S100A8/S100A9 released by CD11b+Ly6G+ neutrophils activate MerTKhiLy6clo reparative macrophages to delay denervated muscle atrophy.

Strategies to delay the process of denervated muscle atrophy are limited, in part because the microenvironmental function of the target muscle is not well understood. Immune microenvironment remodelling is one of the main changes of skeletal muscle environment after denervation. Our previous work found that denervated atrophic muscles recruit a large number of neutrophils and macrophages, and neutrophils can delay muscle atrophy, but the specific mechanism is still unclear. In this study, the expression of S100a8/S100a9 was significantly up-regulated in the transcriptional group of early denervated skeletal muscle. Immunofluorescence, flow sorting and quantitative PCR analysis showed that S100A8/S100A9 mainly came from neutrophils. Further knockout of S100a9 has the same effect as blocking neutrophils to aggravate muscle atrophy. Through MerTK blockers, it is clear that MerTKhiLy6Clo reparatory macrophages can delay the progression of muscle atrophy. After knockout of the S100a9 gene, the mobilization of bone marrow haematopoietic stem cells decreased, the excretion of spleen monocytes was blocked, the number of peripheral blood monocytes decreased, the infiltration of monocytes/macrophages in target muscle decreased and the polarization of MerTKhiLy6Clo reparatory macrophages was blocked. It is clear that S100A9 regulates the polarization of MerTKhiLy6Clo reparative macrophages. Collectively, based on the interaction between neutrophils and macrophages, it is clear that S100A8/S100A9 participates in delaying the process of denervated muscle atrophy by promoting the polarization of MerTKhiLy6Clo reparatory macrophages, and provides a new immune target for the early delay and prevention of denervated muscle atrophy.