Interleukin-10 reduces the pathology of mdx muscular dystrophy by deactivating M1 macrophages and modulating macrophage phenotype
Open accessAbstract
M1 macrophages play a major role in worsening muscle injury in the mdx mouse model of Duchenne muscular dystrophy. However, mdx muscle also contains M2c macrophages that can promote tissue repair, indicating that factors regulating the balance between M1 and M2c phenotypes could influence the severity of the disease. Because interleukin-10 (IL-10) modulates macrophage activation in vitro and its expression is elevated in mdx muscles, we tested whether IL-10 influenced the macrophage phenotype in mdx muscle and whether changes in IL-10 expression affected the pathology of muscular dystrophy. Ablation of IL-10 expression in mdx mice increased muscle damage in vivo and reduced mouse strength. Treating mdx muscle macrophages with IL-10 reduced activation of the M1 phenotype, assessed by iNOS expression, and macrophages from IL-10 null mutant mice were more cytolytic than macrophages isolated from wild-type mice. Our data also showed that muscle cells in mdx muscle expressed the IL-10 receptor, suggesting that IL-10 could have direct effects on muscle cells. We assayed whether ablation of IL-10 in mdx mice affected satellite cell numbers, using Pax7 expression as an index, but found no effect. However, IL-10 mutation significantly increased myogenin expression in vivo during the acute and the regenerative phase of mdx pathology. Together, the results show that IL-10 plays a significant regulatory role in muscular dystrophy that may be caused by reducing M1 macrophage activation and cytotoxicity, increasing M2c macrophage activation and modulating muscle differentiation.
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In models of muscular dystrophy, macrophage polarization may play an important role in muscle wasting; progenitor cells are recruited to sites of mixed M1/M2 inflammation, and the lack of an M1 to M2 switch leads to ineffective remodeling and depletion of progenitor reserves.
“Studies have also suggested that macrophage polarization may play an important role in the process of muscle wasting which occurs in models of muscular dystrophy [124,126,127].”
From Macrophage polarization: an opportunity for improved outcomes in biomaterials and regenerative medicine (2012) · cites this paper as [124]
The M2 environment attenuates inflammation and cytotoxic nitric oxide and drives differentiation and fusion of cells.
“The transition to an M2 environment not only serves to attenuate the inflammatory response and potentially cytotoxic production of nitric oxide, but also to drive the differentiation and fusion of cells [114,124].”
From Macrophage polarization: an opportunity for improved outcomes in biomaterials and regenerative medicine (2012) · cites this paper as [124]
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“As a cytokine implicated in muscle regeneration in acute injury models (see below), its potential protective role in muscular dystrophy is not surprising [60].”
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- Authors
- Villalta, S. A., Rinaldi, C., Deng, B., Liu, G., Fedor, B., & Tidball, J. G.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Tidball, J. G.
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-11-30
- Volume
- 20
- Issue
- 4
- Pages
- 790-805
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- PMC
- PMC3024048
- OpenAlex
- W2149152441
- Cited by
- 299
- References
- 67
- Citations by year
- 2026: 10 · 2025: 19 · 2024: 11 · 2023: 13 · 2022: 18 · 2021: 20 · 2020: 14 · 2019: 26 · 2018: 25 · 2017: 25 · 2016: 16 · 2015: 24 · 2014: 23 · 2013: 21 · 2012: 21
- FWCI
- 7.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Molecular Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Muscular Dystrophy Association (157881)
- National Institutes of Health (5r01ar040343-12, AR40343)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR47721, R01 AR 40343, R01AR047721, F31AR054724)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Health Sciences › Medicine › Epidemiology › Inflammatory Myopathies and Dermatomyositis
- Keywords
- IL-10, Duchenne muscular dystrophy, mdx mice, M1 macrophages, M2c macrophages, macrophage polarization, muscle damage, inducible nitric oxide synthase, macrophage cytotoxicity, IL-10 receptor, satellite cells, Pax7, myogenin, muscle regeneration, myogenesis
- MeSH terms
- Animals, Cell Differentiation, Cell Line, Macrophage Activation, Macrophages, Mice, Inbred C57BL, Phagocytosis, Phenotype, Regeneration, Interleukin-10, Mice, Inbred mdx, Muscle, Skeletal, Muscular Dystrophy, Duchenne, Mice, Receptors, Interleukin-10
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