Preprint / Version 2

Sex-specific relationships between muscle damage and regenerative myofiber characteristics post CTX injury

##article.authors##

  • Naitik Jhanwar High School Student
  • Andrea Alfaro-Chacon University at Buffalo, State University of New York

DOI:

https://doi.org/10.58445/rars.4165

Keywords:

Muscle Regeneration, Cardiotoxin, Biological Sex, Muscle Damage, Histological Analysis

Abstract

Skeletal muscle regeneration following acute injury relies on highly
coordinated interactions between inflammatory signaling and muscle
tissue responses. Following myofiber necrosis, immune cells infiltrate
the damaged ECM and secrete growth factors like Amphiregulin (Areg),
which can promote satellite cell proliferation and muscle repair.
However, how biological sex and Areg genotype interact to influence
these regenerative processes remains poorly defined. We examined
whether sex and Areg genotype modulate the relationship between tissue
damage and histological measures of regeneration. It was hypothesized
that in a mouse model of CTX-induced injury, female and male mice
across WT and Areg KO genotypes would exhibit sex- and
genotype-dependent differences in the relationship between damaged
area and regenerative myofiber characteristics (size and central
nuclei). Twenty-seven mice were divided across four cohorts: WT males,
WT females, Areg KO males, and KO females. Following CTX-induced
injury, Tibialis Anterior sections were harvested at day 5, stained
with WGA and DAPI, imaged, and analyzed using FIJI to quantify
morphometric parameters. Pearson correlation analyses were performed
separately for each group. A strong inverse correlation between
percent damaged area and median CSA was observed only in WT males (r =
-0.89, p = 0.019). Conversely, percent damaged area positively
correlated with percent central nuclei in WT females (r = 0.87, p =
0.011) and KO females (r = 0.83, p = 0.041). These findings suggest
that Areg signaling and biological sex distinctively shape
regenerative relationships, underscoring the need for multivariate
criteria when evaluating muscle repair.

Author Biography

Andrea Alfaro-Chacon, University at Buffalo, State University of New York

Department: Immunology and Microbiology

References

Bahri, O. A., Naldaiz-Gastesi, N., Kennedy, D. C., Wheatley, A. M., Izeta, A., & McCullagh, K. J. A. (2019). The panniculus carnosus muscle: A novel model of striated muscle regeneration that exhibits sex differences in the mdx mouse. Scientific Reports, 9(1), 15964.

Burzyn, D., Kuswanto, W., Kolodin, D., Shadrach, J. L., Cerletti, M., Jang, Y., Sefik, E., Tan, T. G., Wagers, A. J., Benoist, C., & Mathis, D. (2013). A special population of regulatory T cells potentiates muscle repair. Cell, 155(6), 1282–1295.

Choi, W., Lee, J., Lee, J., Lee, S. H., & Kim, S. (2019). Hepatocyte Growth Factor Regulates Macrophage Transition to the M2 Phenotype and Promotes Murine Skeletal Muscle Regeneration. Frontiers in Physiology, 10, 914.

Deasy, B. M., Lu, A., Tebbets, J. C., Feduska, J. M., Schugar, R. C., Pollett, J. B., Sun, B., Urish, K. L., Gharaibeh, B. M., Cao, B., Rubin, R. T., & Huard, J. (2007). A role for cell sex in stem cell-mediated skeletal muscle regeneration: female cells have higher muscle regeneration efficiency. The Journal of Cell Biology, 177(1), 73–86.

Deprez, A., Orfi, Z., Rieger, L., & Dumont, N. A. (2023). Impaired muscle stem cell function and abnormal myogenesis in acquired myopathies. Bioscience Reports, 43(1). https://doi.org/10.1042/BSR20220284

Feno, S., Munari, F., Gherardi, G., Reane, D. V., D’Angelo, D., Viola, A., Rizzuto, R., & Raffaello, A. (2023). Myonecrosis Induction by Intramuscular Injection of CTX. Bio-Protocol, 13(1), e4587.

Fu, X., Li, S., Jia, M., Yang, W., & Hu, P. (2023). Induction of Skeletal Muscle Injury by Intramuscular Injection of Cardiotoxin in Mouse. Bio-Protocol, 13(9), e4668.

Gama, J. F. G., Romualdo, R. D., de Assis, M. L., de Oliveira, L. M., Quírico-Santos, T., Alves, L. A., & Lagrota-Candido, J. (2022). Role of Regulatory T Cells in Skeletal Muscle Regeneration: A Systematic Review. Biomolecules, 12(6). https://doi.org/10.3390/biom12060817

Guardiola, O., Andolfi, G., Tirone, M., Iavarone, F., Brunelli, S., & Minchiotti, G. (2017). Induction of Acute Skeletal Muscle Regeneration by Cardiotoxin Injection. Journal of Visualized Experiments : JoVE, 119. https://doi.org/10.3791/54515

Hardy, D., Besnard, A., Latil, M., Jouvion, G., Briand, D., Thépenier, C., Pascal, Q., Guguin, A., Gayraud-Morel, B., Cavaillon, J.-M., Tajbakhsh, S., Rocheteau, P., & Chrétien, F. (2016). Comparative Study of Injury Models for Studying Muscle Regeneration in Mice. PloS One, 11(1), e0147198.

Kapuscinski, J. (1995). DAPI: a DNA-specific fluorescent probe. Biotechnic & Histochemistry : Official Publication of the Biological Stain Commission, 70(5), 220–233.

Kostrominova, T. Y. (2011). Application of WGA lectin staining for visualization of the connective tissue in skeletal muscle, bone, and ligament/tendon studies. Microscopy Research and Technique, 74(1), 18–22.

Pizza, F. X., & Buckley, K. H. (2023). Regenerating Myofibers after an Acute Muscle Injury: What Do We Really Know about Them? International Journal of Molecular Sciences, 24(16). https://doi.org/10.3390/ijms241612545

Rigamonti, E., Zordan, P., Sciorati, C., Rovere-Querini, P., & Brunelli, S. (2014). Macrophage plasticity in skeletal muscle repair. BioMed Research International, 2014, 560629.

Wang, Y., Lu, J., & Liu, Y. (2022). Skeletal Muscle Regeneration in Cardiotoxin-Induced Muscle Injury Models. International Journal of Molecular Sciences, 23(21). https://doi.org/10.3390/ijms232113380

Posted

2026-09-20 — Updated on 2026-10-06

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