After 6-24 hrs of the intramuscular injection of appropriate amount of snake venom, the soleus became swollen and lost its red colour. This was probably due to the inflammation and the degradation of myoglobin in mitochondria rich fibres that were the most sensitive to the Ca
2+ entry through the sarcolemma [
31,
32,
37]. The venom toxins bind to a receptor on the sarcolemma and tissue damage is achieved by amplification of the initial effect via signal networks [
38]. As the rat soleus muscle contain about 70% type I and 28% type IIA and only 1-2% type IIx fibres [
39] this meant practically total fibre degradation. The muscle pallor and weight loss, lasted until day 4-5 of regeneration, then the colour was restored by day 5 but the weight was regained only around day 28 of regeneration [
40]. The microscopic changes were the most evident on transversal sections of the necrotised-regenerating muscle; the fibre outline faded already at 6 hours and practically diminished by day 3 after venom administration. A number of mononucleated cells populated at endomysial sites and throughout the cross section of the fibers [
18]. In the beginning when the optimal dose of the snake venom was established transversal sections were taken along the spindle shaped soleus scanning from proximal to distal tendons in order to check completeness of muscle degradation. This was also confirmed by the dramatic decline or lack of detection of muscle fibre specific transcripts and proteins (i.e. MyHC-s and SERCA-s, skeletal actin) in the whole muscle homogenate [
28,
40,
41]. However, blood vessels and the endomysia outlines were partially preserved until 3 days after toxin administration [
28].
In contrast to the decline of the muscle specific proteins, inflammation markers dramatically increased with the muscle necrosis. The lymphocyte/macrophage specific protein MAC 387 increased after 6 hours showing a maximum on day 3 after toxin injection on immunoblot of whole muscle extracts [
42]. This marker then gradually declined until 28 days after venom injection but still remained above the normal level [
42]. The persistence of MAC 387 indicated that lymphocytes/macrophages apparently accompanied muscle regeneration long after necrosis and probably influenced the autocrine-paracrine environment when regeneration looked macro- and microscopically complete [
43]. Tumor necrosis factor α (TNF-α), a pleiotropic pro-inflamatory cytokine increased with about two magnitude at the mRNA and protein levels. The comparison of the position of desmin positive muscle cells and the in situ hybridization of TNF-α mRNA on cross sections showed that the cytokine is not expressed in myoblasts and myotubes at day four of regeneration when its level was still around the maximum. The lack of TNF-α expression in muscle myoblasts and myotubes was supported by the absence of its transcript from differentiating in vitro muscle cell cultures like C2C12 and BC3H1 cells however the mRNAs of TNF receptors were expressed in these cell lines. In the in vivo muscle regeneration the change of TNF-α was paralleled by the increase of TNFR-60 but not TNFR-80 mRNA levels suggesting that of the smaller receptor has primary role in the TNF-α response. The role of this cytokine is complex in muscle regeneration. It has been shown that TNF-α acts on muscle cells, just like in other tissues, through more than one pathway [
44,
45]. One of these pathways at high level of TNF-α, inhibits myogenesis activating NF-χB which translocates to the nucleus and induces iNOS, IL-1 and again TNF-α [
46]. The other pathway prevents differentiation through destabilization of myoD [
47]. This leads to pro-proliferative and differentiation-suppressing changes [
48,
49]. The other pathway is through the p38 kinase which phosphorylates essential myogenic transcription factors like MyoD, myogenin and MEF-2 and therefore promotes differentiation to myotubes [
50,
51]. The later happens at low TNF concentration. TNF-α is also a chemoattractant of satellite cells and mesangioblasts which are able to contribute to regeneration in dystrophic muscle [
51,
52]. The balance between inflammation and regeneration might be essential for in vivo muscle regeneration [
53]. In a preliminary study, we have administered Remicade (cV1q), a drug containing chimeric antibody to TNF-α, subcutaneously and perimuscularly immediately after the venom injection [
54]. The Remicade treatment increased fibre size and the intensity of desmin specific immunostaining at 4 days compared to the control regenerating muscle. This supported that TNF-α inhibits early events of muscle regeneration including the formation and growth of myotubes/primitive fibres. This was in agreement with the ameliorating effect of Remicade on skeletal muscle fibrosis in mdx mice, where, however, it also had a negative impact on cardiac function [
55]. Myostatin, the first discovered myokine also appeared in this system, according to its growth inhibitory role, suppressed satellite cell activation [
56] and later increasingly maintained levels with differentiation [
57].
Figure 1.
Schematic summary of the studied gene expressions in rat soleus regeneration. The names MRF, SERCA, myostatin, TNF-α indicate the maximum levels of mRNAs/proteins during the characteristic morphological changes of regeneration. Note the consecutive neonatal (SERCA1b), fast (SERCA1a) and slow type (SERCA2a) calcium pump expressions and that SERCA2a remains the dominant form in the slow type soleus until the end of regeneration. The transfections were done to myotubes formed after for days of regeneration.
Figure 1.
Schematic summary of the studied gene expressions in rat soleus regeneration. The names MRF, SERCA, myostatin, TNF-α indicate the maximum levels of mRNAs/proteins during the characteristic morphological changes of regeneration. Note the consecutive neonatal (SERCA1b), fast (SERCA1a) and slow type (SERCA2a) calcium pump expressions and that SERCA2a remains the dominant form in the slow type soleus until the end of regeneration. The transfections were done to myotubes formed after for days of regeneration.