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. 2022 Mar 18;11(6):1028.
doi: 10.3390/cells11061028.

Activation of Calpain Contributes to Mechanical Ventilation-Induced Depression of Protein Synthesis in Diaphragm Muscle

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Activation of Calpain Contributes to Mechanical Ventilation-Induced Depression of Protein Synthesis in Diaphragm Muscle

Hayden W Hyatt et al. Cells. .

Abstract

Mechanical ventilation (MV) is a clinical tool that provides respiratory support to patients unable to maintain adequate alveolar ventilation on their own. Although MV is often a life-saving intervention in critically ill patients, an undesired side-effect of prolonged MV is the rapid occurrence of diaphragmatic atrophy due to accelerated proteolysis and depressed protein synthesis. Investigations into the mechanism(s) responsible for MV-induced diaphragmatic atrophy reveal that activation of the calcium-activated protease, calpain, plays a key role in accelerating proteolysis in diaphragm muscle fibers. Moreover, active calpain has been reported to block signaling events that promote protein synthesis (i.e., inhibition of mammalian target of rapamycin (mTOR) activation). While this finding suggests that active calpain can depress muscle protein synthesis, this postulate has not been experimentally verified. Therefore, we tested the hypothesis that active calpain plays a key role in the MV-induced depression of both anabolic signaling events and protein synthesis in the diaphragm muscle. MV-induced activation of calpain in diaphragm muscle fibers was prevented by transgene overexpression of calpastatin, an endogenous inhibitor of calpain. Our findings indicate that overexpression of calpastatin averts MV-induced activation of calpain in diaphragm fibers and rescues the MV-induced depression of protein synthesis in the diaphragm muscle. Surprisingly, deterrence of calpain activation did not impede the MV-induced inhibition of key anabolic signaling events including mTOR activation. However, blockade of calpain activation prevented the calpain-induced cleavage of glutaminyl-tRNA synthetase in diaphragm fibers; this finding is potentially important because aminoacyl-tRNA synthetases play a central role in protein synthesis. Regardless of the mechanism(s) responsible for calpain's depression of protein synthesis, these results provide the first evidence that active calpain plays an important role in promoting the MV-induced depression of protein synthesis within diaphragm fibers.

Keywords: anabolic signaling; calpastatin; oxidative stress; protein translation; proteolysis; redox signaling.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
CAST overexpression prevents MV-induced activation of calpains. (A) Injection of AAV9-CAST into the diaphragm increase CAST expression in diaphragm fibers. (B) Overexpression of CAST in diaphragm fibers prevents MV-induced activation of calpains as determined by the calpain-specific cleavage fragment of αII-spectrin. * = significantly different from CON; # = significantly different from MV; θ = significantly different from CON, CON-CAST, and MV-CAST.
Figure 2
Figure 2
CAST overexpression protects the diaphragm against MV-induced decreases in protein synthesis. Relative rates of protein synthesis were determined by incorporation of the aminonucleoside puromycin into polypeptide chains. θ = MV is significantly different from CON, CON-CAST, and MV-CAST.
Figure 3
Figure 3
Markers of anabolic signaling via the Akt/mTOR pathway are decreased with MV. Notably, preventing MV-induced activation of calpains was not able to rescue diminished Akt/mTOR signaling. Protein expression of (A) Phosphorylated Akt (Ser473), (B) Phosphorylated mTOR (Ser2448), (C) Phosphorylated p70S6 kinase (Thr389), and (D) Phosphorylated 4E-BP1 (Thr37/46). * = significantly different from CON; ^ = significantly different from CON-CAST.
Figure 4
Figure 4
MV-induced activation of calpains results in increased cleavage of glutaminyl tRNA synthetase (GlnRS). θ = MV is significantly different from CON, CON-CAST, and MV-CAST.

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