Blocking a cellular signal protects muscle from wasting after injury...

Treatments, Rehabilitation, and Recovery
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Christopher
Posts: 845
Joined: Wed Jun 18, 2003 10:09 pm
Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02

Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed

BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.

Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)

"Do what you can, with what you have, where you are."
~Theodore Roosevelt
Location: Los Angeles, California USA

Blocking a cellular signal protects muscle from wasting after injury...

Post by Christopher »

This would be great to keep muscles viable until innervation or a cure comes around! In fact, there would be little need to worry about rushing into surgery if this was available...

http://www.innovations-report.com/html/ ... 73262.html

Helping muscle regenerate

02.11.2006

Blocking a cellular signal protects muscle from wasting after injury and improves muscle regeneration


Muscle wasting can occur at all ages as the result of genetic defects, heart failure, spinal injury or cancer. A therapy to cure the loss of muscle mass and strength, which has a severe impact on patients’ lives, is desperately sought. Blocking a central signal molecule, researchers from the Mouse Biology Unit of the European Molecular Biology Laboratory (EMBL) in Monterotondo, Italy, have now found a way to protect muscle from degenerating after injury and to improve muscle healing in mice. The study appears in the current issue of the Journal of Clinical Investigation and suggests two molecules with the potential to speed up the regeneration of damaged muscle as promising drug targets for new therapies against muscle wasting.


We don’t realise it when it is working fine, but our muscle is an intricate system that depends on a well regulated balance of protein production and breakdown. When this balance gets disturbed by disease or injury our muscles fade away, and with them our strength. A crucial player in this process is the signalling molecule NF-kB. It is well known as a messenger of inflammation and has recently been implicated in other degenerative conditions such as multiple sclerosis. The groups of Nadia Rosenthal and Manolis Pasparakis at the EMBL Mouse Biology Unit have now investigated the role NF-kB plays in muscle wasting.

First, they genetically removed NF-kB from the leg muscles of mice by blocking IKK2, a protein needed to activate the signal. Then, to mimic spinal injury, they blocked the communication between the spinal cord and the lower leg muscle – an intervention that under normal circumstances inevitably leads to muscle wasting.

“What we observed was truly amazing”, says Rosenthal, Head of EMBL’s Mouse Biology Unit. ”The mice showed hardly any muscle wasting after the injury; their muscle fibres maintained almost the same size, strength and distribution as in a healthy muscle. But that’s not all; blocking IKK2 also helped muscle healing. Without the NF-kB signal the muscle regenerated much better and faster.”

In response to injury or inflammation, NF-kB shuts down the production of proteins and stimulates their breakdown, which leads to the loss of muscle substance. Blocking NF-kB has the reverse effect, protects muscle from wasting and improves healing of already degenerated muscle.

Protection against muscle atrophy was even stronger when a gene encoding growth factor IGF-1 was added to muscle tissue lacking NF-kB. Rosenthal and her lab have been studying IGF-1 for a long time and have shown in previous studies that the molecule is very good at promoting repair of skeletal and cardiac muscles.

“The fact that NF-kB reduction helps maintain our muscle mass is a useful starting point to develop new therapies against muscle diseases,” says Foteini Mourkioti, who carried out the research in Rosenthal’s lab. “Adding IGF-1 has a similar effect as blocking NF-kB, but it must act, at least in parts, independently of NF-kB, because we observed a clear improvement when using the two treatments together,” she explains.

A combination of IKK2 inhibitors with growth factors like IGF-1, then seems to be the most promising basis for new therapies against muscle diseases. The human NF-kB and growth factor signaling networks are very similar to those of mice, so compounds interfering with them are likely to show the same positive effects in humans.
ptrefam
Posts: 674
Joined: Fri Jan 06, 2006 5:19 pm

Re: Blocking a cellular signal protects muscle from wasting after injury...

Post by ptrefam »

Wonderful!! Great paper. Where do we sign up, lol. Sounds just like what Dustin needs. I am so glad to see all the research and improvements being made in this field.
Sue
kaz
Posts: 48
Joined: Mon Oct 02, 2006 10:27 am

Re: Blocking a cellular signal protects muscle from wasting after injury...

Post by kaz »

For now, as we wait, what can we do? I know range of motion exercise EVERYDAY, but not being able to contract the muscle it atrophyies. It's been just over 4 months since my accident & the weakness happened so fast.
admin
Site Admin
Posts: 19873
Joined: Mon Nov 16, 2009 9:59 pm

Re: Blocking a cellular signal protects muscle from wasting after injury...

Post by admin »

This is exciting news. I'm guessing that 10 years from now, BP injuries won't be nearly so devastating.

BTW our son's deltoid lost all its bulk in about 2 weeks or even less!
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