From Nutrient to MicroRNA: a Novel Insight into Cell Signaling Involved in Skeletal Muscle Development and Disease.

Skeletal muscle is a remarkably complicated organ comprising many different cell types, and it plays an important role in lifelong metabolic health. Nutrients, as an external regulator, potently regulate skeletal muscle development through various internal regulatory factors, such as mammalian target of rapamycin (mTOR) and microRNAs (miRNAs). As a nutrient sensor, mTOR, integrates nutrient availability to regulate myogenesis and directly or indirectly influences microRNA expression. MiRNAs, a class of small non-coding RNAs mediating gene silencing, are implicated in myogenesis and muscle-related diseases. Meanwhile, growing evidence has emerged supporting the notion that the expression of myogenic miRNAs could be regulated by nutrients in an epigenetic mechanism. Therefore, this review presents a novel insight into the cell signaling network underlying nutrient-mTOR-miRNA pathway regulation of skeletal myogenesis and summarizes the epigenetic modifications in myogenic differentiation, which will provide valuable information for potential therapeutic intervention.

Introduction

Skeletal muscle is the largest component of lean body mass in humans and animals, and its condition is crucial for disease, pan class="Disease">injury, and regeneration 1. Skeletal muscle development is a multi-step process that includes the recruitment of myoblasts from myogenic precursors, myoblast proliferation, cell cycle arrest, differentiation and fusion into multinuclear myotubes and then myofibers 2,3. This is a highly complex process in which environmental factors and signaling pathways integrate to activate muscle-specific regulatory transcription factor expression programs 4,5.

Nutrients are one of the most important epigenetic factors to affect skeletal muscle development. Skeletal muscle has a lower priority in nutrient partitioning compared with other organs during early development 6, leading to the development of skeletal muscle vulnerability to nutrient deficiency. Mammalian target of rapamycin (mTOR) is an evolutionarily conserved protein kinase that regulates a series of biological processes, including cell growth, differentiation and metabolism 7. During the past several years, many lines of evidence have confirmed that mTOR, located at the heart of a nutrient-sensing signaling network, has emerged as a key regulator of skeletal muscle development 8. For example, mTOR inactivation in mouse muscle results in severe myopathy, reduced mitochondrial biogenesis, impaired oxidative capacity, and increased glycogen content, leading to premature death 9. microRNAs (miRNAs) are a group of highly conversed noncoding RNAs that regulate many biological processes by governing target gene expression 10. Increasing findings have supported a role for miRNAs in the regulation of myogenesis, and changes in miRNA profile of skeletal muscle are associated with various muscular disorders 11-14.

The development of skeletal muscle is a highly complex process in which environmental factors and signaling pathways integrate to activate muscle-specific regulatory transcription factor expression programs 4,5. Nutrients, as well-established primary environmental factors, activate mTOR signaling to regulate various processes of skeletal muscle development. For instance, leucine supplementation facilitates the proliferation and differentiation of primary preterm rat satellite cells via mTOR complex 1 (mTORC1) signaling 15. Meanwhile, nutrients are also reported to modulate the expression of miRNAs. Specifically, leucine in C2C12 cells and essential amino acids in human skeletal muscle have both been shown to regulate miRNA expression 16,17. Interestingly, miRNA expression seems to be directly or indirectly managed by mTOR. Treatment of C3H10T1/2 or C2C12 cells with specific mTOR inhibitor rapamycin was shown to change miRNA profiles 18,19. Within this context, the regulatory mechanisms of mTOR regulation of miRNA biogenesis were also uncovered during skeletal myogenesis 18-20. Additionally, Ye et al. (2015) revealed another novel pathway where nutrients dynamically regulate global miRNA biogenesis via mTORC1-Mdm2-Drosha signaling 21. Here, we present early observations that established epigenetic (nutrient) and endogenetic (mTOR and miRNAs) factors as key myogenic regulators, discuss recent advances concerning the link among nutrients, mTOR and miRNAs in skeletal myogenesis, and summarize our current understanding of cell signalling network involving the nutrient-mTOR-miRNA pathway in skeletal muscle development and implications for skeletal muscle disease.

Nutrient as a key external regulator of skeletal myogenesis

Skeletal muscle is one of the most susceptible tissues to environmental stimuli, such as nutrients and exercise 22. The role of nutrients in the regulation of skeletal muscle growth and pan class="Disease">hypertrophy is relatively well established, and the mechanisms are primarily similar to those in protein metabolism in existing muscle fibers 23,24. However, the role of nutrients in skeletal myogenesis (myofiber formation, including terminal differentiation and fusion) cannot be determined from its requirement for skeletal muscle hypertrophy and growth (increase in protein synthesis that may or may not refer to fusion). In mammals, muscle fibers are primarily formed prenatally, and subsequent muscle development largely depends on muscle fiber hypertrophy 25-27. Prenatal nutrition mainly influences the number of secondary fibers 26,28. For instance, maternal undernutrition or a low-protein diet causes a decrease of fast fibers in early stages 29,30, while an increase in fast fibers was observed in later stages 31. Recently, our results revealed that increased maternal dietary energy intake reduces protein expression of fast-MyHC isoforms and delays differentiation and maturation in foetal skeletal muscle 28. However, postnatal nutrition largely affects muscle fiber hypertrophy and conversion 32. Specifically, postnatal undernutrition decreases fiber size and affects glycolytic fast-twitch type II more than other types of myofibers 33-35. Furthermore, branched-chain amino acid supplementation can prevent skeletal muscle wasting by increasing mitochondrial biogenesis and preserving muscle fiber size in skeletal myocytes and skeletal muscle of middle-aged mice 36.

Multiple studies have also explored the influence of nutrients on myoblast cell proliferation and differentiation in culture. β-Hydroxy-β-methylbutypan class="Species">rate (HMB), a leucine catabolite, has a positive influence on muscle development via the promotion of proliferation and differentiation, the acceleration of fusion, and the reduction of apoptosis in adult myoblast cultures 37. Fulco et al. (2008) showed that glucose restriction impairs the differentiation of skeletal myoblasts 38. However, high ambient glucose also suppresses skeletal myogenesis with a two-fold decrease in myoblast fusion 39. More recently, Averous et al. (2012) demonstrated that the lack of leucine inhibits myoblast differentiation 40. Meanwhile, our recent results also showed that leucine could promote the proliferation of C2C12 cells 16. Furthermore, satellite cells are the major muscle stem cells responsible for postnatal skeletal muscle growth and regeneration, which involve several steps including proliferation, migration, and fusion of satellite cells either with an existing fiber or with other satellite cells to form a new muscle fiber 41,42. However, this process of generating muscle-myogenesis can also be influenced by glucose and essential amino acids (EAAs) 15,43. For example, in vitro myotube formation of primary preterm rat satellite cells was induced with the administration of the essential amino acid (EAA) leucine, possibly mediated by increased activation of the mTOR signal pathway 15.

mTOR as a crucial internal regulator of skeletal myogenesis

Mammalian target of rapamycin (pan class="Gene">mTOR) senses and integrates cellular nutrients and energy status to regulate various cellular processes, including cell growth, proliferation, differentiation, metabolism, survival and autophagy 7. This serine/threonine kinase interacts with several proteins to form two distinct mTOR-containing complexes named mTOR complex 1 (mTORC1) and mTORC2, which are identified by the unique existence of raptor and rictor, mediating rapamycin-sensitive and -insensitive signalling of mTOR, respectively 44,45.

Initial evidence for the involvement of pan class="Gene">mTOR in skeletal myogenesis originated from the results of Coolican et al. (1997), who uncovered the inhibitory effect of rapamycin on rat L6 myoblast differentiation 46. Interestingly, results from other teams also revealed that rapamycin repressed C2C12 cell differentiation and skeletal muscle regeneration in rodents 47-50. Meanwhile, the pharmacological proofs provided strong support for a role of mTOR in skeletal myogenesis by the capacity of a muscle-specific rapamycin-resistant mTOR to rescue C2C12 cell differentiation and skeletal muscle remodeling from rapamycin treatment 48,50,51. In addition, insulin-like growth factor II (IGF-II) is an important mediator of kinase-independent mTOR in myogenic signaling. During myoblast differentiation, mTOR governs IGF-II transcription through the muscle-specific promoter and enhancer in a kinase-independent manner, and increased IGF-II expression modulates C2C12 cell differentiation via IRS1/Akt pathway 52, which is crucial for skeletal myogenesis 53,54. Furthermore, data from Yoon and Chen (2008) indicated that phospholipase D1 (PLD1) is placed upstream of mTOR/IGF-II signaling (Figure 1) 55. Nevertheless, mTORC1 and mTORC2 are involved in distinct signaling pathways and perform distinguishing functions in skeletal myogenesis (Figure 1).

Figure 1

mTOR signaling in skeletal myogenesis. PLD activates kinase-independent mTOR and subsequently modulates myogenic transcription of IGF-II. The Rag GTPases and Rheb activate mTORC1, which subsequently inhibit PI3K-Akt signaling by IRS1 phosphorylation. PLD1 also activates mTORC2 and potentially regulates the phosphorylation of Akt and PKCα. The phosphorylation of S6K1 can repress myogenic function of mTORC2.

mTORC1 signaling in skeletal myogenesis

Reviewing the functions of classical mTORC1 signaling components in skeletal pan class="Gene">myogenesis has revealed some unexpected discoveries. The key subunit of mTORC1, raptor, is an inhibitor of skeletal myogenesis, as knockdown of raptor promotes and overexpression of raptor inhibits myoblast differentiation 56,57. Evidence indicates that the inhibitory effects of raptor on C2C12 cell differentiation relies on Ser-307 phosphorylation of insulin receptor substrate 1 (IRS1) by mTORC1 and subsequent suppression of PI3K/Akt signaling (Figure 1) 57. Within this context, the authors simultaneously investigated the role of Rheb (an activator of mTORC1) in skeletal myogenesis. Likewise, Rheb negatively regulates skeletal myogenesis and most likely exerts an inhibitory function via the negative regulation of IRS1 protein levels by mTOR/raptor 57, which is in contrast to the positive function of Rheb in inducing skeletal muscle hypertrophy 58. Meanwhile, Yoon and Chen (2013) also proposed Rag GTPases (Rag), another activator of mTORC1, as an inhibitor of myogenic differentiation, and this inhibitory effect of Rag is mediated by mTORC1 inhibition of the IRS1-PI3K-Akt pathway (Figure 1) 59. Interestingly, ribosomal S6 kinase 1 (S6K1), a major target of mTORC1, is dispensable for myoblast differentiation and nascent myofibers formation in muscle regeneration despite its well-known functions in muscle growth, hypertrophy, and maintenance 50,52,57,60,61. However, evidence also indicated that S6K1-mediated phosphorylation of Rictor negatively regulates the capacity of mTORC2 to phosphorylate Akt-S473 and persistent activation of S6K1 does not influence IRS1-PI3K signaling during myoblast 62,63 differentiation 62. However, in addition, rapamycin-sensitive mTOR signaling governs two distinct stages of skeletal myogenesis: initial myotube/myofiber formation in an mTOR kinase-independent manner and myotube/myofiber maturation in an mTOR kinase-dependent mechanism 50.

mTORC2 signaling in skeletal myogenesis

Rapamycin-insensitive pan class="Gene">mTORC2 with its important component rictor, phosphorylates Akt at Ser-473 in numerous cellular contexts 64. Multifunctional kinase Akt is a key nodal point of several pathways to regulate skeletal myogenesis and muscle regeneration 49,53,65. Results from Shu and Houghton (2009) showed that both rapamycin and rictor downregulation represses the phosphorylation of Akt (S473) and blocks terminal differentiation (fusion) of C2C12 myoblasts 66. Within this context, the expression of constitutively active Akt in rictor-deficient C2C12 cell rescues myoblast fusion even in the presence of rapamycin 66, indicating that Akt acts as a mediator of rictor/mTORC2 function in myogenesis. Moreover, Jaafar et al. (2011) has shown that PKCα, an identified substrate of mTORC2, is required for skeletal myogenesis and mediates the myogenic function of mTORC2 56. These authors have also proposed that PLD1 may function upstream of mTORC2 (Figure 1) 56, and this is in accordance with a report that mTORC2 assembly is regulated by PLD1 and its metabolite phosphatidic acid 67. Additionally, the role of PLD1 in regulating mTORC2 may be associated with actin cytoskeleton remodeling 68, because it is well ascertained that mTORC2 controls the actin cytoskeleton in various cell types 69,70.

Although mTORC2 is a pan class="Chemical">rapamycin-insensitive mTOR complex, persistent rapamycin administration disrupts mTORC2 complex, leading to the reduced phosphorylation of Akt at Ser-473 71. Thus, the negative function of rapamycin treatment in skeletal myogenesis can be ascribed to the inhibition of mTORC2 function. Consistently, the phosphorylation of Akt and PKCα in myoblast cells is sensitive to rapamycin administration 56,66. Nevertheless, decisive evidence for mTORC2 serving as the correlative target of rapamycin in skeletal myogenesis is insufficient. Although expression of phosphomimetic mutant Akt (S437D) can restore C2C12 cell fusion from rapamycin administration 66, it is possible that Akt exerts its function on myogenesis via mTOR-dependent IGF2 pathway.

MicroRNA biogenesis and function in skeletal muscle development

MicroRNAs (miRNAs) are evolutionarily highly conpan class="Chemical">served, small non-coding regulatory RNAs that are approximately 21-23 nucleotides in length. They function in gene silencing and translational suppression by binding to the 3'-UTR of their target mRNAs. However, miRNAs have recently been reported to have the potential to activate translation 72. In various biological processes, miRNAs regulate the protein levels of pivotal regulatory factors or serve as a switch to govern gene expression 73. Post-transcriptional regulation mediated by miRNAs increases the complicacy of gene expression regulation and promotes its accuracy and sensitivity 74.

Synthesis and regulatory mechanism of microRNAs

Most miRNA genes come from regions of the genome that are quite distant from formerly annotated genes, suggesting that they derive from independent transcription units with their own promoter 75. Nevertheless, a sizable minority of pan class="Gene">miRNA genes are derived from the introns of protein coding transcription units, implying that these miRNAs are dependent on the promoter region of their host genes and mRNA splicing patterns 76. Additionally, other miRNA loci are found in clusters and are transcribed as poly-cistronic primary transcripts 77,78.

miRNA transcription is mainly performed by RNA polymerase II (Pol II) and is regulated by RNA pol II-related transcription factors and epigenetic regulators 79,80. Following transcription, primary miRNA (pri-miRNA) containing a local hairpin structure undergoes multiple steps of maturation 77. Specifically, most pri-miRNAs are processed by Drosha and its interacting partner DGCR8 (DiGeorge syndrome critical region gene 8) to form precursor miRNAs (pre-miRNAs), which are then exported from nucleus into cytoplasm by exportin-5. The pre-miRNAs are further processed by Dicer to form mature miRNA, which combines with the Argonaute (Ago) family of proteins within RISC (RNA-induced silencing complex). The function of RISC in translational control is mediated by a key Ago partner GW182, which recruits deadenylating/decapping enzymes to allow exonucleases to attack unprotected mRNA and represses translation by competing with the cap binding protein eIF4E and/or interfering with ribosome scanning in the cytoplasm 81. In addition to their predominant functions in translational repression, miRNAs have also been involved in translational promotion depending on specific miRNA:mRNA base-pairing and Ago2 in mitochondria 72.

In animals, most of the studied miRNAs interact with specific seed sequences in the 3′-untranslated region (3′-UTR) of target genes to promote mRNA degradation and translational repression. The pan class="Gene">miRNA 5′-proximal seed sequence (positions 2-8) provides most of the pairing specificity and is generally essential for miRNA function 82-84. Furthermore, a single target mRNA (3′-UTR in particular) can have more than one different miRNA binding sites, and a single miRNA can also regulate multiple target mRNAs by binding to its corresponding binding site in the 3′-UTRs of target mRNAs 85,86. Seed sequences are particularly conserved in the 3′-UTR of target mRNAs, implying that the primary regulatory functions of miRNAs are derived from the 3′-UTR 87. However, several studies have demonstrated that miRNA binding sites can also exist in the coding sequence 88 as well as in the promoter region of the target gene 89,90.

MicroRNAs in skeletal muscle developmental processes

Much like mTOR, pan class="Gene">miRNAs have also been confirmed as key regulators in various biological processes. An essential role for miRNAs in skeletal muscle development is identified by muscle-specific Dicer knockdown in mice, a key enzyme in the processing of miRNAs, which leads to perinatal lethality with decreased skeletal muscle mass, increased apoptosis of muscle cells and abnormal myofiber morphology 91. In addition, postnatal deletion of Dicer in cardiomyocytes results in downregulation of miRNAs with a loss of cardiac contractility, cardiac function, and premature death 92,93. It is significant to understand that Dicer is also involved in the expression of other types of small RNAs, whereas DGCR8, the interacting partner of Drosha, functions specifically in the miRNA biogenesis pathway 94. Mice with the deletion of striated muscle-specific DGCR8 leads to serious dilated cardiomyopathy and heart failure, while the phenotype in skeletal muscle has not been described 95. Although the aforementioned studies indicate the importance of miRNA biogenesis for muscle development and function, they do not mention whether this requisite function of Dicer and DGCR8 reflects essential roles of specific miRNAs or non-specific miRNAs in these processes. Here, we present the reported targets of miRNAs with well-known myogenic functions in skeletal muscle (Table 1).

Table 1

miRNAs and targets associated with skeletal myogenesis in mammals

Functions	miRNAs	Targets	References
Inhibit proliferationPromote differentiation	miR-1/miR-206/miR-24/ miR-29/miR-128	HDAC4, Pax3, Pax7, Igfbp5, c-Met, Cx43, YY1, Hand2, PTB, Utrn, Fstl1, TIMP3, Notch3, and pola1	[18,72,88,101,106,166,171-185]
Promote proliferationInhibit differentiation	miR-133/miR-17-92	SRF, UCP2, Foxl2, and ENH1	[101,102,124]
Promote proliferationPromote differentiation	miR-27a	MSTN	[16,186,187]
Inhibit proliferationInhibit differentiation	miR-203	C-Jun and MEF2C	[188]
Promote differentiation	miR-26a/miR-27b/miR-146b/miR-148a/miR-181/miR-199a-5p/miR-214/miR-322/miR-378/miR-424/miR-486/miR-503/miR-675	Ezh2, TGF-β, BMP, HDAC6, Pax3, ROCK1, Smad4, Notch1, Hmga2, HoxA-11, FZD4, JAG1, WNT2, Cdc25A, MyoR, Pax7, Smad1, Smad5 and Cdc6	[1,108,173,189-198]
Inhibit differentiation	miR-23a/miR-30-5p/miR-31/miR-98/miR-124/miR-125b/miR-155/miR-186/miR-199a-3p/miR-221/miR-222/miR-374b/miR-1192	Myh, MBNL, Myf5, E2F5, Dlx5, IGF-II, MEF2A, MyoG, IGF-I, mTOR, RPS6KA6, P27, Myf6 and HMGB1	[19,199-210]
Promote proliferation	miR-151-3p/miR-2400	ATP2a2 and MyoG	[211,212]
Inhibit proliferation	miR-125a-5p/miR-195/miR-351/ miR-489/miR-497	E2F3, CDC25, CCND and Dek	[213-216]
Myofiber specification	miR-23a/miR-133/miR-151-3p/miR-208b/miR-499/miR-494	MEF2C, TEAD1, Sp3, ATP2a2, Thrap1, Sox6, HP-1β, and Purβ	[98,100,105,210,212,217]

Muscle-specific microRNAs and myogenesis

A range of miRNAs, which are highly expressed in skeletal and/or cardiac muscle (named as myompan class="Gene">iRs) has been validated and includes miR-1, miR-133a, miR-133b, miR-206, miR-208b, and miR-499 96-98. The functions of these miRNAs during skeletal myogenesis have been widely studied and summarized. Of course, the best-studied myomiRs are miR-1-1/133a-2, miR-1-2/133a-1 and miR-206/133b, which originate from bicistronic transcripts on three different chromosomes 11. In terms of function, these myomiRs regulate multiple aspects of skeletal muscle development and homeostasis by targeting myogenesis-related genes. In terms of structure, the mature sequences of miR-1 and miR-206 have identical seed regions, and only two mismatched bases exist between miR-133a and miR-133b. The similar origin and sequence of these myomiRs imply that they would also have a close relationship in skeletal myogenesis.

Among these myomiRs, pan class="Gene">miR-1 and miR-206 suppress myoblast proliferation and accelerate differentiation by targeting numerous target genes. Suppression of endogenous miR-1 and miR-206 inhibits downregulation of most target genes in differentiation cells 99, thus indicating that miRNA activity and target interaction are essential for muscle differentiation. Conversely, miR-133 promotes myoblast proliferation and inhibits differentiation via its specific regulation of the expression of several key genes, such as SRF, Foxl2 and TEAD1 100-102. Liu et al. (2011) reported that mice lacking both miR-133a-1 and miR-133a-2 developed progressive centronuclear myopathy in fast-twitch myofibers, accompanied by mitochondrial dysfunction and a fast-to-slow myofiber switch 103. In addition, a local injection of miR-1, miR-133 and miR-206 mimics can act together to induce the expression of myogenic markers (myoD1, Pax7 and myogenin), thus promoting myogenic differentiation in a rat injury model 104. However, an unexpected finding revealed that muscle-specific miR-1 stimulates mitochondrial translation of mtDNA-encoded transcripts 72. Furthermore, muscle-restricted miR-208/miR-499 is a family of intronic miRNAs encoded by their host genes, Myh6, Myh7 and Myh7b, governing myofiber type switch 98. Intriguingly, miR-499 was discovered to be the most remarkably decreased miRNA in response to hindlimb suspension 105, implying its potential significance in muscle maintenance.

Nonmuscle-specific microRNAs and myogenesis

In addition to the muscle-specific and muscle-restricted miRNAs presented above, numerous extensively expressed pan class="Gene">miRNAs are also associated with skeletal myogenesis, and their expression patterns are altered during myogenic differentiation. It was reported that these nonmuscle-specific miRNAs modulate skeletal muscle development through multiple targets (Table 1). Muscle development-related genes, such as Akt3, MSTN, YY1, MEF2, Pax3 and MyoG, are targeted by these miRNAs. Although these miRNAs are not muscle-specific expressed and some of them may be lacking in the process of subsequent differentiation, their regulatory functions in skeletal myogenesis are irreplaceable. For instance, reduced expression of miR-24 dramatically decreases the myogenic markers, myogenin, MHC and MEF2, and therefore inhibits myotube formation 106. The inhibition of miR-214 107, miR-26a 108 can also block this process.

Cross regulation of nutrients, mTOR and microRNAs in skeletal muscle

Regulation of mTOR activation by nutrients

Mammalian target of rapamycin (pan class="Gene">mTOR) is located at the heart of a nutrient-sensing signaling network, and its activity can be regulated by multiple nutrients, such as amino acids and glucose, thus influencing muscle cell proliferation, differentiation, autophagy, and metabolism 109. In this point, it is significant to understand the molecular mechanisms underlying how nutrients regulate the activity of mTOR.

Amino acids are one of the most studied nutrients in the regulation of mTOR activation during pan class="Gene">myogenesis 110. Raptor-associated mTORC1 aggregates the signaling network that transduces amino acid sufficiency and mitogenic signals. For example, leucine administration promotes the proliferation and differentiation of rat satellite cells partly via mTORC1 signaling pathway 15. Several mediators of amino acid signals, including Rag GTPase and the class III phosphinositide 3-kinase (PI3K) Vps34, have been reported to lie upstream of mTORC1 59. Rag heterodimers, which are regulated by the guanine nucleotide exchange factor activity of the Ragulator protein complex and GTPase-activating protein activity of the GATOR complex, bind raptor and translocate mTORC1 to the lysosomal surface in response to amino acid stimulation, which is necessary for the activation of mTORC1 111,112. Vps34 mediates amino acid signals to activate mTORC1 by targeting phospholipase D1 (PLD1) for lysosomal translocation and activation 113,114. PLD1 and its product, phosphatidic acid (PA), are important for myogenic differentiation, as well as amino acid activation of mTORC1 114,115. Additionally, amino acids have also been confirmed to activate mTOR complex 2 (mTORC2) through PI3K/Akt signaling during myoblast differentiation 116.

Regulation of microRNA expression by nutrients

It has been well established that nutrients can modulate protein-coding gene expression 117. However, increasing evidence has emerged that the major nutrients, such as glucose and amino acids, alter the expression of pan class="Gene">miRNA 16,17,118,119. Given the important role of nutrients in the modulation of skeletal muscle development, one could expect that changes in miRNA biogenesis in response to nutrient status may influence, at least in part, the regulation of skeletal myogenesis. Thus, Drummond et al. (2009) showed that acute essential amino acids (EAAs) ingestion elicited robust increases in miR-1, miR-23a, miR-208b, and miR-499 expression, with an accompanied increase in MyoD1 and FSTL1 mRNA expression and decrease in myostatin and MEF2C mRNA expression in human skeletal muscle 17. Recently, our study reported that miR-27a was induced by leucine and contributed to leucine-induced proliferation promotion in C2C12 cells 16. It is probably that sustaining consumption of a high-protein diet causes a similar miRNA expression pattern and subsequent functional outcome. Moreover, Zhu et al. (2014) showed that seven miRNAs were significantly upregulated or downregulated within 1 h after refeeding in skeletal muscle of Chinese perch 120, which were involved in a fast-response signaling system in regulating skeletal muscle growth.

Regulation of microRNA expression by mTOR

Given the well-recognized significance of both mTOR and microRNAs in skeletal pan class="Gene">myogenesis, it would not be surprising that some connections between them exist. Totary-Jain et al. (2013) showed that comprehensive reprogramming of miRNA expression occurred with long-term rapamycin treatment121. The miRNAs profiling study by Sun et al. (2010) has uncovered that miR-1 expression is regulated by mTOR control of protein stability of the major myogenic transcription factor MyoD 18, which is located directly upstream enhancer of several other myogenic miRNAs, such as miR-133 and miR-206 11. Like that of miR-1, the expression patterns of miR-133 and miR-206 were regulated by MyoD 20, and the acute increase of miR-133 and miR-206 levels was entirely blocked by mTOR-specific inhibitor rapamycin during C2C12 cell differentiation 18. However, the precise mechanism by which mTORC1 regulates MyoD stability is not clear. Additionally, several other induced miRNAs during myoblast differentiation were sensitive to rapamycin treatment although to lesser degrees. 18. Furthermore, Ge et al. (2011) showed that rapamycin administration completely blocked the decline of mature miR-125b during differentiation in both C2C12 cells and primary myocytes 19. Most recently, Ye et al. (2015) proposed another pathway in which mTOR activation markedly downregulated miRNA biogenesis via the upregulation of Mdm2, an essential and sufficient E3 ligase for ubiquitinylation of miRNA-processing enzyme DROSHA 21. Besides, this analogous result has also been observed in other cell types. For instance, in cancer cells, long-term treatment with rapamycin resulted in remarkable changes in miRNA profiles 121, and these alterations are associated with resistance to rapamycin. These findings stress the influence that mTOR has on miRNA biogenesis and are consistent with the results observed in mouse research, where a maternal low-protein diet was exhibited to alter a subset of miRNAs in offspring via inhibition of mTORC1 signaling 122. However, miRNA biogenesis regulated by mTORC2 in skeletal muscle has never been reported.

Nutrient regulation of mTOR-microRNA pathways in the context of skeletal muscle development

mTOR plays a vital role in the cellular response to nutrient availability and energy status. The link between pan class="Gene">mTOR activity and miRNA biogenesis, as described above, suggests that the miRNA biogenesis machinery may be responsive to energy and nutrient availability during skeletal myogenesis. Sun et al. (2010) reported that mTOR controlled MyoD-dependent transcription of muscle-specific microRNA miR-1 by regulating MyoD protein stability both in differentiating myoblasts and in mouse regenerating skeletal muscle 18. Moreover, the functional pathway downstream of mTOR and miR-1 is delineated, in which miR-1 inhibition of histone deacetylase 4 (HADC4) leads to the production of follistatin and subsequent myocyte fusion 18. Notably, MyoD also functions directly upstream enhancer of miR-133 and miR-206 20, and the increased levels of miR-133 and miR-206 during myoblast differentiation were repressed with rapamycin treatment 18. Evidence from Ge et al. (2011) showed that miR-125b biogenesis is negatively modulated by mTOR signaling in a kinase-independent manner both in vitro and in vivo as a part of a dual mechanism by which mTOR regulates the production of IGF-II, a master switch governing the initiation of skeletal myogenesis 19. It was also confirmed that overexpression of PLD1 relieves the inhibitory effect of rapamycin on L6 cell differentiation 56, which is in line with a competitive mechanism between phosphatidic acid and rapamycin for combining with mTOR 123. In C2C12 cells, PLD1 can be activated by amino acids 114 and was proven to act on PLD1 upstream of the mTOR/IGF2 pathway 55. Nevertheless, mTOR markedly regulates the biogenesis of these two miRNAs through distinct manner, one dependent (miR-1) and one independent (miR-125b) of its kinase activity. In addition, numerous miRNAs other than miR-1 and miR-125b have exhibited various degrees of rapamycin sensitivity, indicating that these miRNAs may be directly or indirectly regulated by mTOR 18. Moreover, Totary-Jain et al. (2013) revealed that long-term rapamycin treatment exhibited comprehensive reprogramming of miRNA expression with the up-regulation of miR-17-92 cluster 121, which could regulate myoblast proliferation and differentiation by targeting the ENH1/Id1 signaling axis 124. However, our recent results showed that miRNA-27a was induced by leucine and contributed to leucine-induced proliferation promotion in C2C12 cells 16. Although increased leucine levels stimulate mTOR signaling and cell growth in C2C12 skeletal muscle cells 125, the role of mTOR in leucine-induced miR-27a biogenesis during myoblast proliferation needs further verification. Recently, another regulatory mechanism in mouse and human cells was proposed. Under high nutrient conditions (amino acid or glucose sufficient), mTORC1 is activated, and it increases the levels of ubiquitin E3 ligase Mdm2 by a p53-dependent transcriptional and P53-independent post-transcriptional pathway. Intriguingly, Mdm2 ubiquitinates and targets the miRNA-processing enzyme Drosha for proteasomal-dependent degradation, leading to a global decrease of miRNA biogenesis 21. Under low nutrient conditions (amino acid starvation or glucose deprivation), mTORC1 is not active and Mdm2 levels are low. Drosha levels were elevated leading to an increase in global miRNA biogenesis 21. Using a high-throughput screen of a miRNA mimic library, four miRNA mimics (miR-297, miR-376-3p, miR-567, and miR-627-5p) were identified that were able to increase the resistance of Drosha-silenced cells to nutrient deficiency 21. Two of the four miRNAs (miR-297 and miR-567) significantly improved Drosha protein levels, implying that these two miRNAs may protect cells from apoptosis by maintaining Drosha level 21. Although the differences exist in the nutrient regulation of miRNA biogenesis during myogenesis, the common characteristic of nutrient-mTOR-miRNA signaling pathway can further explain the mechanism of nutrient regulation of muscle development (Figure 2).

Figure 2

A model for nutrients-mTOR-miRNA signaling in skeletal myogenesis. MiRNA biogenesis in response to nutrient conditions regulates skeletal myogenesis via an mTORC1-MDM2-Drosha signaling. Meanwhile, mTOR controls skeletal myogenesis through miR-17-92/ENH1/Id1 regulatory axis. Besides, nutrient regulation of certain miRNA expression during skeletal myogenesis depends on two rapamycin-sensitive myogenic mTOR signaling pathways. A kinase-dependent mTOR pathway regulates myogenesis by governing the expressions of various miRNAs (miR-1, miR-133 and miR-206) through stabilizing major myogenic transcription factor MyoD. A kinase-independent mTOR signaling governs IGF-II transcription at a muscle-specific enhancer via its negative regulation of miR-125b level, and IGF-II in turn regulates skeletal myogenesis through activating the IGF-I receptor (IGF-IR) and PI3K/Akt signaling.

Epigenetic modifications in skeletal muscle development

The terminology “epigenetics” refers to mitotically and meiotically heritable altepan class="Species">rations of gene expression without changing the DNA sequence 126. In addition to miRNAs, DNA methylation and histone modifications are known to be the main areas of epigenetics that have profound influences on gene expression control and skeletal myogenesis 127,128. Additionally, epigenetic modifications can influence the expression of miRNAs in different cell types, such as smooth muscle cells, cancer cells, and adipocytes 129-132.

DNA methylation almost solely occurs at CpG-containing promoters (CpG islands) and is performed by transferring a methyl group from S-adenosylmethionine (pan class="Chemical">SAM) to the fifth carbon of a cytosine ring mediated by DNA methyltransferases (DNMTS) 133. The initial relationship between DNA methylation and skeletal myogenesis was determined by the pioneering research that genome demethylation with either 5-azacytidine treatment or overexpression of antisense RNA against Dnmt1 induces the transdifferentiation of mouse fibroblasts into myoblasts 134,135. Later, it was found that demethylation of the distal enhancer in MyoD gene and MyoG promoter is essential for the initiation of differentiation program 136,137. Furthermore, many studies have also provided direct evidence that DNA methylation and DNA methyltransferases are crucial for skeletal myogenesis 138-142.

Although numerous studies have focused on the effects of DNA methylation, there are proofs emerging on histone modifications in skeletal muscle development 143. Histone modifications are related to both gene expression activation, including trimethylation of pan class="Chemical">lysine 4 of histone H3 (H3K4me3) and acetylation of histones H3 and H4 (acetyl H3, acetyl H4), and gene expression repression, such as trimethylation of lysine 20 of histone H4 (H4K20me3) trimethylation of lysines 9 and 27 of histone H3 (H3K9me3; H3K27me3) 128. Tao et al. (2011) revealed that Set7/9, a SET domain-containing histone 3 lysine 4 (H3-K4) methyltransferase, directly interacts with MyoD to promote myoblast differentiation and myofibril assembly 144. By contrast, lysine methyltransferase G9a mediating histone H3 lysine-9 di-methylation (H3K9me2) on MyoD target promoters inhibits skeletal muscle differentiation 140. Moreover, numerous studies have revealed that histone acetyltransferases (HATs) and histone deacetylases (HDACs) regulate the acetylation state of histones and certain myogenic transcription factors to govern the activation or repression of skeletal muscle-specific genes 145,146.

It has also been reported that nutrition factors affect the process of epan class="Species">pigenetic modifications in skeletal muscle development. Diets deficient in methyl group donors lead to global DNA hypomethylation in rodents 147-149. Likewise, maternal protein restriction in rats leads to reduced PGC-1α expression through altered DNA methylation in skeletal muscle 150. Conversely, a high-fat overfeeding diet increases DNA methylation of the PPARGC1A promoter in the skeletal muscle of young healthy men 151. Additionally, maternal protein restriction during gestation increases the expression of CCAAT/enhancer-binding protein (C/EBPβ) and glucose transporter 4 (GLUT4) in female offspring rat skeletal muscle through the regulation of histone modification at their promoter regions 152,153.

Implications for muscle-related disease

Primary skeletal muscle disorders are induced by defective structural proteins, enzymes or abnormal signaling molecules and involve several different groups of diseases, such as pan class="Disease">muscular dystrophies, inflammatory myopathies and myopathies 154. While these diseases can be classified in accordance with their clinical and pathological traits, they comprise Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD), facioscapulohumeral muscular dystrophy (FSHD) and limbgirdle muscular dystrophies type 2A and 2B, as well as other myopathies, such as polymyositis, dermatomyositis, Miyoshi myopathy and inclusion body myositis 155.

With the development of pan class="Gene">miRNA biology, numerous studies and extensive miRNAs expression profiling have revealed that miRNA dysregulation is a common characteristic of muscle pathology (Table 2) and in some situations individual miRNAs have been shown to cause or relieve disease. Based on our aforementioned understanding, therapeutic manipulation of nutrients, mTOR or miRNAs provide the potentially powerful approaches to treat skeletal muscle diseases. For instance, supplementation of DMD patients with branched-chain amino acids (BCAAs), especially leucine, was a potential and logical approach to reduce the rate of disease progression 156. Meanwhile, leucine has been shown to increase the proliferating satellite cell number and improve the overall morphology, myofiber size gain and strength recovery in regenerating muscles 157-159. In this regard, Drummond et al. (2009) showed that essential amino acids (EAAs) increased the expression of miR-499, -208b, -23a, -1, pri-miR-206 and muscle-growth genes MyoD1 and FSTL1, while decreasing the expression of myostatin (an inhibitor of muscle growth) and MEF2C in human skeletal muscle 17. Luciferase analysis confirmed that miR-499 can effectively target the 3'-UTR of myostatin 160, suggesting that the increase in miR-499 by EAAs inhibited the negative regulatory role of myostatin in skeletal muscle disease. Moreover, skeletal muscle mTOR activation was significantly higher in mdx mice, a model for DMD 161, indicating that the regulation of mTOR activation can alleviate this pathologic condition. Eghtesad et al. (2011) reported treated mdx mouse with the mTOR inhibitor rapamycin both systemically and locally led to a significant decline of muscle fiber necrosis in tibialis anterior and diaphragm muscles 6 weeks post-treatment 162. Additionally, the sequence-specific actions of miRNAs coupled with recent advances in the delivery of modified oligonucleotides suggested that modulation of miRNA expression may constitute a new therapeutic approach to treat several skeletal muscle diseases. Targeting of miR-31 has been postulated to act to restore dystrophin expression in Duchenne muscular dystrophy (DMD), and inhibition of miR-31 expression in human DMD myoblasts led to the rescue of dystrophin expression 163. This suggests that strategies that can utilize miRNA-based therapies to recover dystrophin may be feasible therapeutic options to ameliorate clinical symptoms associated with DMD. The development of the muscle-derived rhabdomyosarcoma (RMS) can also be prevented by the re-expression of represented miRNAs, including miR-206, miR-203 and miR-29, which act by reprogramming the profile of RMS cells toward one of terminal differentiation 164-166. Moreover, the targeting of miR-206 may provide therapeutic in amyotrophic lateral sclerosis (ALS), which is characterized by the loss of motor neuron supply to skeletal muscle and severe skeletal muscle atrophy 167.

Table 2

miRNA abnormalities associated with disease in skeletal muscle

Disease	miRNA	References
Duchenne muscular dystrophy	Increased expression of 37 identified miRNAs and 2 predicted miRNAs, decreased expression of 20 identified miRNAs and 3 predicited miRNAs; increased expression of 8 miRNAs including miR-206, decreased expression of miR-1, miR-135a and miR-29c; increased expression of miR-31 targeting dystrophin; decreased expression of miR-486	[14,163,218,219]
Becker muscular dystophy	Increased expression of miR-221 and miR-146b	[14]
Limb-girdle muscular dystrophy type 2A	Increased expression of 80 identified miRNAs and 8 predicted miRNAs; decrease expression of miRR-30a-3p, miR-197 and 2 predicted miRNAs	[14]
Limb-girdle muscular dystrophy type 2B	Increased expression of 81 identified miRNAs and 6 predicted miRNAs; decreased expression of miR-30a-3p, miR-510 and 3 predicted miRNAs	[14]
Miyoshi myopathy	Increase expression of 64 identified miRNAs and 5 predicted miRNAs; decreased expression of miR-30a-3p, miR-30c, miR-302c and 2 predicted miRNAs	[14]
Facioscapulohumeral muscular dystrophy	Increased the expression of 57 identified miRNAs and 5 predicted miRNAs	[14]
Polymyositis	Increased expression of 35 identified miRNAs and 2 predicted miRNAs; decreased expression of miRR-30a-3p	[14]
Inclusion body myositis	Increased expression of 20 identified miRNAs; decreased expression of miR-197 and 1 predicted miRNA	[14]
Dermatomyositis	Increased expression of 33 identified miRNAs and 2 predicted miRNAs; decreased expression of miR-30a-3p and 1 predicted miRNA	[14]
Myotonic dystrophy type I	Increased the expression of miR-206; increased the expression of miR-1 and miR-335; reduced the expression of miR-29b, miR-29c and miR-33	[220,221]
Rhabdomyosarcoma	Decreased the expression of miR-1 and miR-133a in Rhabdmyosarcoma tumour samples; elevated levels of miR-1, miR-133a, miR-133b and miR-206 in serum	[222-224]
Amyotrophic lateral sclerosis	Increased the expression of miR-206	[167]
Atrophy	miR-1, miR-206, miR-133, miR-23a, miR-128, miR-499 and miR-208b are potentially protective	[105,219,225,226]
Hypertrophy	Expression of miR-1, miR-133a, miR-206b, miR-23, miR-26a, miR-29a, miR-378, miR-451 and miR-499 was discovered to be regulated	[97,98,225,227-229]

Another example is autophagy. Autophagy activation may be critical not only for protein breakdown and muscle atrophy but also for myofiber survival, which can contribute to pan class="Disease">sarcopenia. Under sufficient nutrients, autophagy is inhibited by mTORC1; on the other hand, lack of nutrients through mTORC1 suppression is a well-established pathway for the activation of autophagy 168, which is initiated to reallocate nutrients from nonessential components to those that are vital to survival 169. However, Wu et al. (2012) reported that miR-20a and miR-106b negatively regulated autophagy induced by leucine deprivation in C2C12 myoblasts 170. Therefore, we infer that the nutrient-mTOR-miRNA pathway appears to regulate autophagy dependently of the canonical nutrient-sensing mTORC1 pathway.

Conclusions

The importance of nutrient regulation of mTOR-pan class="Gene">miRNA pathway provides an exciting opportunity to understand the molecular mechanism that controls skeletal muscle development, growth, adaption, regeneration and function. This signaling pathway also provides an avenue to anatomize the mechanisms that may contribute to genetic and acquired muscle disorders and related complications. Future studies should focus on the possibility of utilizing nutrients or mTOR activity regulators as therapeutic approaches via the regulation of miRNA biogenesis in muscle cell models and in vivo studies. Nevertheless, more physiological significance of our current understanding awaits confirmation by future in vivo studies, such as the generation and examination of skeletal muscle-specific mTOR-null animals, because conventional mTOR knockdown leads to early embryonic lethality in mice.