mitochondrial activity 70,71. Our quantitative histochemical assessment of SDH activity provides calibrated histological estimates of myofibre VO2max 72. Integrated SDH activity was increased in myofibres of dKO mice. In addition, cytochrome c oxidase activity per myofibre CSA was not changed in hypertrophic myofibres of dKO mice compared to control (Fig. 5. K). The increased integrated SDH and cytochrome c oxidase activities in myofibres of dKO mice indicate the increased mitochondrial respiratory chain activity. This unique finding demonstrates that the inverse relation between of myofibre size and oxidative metabolism capacity is violated by knocking out both TGF-β type I receptors.
Regarding the regulatory mechanisms underlying the increase in myofibre mitochondrial biosynthesis, the transcriptome analysis suggested that the increased oxidative metabolic capacity was due to the increased transcription of mitochondrial genes per myofibre. Since the amount of total mRNA per milligram muscle and the number of total nuclei per myofibre were not changed (Supplementary Fig. 1. J, Fig. 3H), the increased mRNA levels per myofibre was due to the increase in transcripts. This suggests that in dKO mice, transcriptional rate of mitochondrial genes per myonucleus was enhanced, which contributes to the increased number of proteins in the respiratory chain and mitochondrial content, leading to increased aerobic metabolic activity in myofibres. In addition, 20-fold increased Sln in gastrocnemius of dKO mice may contribute to the enhanced aerobic metabolism. High Sln expression level has been shown to increase oxidative metabolism in skeletal muscle 73. Over expression of Sln triggered mitochondrial biogenesis by raising intracellular calcium concentration which activates CAMKII and PGC-1α 74. By uncoupling SERCA, SLN increased energy demand, leading to enhanced mitochondrial biogenesis and ATP production 75. These observations indicate that TGF-β type I receptor signalling is likely a key play in the regulation of mitochondrial biosynthesis.
Sufficient oxygen supply is pivotal to maintain mitochondrial ATP production 76. We asked whether increased integrated SDH activity in dKO mice was accompanied by increased oxygen supply and uptake. Previous studies have shown that capillary supply to a myofibre is associated with the myofibre CSA 77. Local capillary to myofibre ratio showed a positive correlation with myofibre size in human and rates muscles 78. We assumed that intracellular oxygen transportation should be increased to meet the oxygen demand within myofibres lacking both Acvr1b and Tgfbr1. Here, we found an increase in capillary to myofibre ratio in the low oxidative region in gastrocnemius and soleus muscles in the absence of both type I receptors (Fig. 5. N). This indicates that myofibre-specific knockout of both TGF-β type I receptors stimulates capillarization. In addition to extracellular oxygen supply, intracellular oxygen transportation is also important to facilitate oxygen diffusion for oxidative energy production, which is mainly regulated by myoglobin 79,80. Although gene expression levels of Mb in gastrocnemius of dKO mice were reduced (Fig. 5. L), myoglobin concentration within myofibres was unchanged in the low oxidative region of gastrocnemius and soleus (Fig. 5. M), which was likely caused by enhanced rate of translation. This suggests that increased myoglobin content may have contributed to enhanced intracellular oxygen transport within the superficial region of fast-type muscle and slow-type muscle to prevent hypoxia in the core of myofibre. In addition to oxygen storage and diffusion to the mitochondria within the myocyte, deoxymyoglobin has been shown to have strong nitrite reductase activity and able to generate nitric oxide (NO) 81. NO causes vasodilation and increases the blood flow to ensure sufficient oxygen delivery to the myofibre to match its metabolic requirements. Overall, the myofibre-specific lack of both Acvr1b and Tgfbr1 in skeletal muscle increases myofibre CSA, oxidative metabolism, vascularization and facilitates intracellular myofibre oxygen transport simultaneously, suggesting that inhibition of TGF-β type I receptors signalling potentially improves muscle endurance capacity.
Potential clinical implications of simultaneous knockout of Acvr1b and Tgfbr1
The present study shows three results with clinical relevance. First of all, myofibre-specific lack of both Acvr1b and Tgfbr1 increases myofibre size and oxidative capacity, indicating that potential pharmacological interference with these receptors may improve muscle strength and endurance capacity simultaneoulsy. Secondly, our results indicate that simultaneous receptor knockout positively affects force generation capacity particularly in slow, high oxidative myofibres, as a specific force in soleus muscles is preserved. Increased muscle mass with a less than proportional increase in force-generating capacity may not be beneficial. It is worth investigating whether endurance exercise combined with simultaneous pharmacological inhibition of Acvr1b and Tgfbr1 may enhance force-generating capacity, while preserving or improving specific muscle force. Note that human skeletal muscles do not express type IIB myosin, thus simultaneously blocking Acvr1b and Tgfbr1 in adult human skeletal muscle may resemble the results observed in mouse soleus muscle rather than those in gastrocnemius muscle. Last, lack of Acvr1b and Tgfbr1 in fast, glycolytic muscles reduced eccentric force-generating capacity, which is a potential indication for increased susceptibility to injurious eccentric loading. Therefore, it is noteworthy that in the development of a therapeutic intervention, substantial hypertrophy of glycolytic myofibres should be restrained to minimize the risk for injury.
In conclusion, our results indicate that myofibre-specific long-lasting simultaneous blocking of Acvr1b and Tgfbr1 in mice skeletal muscles results in muscle transcriptional changes, including genes involved in muscle growth, contraction, differentiation, filament organization, matrix remodelling, and metabolism. Knockout of both type I receptors differentially increases muscle mass and improves force-generating capacity in fast, glycolytic gastrocnemius and slow, high oxidative soleus muscles. Combined inhibition of both receptors in fast-type muscle induces a larger increase in muscle mass than that in force-generating capacity, while muscle mass in slow-type muscle is increased to a lower extent, but is in proportion with the increase in force-generating capacity. Substantial hypertrophy in fast-type muscles increases susceptibility to eccentric contraction induced injury. Moreover, combined myofibre specific knockout of both Tgfbr1 and Acvr1b increases SDH activity in proportion with the increased myofibre size. Although myofbre size and oxidative capacity are usually inversely related, simultaneous inhibition of TGF-β type I receptors seems to be a beneficial strategy to alleviate muscle pathology that may outperform other strategies, as interference with these receptors may improve muscle strength and aerobic metabolism capacity simultaneously.