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Role of Formoterol on Myogenic Regulatory Factor to Ameliorate Statin-induced Myopathy


Article Information

Title: Role of Formoterol on Myogenic Regulatory Factor to Ameliorate Statin-induced Myopathy

Authors: Abdullah Qamar, Arsalan Manzoor Mughal, Humaira Ali, Tayyaba Faisal, Maria Iram, Sana Malik

Journal: Journal of Islamabad Medical and Dental College (JIMDC)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30
Y 2020-07-01 2021-06-30

Publisher: Healers Educational Society

Country: Pakistan

Year: 2024

Volume: 13

Issue: 1

Language: English

DOI: 10.35787/jimdc.v13i1.1022

Keywords: StatinFormoterolMyopathyMyogeninMuscle regeneration

Categories

Abstract

Objective: To investigate the effects of β2-adrenergic agonist formoterol on expression of myogenic regulatory factor myogenin in statin-induced myopathies in rats
Methods: Adult male Sprague-Dawley rats were randomized into control (A), statin-only (B), and statin + formoterol groups (C) (n=30 per group). The control group A received no treatment. B group received simvastatin at 60 mg/kg/day by oral gavage for 12 weeks to induce myotoxicity. C group received simvastatin at 60 mg/kg/day plus formoterol at 3 μg/kg/day by oral gavage for 12 weeks. After 12 weeks, extensor digitorum longus muscles were dissected and 5 μm transverse sections were immunostained for myogenin expression. One cross section was selected from each of the specimen for study. Myogenin-positive nuclei were quantified in 8 random 40x magnification fields per muscle section by a blinded investigator. Data was analyzed using IBM SPSS.
Results: Myogenin-positive nuclei were minimal in the control (A) group and statin-only (B) groups. In contrast, the statin + formoterol (C) group exhibited a significant increase in myogenin-positive nuclei compared to both control and statin-only groups (p<0.001), indicating enhanced muscle regeneration.
Conclusion: Formoterol treatment augmented skeletal muscle repair pathways in a rat model of statin-induced myopathy, potentially via activation of quiescent muscle satellite cells and upregulation of myogenic regulatory factor myogenin in group C.


Research Objective

To investigate the effects of the β2-adrenergic agonist formoterol on the expression of the myogenic regulatory factor myogenin in statin-induced myopathies in rats.


Methodology

Adult male Sprague-Dawley rats were randomized into three groups: control (no treatment), statin-only (simvastatin 60 mg/kg/day for 12 weeks), and statin + formoterol (simvastatin 60 mg/kg/day + formoterol 3 g/kg/day for 12 weeks). Extensor digitorum longus muscles were dissected, sectioned, and immunostained for myogenin expression. Myogenin-positive nuclei were quantified in random fields per section by a blinded investigator. Data was analyzed using IBM SPSS.

Methodology Flowchart
                        graph TD;
    A["Randomize Rats into 3 Groups"] --> B["Administer Treatments"];
    B --> C["12 Weeks of Treatment"];
    C --> D["Euthanize Rats and Harvest EDL Muscles"];
    D --> E["Prepare Muscle Sections"];
    E --> F["Immunostain for Myogenin"];
    F --> G["Quantify Myogenin-Positive Nuclei"];
    G --> H["Analyze Data using SPSS"];
    H --> I["Draw Conclusions"];                    

Discussion

Formoterol treatment augmented skeletal muscle repair pathways in a rat model of statin-induced myopathy, potentially by activating quiescent muscle satellite cells and upregulating the myogenic regulatory factor myogenin. This suggests formoterol's dual action of stimulating muscle regeneration and mitigating damage processes.


Key Findings

The statin + formoterol group exhibited a significant increase in myogenin-positive nuclei compared to both the control and statin-only groups (p<0.001), indicating enhanced muscle regeneration. The statin-only group showed no significant difference in myogenin-positive nuclei compared to the control group.


Conclusion

Formoterol increased the regenerative capacity of skeletal muscle fibers in rats with statin-induced myopathy, likely through the activation of dormant satellite cells and increased myogenin expression.


Fact Check

- Simvastatin was administered at a dose of 60 mg/kg/day for 12 weeks.
- Formoterol was administered at a dose of 3 g/kg/day for 12 weeks.
- The study found a statistically significant increase in myogenin-positive nuclei in the statin + formoterol group compared to control and statin-only groups (p<0.001).


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