Butyrate ameliorate skeletal muscle atrophy in Diabetic Nephropathy via
enhancing gut barrier function and GPR43 mediated PI3K/AKT/mTOR signals
Abstract
Muscle protein catabolism in patients with diabetic nephropathy (DN)
results in striking losses of muscle proteins, which increases morbidity
and mortality risks. Emerging evidence shows that short-chain fatty
acids (SCFAs) play an important role in the maintenance of health and
disease development. Recently, the connection between butyrate (a SCFA)
and DN has been revealed, although the relationship between butyrate and
muscle atrophy is still not clear. In our study, we found a significant
decrease in butyrate in DN using metabolomics analyses. The addition of
butyrate remarkably intestinal barrier function. Concurrently, butyrate
could alleviate muscle atrophy and promote PI3K/AKT/mTOR signals, and
suppress oxidative stress and autophagy in the skeletal muscle of db/db
mice as well as high glucose/lipopolysaccharide (HG/LPS)-induced C2C12
cells. To further explore the mechanism, we found that GPR43, the key
SCFAs signaling molecule, was significantly decreased in the skeletal
muscle of db/db mice and HG/LPS-induced C2C12 cells. Overexpression of
GPR43 could activate PI3K/AKT/mTOR signals and inhibit oxidative stress
and autophagy in HG/LPS-induced C2C12 cells. Silencing of GPR43 blocked
PI3K/AKT/mTOR signals improved by butyrate, as well as suppression of
oxidative stress and reduction of autophagy. Ultimately, butyrate
alleviated muscle atrophy in DN via GPR43-mediated PI3K/AKT/mTOR pathway