- Open Access
Muscle atrophy induced by SOD1G93A expression does not involve the activation of caspase in the absence of denervation
Skeletal Muscle volume 1, Article number: 3 (2011)
The most remarkable feature of skeletal muscle is the capacity to adapt its morphological, biochemical and molecular properties in response to several factors. Nonetheless, under pathological conditions, skeletal muscle loses its adaptability, leading to atrophy or wasting. Several signals might function as physiopathological triggers of muscle atrophy. However, the specific mechanisms underlying the atrophic phenotype under different pathological conditions remain to be fully elucidated. In this paper, we address the involvement of caspases in the induction of muscle atrophy in experimental models of amyotrophic lateral sclerosis (ALS) expressing the mutant SOD1G93A transgene either locally or ubiquitously.
We demonstrate that SOD1G93A-mediated muscle atrophy is independent from caspase activity. In particular, the expression of SOD1G93A promotes a reduction of the phosphatidylinositol 3-kinase/Akt pathway associated with activation of forkhead box O3. In contrast, the activation of caspases occurs later and is causally linked to motor neuron degeneration, which is associated with exacerbation of the atrophic phenotype and a shift in fiber-type composition.
This study suggests that muscle atrophy induced by the toxic effect of SOD1G93A is independent from the activation of apoptotic markers and that caspase-mediated apoptosis is a process activated upon muscle denervation.
The decline in functional performance and restriction of adaptability represents the hallmark of skeletal muscle and brain pathologies. A crucial system severely affected in several neuromuscular diseases is the loss of effective connection between muscle and nerve, leading to a pathological noncommunication between the two tissues.
Among degenerative diseases, amyotrophic lateral sclerosis (ALS) represents one of the best examples in which the interplay between muscle and nerve is severely compromised [1, 2]. The most typical feature of this progressive lethal disease is the degeneration of motoneurons, muscle weakness, fasciculations, muscle atrophy, speech and swallowing disabilities, progressive paralysis and death caused by respiratory failure. Although a significant proportion of familial ALS results from a toxic gain of function associated with dominant superoxide dismutase 1 (SOD1) mutations, the etiology of the disease and its specific cellular origins have remained difficult to define.
The best-known function of SOD1 is to detoxify cells from accumulation of free radicals, which represent a toxic by-product of mitochondrial oxidative phosphorylation . The obvious loss of motor neurons in the spinal cord initially focused attention on how mutant SOD1 may act within motor neurons to provoke neuronal degeneration and death. However, the mutant gene products are expressed widely, raising the possibility that the toxic cascade may be achieved wholly or in part by mutant SOD1 action in non-neuronal cells. This notion is supported by recent works. Notably, transgenic mice in which mutant SOD1 was largely restricted to neurons developed disease only at an old age . However, the disease progressed slowly without reaching the same degree of paralysis as the classical animal model of ALS, in which the same mutant SOD1 gene is ubiquitously expressed . Although mutant SOD1 is also expressed by muscle, it is not clear whether its presence in skeletal muscle directly contributes to any pathological sign of ALS.
This issue has been investigated recently by our group, demonstrating that muscle selective expression of SOD1 mutation was sufficient to induce muscle atrophy associated with significant reduction in muscle strength, sarcomere disorganization and significant changes in mitochondrial morphology . These data, along with other evidence [7–10], might explain how the ubiquitous expression of SOD1G93A first causes muscle atrophy, which is later followed by alteration of the neuromuscular junction (NMJ), retrograde axonal degeneration and last motor neuron death. This retrograde and progressive (muscle to NMJ to nerve) sequential pattern of degeneration suggests the possibility that certain muscle abnormalities indeed precede motor neuron death rather than result from it.
The characteristic loss in muscle mass, coupled with a decrease in strength and force output, modulation in brain metabolism and alteration in oxidative stress, has been associated with a selective activation of apoptotic pathways and a general reduction in survival mechanisms. Indeed, several studies have indicated the activation of apoptotic events in pathological conditions associated with muscle atrophy, including neuromuscular diseases and muscle disuse . However, whether apoptosis is a trigger or a result of muscle atrophy in ALS is an unanswered question.
The central component and the executor of the apoptotic machinery in several tissues is a proteolytic system involving a family of cysteine proteases called caspases . Caspases are all expressed as inactive proenzymes with a molecular weight between 50 and 33 kDa and are activated after cleavage at the aspartate residues, generating the active product with lower molecular weight.
In this paper, we extend a previous study characterizing the involvement of caspases in the induction of muscle atrophy exerted by local and ubiquitous expression of the SOD1G93A transgene. We reported that muscle atrophy in myosin light chain (MLC)/SOD1G93A mice does not involve the activation of caspase-1 and caspase-3, which represent the initiator and final effector of cell death, respectively. Of note, the expression and activity of caspase-1 and caspase-3 increased in the muscle of the classical animal models of ALS , which express the SOD1G93A gene ubiquitously, but only at the paralysis stage.
In contrast, muscle atrophy in MLC/SOD1G93A mice is the result of deregulation of the Akt pathway, which leads to a reduction in the activity of molecular markers of protein synthesis, such as mammalian target of rapamycin (mTOR) and p70s6K, and to the activation of proteolytic mechanisms mediated by forkhead box O3 (FoxO3) activity.
Caspases are activated in muscle upon motor neuron degeneration
We have determined the potential activation of apoptotic pathways in MLC/SOD1G93A transgenic mice. Critical players in apoptosis-mediated muscle atrophy are caspases (cysteine-dependent, aspartate-directed proteases). In particular, caspase-3 is a critical executioner of apoptosis; it is translated as an inactive 37-kDa proenzyme that is activated after cleavage, generating a low-molecular-weight active product (p17/p19) .
Western blot analysis for the total and the cleaved form of caspase-3 expression (Figure 1A) performed on 16-week-old wild-type and MLC/SOD1G93A skeletal muscle did not reveal a significant difference between the two experimental models, suggesting that at this stage, apoptosis does not play a critical and pivotal role in the induction of muscle atrophy mediated by reactive oxygen species accumulation. It has been reported that expression of apoptosis-related proteins increases in denervated muscle atrophy [10, 14–16], raising the prospect that apoptosis is not a mechanism necessarily involved in the induction of muscle atrophy, but rather might be a later event associated with denervation.
To support this hypothesis, we analyzed and compared caspase expression and activity in the muscles of both MLC/SOD1G93A and SOD1G93A mice  at 123 days of age. Of note, the SOD1G93A mouse represents the classical animal model of ALS; it does not display any pathological sign of the disease until age 111 ± 1.8 days, which is considered the disease onset [5, 17], whereas motor neuronal degeneration and complete muscle paralysis occurs at age 123 days [5, 17]. As shown in Figure 1A, the cleaved active product of caspase-3 selectively increased in the paralyzed SOD1G93A muscle.
To further verify the involvement of caspases on muscle wasting associated with motor neuron degeneration, we evaluated the activity of caspase-1 and caspase-3 in wild-type, MLC/SOD1G93A and SOD1G93A muscles. Figures 1B and 1C show that the activity of caspase-1 and caspase-3 increased in SOD1G93A mice at 123 days of age, which corresponds to the stage of motor neuron degeneration and paralysis. In contrast, in younger presymptomatic SOD1G93A mice (age 90 days), caspase-1 and caspase-3 activity did not show significant differences compared to wild-type and MLC/SOD1G93A mice (data not shown). These data suggest that muscle atrophy associated with either local or ubiquitous expression of the toxic SOD1G93A protein is independent of caspase activation, whereas caspase-mediated apoptosis was greater in paralyzed muscle.
Muscle atrophy is independent from motor neuron degeneration
The evidence that caspase activity increases upon muscle denervation and that local expression of SOD1G93A did not induce significant changes in the number of motor neurons , suggests that muscle atrophy associated with muscle expression of SOD1G93A is causally linked to the direct toxic effect of mutant SOD1 protein rather than to muscle denervation.
To support this evidence, we analyzed relevant markers of nerve activity. In particular, nerve activity has a major role in the maintenance and modulation of fiber-type properties by selective activation of fiber-specific gene expression . A shift in fiber composition therefore constitutes a marker associated with muscle denervation . Specifically, motor neuron degeneration and muscle denervation cause a shift from slow to fast muscle phenotype.
Immunohistochemical analysis (Figure 2A) for the expression of myosin heavy chain-slow (MyHC-slow) revealed that fiber-type composition was unchanged in the soleus muscle of both wild-type and MLC/SOD1G93A mice. In contrast, fiber-type composition was altered in both denervated wild-type soleus muscle and SOD1G93A soleus muscles at paralysis stage, with a shift toward a fast fiber type (Figure 2A).
Notably, the denervated muscles of wild-type mice and the paralyzed muscle of SOD1G93A mice displayed a more severe atrophic phenotype, as indicated by the reduction in fiber diameter (Figure 2A). This suggests that motor neuron degeneration, activating the caspase-mediated proteolytic system, exacerbates the atrophic phenotype.
Other factors whose expression and activity are mediated by innervation and are also associated with muscle denervation in ALS are neurite outgrowth inhibitor (Nogo)-A, Nogo-C and the nicotinic acetylcholine receptor (AChR) [19, 20]. Nogo-A and Nogo-C expression, occurring early in ALS skeletal muscle, could cause repulsion and destabilization of the motor nerve terminals and subsequent degeneration of the axons and motor neurons. Real-time reverse transcriptase-polymerase chain reaction (RT-PCR) analysis (data not shown) did not reveal significant changes in Nogo-A and Nogo-C expression between wild-type and MLC/SOD1G93A transgenic mice.
The AChR subunit mRNA accumulation and maintenance is also mediated by neural factors. It has been demonstrated that the γ-subunit mRNA level is tightly coupled to innervation. It is undetectable or low in innervated, normally active muscle and in innervated but disused muscle, whereas it is abundant along the whole fiber length in denervated muscle or in muscle in which the neuromuscular contact is intact but the release of transmitters is blocked . Real-time PCR analysis for AChR-γ expression (Figure 2B) showed a slight but not significant increase in MLC/SOD1G93A transgenic mice compared to wild type. Notably, the levels of AChR-γ expression were significantly and conspicuously upregulated in the SOD1G93A muscle at paralysis stage (Figure 2B).
In addition, astrocyte activity, which is concomitant with motor neuron degeneration and normally increases at later stages of ALS disease [21, 22], did not change between wild-type and MLC/SOD1G93A spinal cord, while it selectively increased in the SOD1G93A spinal cord at later stages of the disease as revealed by glial fibrillary acidic protein (GFAP) expression (Figure 2C). It seems likely that muscle atrophy is primarily associated with events related to the toxic effects of SOD1G93A mutant protein, whereas motor neuron degeneration is a later event that contributes to exacerbation of the atrophic phenotype, promoting paralysis and muscle wasting.
Analysis of molecular pathways involved in SOD1G93A-induced muscle atrophy
Transcriptional upregulation or downregulation of atrophy-related genes is a characteristic feature of muscle atrophy . Several triggers and signaling proteins have been postulated as regulators of muscle atrophy, and it is often not clear whether muscle atrophy is the result of a reduction in protein synthesis, an increase in protein degradation or the combination of the two. Akt represents the critical signaling involved in protein synthesis and muscle hypertrophy . Under different pathological conditions, Akt is dephosphorylated and its activity is reduced below control levels, leading to activation of atrophic pathways . We analyzed the Akt expression, activity and cascade in both 16-week-old wild-type and MLC/SOD1G93A mice.
Figure 3A shows that the absolute ratio of pAkt to Akt protein was significantly reduced in MLC/SOD1G93A transgenic muscle compared with wild type. A downstream effector of the Akt pathway is the mTOR kinase, which in turn promotes the phosphorylation of p70S6K, leading to an increase in protein synthesis. Western blot analysis revealed significant downregulation of the phosphorylation levels of both mTOR and p70S6K intermediate in MLC/SOD1G93A transgenic muscle, compared with that of wild-type littermates (Figures 3B and 3C).
In several atrophic conditions, the inhibition of the Akt pathway also leads to the activation of the FoxO members, which are able to promote muscle atrophy when overexpressed in cells and in whole muscle . Western blot analysis (Figures 3D and 3E) revealed a selective accumulation of the dephosphorylated form of FoxO3, but not of FoxO1, in MLC/SOD1G93A transgenic muscles compared to those of wild-type mice.
These data suggest that muscle atrophy induced by local SOD1G93A expression is the result of the deregulation of the Akt pathway. This leads to two distinct responses: (1) an inhibitory effect on translation via the inhibition of mTOR and the dephosphorylation of p70S6K and (2) the activation of the FoxO3 pathway.
The present work provides new insights concerning the control of muscle fiber size and the mechanisms of atrophy in animal models of ALS. Motor neuron degeneration and muscle atrophy are the major pathological processes associated with ALS, suggesting that nerve activity plays an important role in muscle homeostasis and remodeling. However, whether muscle atrophy associated with ALS is independent from motor neuron degeneration or results from it remains to be defined. We recently generated a novel transgenic mouse model in which the mutant SOD1G93A gene involved in a familial form of ALS was selectively expressed in skeletal muscle . We demonstrated that local expression of SOD1G93A was sufficient to promote muscle atrophy and to impair the functional performance of skeletal muscle .
In the present study, we have extended previous work with the aim of defining the potential signal transduction pathways activated in response to SOD1G93A, expressed either locally  or ubiquitously , that cause muscle atrophy. In particular, in this study we have demonstrated that muscle atrophy in SOD1G93A mice is an early event that is independent from motoneuron degeneration. The mechanisms responsible for the promotion of muscle atrophy involve a deregulation of Akt pathways and the activation of FoxO pathways, whereas caspases are selectively activated upon denervation or motoneuron degeneration.
The results in this study are consistent with a model (Figure 4) whereby muscle atrophy is an early pathological event that does not involve the expression and activity of caspases. In particular, the expression of SOD1G93A promotes a reduction of the phosphatidylinositol 3-kinase (PI3K)/Akt pathway, leading to a reduction in protein synthesis and activation of the FoxO transcription factor. The two molecular branches of Akt activity might in tandem promote muscle atrophy at the early stage of ALS disease.
This initial morphofunctional alteration of skeletal muscle might be followed by NMJ destruction, distal axonopathy, astrocytosis in the spinal cord and finally motor neuron loss. This leads to a late exacerbation of muscle atrophy caused by caspase activation. Further work will define whether and how skeletal muscle affects the nervous system.
SOD1G93A transgenic mice (Jackson Laboratory, Bar Harbor, ME, USA) express the human mutant SOD1G93A allele containing the Gly93RAla (G93A) substitution, which is driven by its endogenous human promoter . MLC/SOD1G93A mice express the human mutant SOD1G93A transgene under the transcriptional control of muscle-specific promoter (MLC), and its expression is selectively restricted in skeletal muscle. The animals were housed in a temperature-controlled (22°C) room with a 12:12 hour light-dark cycle. All procedures involving the use of animals were performed following experimental protocols approved by the Italian Ministry of Health (ISS) according to dlgs. 116/92 of European Economic Community Directive 609/86.
Protein extraction and Western blot analysis
Protein extraction was performed in lysis buffer (50 mM Tris HCl, pH 7.4, 1% wt/vol Triton X-100, 0.25% sodium deoxycholate, 150 mM sodium chloride, 1 mM phenylmethylsulfonyl fluoride, 1 mg/ml aprotinin, 1 mg/ml leupeptin, 1 mg/ml pepstatin, 1 mM sodium orthovanadate and 1 mM sodium fluoride). Equal amounts of proteins (100 μg) from each muscle lysate were separated in sodium dodecyl sulfate polyacrylamide gel and transferred onto a Hybond-C Extra nitrocellulose membrane (GE Healthcare Life Sciences, Little Chalfont, Buckinghamshire, UK). After blocking with 5% nonfat dry milk, membranes were blotted with antibodies against caspase-3, Akt, pAkt, P70s6K, pP70s6K, FoxO1, FoxO3 (Cell Signaling Technology, Danvers, MA, USA), GFAP (Dako, Glostrup, Denmark) and tubulin (Sigma, St. Louis, MO, USA). The membranes were washed in Tris-buffered saline and Tween 20 (TBS-T) and incubated with horseradish peroxidase secondary antibody (diluted 1:10,000 in TBS-T) for 1 hour. Protein detection was carried out with SuperSignal Chemiluminescent Substrate (Pierce Biotechnology, Rockford, IL, USA).
Caspase activity was evaluated with the caspase-1 and caspase-3/ICE Colorimetric Protease Assay Kit (MBL International, Woburn, MA, USA). The assay is based on spectrophotometric detection of the chromophore p-nitroanilide (pNA) after cleavage from the labeled substrate YVAD-pNA. Protein extracts from wild-type, SOD1G93A and MLC/SOD1G93A mice were incubated with YVAD-pNA substrate at 37°C for 2 hours. The pNA emission was quantified with a spectrophotometer at 400 nm.
For immunofluorescence analysis, 7-μm-thick muscle cryosections were fixed with 4% paraformaldehyde, washed in phosphate-buffered saline with 1% bovine serum albumin and 0.2% Triton X-100, preincubated for 1 hour in 10% goat serum at room temperature and incubated overnight at 4°C with primary antibodies MyHC-slow and laminin (Sigma).
RNA extraction and quantitative reverse transcription polymerase chain reaction
Total RNA was prepared from liquid nitrogen powdered tissues homogenized in TRIzol reagent (Invitrogen, Carlsbad, CA, USA). Total RNA (1 μg) was treated with DNase I, Amplification Grade (Invitrogen, Carlsbad, CA, USA), and reverse-transcribed using the SuperScript™ III reverse transcriptase (Invitrogen, Carlsbad, CA, USA). Quantitative PCR was performed using ABI Prism 7000 Sequence Detection System software (Applied Biosystems, Carlsbad, CA, USA), and TaqMan® Universal Master Mix (Applied Biosystems, Carlsbad, CA, USA) for real-time RT-PCR amplification. Quantitative RT-PCR sample values were normalized for the expression of β-actin and reported as arbitrary units.
The Mann-Whitney U test was used for comparison among the different experimental models.
nicotinic acetylcholine receptor
amyotrophic lateral sclerosis
glial fibrillary acidic protein
myosin heavy chain
superoxide dismutase 1
Musarò A: State of the art and the dark side of amyotrophic lateral sclerosis. World J Biol Chem 2010, 1: 62-68.
Pasinelli P, Brown RH: Molecular biology of amyotrophic lateral sclerosis: insights from genetics. Nat Rev Neurosci 2006, 7: 710-723. 10.1038/nrn1971
Bruijn LI, Miller TM, Cleveland DW: Unraveling the mechanisms involved in motor neuron degeneration in ALS. Annu Rev Neurosci 2004, 27: 723-749. 10.1146/annurev.neuro.27.070203.144244
Jaarsma D, Teuling E, Haasdijk ED, De Zeeuw CI, Hoogenraad CC: Neuron-specific expression of mutant superoxide dismutase is sufficient to induce amyotrophic lateral sclerosis in transgenic mice. J Neurosci 2008, 28: 2075-2088. 10.1523/JNEUROSCI.5258-07.2008
Gurney ME, Pu H, Chiu AY, Dal Canto MC, Polchow CY, Alexander DD, Caliendo J, Hentati A, Kwon YW, Deng HX: Motor neuron degeneration in mice that express a human Cu,Zn superoxide dismutase mutation. Science 1994, 264: 1772-1775. 10.1126/science.8209258
Dobrowolny G, Aucello M, Rizzuto E, Beccafico S, Mammucari C, Boncompagni S, Belia S, Wannenes F, Nicoletti C, Del Prete Z, Rosenthal N, Molinaro M, Protasi F, Fanò G, Sandri M, Musarò A: Skeletal muscle is a primary target of SOD1G93A-mediated toxicity. Cell Metab 2008, 8: 425-436. 10.1016/j.cmet.2008.09.002
Dupuis L, Loeffler JP: Neuromuscular junction destruction during amyotrophic lateral sclerosis: insights from transgenic models. Curr Opin Pharmacol 2009, 9: 341-346. 10.1016/j.coph.2009.03.007
Zhou J, Yi J, Fu R, Liu E, Siddique T, Ríos E, Deng HX: Hyperactive intracellular calcium signaling associated with localized mitochondrial defects in skeletal muscle of an animal model of amyotrophic lateral sclerosis. J Biol Chem 2010, 285: 705-712. 10.1074/jbc.M109.041319
Wong M, Martin LJ: Skeletal muscle-restricted expression of human SOD1 causes motor neuron degeneration in transgenic mice. Hum Mol Genet 2010, 19: 2284-2302. 10.1093/hmg/ddq106
Dobrowolny G, Aucello M, Molinaro M, Musarò A: Local expression of mIgf-1 modulates ubiquitin, caspase and CDK5 expression in skeletal muscle of an ALS mouse model. Neurol Res 2008, 30: 131-136. 10.1179/174313208X281235
Dupont-Versteegden EE: Apoptosis in muscle atrophy: relevance to sarcopenia. Exp Gerontol 2005, 40: 473-481. 10.1016/j.exger.2005.04.003
Li J, Yuan J: Caspases in apoptosis and beyond. Oncogene 2008, 27: 6194-6206. 10.1038/onc.2008.297
Cheong JW, Chong SY, Kim JY, Eom JI, Jeung HK, Maeng HY, Lee ST, Min YH: Induction of apoptosis by apicidin, a histone deacetylase inhibitor, via the activation of mitochondria-dependent caspase cascades in human Bcr-Abl-positive leukemia cells. Clin Cancer Res 2003, 9: 5018-5027.
Tews DS: Muscle-fiber apoptosis in neuromuscular diseases. Muscle Nerve 2005, 32: 443-458. 10.1002/mus.20348
Tews DS, Behrhof W, Schindler S: Expression patterns of initiator and effector caspases in denervated human skeletal muscle. Muscle Nerve 2005, 31: 175-181. 10.1002/mus.20253
Siu PM, Alway SE: Response and adaptation of skeletal muscle to denervation stress: the role of apoptosis in muscle loss. Front Biosci 2009, 14: 432-452. 10.2741/3253
Dobrowolny G, Giacinti C, Pelosi L, Nicoletti C, Winn N, Barberi L, Molinaro M, Rosenthal N, Musarò A: Muscle expression of a local Igf-1 isoform protects motor neurons in an ALS mouse model. J Cell Biol 2005, 168: 193-199. 10.1083/jcb.200407021
Schiaffino S, Sandri M, Murgia M: Activity-dependent signaling pathways controlling muscle diversity and plasticity. Physiology (Bethesda) 2007, 22: 269-278.
Jokic N, Gonzalez de Aguilar JL, Dimou L, Lin S, Fergani A, Ruegg MA, Schwab ME, Dupuis L, Loeffler JP: The neurite outgrowth inhibitor Nogo-A promotes denervation in an amyotrophic lateral sclerosis model. EMBO Rep 2006, 7: 1162-1167. 10.1038/sj.embor.7400826
Witzemann V, Brenner HR, Sakmann B: Neural factors regulate AChR subunit mRNAs at rat neuromuscular synapses. J Cell Biol 1991, 114: 125-141. 10.1083/jcb.114.1.125
Chung YH, Joo KM, Lim HC, Cho MH, Kim D, Lee WB, Cha CI: Immunohistochemical study on the distribution of phosphorylated extracellular signal-regulated kinase (ERK) in the central nervous system of SOD1G93Atransgenic mice. Brain Res 2005, 1050: 203-209. 10.1016/j.brainres.2005.05.060
Barbeito LH, Pehar M, Cassina P, Vargas MR, Peluffo H, Viera L, Estévez AG, Beckman JS: A role for astrocytes in motor neuron loss in amyotrophic lateral sclerosis. Brain Res Brain Res Rev 2004, 47: 263-274. 10.1016/j.brainresrev.2004.05.003
Glass DJ: Signalling pathways that mediate skeletal muscle hypertrophy and atrophy. Nat Cell Biol 2003, 5: 87-90. 10.1038/ncb0203-87
Sandri M, Sandri C, Gilbert A, Skurk C, Calabria E, Picard A, Walsh K, Schiaffino S, Lecker SH, Goldberg AL: Foxo transcription factors induce the atrophy-related ubiquitin ligase atrogin-1 and cause skeletal muscle atrophy. Cell 2004, 117: 399-412. 10.1016/S0092-8674(04)00400-3
This work was supported by grants from Telethon-Italy, Seventh Framework Programme-Myoage (Grant Agreement Number 223576), MIUR, Sapienza project, and ASI. The funding agencies had no influence over the experimental design, data analysis or conclusions.
The authors declare that they have no competing interests.
AM designed experiments. GD and MA carried out the experiments and analyzed the data. AM wrote the paper. All the authors read and approved the final manuscript.
Gabriella Dobrowolny, Michela Aucello contributed equally to this work.
About this article
Cite this article
Dobrowolny, G., Aucello, M. & Musarò, A. Muscle atrophy induced by SOD1G93A expression does not involve the activation of caspase in the absence of denervation. Skeletal Muscle 1, 3 (2011). https://doi.org/10.1186/2044-5040-1-3
- Amyotrophic Lateral Sclerosis
- Motor Neuron
- Muscle Atrophy
- Mutant SOD1
- SOD1G93A Mouse