Skeletal Muscle Inflammation, Oxidative Stress and DNA Repair in Age-Related Sarcopenia

Study Overview
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Brief Summary
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The purpose of this research study is to investigate how and why the loss of muscle mass occurs with aging. Tissue collected from young subjects will be compared to previously collected tissue from elderly subjects, as well as previously collected data on muscle function/mass to further investigate cellular and molecular pathways that have recently been shown to be important for the aging process in muscle. The Principal Investigator (PI) and the study team will look for specific proteins (called biomarkers) that can be present in the muscle tissue in various amounts in different individuals. This study will increase the investigators understanding of the processes of muscle atrophy (loss of mass) and functional loss at older age and will help to find new treatments and interventions aimed at improving the quality of life and independence of America's rapidly expanding elderly population.

Detailed Description
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For this project, we will continue to gain mechanistic insight into age-related muscle loss and to maximize the utility of the tissue we previously collected (Claude D. Pepper Older Americans Independence Center (OAIC); Skeletal muscle apoptosis and physical performance; Oxidative RNA/DNA damage and repair in aged human muscle (Developmental Study), IRB # 429-2005) and we will collect muscle tissue from additional young subjects. This project will specifically test whether inflammatory pathways and DNA repair mechanisms are altered and/or involved in the development of sarcopenia and the related decline in physical function observed in the elderly. Aim 1. We will further determine the association of skeletal muscle mass and function with intramuscular mediators of inflammation. Focus will be on inflammatory proteins (e.g.,TNF, TNFR1, pIkBα, pIKKb, CCL2, ZIP14, ZnT2) and genes (e.g., IL-6, TNFa, IL11β, IL-8, CCL2, CCR2, NFkB p50, NFkB p65, ZIP14) and metals (e.g., copper, zinc, and iron). We hypothesize that the majority of these markers will be upregulated in muscle from older individuals when compared to young. Aim 2. For the first time, we will determine the age related effect of DNA damage on pattern and dynamics of mRNA translation in human muscle tissue by genome wide analysis using ribosome profiling. The recently developed deep-sequencing techniques of RNA-seq and ribosome profiling will be implemented on human muscle. This will allow us to explore on a genomic scale and at single-nucleotide resolution, the effect of age-related DNA damage on transcriptional fidelity and translational kinetics. Importantly, for the first time, these phenotype changes will be compared with genome mapping of DNA damage, a major factor driving mammalian aging. We hypothesize that older muscle has greater modification of translational patterns compared to young muscle. Muscle tissue samples remaining following the completion of this research will be stored and used in the future to explore new avenues of research related to aging.

Official Title
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Claude D. Pepper Older Americans Independence Center (OAIC); Skeletal Muscle Inflammation, Oxidative Stress and DNA Repair in Age-Related Sarcopenia

Conditions
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Sarcopenia

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: males and females aged 20-35. willing and able to give informed consent. Exclusion Criteria: High physical activity level (i.e., the subject has spent greater than 300 minutes per week in the past 2 month performing structured physical activity, such as exercising at a gym and/or weight training) Active treatment for cancer or history of cancer in the past 3 years Congestive heart failure NYHA Class III or IV Previous stroke with upper and/or lower extremities involvement within the last 6 months Peripheral vascular disease Fontaine Class III/IV History of life-threatening cardiac arrhythmias, stroke, severe Parkinson's disease or severe neurological disorders likely to interfere with physical function Renal disease requiring dialysis Lung disease requiring steroids Lower extremity amputation Complicated diabetes Life-threatening illnesses with an estimated life expectancy less than 1 year Anticoagulant therapy (aspirin use is allowed, but participants will be asked to stop taking it 48 hours prior to muscle biopsy) Involved in active weight loss > 5 kg in prior 3 months Pregnancy (determined by a pregnancy test) Lidocaine allergy Temporary exclusion criteria: Recent bacterial infection (< 2 weeks) Acute febrile illness in previous 2 months High blood pressure (i.e., BP ≥ 160/90 mm Hg) at the visit (subject will be referred to his/her physician and reevaluated after appropriated therapy being instituted) Taking aspirin within 48 hours preceding biopsy Performing exercise 48 hours prior to the biopsy.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Young<br>Young (20-35 years old) | |
| Old<br>Older (70-99 years old) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tumor Necrosis Factor alpha (TNF-alpha) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| tumor-necrosis factor receptor-1 (TNFR1) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| Phospho-Inhibitory Subunit Of NF-KBα (pIkBα) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| Chemokine (C-C motif) ligand 2 (CCL2) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| zinc transporter (ZIP) 14 | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| Interleukin 6 (IL-6) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| Interleukin (IL) 11β | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| Interleukin 8 (IL-8) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| C-C chemokine receptor type 2 (CCR2) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| zinc transporter 14 (ZIP14) | Inflammation marker; measured in muscle biopsy specimens. | baseline | 
| copper | metals; measured in muscle biopsy specimens. | baseline | 
| zinc | metals; measured in muscle biopsy specimens. | baseline | 
| iron | metals; measured in muscle biopsy specimens. | baseline | 
| ribosome profiling | DNA damage on pattern and dynamics of mRNA translation in human muscle tissue; measured in muscle biopsy specimens. | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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inflammation, aging, sarcopenia, mitochondria, skeletal muscle