Metformin mitigates adipogenesis of fibro-adipogenic progenitors after rotator cuff tears via activating mTOR/ULK1-mediated autophagy

Author:

Zhou Hao1ORCID,Lin Xingzuan1,Feng Shujing2,Zhu Siyuan3,Zhou Han1,Chen Huifang2,Youwu He4,Wang Zekai5,Wang Ru2,Shao Xiexiang1,Wang Jianhua1ORCID

Affiliation:

1. Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China

2. Department of Sports Medicine, School of Exercise and Health, Shanghai University of Sport, Shanghai, People’s Republic of China

3. Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China

4. Department of Hand Plastic Surgery, The First People’s Hospital of Linping District, Hangzhou, People’s Republic of China

5. Department of Life Science, University of Toronto, Toronto, Ontario, Canada

Abstract

The current study demonstrated that gender-specific disparities in muscular fatty infiltration are attributed to mTOR/ULK1-mediated autophagy of FAPs. Decreased autophagic activity contributes to adipogenic differentiation in female FAPs after RCT. Moreover, metformin could enhance mTOR/ULK1-mediated autophagic processes of FAPs, thereby alleviating fatty infiltration and improving shoulder functionality after RCT. Therefore, metformin could be a promising noninvasive intervention to ameliorate muscular fatty infiltration of RCT.

Funder

science and technology planning project of Linpin

MOST | National Natural Science Foundation of China

Publisher

American Physiological Society

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