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	<article xmlns:xlink="http://www.w3.org/1999/xlink"
		xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" xml:lang="en">
		<?properties open_access?>
		<front>
			<journal-meta>
				<journal-id journal-id-type="nlm-ta">J Mol Signal</journal-id>
				<journal-id journal-id-type="iso-abbrev">J Mol Signal</journal-id>
				<journal-title-group>
					<journal-title>Journal of Molecular Signaling</journal-title>
				</journal-title-group>
				<issn pub-type="epub">1750-2187</issn>
				<publisher>
					<publisher-name>Ubiquity Press</publisher-name>
				</publisher>
			</journal-meta>
			<article-meta>
				<article-id pub-id-type="pmid">25276226</article-id>
				<article-id pub-id-type="pmc">4177715</article-id>
				<article-id pub-id-type="publisher-id">1750-2187-9-9</article-id>
				<article-id pub-id-type="doi">10.1186/1750-2187-9-9</article-id>
				<article-categories>
					<subj-group subj-group-type="heading">
						<subject>Research Article</subject>
					</subj-group>
				</article-categories>
				<title-group>
					<article-title>Forkhead box O1 and muscle RING finger 1 protein expression in
						atrophic and hypertrophic denervated mouse skeletal muscle</article-title>
				</title-group>
				<contrib-group>
					<contrib contrib-type="author" corresp="yes" id="A1">
						<name>
							<surname>Fj&#xE4;llstr&#xF6;m</surname>
							<given-names>Ann-Kristin</given-names>
						</name>
						<xref ref-type="aff" rid="I1">1</xref>
						<email>ann-kristin.fjallstrom@lnu.se</email>
					</contrib>
					<contrib contrib-type="author" id="A2">
						<name>
							<surname>Evertsson</surname>
							<given-names>Kim</given-names>
						</name>
						<xref ref-type="aff" rid="I1">1</xref>
						<email>kim.evertsson@lnu.se</email>
					</contrib>
					<contrib contrib-type="author" id="A3">
						<name>
							<surname>Norrby</surname>
							<given-names>Marlene</given-names>
						</name>
						<xref ref-type="aff" rid="I1">1</xref>
						<email>marlene.norrby@lnu.se</email>
					</contrib>
					<contrib contrib-type="author" id="A4">
						<name>
							<surname>T&#xE5;gerud</surname>
							<given-names>Sven</given-names>
						</name>
						<xref ref-type="aff" rid="I1">1</xref>
						<email>sven.tagerud@lnu.se</email>
					</contrib>
				</contrib-group>
				<aff id="I1">Department of Chemistry and Biomedical Sciences,
					Linnaeus University, Kalmar SE-391 82, Sweden</aff>
				<pub-date pub-type="collection">
					<year>2014</year>
				</pub-date>
				<pub-date pub-type="epub">
					<day>24</day>
					<month>9</month>
					<year>2014</year>
				</pub-date>
				<volume>9</volume>
				<fpage>9</fpage>
				<lpage>9</lpage>
				<history>
					<date date-type="received">
						<day>3</day>
						<month>4</month>
						<year>2014</year>
					</date>
					<date date-type="accepted">
						<day>18</day>
						<month>9</month>
						<year>2014</year>
					</date>
				</history>
				<permissions>
					<copyright-statement>Copyright: &#x00A9; 2014 The Author(s)</copyright-statement>
					<copyright-year>2014</copyright-year>
					<license license-type="open-access"
						xlink:href="http://creativecommons.org/licenses/by/3.0/">
						<license-p>This is an open-access article distributed under the terms of the
							Creative Commons Attribution 3.0 Unported License (CC-BY 3.0), which permits
							unrestricted use, distribution, and reproduction in any medium, provided the
							original author and source are credited. See <uri
								xlink:href="http://creativecommons.org/licenses/by/3.0/"
								>http://creativecommons.org/licenses/by/3.0/</uri>.</license-p>
					</license>
				</permissions>
				<self-uri xlink:href="http://www.jmolecularsignaling.com/content/9/1/9"/>
				<abstract>
					<sec>
						<title>Background</title>
						<p>Forkhead box O (FoxO) transcription factors and E3 ubiquitin ligases such
							as Muscle RING finger 1 (MuRF1) are believed to participate in the
							regulation of skeletal muscle mass. The function of FoxO transcription
							factors is regulated by post-translational modifications such as
							phosphorylation and acetylation. In the present study FoxO1 protein
							expression, phosphorylation and acetylation as well as MuRF1 protein
							expression, were examined in atrophic and hypertrophic denervated
							skeletal muscle.</p>
					</sec>
					<sec>
						<title>Methods</title>
						<p>Protein expression, phosphorylation and acetylation were studied
							semi-quantitatively using Western blots. Muscles studied were 6-days
							denervated mouse hind-limb muscles (anterior tibial as well as pooled
							gastrocnemius and soleus muscles, all atrophic), 6-days denervated mouse
							hemidiaphragm muscles (hypertrophic) and innervated control muscles.
							Total muscle homogenates were used as well as separated nuclear and
							cytosolic fractions of innervated and 6-days denervated anterior tibial
							and hemidiaphragm muscles.</p>
					</sec>
					<sec>
						<title>Results</title>
						<p>Expression of FoxO1 and MuRF1 proteins increased 0.3-3.7-fold in all
							6-days denervated muscles studied, atrophic as well as hypertrophic.
							Phosphorylation of FoxO1 at S256 increased about 0.8-1-fold after
							denervation in pooled gastrocnemius and soleus muscles and in
							hemidiaphragm but not in unfractionated anterior tibial muscle. A small
							(0.2-fold) but statistically significant increase in FoxO1
							phosphorylation was, however, observed in cytosolic fractions of
							denervated anterior tibial muscle. A statistically significant increase
							in FoxO1 acetylation (0.8-fold) was observed only in denervated anterior
							tibial muscle. Increases in total FoxO1 and in phosphorylated FoxO1 were
							only seen in cytosolic fractions of denervated atrophic anterior tibial
							muscle whereas in denervated hypertrophic hemidiaphragm both total FoxO1
							and phosphorylated FoxO1 increased in cytosolic as well as in nuclear
							fractions. MuRF1 protein expression increased in cytosolic as well as in
							nuclear fractions of both denervated atrophic anterior tibial muscle and
							denervated hypertrophic hemidiaphragm muscle.</p>
					</sec>
					<sec>
						<title>Conclusions</title>
						<p>Increased expression of FoxO1 and MuRF1 in denervated muscles (atrophic
							as well as hypertrophic) suggests that these proteins participate in the
							tissue remodelling occurring after denervation. The effect of
							denervation on the level of phosphorylated and acetylated FoxO1 differed
							in the muscles studied and may be related to differences in fiber type
							composition of the muscles.</p>
					</sec>
				</abstract>
				<kwd-group>
					<kwd>Acetylation</kwd>
					<kwd>Atrophy</kwd>
					<kwd>Denervation</kwd>
					<kwd>Cytosolic fraction</kwd>
					<kwd>Forkhead box O</kwd>
					<kwd>Hypertrophy</kwd>
					<kwd>MuRF1</kwd>
					<kwd>Nuclear fraction</kwd>
					<kwd>Phosphorylation</kwd>
					<kwd>Skeletal muscle</kwd>
				</kwd-group>
			</article-meta>
		</front>
		<body>
			<sec>
				<title>Background</title>
				<p>Skeletal muscle normally makes up about 45% of the body mass in humans [<xref
						ref-type="bibr" rid="B1">1</xref>] but is a very plastic tissue responsive
					to alterations in usage. Muscle inactivity leads to a decrease in mass (atrophy)
					whereas increased activity leads to an increase in mass (hypertrophy). Such
					changes in muscle mass are believed to occur as a result of alterations in a
					delicate balance between pathways regulating muscle protein synthesis and
					degradation [<xref ref-type="bibr" rid="B2">2</xref>]. The Forkhead box O (FoxO)
					transcription factors FoxO1 and FoxO3 are believed to participate in the
					regulation of muscle mass since overexpression of these transcription factors
					has been shown to lead to reduced skeletal muscle mass [<xref ref-type="bibr"
						rid="B3">3</xref>,<xref ref-type="bibr" rid="B4">4</xref>].</p>
				<p>FoxO transcription factors include the four members FoxO1 (FKHR), FoxO3 (FKHRL1),
					FoxO4 (AFX) and FoxO6 [<xref ref-type="bibr" rid="B5">5</xref>-<xref
						ref-type="bibr" rid="B7">7</xref>]. These are reported to have important
					roles in e.g. stress resistance and metabolism by regulating the expression of
					target genes. Examples of environmental stimuli that get translated by FoxO
					transcription factors into specific gene expression programs include oxidative
					stress, nutrients and growth factors [<xref ref-type="bibr" rid="B8">8</xref>].
					In growing cells FoxO proteins are to a high extent located in the cytoplasm
						[<xref ref-type="bibr" rid="B9">9</xref>] since nuclear export is a response
					to growth signals and nuclear import is a response to stress signals such as
					oxidative stress [<xref ref-type="bibr" rid="B9">9</xref>,<xref ref-type="bibr"
						rid="B10">10</xref>].</p>
				<p>One effect of FoxO transcription factors that may be important for the regulation
					of muscle mass is related to the control of transcription of E3 ubiquitin
					ligases such as Muscle RING finger 1 (MuRF1) and muscle atrophy F-box (MAFbx,
					Atrogin1). The mRNA expression of these ubiquitin ligases increase in a number
					of different atrophic conditions, including immobilization, hind-limb
					suspension, starvation, glucocorticoid treatment and denervation [<xref
						ref-type="bibr" rid="B11">11</xref>-<xref ref-type="bibr" rid="B17"
						>17</xref>]. Similarly the mRNA expression of FoxO1 has been shown to
					increase in a number of atrophic conditions including denervation [<xref
						ref-type="bibr" rid="B12">12</xref>,<xref ref-type="bibr" rid="B15"
						>15</xref>,<xref ref-type="bibr" rid="B18">18</xref>]. Constitutively active
					FoxO1, however, did not increase the expression of MAFbx or MuRF1 in myotubes
						[<xref ref-type="bibr" rid="B19">19</xref>] and transgenic mice
					overexpressing FoxO1 do not have consistent alterations in MAFbx or MuRF1 levels
						[<xref ref-type="bibr" rid="B4">4</xref>]. FoxO1 has, however, been found to
					cooperate with the glucocorticoid receptor to synergistically activate
					transcription of a reporter gene driven by the MuRF1 promoter [<xref
						ref-type="bibr" rid="B20">20</xref>]. The nuclear content of FoxO1 protein
					has been shown to decrease in human quadriceps muscle after resistance training,
					associated with muscle growth, and then during a de-training period the amount
					of FoxO1 protein increased in the nucleus [<xref ref-type="bibr" rid="B21"
						>21</xref>].</p>
				<p>The functions of FoxO transcription factors are controlled by post-translational
					modifications such as phosphorylation, acetylation and ubiquitination that
					influence transport between the nucleus and cytoplasm [<xref ref-type="bibr"
						rid="B22">22</xref>]. FoxO transcription factors can be phosphorylated by a
					number of different kinases including Akt (protein kinase B). FoxO1 is
					phosphorylated by Akt on S253, S316 and T24 (mouse FoxO1 sequence). The
					phosphorylations occur sequentially starting with S253 in the forkhead domain
						[<xref ref-type="bibr" rid="B9">9</xref>]. Following phosphorylation FoxO
					transcription factors bind to 14-3-3 chaperone proteins and are transported out
					of the nucleus to the cytoplasm. The 14-3-3 binding masks the nuclear
					localization signal and this prevents FoxO from returning to the nucleus [<xref
						ref-type="bibr" rid="B10">10</xref>]. In C2C12 myotubes glucocorticoid
					treatment or removal of growth medium has been shown to decrease the
					phosphorylation of FoxO1 [<xref ref-type="bibr" rid="B3">3</xref>].</p>
				<p>FoxO1 can also be acetylated at a number of different sites and acetylation seems
					to have an inhibitory effect on DNA binding capability but may also stimulate
					phosphorylation on S253 indicating that acetylation and phosphorylation may work
					together to control the function of FoxO1 [<xref ref-type="bibr" rid="B7"
						>7</xref>,<xref ref-type="bibr" rid="B23">23</xref>].</p>
				<p>The purpose of the present study was to investigate FoxO1 protein expression,
					phosphorylation and acetylation as well as MuRF1 protein expression in atrophic
					(hind-limb) and hypertrophic (hemidiaphragm) 6-days denervated mouse skeletal
					muscle. The hemidiaphragm muscle becomes transiently hypertrophic for
					6&#x2013;10 days following denervation [<xref ref-type="bibr" rid="B24"
						>24</xref>-<xref ref-type="bibr" rid="B26">26</xref>] whereas hind-limb
					muscles atrophy continuously following denervation. The hemidiaphragm of the
					mouse contains mainly type II muscle fibers with a lower content (about 12%) of
					type I fibers [<xref ref-type="bibr" rid="B27">27</xref>]. The hind-limb muscles
					used in the present study were anterior tibial muscles that in the mouse are
					devoid of type I muscle fibers [<xref ref-type="bibr" rid="B28">28</xref>] and
					pooled gastrocnemius and soleus muscles that in addition to type II also contain
					type I muscle fibers [<xref ref-type="bibr" rid="B28">28</xref>,<xref
						ref-type="bibr" rid="B29">29</xref>].</p>
			</sec>
			<sec sec-type="results">
				<title>Results</title>
				<p>All results reported are based on data from 7 sets of 8 animals generating 16
					denervated anterior tibial muscles with 16 contralateral innervated controls (8
					innervated and 8 denervated muscles used for whole muscle protein extraction and
					8 innervated and 8 denervated muscles used for preparing separate cytosolic and
					nuclear fractions), 8 denervated pooled gastrocnemius and soleus muscles with 8
					contralateral innervated controls (all used for whole muscle protein
					extraction), 16 denervated hemidiaphragm muscles, 16 innervated control
					hemidiaphragms from separate animals (8 innervated and 8 denervated muscles used
					for whole muscle protein extraction and 8 innervated and 8 denervated muscles
					used for preparing separate cytosolic and nuclear fractions) and 8 hemidiaphragm
					muscles from sham operated animals (all used for whole muscle protein
					extraction).</p>
				<sec>
					<title>Muscle weights</title>
					<p>Alterations in muscle weights following 6&#xA0;days of denervation are
						illustrated in Figure&#xA0;<xref ref-type="fig" rid="F1">1</xref> for
						muscles used for whole muscle protein extraction. Six days after denervation
						hemidiaphragm muscles were hypertrophic with a wet weight of
						43.3&#x2009;&#xB1;&#x2009;0.7&#xA0;mg (n&#x2009;=&#x2009;8,
						p&#x2009;&lt;&#x2009;0.001 versus innervated and sham operated, one-way
						ANOVA with Tukey&#x2019;s multiple comparisons test, Figure&#xA0;<xref
							ref-type="fig" rid="F1">1</xref>) compared to innervated controls with a
						wet weight of 28.2&#x2009;&#xB1;&#x2009;0.8&#xA0;mg (n&#x2009;=&#x2009;8)
						and sham operated control muscles with a wet weight of
						29.7&#x2009;&#xB1;&#x2009;1.0&#xA0;mg (n&#x2009;=&#x2009;8). After six days
						of denervation anterior tibial muscles were atrophic with a wet weight of
						51.6&#x2009;&#xB1;&#x2009;1.8&#xA0;mg (n&#x2009;=&#x2009;8), compared to
						innervated controls with a wet weight of
						65.9&#x2009;&#xB1;&#x2009;1.8&#xA0;mg (n&#x2009;=&#x2009;8,
						p&#x2009;&lt;&#x2009;0.001, Student&#x2019;s paired t-test,
							Figure&#xA0;<xref ref-type="fig" rid="F1">1</xref>). After six days of
						denervation pooled gastrocnemius and soleus muscles were atrophic with a wet
						weight of 149.1&#x2009;&#xB1;&#x2009;4.4&#xA0;mg (n&#x2009;=&#x2009;8),
						compared to innervated controls with a wet weight of
						198.3&#x2009;&#xB1;&#x2009;5.7&#xA0;mg (n&#x2009;=&#x2009;8,
						p&#x2009;&lt;&#x2009;0.001, Student&#x2019;s paired t-test,
							Figure&#xA0;<xref ref-type="fig" rid="F1">1</xref>).</p>
					<fig id="F1" position="float">
						<label>Figure 1</label>
						<caption>
							<p><bold>Muscle weights.</bold> Muscle weights of 6-days denervated
								(Den) hypertrophic hemidiaphragm muscles, 6-days denervated atrophic
								anterior tibial and pooled gastrocnemius and soleus muscles compared
								to innervated (Inn) controls. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean.
								***p&#x2009;&lt;&#x2009;0.001, n&#x2009;=&#x2009;8 muscles per
								group.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-1.jpg"/>
					</fig>
					<p>Weights of muscles used for preparing separated nuclear and cytosolic
						fractions were as follows. 6-days denervated hemidiaphragm muscles were
						hypertrophic with a wet weight of 40.3&#x2009;&#xB1;&#x2009;1.5&#xA0;mg
						(n&#x2009;=&#x2009;8) compared to innervated controls with a wet weight of
						29.6&#x2009;&#xB1;&#x2009;0.6&#xA0;mg (n&#x2009;=&#x2009;8,
						p&#x2009;&lt;&#x2009;0.001, Student&#x2019;s t-test). 6-days denervated
						anterior tibial muscles were atrophic with a wet weight of
						44.7&#x2009;&#xB1;&#x2009;1.8&#xA0;mg (n&#x2009;=&#x2009;8), compared to
						innervated controls with a wet weight of
						60.8&#x2009;&#xB1;&#x2009;1.9&#xA0;mg (n&#x2009;=&#x2009;8,
						p&#x2009;&lt;&#x2009;0.001, Student&#x2019;s paired t-test).</p>
				</sec>
				<sec>
					<title>FoxO1 expression in 6-days denervated atrophic and hypertrophic
						muscle</title>
					<p>FoxO1 protein expression increased 0.8-3.7-fold in all 6-days denervated
						muscles studied, atrophic as well as hypertrophic (Figure&#xA0;<xref
							ref-type="fig" rid="F2">2</xref>).</p>
					<fig id="F2" position="float">
						<label>Figure 2</label>
						<caption>
							<p><bold>Total FoxO1 protein expression in 6-days denervated atrophic
									hind-limb muscles and in 6-days denervated hypertrophic
									hemidiaphragm muscle.</bold> Total protein expression of FoxO1
								in 6-days denervated (Den) atrophic anterior tibial muscle
									<bold>(A)</bold>, atrophic pooled gastrocnemius and soleus
								muscles <bold>(B)</bold>, and in hypertrophic hemidiaphragm muscle
									<bold>(C)</bold> compared to innervated (Inn) and sham operated
								controls. Representative images of Western blots are shown together
								with densitometric quantifications. One innervated sample from the
								respective muscle type was loaded onto all gels as a reference. All
								samples were measured relative to this reference. The data were
								normalized to give a mean value of 100.0 in innervated muscles. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean.
								*p&#x2009;&lt;&#x2009;0.05, **p&#x2009;&lt;&#x2009;0.01,
								n&#x2009;=&#x2009;8 muscles per group.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-2.jpg"/>
					</fig>
					<p>The mean expression level of total FoxO1 protein in anterior tibial muscles
						was 383.8&#x2009;&#xB1;&#x2009;131.0 arbitrary units (n&#x2009;=&#x2009;8)
						in denervated muscles compared to 100.0&#x2009;&#xB1;&#x2009;31.1
						(n&#x2009;=&#x2009;8) in innervated muscles (p&#x2009;&lt;&#x2009;0.05,
						Student&#x2019;s paired t-test, Figure&#xA0;<xref ref-type="fig" rid="F2"
							>2</xref>A). The mean protein expression level in pooled gastrocnemius
						and soleus muscles was 179.5&#x2009;&#xB1;&#x2009;10.7 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						100.0&#x2009;&#xB1;&#x2009;11.9 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s paired t-test,
							Figure&#xA0;<xref ref-type="fig" rid="F2">2</xref>B). The mean protein
						expression level in hemidiaphragm muscles was
						471.0&#x2009;&#xB1;&#x2009;173.1 arbitrary units in denervated muscles
						(n&#x2009;=&#x2009;8, p&#x2009;&lt;&#x2009;0.05 versus innervated and sham
						operated, Kruskal-Wallis test with Dunn&#x2019;s multiple comparisons test,
							Figure&#xA0;<xref ref-type="fig" rid="F2">2</xref>C) compared to
						100.0&#x2009;&#xB1;&#x2009;59.5 (n&#x2009;=&#x2009;8) in innervated muscles
						and 70.7&#x2009;&#xB1;&#x2009;33.6 (n&#x2009;=&#x2009;8) in sham operated
						control muscles (Figure&#xA0;<xref ref-type="fig" rid="F2">2</xref>C).</p>
				</sec>
				<sec>
					<title>FoxO1 phosphorylation in 6-days denervated atrophic and hypertrophic
						muscle</title>
					<p>Levels of phosphorylated FoxO1 were unchanged in 6-days denervated anterior
						tibial muscle (atrophic) but increased about 0.8-1-fold in 6-days denervated
						hemidiaphragm (hypertrophic) and in pooled 6-days denervated gastrocnemius
						and soleus muscles (atrophic, Figure&#xA0;<xref ref-type="fig" rid="F3"
							>3</xref>).</p>
					<fig id="F3" position="float">
						<label>Figure 3</label>
						<caption>
							<p><bold>FoxO1 phosphorylation in 6-days denervated atrophic hind-limb
									muscles and in 6-days denervated hypertrophic hemidiaphragm
									muscle.</bold> Expression of phosphorylated FoxO1 in 6-days
								denervated (Den) atrophic anterior tibial muscle <bold>(A)</bold>,
								atrophic pooled gastrocnemius and soleus muscles <bold>(B)</bold>,
								and in hypertrophic hemidiaphragm muscle <bold>(C)</bold> compared
								to innervated (Inn) and sham operated controls. Representative
								images of Western blots are shown together with densitometric
								quantifications. One innervated sample from the respective muscle
								type was loaded onto all gels as a reference. All samples were
								measured relative to this reference. The data were normalized to
								give a mean value of 100.0 in innervated muscles. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean.
								*p&#x2009;&lt;&#x2009;0.05, **p&#x2009;&lt;&#x2009;0.01,
								n&#x2009;=&#x2009;8 muscles per group.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-3.jpg"/>
					</fig>
					<p>The mean expression level of phosphorylated FoxO1 in anterior tibial muscles
						was 99.3&#x2009;&#xB1;&#x2009;21.9 arbitrary units (n&#x2009;=&#x2009;8) in
						denervated muscles compared to 100.0&#x2009;&#xB1;&#x2009;28.6
						(n&#x2009;=&#x2009;8) in innervated muscles (Figure&#xA0;<xref
							ref-type="fig" rid="F3">3</xref>A). The mean expression level in pooled
						gastrocnemius and soleus muscles was 196.1&#x2009;&#xB1;&#x2009;24.6
						arbitrary units (n&#x2009;=&#x2009;8) in denervated muscles compared to
						100.0&#x2009;&#xB1;&#x2009;13.1 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s paired t-test,
							Figure&#xA0;<xref ref-type="fig" rid="F3">3</xref>B). The mean
						expression level in hemidiaphragm muscles was
						178.5&#x2009;&#xB1;&#x2009;27.9 arbitrary units in denervated muscles
						(n&#x2009;=&#x2009;8, p&#x2009;&lt;&#x2009;0.05 versus innervated and
						p&#x2009;&lt;&#x2009;0.01 versus sham operated, one-way ANOVA with
						Tukey&#x2019;s multiple comparisons test, Figure&#xA0;<xref ref-type="fig"
							rid="F3">3</xref>C) compared to 100.0&#x2009;&#xB1;&#x2009;12.6
						(n&#x2009;=&#x2009;8) in innervated muscles and
						74.0&#x2009;&#xB1;&#x2009;12.7 (n&#x2009;=&#x2009;8) in sham operated
						control muscles (Figure&#xA0;<xref ref-type="fig" rid="F3">3</xref>C).</p>
				</sec>
				<sec>
					<title>FoxO1 acetylation in 6-days denervated atrophic and hypertrophic
						muscle</title>
					<p>The level of acetylated FoxO1 increased about 0.8-fold in 6-days denervated
						anterior tibial muscles (atrophic) but no statistically significant changes
						were seen in 6-days denervated pooled gastrocnemius and soleus muscles
						(atrophic) nor in 6-days denervated hemidiaphragm muscles (hypertrophic,
							Figure&#xA0;<xref ref-type="fig" rid="F4">4</xref>).</p>
					<fig id="F4" position="float">
						<label>Figure 4</label>
						<caption>
							<p><bold>FoxO1 acetylation in 6-days denervated atrophic hind-limb
									muscles and in 6-days denervated hypertrophic hemidiaphragm
									muscle.</bold> Expression of acetylated FoxO1 in 6-days
								denervated (Den) atrophic anterior tibial <bold>(A)</bold>, atrophic
								pooled gastrocnemius and soleus muscles <bold>(B)</bold>, and in
								hypertrophic hemidiaphragm muscle <bold>(C)</bold> compared to
								innervated (Inn) and sham operated controls. Representative images
								of Western blots are shown together with densitometric
								quantifications. One innervated sample from the respective muscle
								type was loaded onto all gels as a reference. All samples were
								measured relative to this reference. The data were normalized to
								give a mean value of 100.0 in innervated muscles. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean.
								**p&#x2009;&lt;&#x2009;0.01, n&#x2009;=&#x2009;8 muscles per
								group.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-4.jpg"/>
					</fig>
					<p>The mean expression level of acetylated FoxO1 in anterior tibial muscles was
						183.5&#x2009;&#xB1;&#x2009;36.2 arbitrary units (n&#x2009;=&#x2009;8) in
						denervated muscles compared to 100.0&#x2009;&#xB1;&#x2009;16.7
						(n&#x2009;=&#x2009;8) in innervated muscles (p&#x2009;&lt;&#x2009;0.01,
						Wilcoxon matched-pairs signed rank test, Figure&#xA0;<xref ref-type="fig"
							rid="F4">4</xref>A). The mean expression level of acetylated FoxO1 in
						pooled gastrocnemius and soleus muscles was 114.6&#x2009;&#xB1;&#x2009;10.6
						arbitrary units (n&#x2009;=&#x2009;8) in denervated muscles compared to
						100.0&#x2009;&#xB1;&#x2009;11.6 (n&#x2009;=&#x2009;8) in innervated muscles
							(Figure&#xA0;<xref ref-type="fig" rid="F4">4</xref>B). The mean
						expression level of acetylated FoxO1 in hemidiaphragm muscles was
						99.8&#x2009;&#xB1;&#x2009;10.3 arbitrary units (n&#x2009;=&#x2009;8) in
						denervated muscles compared to 100.0&#x2009;&#xB1;&#x2009;19.8
						(n&#x2009;=&#x2009;8) in innervated muscles and
						109.5&#x2009;&#xB1;&#x2009;15.8 (n&#x2009;=&#x2009;8) in sham operated
						control muscles (Figure&#xA0;<xref ref-type="fig" rid="F4">4</xref>C).</p>
				</sec>
				<sec>
					<title>MuRF1 expression in in 6-days denervated atrophic and hypertrophic
						muscle</title>
					<p>MuRF1 protein expression increased 0.3-0.9-fold in all 6-days denervated
						muscles studied, atrophic as well as hypertrophic (Figure&#xA0;<xref
							ref-type="fig" rid="F5">5</xref>).</p>
					<fig id="F5" position="float">
						<label>Figure 5</label>
						<caption>
							<p><bold>MuRF1 protein expression in 6-days denervated atrophic
									hind-limb muscles and in 6-days denervated hypertrophic
									hemidiaphragm muscle.</bold> MuRF1 expression in 6-days
								denervated (Den) atrophic anterior tibial <bold>(A)</bold>, atrophic
								pooled gastrocnemius and soleus muscles <bold>(B)</bold>, and in
								hypertrophic hemidiaphragm muscle <bold>(C)</bold> compared to
								innervated (Inn) and sham operated controls. Representative images
								of Western blots are shown together with densitometric
								quantifications. One innervated sample from the respective muscle
								type was loaded onto all gels as a reference. All samples were
								measured relative to this reference. The data were normalized to
								give a mean value of 100.0 in innervated muscles. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean.
								*p&#x2009;&lt;&#x2009;0.05, **p&#x2009;&lt;&#x2009;0.01,
								n&#x2009;=&#x2009;8 (<bold>A</bold> and <bold>C</bold>) or 7
									<bold>(B)</bold> muscles per group.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-5.jpg"/>
					</fig>
					<p>The mean expression level of MuRF1 protein in anterior tibial muscles was
						132.6&#x2009;&#xB1;&#x2009;21.2 arbitrary units (n&#x2009;=&#x2009;8) in
						denervated muscles compared to 100.0&#x2009;&#xB1;&#x2009;17.2
						(n&#x2009;=&#x2009;8) in innervated muscles (p&#x2009;&lt;&#x2009;0.01,
						Wilcoxon matched-pairs signed rank test, Figure&#xA0;<xref ref-type="fig"
							rid="F5">5</xref>A). The mean protein expression level in pooled
						gastrocnemius and soleus muscles was 189.0&#x2009;&#xB1;&#x2009;15.6
						arbitrary units (n&#x2009;=&#x2009;7) in denervated muscles compared to
						100.0&#x2009;&#xB1;&#x2009;13.0 (n&#x2009;=&#x2009;7) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.05, Wilcoxon matched-pairs signed rank test,
							Figure&#xA0;<xref ref-type="fig" rid="F5">5</xref>B). The mean protein
						expression level in hemidiaphragm muscles was
						170.9&#x2009;&#xB1;&#x2009;10.4 arbitrary units in denervated muscles
						(n&#x2009;=&#x2009;8, p&#x2009;&lt;&#x2009;0.05 versus innervated muscles,
						one-way ANOVA with Tukey&#x2019;s multiple comparisons test,
							Figure&#xA0;<xref ref-type="fig" rid="F5">5</xref>C) compared to
						100.0&#x2009;&#xB1;&#x2009;13.3 (n&#x2009;=&#x2009;8) in innervated muscles
						and 111.3&#x2009;&#xB1;&#x2009;24.3 in sham operated control muscles
							(Figure&#xA0;<xref ref-type="fig" rid="F5">5</xref>C).</p>
				</sec>
				<sec>
					<title>FoxO1 protein expression and phosphorylation in cytosolic and nuclear
						fractions of 6-days denervated atrophic anterior tibial muscle</title>
					<p>In innervated as well as in 6-days denervated atrophic anterior tibial muscle
						total and phosphorylated FoxO1 protein were mainly present in cytosolic
						fractions. Expression increased about 1-fold and 0.2-fold, respectively, in
						cytoplasmic fractions of 6-days denervated muscles (Figure&#xA0;<xref
							ref-type="fig" rid="F6">6</xref>).</p>
					<fig id="F6" position="float">
						<label>Figure 6</label>
						<caption>
							<p><bold>FoxO1 protein expression and phosphorylation levels in
									cytosolic and nuclear fractions of 6-days denervated atrophic
									anterior tibial muscle.</bold> Total FoxO1 protein expression
									<bold>(A)</bold> and phosphorylation levels <bold>(B)</bold> in
								cytosolic (C) and nuclear (N) fractions of 6-days denervated (Den)
								atrophic anterior tibial muscle compared to innervated (Inn)
								controls. Representative images of Western blots are shown together
								with densitometric quantifications. One innervated cytosolic sample
								was loaded onto all gels as a reference. All samples were measured
								relative to this reference. The data were normalized so that the sum
								of cytosolic and nuclear signals in innervated muscles will give a
								mean value of 100.0. Mean values&#x2009;&#xB1;&#x2009;standard error
								of the mean. Statistical comparisons were made between cytosolic
								fractions of denervated versus innervated muscles and between
								nuclear fractions of denervated versus innervated muscles.
								**p&#x2009;&lt;&#x2009;0.01, n&#x2009;=&#x2009;8 denervated anterior
								tibial muscles and 8 contralateral innervated control muscles. Each
								muscle was fractionated into a cytosolic and a nuclear fraction.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-6.jpg"/>
					</fig>
					<p>The mean expression level of total FoxO1 protein in the cytosolic fraction of
						anterior tibial muscles was 136.7&#x2009;&#xB1;&#x2009;14.7 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						66.9&#x2009;&#xB1;&#x2009;4.4 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s paired t-test). In the nuclear
						fraction the expression level of total FoxO1 protein in denervated muscle
						was 23.7&#x2009;&#xB1;&#x2009;4.2 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 33.1&#x2009;&#xB1;&#x2009;5.0 (n&#x2009;=&#x2009;8) in
						innervated muscles (Figure&#xA0;<xref ref-type="fig" rid="F6"
						>6</xref>A).</p>
					<p>The mean expression level of phosphorylated FoxO1 in the cytosolic fraction
						of anterior tibial muscles was 97.9&#x2009;&#xB1;&#x2009;5.6 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						84.8&#x2009;&#xB1;&#x2009;5.1 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s paired t-test). In the nuclear
						fraction the expression level of phosphorylated FoxO1 in denervated muscle
						was 16.7&#x2009;&#xB1;&#x2009;3.4 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 15.2&#x2009;&#xB1;&#x2009;4.9 (n&#x2009;=&#x2009;8) in
						innervated muscles (Figure&#xA0;<xref ref-type="fig" rid="F6"
						>6</xref>B).</p>
				</sec>
				<sec>
					<title>FoxO1 protein expression and phosphorylation in cytosolic and nuclear
						fractions of 6-days denervated hypertrophic hemidiaphragm muscle</title>
					<p>In innervated as well as in 6-days denervated hypertrophic hemidiaphragm
						muscle total and phosphorylated FoxO1 protein were mainly present in
						cytosolic fractions. Expression of total FoxO1 protein increased about
						1.7-fold and 1.4-fold, respectively, in cytoplasmic and nuclear fractions of
						6-days denervated muscles. Expression of phosphorylated FoxO1 increased
						about 1.3-fold and 2.5-fold, respectively, in cytoplasmic and nuclear
						fractions of 6-days denervated muscles (Figure&#xA0;<xref ref-type="fig"
							rid="F7">7</xref>).</p>
					<fig id="F7" position="float">
						<label>Figure 7</label>
						<caption>
							<p><bold>FoxO1 protein expression and phosphorylation levels in
									cytosolic and nuclear fractions of 6-days denervated
									hypertrophic hemidiaphragm muscle.</bold> Total FoxO1 protein
								expression <bold>(A)</bold> and phosphorylation levels
									<bold>(B)</bold> in cytosolic (C) and nuclear (N) fractions of
								6-days denervated (Den) hypertrophic hemidiaphragm muscle compared
								to innervated (Inn) controls. Representative images of Western blots
								are shown together with densitometric quantifications. One
								innervated cytosolic sample was loaded onto all gels as a reference.
								All samples were measured relative to this reference. The data were
								normalized so that the sum of cytosolic and nuclear signals in
								innervated muscles will give a mean value of 100.0. Mean
								values&#x2009;&#xB1;&#x2009;standard error of the mean. Statistical
								comparisons were made between cytosolic fractions of denervated
								versus innervated muscles and between nuclear fractions of
								denervated versus innervated muscles. *p&#x2009;&lt;&#x2009;0.05,
								**p&#x2009;&lt;&#x2009;0.01, n&#x2009;=&#x2009;8 denervated
								hemidiaphragm muscles and 8 innervated control hemidiaphragms from
								separate animals. Each muscle was fractionated into a cytosolic and
								a nuclear fraction.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-7.jpg"/>
					</fig>
					<p>The mean expression level of total FoxO1 protein in the cytosolic fraction of
						hemidiaphragm muscles was 204.8&#x2009;&#xB1;&#x2009;32.2 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						77.2&#x2009;&#xB1;&#x2009;16.6 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s t-test). In the nuclear
						fraction the expression level of total FoxO1 protein in denervated muscle
						was 54.8&#x2009;&#xB1;&#x2009;10.1 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 22.8&#x2009;&#xB1;&#x2009;5.5 in innervated muscles
						(p&#x2009;&lt;&#x2009;0.05, Student&#x2019;s t-test, Figure&#xA0;<xref
							ref-type="fig" rid="F7">7</xref>A).</p>
					<p>The mean expression level of phosphorylated FoxO1 in the cytosolic fraction
						of hemidiaphragm muscles was 213.3&#x2009;&#xB1;&#x2009;41.8 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						92.8&#x2009;&#xB1;&#x2009;25.3 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.05, Mann&#x2013;Whitney test). In the nuclear
						fraction the expression level of phosphorylated FoxO1 in denervated muscle
						was 25.2&#x2009;&#xB1;&#x2009;4.8 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 7.2&#x2009;&#xB1;&#x2009;2.0 in innervated muscles
						(p&#x2009;&lt;&#x2009;0.01, Student&#x2019;s t-test, Figure&#xA0;<xref
							ref-type="fig" rid="F7">7</xref>B).</p>
				</sec>
				<sec>
					<title>MuRF1 expression in cytosolic and nuclear fractions of 6-days denervated
						atrophic and hypertrophic muscle</title>
					<p>In innervated as well as in 6-days denervated atrophic anterior tibial muscle
						and hypertrophic hemidiaphragm muscle MuRF1 protein was mainly present in
						cytosolic fractions. Expression increased about 0.5-2.4-fold in cytoplasmic
						as well as nuclear fractions of 6-days denervated muscles (Figure&#xA0;<xref
							ref-type="fig" rid="F8">8</xref>).</p>
					<fig id="F8" position="float">
						<label>Figure 8</label>
						<caption>
							<p><bold>MuRF1 protein expression in cytosolic and nuclear fractions of
									6-days denervated atrophic anterior tibial muscle and in 6-days
									denervated hypertrophic hemidiaphragm muscle.</bold> MuRF1
								expression in cytosolic (C) and nuclear (N) fractions of 6-days
								denervated (Den) atrophic anterior tibial muscle <bold>(A)</bold>
								and 6-days denervated hypertrophic hemidiaphragm muscle
									<bold>(B)</bold> compared to innervated (Inn) controls.
								Representative images of Western blots are shown together with
								densitometric quantifications. One innervated cytosolic sample was
								loaded onto all gels as a reference. All samples were measured
								relative to this reference. The data were normalized so that the sum
								of cytosolic and nuclear signals in innervated muscles will give a
								mean value of 100.0. Mean values&#x2009;&#xB1;&#x2009;standard error
								of the mean. Statistical comparisons were made between cytosolic
								fractions of denervated versus innervated muscles and between
								nuclear fractions of denervated versus innervated muscles.
								*p&#x2009;&lt;&#x2009;0.05, ***p&#x2009;&lt;&#x2009;0.001,
								n&#x2009;=&#x2009;8 denervated hemidiaphragm muscles and 8
								innervated control hemidiaphragms from separate animals. Each muscle
								was fractionated into a cytosolic and a nuclear fraction.</p>
						</caption>
						<graphic xlink:href="1750-2187-9-9-8.jpg"/>
					</fig>
					<p>The mean expression level of MuRF1 protein in the cytosolic fraction of
						anterior tibial muscles was 90.2&#x2009;&#xB1;&#x2009;12.2 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						60.4&#x2009;&#xB1;&#x2009;10.2 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.05, Student&#x2019;s paired t-test). In the nuclear
						fraction the expression level of MuRF1 protein in denervated muscle was
						62.0&#x2009;&#xB1;&#x2009;10.2 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 39.6&#x2009;&#xB1;&#x2009;6.1 (n&#x2009;=&#x2009;8) in
						innervated muscles (p&#x2009;&lt;&#x2009;0.05, Student&#x2019;s paired
						t-test, Figure&#xA0;<xref ref-type="fig" rid="F8">8</xref>A).</p>
					<p>The mean expression level of MuRF1 protein in the cytosolic fraction of
						hemidiaphragm muscles was 134.5&#x2009;&#xB1;&#x2009;21.6 arbitrary units
						(n&#x2009;=&#x2009;8) in denervated muscles compared to
						80.5&#x2009;&#xB1;&#x2009;9.3 (n&#x2009;=&#x2009;8) in innervated muscles
						(p&#x2009;&lt;&#x2009;0.05, Student&#x2019;s t-test). In the nuclear
						fraction the expression level of MuRF1 protein in denervated muscle was
						67.1&#x2009;&#xB1;&#x2009;10.4 arbitrary units (n&#x2009;=&#x2009;8)
						compared to 19.5&#x2009;&#xB1;&#x2009;2.1 in innervated muscles
						(p&#x2009;&lt;&#x2009;0.001, Student&#x2019;s t-test, Figure&#xA0;<xref
							ref-type="fig" rid="F8">8</xref>B).</p>
				</sec>
			</sec>
			<sec sec-type="discussion">
				<title>Discussion</title>
				<p>The present study has examined the expression of FoxO1 protein and
					post-translational modifications of FoxO1 in models of atrophic and hypertrophic
					denervated skeletal muscle. Most denervated skeletal muscles atrophy but the
					hemidiaphragm muscle undergoes a transient hypertrophy following denervation
					possibly as a result of passive stretching due to continued contractions in the
					contralateral innervated hemidiaphragm [<xref ref-type="bibr" rid="B24"
						>24</xref>-<xref ref-type="bibr" rid="B26">26</xref>]. The hemidiaphragm of
					the mouse is composed mainly of type II muscle fibers but also contains about
					12% of type I fibers [<xref ref-type="bibr" rid="B27">27</xref>]. The hind-limb
					muscles used in the present study were mouse anterior tibial muscles that are
					devoid of type I muscle fibers [<xref ref-type="bibr" rid="B28">28</xref>] and
					pooled gastrocnemius and soleus muscles that in addition to type II also contain
					type I muscle fibers [<xref ref-type="bibr" rid="B28">28</xref>,<xref
						ref-type="bibr" rid="B29">29</xref>].</p>
				<p>Similar to what has previously been shown for FoxO3 [<xref ref-type="bibr"
						rid="B30">30</xref>-<xref ref-type="bibr" rid="B32">32</xref>], and recently
					also for FoxO1 in atrophic hind-limb muscle [<xref ref-type="bibr" rid="B33"
						>33</xref>], the present study shows that the expression of FoxO1 protein is
					increased in 6-days denervated skeletal muscle. This increase was observed in
					all denervated muscles studied, atrophic as well as hypertrophic, suggesting
					that FoxO1 plays a role for denervation changes other than those leading to
					alterations in muscle mass. One such role may relate to the expression of
					different myosin heavy chain isoforms. Thus, overexpression of FoxO1 has
					previously been shown to result in a decrease in type I muscle fibers and a
					strong reduction in the expression of the slow muscle myosin heavy chain isoform
						[<xref ref-type="bibr" rid="B4">4</xref>]. Similarly, in soleus and
					gastrocnemius muscles denervation has been shown to reduce the expression of the
					slow muscle myosin heavy chain isoform [<xref ref-type="bibr" rid="B34"
						>34</xref>,<xref ref-type="bibr" rid="B35">35</xref>]. Increased FoxO1
					expression has also been reported in hypertrophic mouse plantaris muscle
					following functional overload [<xref ref-type="bibr" rid="B36">36</xref>,<xref
						ref-type="bibr" rid="B37">37</xref>].</p>
				<p>Phosphorylation of FoxO1 at S256 increased in pooled gastrocnemius and soleus
					muscles (atrophic with type I fibers) as well as in hemidiaphragm (hypertrophic
					with type I fibers) but not in unfractionated anterior tibial muscle (atrophic
					without type I fibers). A small but statistically significant increase in FoxO1
					phosphorylation was, however, observed in the cytosolic fraction of denervated
					anterior tibial muscle. The difference in phosphorylated FoxO1 between
					denervated anterior tibial and pooled gastrocnemius and soleus muscles might be
					related to FoxO1 being more readily phosphorylated in type I muscle fibers as
					suggested by a higher p-FoxO1/FoxO1 ratio in soleus muscle compared to anterior
					tibial muscle [<xref ref-type="bibr" rid="B31">31</xref>]. A statistically
					significant increase in FoxO1 acetylation was observed only in denervated
					anterior tibial muscle. A previous study has reported increased acetylation of
					FoxO3 in denervated anterior tibial muscle but at later times following
					denervation [<xref ref-type="bibr" rid="B30">30</xref>].</p>
				<p>FoxO1 protein expression and phosphorylation were also studied in separated
					cytosolic and nuclear fractions of hemidiaphragm and anterior tibial muscles. In
					all muscles studied, innervated as well as denervated atrophic and denervated
					hypertrophic muscles, total and phosphorylated FoxO1 protein were mainly present
					in cytosolic fractions. In anterior tibial muscle increases in protein
					expression and phosphorylation were only observed in cytosolic fractions
					following denervation. In hemidiaphragm total FoxO1 protein, as well as
					phosphorylated protein, were increased in nuclear as well as in cytosolic
					fractions following denervation. A previous study has also reported increased
					nuclear FoxO1 in denervated rat hemidiaphragm although only at early times
					(1&#xA0;day) after denervation, but not after 5&#xA0;days [<xref ref-type="bibr"
						rid="B38">38</xref>].</p>
				<p>MuRF1 protein expression has previously been reported to increase in denervated
					hind-limb muscle [<xref ref-type="bibr" rid="B33">33</xref>,<xref
						ref-type="bibr" rid="B39">39</xref>,<xref ref-type="bibr" rid="B40"
						>40</xref>]. The present study confirms increased MuRF1 protein expression
					in denervated atrophic hind-limb muscle but also shows that MuRF1 protein
					expression is increased in denervated hemidiaphragm muscle at a time point when
					the muscle is in a hypertrophic state relative to innervated control muscles.
					Despite the hypertrophic state previous studies on denervated rat hemidiaphragm
					indicate that from 5&#xA0;days following denervation protein degradation, as
					well as protein synthesis, is increased in this muscle [<xref ref-type="bibr"
						rid="B41">41</xref>]. Expression of MuRF1 has been reported to be controlled
					by myogenin and deletion of myogenin diminishes the expression of MuRF1 in
					denervated hind-limb muscles [<xref ref-type="bibr" rid="B42">42</xref>,<xref
						ref-type="bibr" rid="B43">43</xref>]. Increased expression of MuRF1 in
					denervated muscle may therefore be a consequence of the increased expression of
					myogenin that occurs following denervation in hind-limb as well as in
					hemidiaphragm muscle [<xref ref-type="bibr" rid="B44">44</xref>-<xref
						ref-type="bibr" rid="B46">46</xref>]. MuRF1 has also been shown to be
					preferentially expressed in type II muscle fibers, and also to be preferentially
					induced in type II fibers after denervation [<xref ref-type="bibr" rid="B40"
						>40</xref>,<xref ref-type="bibr" rid="B47">47</xref>]. All muscles included
					in the present study contain type II muscle fibers but the fiber type
					composition of muscles changes following denervation [<xref ref-type="bibr"
						rid="B48">48</xref>,<xref ref-type="bibr" rid="B49">49</xref>]. It is, thus,
					also possible that the increased MuRF1 expression observed in the present study
					relates to alterations in fiber types that occur following denervation.</p>
			</sec>
			<sec sec-type="conclusions">
				<title>Conclusions</title>
				<p>Increased expression of FoxO1 and MuRF1 in denervated muscles (atrophic as well
					as hypertrophic) suggests that these proteins participate in the tissue
					remodelling that occurs in skeletal muscle following denervation. The effect of
					denervation on the level of phosphorylated and acetylated FoxO1 differed in the
					muscles studied and may be related to differences in fiber type composition of
					the muscles.</p>
			</sec>
			<sec sec-type="methods">
				<title>Methods</title>
				<sec>
					<title>Animals and muscles</title>
					<p>Adult male NMRI mice (Scanbur, Sollentuna, Sweden) were used in this study.
						The mice were kept in cages with environment enrichment and with free access
						to a standard laboratory diet and tap water. The animals were anaesthetized
						by inhalation of isoflurane before surgery and received a subcutaneous
						injection of buprenorphine (50&#xA0;&#x3BC;g/kg) for post-operative
						analgesia. Denervation of either the left hemidiaphragm or the left
						hind-limb was performed by sectioning and removing a few mm of the phrenic
						nerve or the sciatic nerve as described previously [<xref ref-type="bibr"
							rid="B50">50</xref>]. Six days after denervation the mice were killed by
						cervical dislocation. Hind-limb muscles (anterior tibial and gastrocnemius
						together with soleus) were rapidly dissected, weighed, frozen on dry ice and
						stored at &#x2212;80&#xB0;C. Innervated control hind-limb muscles were
						collected from the contralateral (right) leg of animals that were denervated
						by sectioning the left sciatic nerve. Innervated left control hemidiaphragms
						were collected from separate animals that had received no surgery. To
						control for this, eight animals used for hemidiaphragm studies went through
						sham surgery. These animals were anaesthetized by inhalation of isoflurane,
						had a subcutaneous injection of buprenorphine (50&#xA0;&#x3BC;g/kg) and a
						unilateral thoracotomy without touching the phrenic nerve. For dissection of
						the hemidiaphragm muscle the diaphragm, attached to the rib cage, was
						quickly removed and placed in cold phosphate buffered saline (PBS) with
						calcium (2&#xA0;mM). The left hemidiaphragm was then dissected under a
						dissecting microscope, blotted dry on filter paper, weighed, frozen on dry
						ice and stored at &#x2212;80&#xB0;C. The experimental manipulations have
						been approved by the Ethical Committee for Animal Experiments,
						Link&#xF6;ping, Sweden (permit number: 67&#x2013;10).</p>
				</sec>
				<sec>
					<title>Protein extraction</title>
					<p>Hemidiaphragm, anterior tibial and pooled gastrocnemius and soleus muscles
						were used for protein extractions. The muscles were homogenized using an
						Ultra-Turrax homogenizer (Janke and Kunkel, Staufen, Germany) in 1&#xA0;ml
						(hemidiaphragm and anterior tibial muscles) or 2&#xA0;ml (pooled
						gastrocnemius and soleus muscles) buffer containing 100&#xA0;mM
						Tris&#x2013;HCl, pH&#xA0;7.6, 150&#xA0;mM NaCl, 1&#xA0;mM EDTA, 1% NP-40,
						0.1% sodium deoxycholate and 1% Halt&#x2122; Protease and Phosphatase
						Inhibitor Cocktail (Thermo Scientific, Rockford, IL). The supernatant was
						recovered and the pellet was resuspended in 0.5&#xA0;ml (anterior tibial and
						hemidiaphragm muscles) or 1.0&#xA0;ml (pooled gastrocnemius and soleus
						muscles) of homogenization buffer and recentrifuged. The supernatants were
						combined and the protein concentration was determined using the Bradford
						assay [<xref ref-type="bibr" rid="B51">51</xref>].</p>
				</sec>
				<sec>
					<title>Cytosolic and nuclear skeletal muscle fractions</title>
					<p>Mouse hemidiaphragm and anterior tibial muscles were used for cytosolic and
						nuclear protein extraction. The method used was slightly modified from
							[<xref ref-type="bibr" rid="B52">52</xref>] and has been described
						separately [<xref ref-type="bibr" rid="B53">53</xref>]. In brief, muscles
						that had been stored at &#x2212;80&#xB0;C were homogenized using an
						Ultra-Turrax homogenizer (Janke and Kunkel, Staufen, Germany) in 1&#xA0;ml
						low salt lysis buffer (10&#xA0;mM HEPES, 10&#xA0;mM KCl, 1.5&#xA0;mM
							MgCl<sub>2</sub>, 0.1&#xA0;mM EDTA, 0.1&#xA0;mM EGTA, 1&#xA0;mM
						dithiothreitol (DTT); pH&#xA0;7.9 with 1% Halt&#x2122; Protease and
						Phosphatase Inhibitor Cocktail from Thermo Scientific, Rockford, IL). The
						homogenized tissue was then vortexed (15&#xA0;s), put on ice (10&#xA0;min),
						vortexed again (15&#xA0;s) and centrifuged (16.000&#xA0;g for 15&#xA0;s).
						The supernatant cytosolic extract was frozen at &#x2212;80&#xB0;C for
						subsequent analyses. The nuclear pellet was resuspended on ice in a high
						salt nuclear extraction buffer (20&#xA0;mM HEPES, 420&#xA0;mM NaCl,
						1&#xA0;mM EDTA, 1&#xA0;mM EGTA, 1&#xA0;mM DTT, 25% glycerol; pH&#xA0;7.9
						with 1% Halt&#x2122; Protease and Phosphatase Inhibitor Cocktail from Thermo
						Scientific, Rockford, IL). Four &#x3BC;l of nuclear extraction buffer was
						used per mg muscle wet weight. Preparations were incubated on ice for
						30&#xA0;min and vortexed (10&#xA0;s) every 5&#xA0;min before centrifugation
						(16.000&#xA0;g for 6&#xA0;min). The supernatant nuclear extract was frozen
						at &#x2212;80&#xB0;C for subsequent analyses. Protein determinations for
						each fraction were obtained using the Bradford assay [<xref ref-type="bibr"
							rid="B51">51</xref>].</p>
				</sec>
				<sec>
					<title>Western blot</title>
					<p>Western blots were prepared essentially as described in [<xref
							ref-type="bibr" rid="B50">50</xref>]. Fifteen to thirty &#x3BC;g protein
						were reduced, denatured and electrophoretically separated on a 12%
						polyacrylamide gel with a 5.2% polyacrylamide stacking gel on top. Gels were
						electroblotted onto PVDF Plus transfer membranes (Amersham Hybond-P, GE
						Healthcare, Buckinghamshire, England) and the membranes were blocked and
						then incubated with antibodies. Primary antibodies for detecting total-FoxO1
						(rabbit monoclonal) (C29H4) [2880] and pFoxO1 S256 (rabbit polyclonal)
						[9461] were obtained from Cell Signaling Technology (Beverly, CA), MuRF1
						(goat polyclonal) [AF5366] was obtained from R&amp;D systems (Abingdon,
						England) and Ac-FoxO1 (rabbit polyclonal) (FKHR D19) [49437] from Santa Cruz
						Biotechnology (Santa Cruz, CA). All primary antibodies were used at a
						dilution of 1/800 &#x2013; 1/1500. Antibodies were visualized with
						horseradish peroxidise conjugated secondary immunoglobulin diluted 1/1000
						goat anti-rabbit IgG [P0448] and 1/1000-1/10000 rabbit anti-goat IgG [P0449]
						(Dako, Glostrup, Denmark). The bound immune complexes were detected using
						the ECL Plus Western blotting detection system and Hyperfilm ECL (Amersham
						International and Amersham Pharmacia Biotech, Buckinghamshire, England).</p>
				</sec>
				<sec>
					<title>Data analysis and statistics</title>
					<p>The expression levels of total, phosphorylated and acetylated proteins were
						studied semi-quantitatively using data from Western blots. Equal amounts of
						total, cytosolic or nuclear proteins from innervated or denervated muscles
						were loaded on the gels. Measured levels of total, phosphorylated or
						acetylated proteins are expressed without normalization to any specific
						protein. No loading controls were used and any difference in protein
						quantifications, pipettings steps, protein transfers etc. are included in
						the variations of the data sets.</p>
					<p>Image analysis was performed using the gel plotting macro of the program
						ImageJ (Rasband, W.S., ImageJ, US National Institutes of Health, Bethesda,
						MD, <ext-link ext-link-type="uri" xlink:href="http://rsb.info.nih.gov/ij/"
							>http://rsb.info.nih.gov/ij/</ext-link>, 1997&#x2013;2007). Results were
						obtained in uncalibrated optical density units</p>
					<p>In order to be able to compare data for whole muscle homogenates run on
						different gels, one innervated muscle sample (a reference sample) was
						included in all gels containing samples to be compared to each other. All
						other samples were measured relative to this reference, the signal of which
						was set to 100.0 in all gels. In order to more easily compare denervated and
						innervated muscles all data were finally normalized in such a way that the
						average signal from innervated muscles became 100.0.</p>
					<p>For quantification of protein expression in separated cytosolic and nuclear
						fractions one of the cytosolic fractions from an innervated muscle was used
						as a reference sample and was included in all gels. All other samples were
						measured relative to this reference, the signal of which was set to 100.0.
						From the amount of protein loaded on gels in relation to the total amount of
						protein extracted in the nuclear and cytosolic fractions a total cytosolic
						and a total nuclear signal was calculated for whole muscles. In the final
						analysis total cytosolic and total nuclear signals were again normalized in
						such way that the sum of the nuclear and cytosolic signals became 100.0 in
						innervated muscle.</p>
					<p>Data are presented as mean values&#x2009;&#xB1;&#x2009;standard error of the
						mean (SEM). For statistical comparisons of unfractionated hemidiaphragm
						muscles (innervated, sham operated and denervated) one way-ANOVA was used,
						followed by Tukey&#x2019;s multiple comparisons test, for normally
						distributed data (according to D&#x2019;Agostino-Pearson omnibus K2
						normality test). Statistical significance for data not being normally
						distributed was determined using the Kruskal-Wallis test with Dunn&#x2019;s
						multiple comparisons test. For other comparisons Student&#x2019;s t-test
						(paired observations for hind-limb muscles, unpaired observations for
						hemidiaphragm muscles) was used for normally distributed data. Statistical
						significance for data not being normally distributed was determined using
						the Wilcoxon matched-pairs signed rank test (hind-limb muscles) or the
						Mann&#x2013;Whitney test (hemidiaphragm muscles).</p>
				</sec>
			</sec>
			<sec>
				<title>Competing interests</title>
				<p>The authors declare that they have no competing interests.</p>
			</sec>
			<sec>
				<title>Authors&#x2019; contributions</title>
				<p>The work presented here was carried out in collaboration between all authors. AKF
					designed the study and carried out most of the protein expression studies,
					statistical analyses and drafted the manuscript. KE carried out the studies on
					nuclear and cytosolic fractions and did the statistical analyses of these. MN
					and ST conceived of the study, participated in the design, statistical analyses
					and drafting of the manuscript. All authors have read and approved the final
					manuscript.</p>
			</sec>
		</body>
		<back>
			<sec>
				<title>Acknowledgements</title>
				<p>We would like to thank Amanda Nystr&#xF6;m for help with the MuRF1 studies. This
					work was supported by grants from the Faculty of Health and Life Sciences,
					Linnaeus University, Kalmar, Sweden.</p>
			</sec>
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