Volume 56, Issue 6 pp. E134-E140
Basic Science Research

Combined XIL-6R and urocortin-2 treatment restores MDX diaphragm muscle force

Jennifer Manning BSc, PhD

Jennifer Manning BSc, PhD

Department of Physiology, Western Gateway Building, University College Cork, Cork, Ireland

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Maria M. Buckley BSc, PhD

Maria M. Buckley BSc, PhD

Department of Physiology, Western Gateway Building, University College Cork, Cork, Ireland

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Ken D. O'Halloran BSc, PhD

Ken D. O'Halloran BSc, PhD

Department of Physiology, Western Gateway Building, University College Cork, Cork, Ireland

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Dervla O'Malley BSc, PhD

Corresponding Author

Dervla O'Malley BSc, PhD

Department of Physiology, Western Gateway Building, University College Cork, Cork, Ireland

Correspondence to: D. O'Malley; [email protected]Search for more papers by this author
First published: 13 March 2017
Citations: 8

Funding: J.M. was supported by funding from Muscular Dystrophy Ireland and the Department of Physiology, UCC. The monoclonal anti-IL-6 receptor antibody was gifted by Chugai Pharmaceuticals, Tokyo, Japan.

Conflicts of Interest: None of the authors has any conflict of interest to disclose.

ABSTRACT

Introduction: Duchenne muscular dystrophy (DMD) is characterized by progressive muscle degeneration leading to immobility, respiratory failure, and premature death. As chronic inflammation and stress are implicated in DMD pathology, the efficacy of an anti-inflammatory and anti-stress intervention strategy in ameliorating diaphragm dysfunction was investigated. Methods: Diaphragm muscle contractile function was compared in wild-type and dystrophin-deficient mdx mice treated with saline, anti-interleukin-6 receptor antibodies (xIL-6R), the corticotrophin-releasing factor receptor 2 (CRFR2) agonist, urocortin 2, or both xIL-6R and urocortin 2. Results: Combined treatment with xIL-6R and urocortin 2 rescued impaired force in mdx diaphragms. Mechanical work production and muscle shortening was also improved by combined drug treatment. Discussion: Treatment which neutralizes peripheral IL-6 signaling and stimulates CRFR2 recovers force-generating capacity and the ability to perform mechanical work in mdx diaphragm muscle. These findings may be important in the search for therapeutic targets in DMD. Muscle Nerve 56: E134–E140, 2017

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