Loss of MKP-5 promotes myofiber survival by activating STAT3/Bcl-2 signaling during regenerative myogenesis

Background The mitogen-activated protein kinases (MAPKs) have been shown to be involved in regulating myofiber survival. In skeletal muscle, p38 MAPK and JNK are negatively regulated by MAPK phosphatase-5 (MKP-5). During muscle regeneration, MKP-5 is downregulated, thereby promoting p38 MAPK/JNK signaling, and subsequent repair of damaged muscle. Mice lacking MKP-5 expression exhibit enhanced regenerative myogenesis. However, the effect of MKP-5 on myofiber survival during regeneration is unclear. Methods To investigate whether MKP-5 is involved in myofiber survival, skeletal muscle injury was induced by cardiotoxin injection, and the effects on apoptosis were assessed by TUNEL assay in wild type and MKP-5-deficient mice. The contribution of MKP-5 to apoptotic signaling and its link to this pathway through mitochondrial function were determined in regenerating skeletal muscle of MKP-5-deficient mice. Results We found that loss of MKP-5 in skeletal muscle resulted in improved myofiber survival. In response to skeletal muscle injury, loss of MKP-5 decreased activation of the mitochondrial apoptotic pathway involving the signal transducer and activator of transcription 3 (STAT3) and increased expression of the anti-apoptotic transcription factor Bcl-2. Skeletal muscle of MKP-5-deficient mice also exhibited an improved anti-oxidant capacity as a result of increased expression of catalase further contributing to myofiber survival by attenuating oxidative damage. Conclusions Taken together, these findings suggest that MKP-5 coordinates skeletal muscle regeneration by regulating mitochondria-mediated apoptosis. MKP-5 negatively regulates apoptotic signaling, and during regeneration, MKP-5 downregulation contributes to the restoration of myofiber survival. Finally, these results suggest that MKP-5 inhibition may serve as an important therapeutic target for the preservation of skeletal muscle survival in degenerative muscle diseases.


Background
The mitogen-activated protein kinases (MAPKs) are highly conserved serine/threonine protein kinases that participate in a multitude of signal transduction pathways. MAPKs are activated by a wide variety of extracellular stimuli including mitogens, growth factors, cytokines, and cellular stresses associated with physiological and pathophysiological mechanisms [1][2][3]. It has been well established that MAPKs play a major role in the control of post-developmental skeletal muscle function [4][5][6][7][8]. The MAPKs are negatively regulated by the MAPK phosphatases (MKPs) through direct dephosphorylation [9]. The MKPs constitute one group of the dual-specificity phosphatases (DUSPs) that exhibit the capacity to dephosphorylate MAPKs on regulatory threonine and tyrosine residues [10][11][12]. MKP-5 is highly expressed in skeletal muscle suggesting that it plays an important functional role in this tissue [4,13,14]. Our group has demonstrated that MKP-5 regulates skeletal muscle function by inactivating both p38 MAPK and c-Jun NH 2 -terminal kinase (JNK) during regenerative myogenesis [4]. MKP-5 negatively regulates muscle stem cells, known as satellite cells (SCs), by inhibiting JNK-mediated expression of cyclin D3 [4]. This inhibition is relieved upon SC activation by the rapid downregulation of MKP-5. As such, genetic loss of MKP-5 in mice results in enhanced SC proliferation and differentiation and improved regenerative myogenesis in response to injury. Furthermore, we identified that MKP-5 is involved in the progression of dystrophic muscle disease [4]. However, a complete understanding of how MKP-5 regulates myofiber integrity remains to be defined.
The restoration of damaged skeletal muscle function requires the balance between the regenerative capacity and the rate of apoptosis [15][16][17]. Mitochondria play a pivotal role in both regeneration and apoptosis in skeletal muscle following injury [18][19][20]. While mitochondrial biogenesis is required for skeletal muscle regeneration [21][22][23], aberrant mitochondria-mediated apoptosis has been suggested to be responsible for certain skeletal muscle diseases [24][25][26]. Apoptosis is required to regulate development and tissue homeostasis in multicellular organisms. However, deregulated apoptotic cell death can promote a variety of pathologies [27][28][29].
Growing evidence shows that interleukin-6 (IL-6) and the signal transducer and activator of transcription 3 (STAT3) are required for not only SC activation but also prevention from mitochondria-mediated apoptosis in several tissues [30][31][32]. In this regard, our group recently demonstrated that MKP-5 regulates myogenesis by mediating MAPKdependent phosphorylation of the guanine-nucleotide exchange factor for Rab3A (GRAB), which is responsible for the secretion of IL-6. MKP-5-deficient mice, as a result, express increased circulating levels of IL-6 and increased STAT3 activation [33]. Activated STAT3 couples to the apoptotic pathway by upregulating the anti-apoptotic transcription factor, Bcl-2 [34,35]. Bcl-2 is localized to the outer membrane of mitochondria which inhibits activation of pro-apoptotic proteins, release of cytochrome c and reactive oxygen species (ROS) from permeabilized mitochondrial membrane, thereby preventing mitochondriamediated apoptosis [36,37]. Based upon these collective observations, the aim of this study was to investigate whether MKP-5 regulates myofiber survival and to further discern whether it does so through pathways involving mitochondria-mediated programmed cell death.

Animal experiments
MKP-5 knockout mice were generated as described previously [38]. Yale University Institutional Animal Care and Use Committee approved all procedures. Skeletal muscle damage was induced by intramuscular injection of 300 μL cardiotoxin (Sigma-Aldrich, 0.1 mg/mL in PBS) into the gastrocnemius/soleus muscles, after anesthesia by administration of 10 mg/kg ketamine and 1 mg/kg xylazine. Soleus muscle at 10 days after injury was removed and rapidly frozen in liquid nitrogen and stored at − 80°C for subsequent biochemical analyses.

Mitochondrial respiration
Soleus muscle was dissected and placed on a plastic Petri dish containing ice-cold buffer X (60 mM K-MES, 35 mM KCl, 7.23 mM K 2 EGTA, 2.77 mM CaK 2 EGTA, 20 mM imidazole, 0.5 mM DTT, 20 mM taurine, 5.7 mM ATP, 15 mM PCr, and 6.56 mM MgCl 2 , pH 7.1). The muscle was then cut down to fiber bundles (2-3 mg wet wt). The muscle fiber bundles were gently separated in ice-cold buffer X to maximize surface area of the fiber bundle. To permeabilize the myofibers, each fiber bundle was incubated in ice-cold buffer X containing 50 μg/ mL saponin on a rotator for 30 min at 4°C. The permeabilized muscle bundles were then washed in ice-cold buffer Z (110 mM K-MES, 35 mM KCl, 1 mM EGTA, 5 mM K 2 HPO4, and 3 mM MgCl 2 , 0.005 mM glutamate, and 0.02 mM malate and 0.5 mg/mL BSA, pH 7.1).
Mitochondrial respiration was measured at 37°C in buffer Z using the Oroboros O2K oxygraph. After the respiration chamber was calibrated, permeabilized fiber bundles were incubated with 2 mL of respiration buffer Z containing 20 mM creatine to saturate creatine kinase activity. Flux through complex I was measured using 5 mM pyruvate and 2 mM malate. ADP-stimulated respiration (state 3) was measured by the addition of 500 μM ADP to the respiration chamber. Basal respiration (state 4) was determined in the presence of 10 μg/ mL oligomycin to inhibit ATP synthesis. The respiratory control ratio (RCR) was calculated by dividing state 3 by state 4 respiration.

Mitochondrial hydrogen peroxide (H 2 O 2 ) generation
Isolated mitochondrial H 2 O 2 release was measured using Amplex Red (Molecular Probes, Eugene, OR) as described previously [39]. Mitochondrial  Terminal deoxynucleotidyl transferase dUTP nick end labeling Myonuclear apoptosis was determined by terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) using a histochemical fluorescent detection kit (Roche Applied Scientific; Indianapolis, IN). Briefly, 10 μm tissue sections were fixed using a 4% formaldehyde solution, washed and permeabilized with 0.1% Triton X-100 in 0.1% sodium citrate solution. Tissue sections were stained with a dystrophin antibody (Thermo Fisher Scientific) to visualize the sarcolemma membrane. Following the dystrophin staining, tissue sections were then incubated with the TUNEL enzyme label solution and sealed with a Vectashield 4′,6diamidino-2-phenylindole (DAPI) mounting medium for detection of nuclei (Vector Laboratories; Burlingame, CA). TUNEL-stained tissue sections were imaged using a Zeiss Axiovert S100 fluorescent microscope using Axiovision software (Zeiss). The numbers of TUNEL and DAPIpositive nuclei either within or on the dystrophin-labeled membrane were counted in 10 fields for each sample.

Evans blue dye uptake
The loss of skeletal muscle fiber membrane integrity was measured by Evans blue dye uptake. After 10 days of cardiotoxin injection, 1% Evans blue dye dissolved in sterile saline was administered by intraperitoneal injection at a dose of 1% of body weight. Twenty-four hours later, muscles were dissected and snap frozen in isopentene precooled in liquid nitrogen. Muscle cryosections of 10 μm thickness were cut, and Evans blue dye uptake was evaluated using Axiovision software (Zeiss).

RNA extraction and real-time PCR analysis
RNA was isolated from soleus muscle of mkp-5 +/+ and mkp5 −/− mice using a RNeasy kit (Qiagen, CA) according to the manufacturer's instructions. A total of 1 μg RNA was reverse transcribed to generate cDNA using a reverse transcriptase PCR kit (Applied Biosystems, CA). Real-time quantitative PCR was carried out using the Applied Biosystems 7500 Fast real-time PCR system, using TaqMan and SYBR green gene expression master mix. TaqMan primers and gene expression master mix from Applied Biosystems were used for Tfam (Mn00447485_m1), NRF-1 (Mn00447996_m1), Mfn2 (Mn01255785), GABPα (Mn00484598_m1), Ndufs1 (Mn00523631_m1), Ndufs5 (Mn00452592_m1), and PGC1-α (Mn01208835_m1) mRNA quantitation. Primers and SYBR green PCR master mix (Applied Biosystems) were used for PRC (5′-TGGACGCCTCCCTTATATCCC and 3′-TGTGAGCAGCGACATTTCATTC). All relative gene expression levels were analyzed using the ΔC T method and normalized to 18S rRNA expression.

Biochemical analysis
For immunoblotting, soleus muscles were homogenized and lysed on ice in lysis buffer containing 100 mM Tris HCl (pH 7.4) and 25 mM EDTA. C2C12 myoblasts were lysed on ice in lysis buffer containing 50 mM Tris-HCl (pH 7.8), 150 mM NaCl, 1 mM EDTA, 1% Triton X-100, 0.5% sodium deoxycholate, and 0.1% SDS. Lysis buffers were supplemented with protease and phosphatase inhibitors (1 mM Na 3 VO 4 , 10 mM NaF, 1 mM benzamidine, 1 mM phenylmethylsulfonyl fluoride, 1 μg/mL pepstain A, 5 μg/mL aprotinin, 5 μg/mL leupeptin). Tissue or cell lysates were incubated at 4°C for 30 min and clarified by centrifugation at 14,000 rpm at 4°C for 10 min. The protein concentration was determined using the bicinchoninic acid (BCA) reagent according to the manufacturer's instructions (Pierce). Lysates were resolved by SDS-PAGE and transferred onto Nitrocellulose membranes (Bio-Rad). Membranes were blocked with 5% non-fat dry milk or 5% BSA in Tris-buffered saline/ Tween-20 (TBST) for 1 h at room temperature. Primary antibodies were diluted in 5% non-fat dry milk or 5% BSA in TBST. After primary antibody incubations, overnight at 4°C, membranes were washed in TBST three times for 10 min. The membranes were then incubated in secondary antibodies (Cell Signaling Technology) followed by enhanced chemiluminescence detection.

Statistical analysis
All data represent the means ± standard errors of the means (SEM). Differences between groups were assessed by a Student's t test or analysis of variance (ANOVA) with Tukey's multiple comparisons test using Prism software (GraphPad Software).

Reduced myofiber damage and myonuclear apoptosis in regenerating skeletal muscle of MKP-5-deficient mice
The restoration of damaged skeletal muscle depends upon the balance between the regenerative capacity of skeletal muscle and the rate of skeletal muscle death [15][16][17]. We have demonstrated that MKP-5 negatively regulates regenerative myogenesis in skeletal muscle [4]. MKP-5-deficient mice exhibit increased regenerative myogenesis, in part, due to enhanced SC proliferation and differentiation [4]. However, the effects of MKP-5 deficiency on myofiber survival have yet to be determined. Therefore, we investigated the extent to which MKP-5 is involved in skeletal muscle survival during regenerative myogenesis in MKP-5-deficient mice. Regenerative myogenesis was induced by cardiotoxin-mediated injury in mkp-5 +/+ and mkp-5 −/− mice (Fig. 1). First, we used Evans blue dye uptake to assess skeletal muscle membrane integrity in uninjured and regenerating skeletal muscle from both mkp-5 +/+ and mkp-5 −/− mice. In uninjured soleus muscles of both mkp-5 +/+ and mkp-5 −/− mice as expected, Evans blue dye uptake was undetectable. However, we found that Evans blue dye uptake was significantly reduced in skeletal muscle from mkp-5 −/− mice as compared with mkp-5 +/+ mice at 10 days after injury (Fig. 1a). These results demonstrate that loss of MKP-5 protects against myofiber damage in response to injury. In order to further examine the nature of the reduced myofiber damage, we analyzed whether myofiber damage occurred as a result of reduced myofiber death. To assess this, we employed TUNEL staining as a measure of apoptotic cell death in myonuclei. In uninjured skeletal muscle, the frequency of TUNEL-positive myonuclei in skeletal muscle sections was undetectable in both mkp-5 +/+ and mkp-5 −/− mice. We found that skeletal muscle derived from mkp-5 −/− mice undergoing regeneration exhibited significantly reduced levels of TUNEL-positive myonuclei (Fig. 1b). These findings demonstrate that skeletal muscle in MKP-5-deficient mice exhibit reduced myonuclear apoptosis during regeneration. Apoptosis is regulated by highly coordinated processes that involves the activation of cysteine proteases called caspases [27]. Caspase-3 activation is responsible for DNA fragmentation and myonuclear apoptosis [27,40]. We measured the cleaved, active form, of caspase-3 in skeletal muscle from mkp-5 +/+ and mkp-5 −/− mice following CTX injection. Since myofiber apoptosis occurs at an early time point in response to injury, we measured cleaved caspase-3 in skeletal muscle at 12 h after CTX injection. Our results revealed that activation of caspse-3 in skeletal muscle derived from mkp-5 +/+ and mkp-5 −/− mice was not different at 12 h after injury (Fig. 2a, b). However, activation of caspse-3 was significantly attenuated in skeletal muscle from mkp-5 −/− mice as compared with mkp-5 +/+ mice at 10 days after injury (Fig. 2c, d).
To determine whether MKP-5 induces apoptosis through the extrinsic and/or intrinsic pathway, we measured activation of caspase-8 and caspase-9 in regenerating skeletal muscle from mkp-5 +/+ and mkp-5 −/− mice. These data show that activation of caspase-9 was significantly inhibited in regenerative skeletal muscle from mkp-5 −/− mice as compared with mkp-5 +/+ mice, whereas activation of caspase-8 in response to injury was unaffected (Fig. 2c, e, and f). These findings demonstrate that MKP-5 deficiency reduces apoptosis during skeletal muscle regeneration through the intrinsic apoptotic pathway.

Improved mitochondrial function in skeletal muscle of MKP-5-deficient mice
Our results suggest that MKP-5 is required for the regulation of the intrinsic apoptotic pathway in regenerating skeletal muscle. Given that mitochondria contribute to the activation of anti-apoptotic and pro-apoptotic proteins and are the organelle from which the activation of caspases are induced [18,27,41], we investigated whether MKP-5 affects mitochondrial homeostasis during skeletal muscle regeneration. First, we measured the expression of genes associated with mitochondrial biogenesis in regenerating skeletal muscle from mkp-5 +/+ and mkp-5 −/− mice by quantitative PCR. We found that in uninjured skeletal muscle from mkp-5 −/− mice, genes such as the mitochondrial transcription factor A (Tfam), mitofusin-2 (Mfn2), and GA-binding protein transcription factor alpha (GABPα) were upregulated as compared with mkp-5 +/+ mice (Fig. 3a). In response to injury, genes associated with mitochondrial biogenesis were more profoundly elevated in skeletal muscle from mkp-5 −/− mice compared with mkp-5 +/+ mice (Fig. 3b). We determined the levels of mitochondrial DNA (mtDNA), as a marker of mitochondrial content, in skeletal muscle from mkp-5 +/+ and mkp-5 −/− mice. These results showed that mitochondrial DNA content was significantly increased in both uninjured and regenerating skeletal muscle from mkp-5 −/− mice as compared with mkp-5 +/+ mice (Fig. 3c, d). Therefore, during skeletal muscle regeneration, MKP-5-deficient mice exhibit increased mitochondrial biogenesis.
Reduced oxidative stress in regenerating skeletal muscle of MKP-5-deficient mice Mitochondria are one of the major sources of reactive oxygen species (ROS) in skeletal muscle under a variety of pathologies [18,40,42]. Increased mitochondrial ROS emission is an important contributor to skeletal muscle apoptosis [18,43,44]. Therefore, in order to determine whether MKP-5 deficiency contributes to reduced apoptosis via mechanisms involving mitochondrial ROS production during regenerative myogenesis, we assessed hydrogen peroxide (H 2 O 2 ) release from mitochondria isolated from skeletal muscle of mkp-5 +/+ and mkp-5 −/− mice. In uninjured skeletal muscle of mkp-5 +/+ and mkp-5 −/− mice, we found that the levels of mitochondria-generated H 2 O 2 were equivalent between the groups (Fig. 4a). Although mitochondria-generated H 2 O 2 was dramatically increased in injured skeletal muscle from both mkp-5 +/+ and mkp-5 −/− mice, mitochondria-generated H 2 O 2 in skeletal muscle from mkp-5 −/− mice was significantly less (Fig. 4a). These data indicate that MKP-5 deficiency reduces mitochondrial ROS production during regenerative myogenesis.
Excessive ROS production in skeletal muscle induces oxidative modification of cellular proteins [45,46]. We determined the level of oxidative modification of proteins by measurement of cellular lipid peroxidation which occurs as a response to oxidative damage and produces several active aldehydes [45,47,48]. The generation of lipid peroxidation in skeletal muscle was determined by measuring the levels of 4-hydroxynonenal (4-HNE)-conjugated proteins. Immunoblotting with anti-4-HNE antibodies showed that the levels of 4-HNEconjugated proteins were unchanged between uninjured skeletal muscles of mkp-5 +/+ and mkp-5 −/− mice (Fig. 4b).
To investigate how MKP-5 deficiency attenuates oxidative damage in regenerating skeletal muscle, we assessed the levels of the antioxidant enzyme, catalase, in skeletal muscle from mkp-5 +/+ and mkp-5 −/− mice. Catalase protects cells from oxidative stress by detoxifying H 2 O 2 to water [49,50]. Our results showed that the protein expression levels of catalase were unaltered between mkp-5 +/+ and mkp-5 −/− mice in uninjured skeletal muscle (Fig. 4d). However, in skeletal muscle of mkp-5 −/− mice undergoing regeneration, the protein expression levels of catalase were   significantly increased as compared with skeletal muscle from mkp-5 +/+ mice at 10 days after injury (Fig. 4e). These findings indicate that mice lacking the expression of MKP-5 are resistant to oxidative cellular damage due to reduced mitochondrial ROS production and commensurate upregulation of catalase during regenerative myogenesis.

MKP-5 mediates STAT3/Bcl-2 in a JNK and p38 MAPK-dependent manner
Our data demonstrate that MKP-5 mediates STAT3 phosphorylation at both tyrosine 705 and serine 727 residues (Fig. 6). STAT3 is tyrosine phosphorylated by JAK1/2, and its levels are increased in the absence of MKP-5 suggesting that MKP-5 indirectly regulates STAT3 tyrosyl phosphorylation through JAK1/2. Additionally, STAT3 is increased in its levels of serine 727 phosphorylation (Fig. 6). It is known that MAPKs phosphorylate STAT3 at this serine site resulting in optimal STAT3 transcriptional activity [37,56]. In order to identity whether MKP-5 regulation of either p38 MAPK and/or JNK is responsible for the phosphorylation of STAT3 at serine 727, we used a constitutively active mutant of MKK6 and MKK7 to induce p38 MAPK and JNK activity, respectively, in differentiated C2C12 myoblasts. We found that both activated mutants of MKK6 and MKK7 resulted in increased levels of STAT3 serine 727 phosphorylation and increased protein expression of Bcl-2 ( Fig. 7a-d) in terminally differentiated C2C12 myotubes. These results indicate that both p38 MAPK and JNK are capable of inducing STAT3 serine 727 phosphorylation and upregulation of Bcl-2 protein expression in differentiated myotubes.
(See figure on previous page.) Fig. 3 Increased mitochondrial biogenesis and respiratory function in skeletal muscle of MKP-5-deficient mice. Relative mRNA expression of genes associated with mitochondrial biogenesis in soleus muscle in (a) uninjured and (b) 10 days after CTX-induced injury. Mitochondrial DNA content determined by mitochondrial DNA copy number in the soleus muscle of (c) uninjured and (d) 10 days after CTX-induced injury. ADP-stimulated respiration (state 3), basal respiration (state 4), and respiratory control ratio (RCR; state 3/state 4) in soleus muscle in (e, f, g) uninjured and at (h, i, j ) 10 days after CTX-induced injury. *P < 0.05, **P < 0.01, n = 5 per genotype SCs endow skeletal muscle with its highly regenerative capacity, and the process of regeneration in response to injury is orchestrated by synchronizing the activation of various cellular responses [59,60]. The MAPKs have also been shown to be involved in regulating myofiber survival [61,62]. In skeletal muscle, p38 MAPK and JNK are negatively regulated by MKP-5, which contributes to the maintenance of myofiber homeostasis [4,58]. During muscle regeneration, MKP-5 is downregulated, thereby promoting p38 MAPK/JNK signaling and subsequent repair of damaged muscle [4]. However, the effect of MKP-5 on myofiber survival during regeneration is unclear. Here, in this report, we show that MKP-5 deficiency promotes myofiber survival during regeneration through a pathway involving JAK/STAT3 and mitochondria-mediated apoptotic signaling (Fig. 8).
During skeletal muscle repair, MKP-5 becomes downregulated in the myofiber in order to coordinate the repair of skeletal muscle [4]. As such, mice lacking MKP-5 exhibit enhanced regenerative myogenesis which is also accompanied by increased SC proliferation and differentiation [4]. Here, we show that the enhanced regenerative capacity of MKP-5-deficient mice is also a result of improved myofiber survival (Fig. 8). Consistent with the notion that transient MKP-5 downregulation plays an important role in muscle repair [4], we found that MKP-5-deficient myofibers show decreased levels of apoptosis. Myonuclear apoptosis is coordinated by the activation of caspases that play essential roles in cell survival and death. Caspases can be activated through the mitochondria-mediated (intrinsic) and/or the death receptor-mediated (extrinsic) pathways [27,63]. Specifically, caspase-3 is a protease capable of degrading intact actomyosin proteins, promoting DNA fragmentation and myonuclear apoptosis [18]. Our findings showed that activation of caspase-3 was attenuated in MKP-5deficient skeletal muscle during regeneration. In addition to attenuated activation of caspase-3, MKP-5-deficient skeletal muscle displayed decreased activation of caspase-9 triggered by the intrinsic, but not caspase-8, induced by the extrinsic pathway. These findings support the notion that during regenerative myogenesis MKP-5 downregulation is necessary to engage the intrinsic, caspase-3-dependent pathway, in order to maintain myofiber survival.
It is well established that mitochondria play a central role in both regeneration and skeletal muscle apoptosis [18][19][20]. Moreover, mitochondrial dysfunction underlies numerous diseases including those of skeletal muscle [18,19,40]. In this study, we have identified a novel link between MKP-5 and mitochondrial function. MKP-5deficient mice showed significantly enhanced mitochondrial biogenesis and mitochondrial respiratory function in regenerating skeletal muscle. Furthermore, it has been demonstrated that in skeletal muscle, mitochondrial dysfunction is associated with excessive ROS production [18,19,40]. Excessive mitochondrial ROS production leads to the release of cytochrome c in to the cytoplasm through permeabilization of the outer mitochondrial membrane [64][65][66]. Released cytochrome c forms the apoptosome complex with the apoptotic proteaseactivating factor 1, which promotes activation of caspase-9 resulting in cleavage of caspase-3 [67,68]. Given that MKP-5 deficiency promotes mitochondrial respiratory function in skeletal muscle, we tested the  hypothesis that the loss of MKP-5 attenuates increased mitochondrial ROS production during skeletal muscle regeneration. Our data demonstrate that MKP-5deficient mice significantly attenuated mitochondriaderived hydrogen peroxide production in regenerative skeletal muscle. Excessive ROS production induced by dysfunctional mitochondria results in oxidative tissue damage [18,40]. Specifically, lipid peroxidation occurs as a response to oxidative stress and produces several biologically active aldehydes that result in oxidative injury to tissues [45,48]. It has been shown that 4-HNEconjugated proteins are the most abundant unsaturated aldehydes and accumulate in diseased and injured tissues [48]. The results of the present study showed that MKP-5-deficient skeletal muscle is resistant to the accumulation of 4-HNE-conjugated protein adduct during skeletal muscle regeneration. Concomitant with the resistance to ROS-mediated damage, we found that MKP-5-deficient skeletal muscle expressed increased catalase levels. Interestingly, it has been reported that neutrophils and macrophages derived from mkp-5 −/− mice produce more superoxide as compared to wild type animals in response to certain stimuli [69,70]. However, here, we observed reduced production of hydrogen peroxide from skeletal muscle-derived mitochondria and subsequent oxidationdriven protein damage in skeletal muscle of mkp-5 −/− mice. The nature for how MKP-5 appears to have differential effects of ROS generation in hematopoieticderived cells as compared with skeletal muscle is yet to be understood fully. Nevertheless, these findings indicate that in skeletal muscle, MKP-5-deficient mice are protected from oxidative tissue damage as a result of both improved mitochondrial function and efficiency of antioxidant capacity in regenerative skeletal muscle. Given that MKP-5 becomes downregulated early on during regenerative myogenesis, these results further suggest that MKP-5 in skeletal muscle plays an important role in mediating critical survival pathways that are required for the successful regeneration of skeletal muscle. STAT3 becomes activated in response to both tyrosine and serine phosphorylation [30,53,54]. Once activated, STAT3 stimulates the transcription of a number of targets including anti-apoptotic protein Bcl-2. STAT3induced transcriptional activation of Bcl-2 has been shown to protect mitochondria from a variety of cellular stresses [51,53,54,71]. We found that in regenerating skeletal muscle of MKP-5-deficient mice that both JAK1 and JAK2 were enhanced in their levels of activity and subsequently, STAT3 tyrosine 705 phosphorylation was concomitantly upregulated. These results imply that MKP-5 negatively regulates STAT3 activity. STAT3 is also phosphorylated on serine 727 which has been shown to be required for optimal STAT3 transcriptional activation [56,72]. Given that MKP-5 negatively regulates p38 MAPK/JNK, we examined whether STAT3 serine 727 phosphorylation was also upregulated in the absence of MKP-5 in skeletal muscle. Interestingly, serine 727 was indeed upregulated on STAT3. These findings further support the supposition that MKP-5 negatively regulates STAT3 function and thus, downstream activation of STAT3 target genes, such as Bcl2. The consequences of increased Bcl-2 expression in skeletal muscle of MKP-5deficient mice are consistent with the observation that these mice exhibit improved levels of survival during regenerative myogenesis [4]. Overall, multiple lines of evidence support the idea that MKP-5 plays an important role in maintaining skeletal muscle homeostasis as shown here by regulating skeletal muscle health.
Recently, we have demonstrated that MKP-5 participates in a signaling pathway that mediates the secretion of IL-6 and mice lacking MKP-5 express increased circulating IL-6 levels. Our results confirm this previous report that MKP-5-deficient mice exhibit increased STAT3 tyrosine phosphorylation but also extend that to show serine 727 phosphorylation on STAT3 is also increased. It is reasonable to propose that the increased circulating levels of IL-6 in MKP-5-deficient mice are, at least in part, responsible for the enhanced levels of JAK1/2 activation. However, it is formally possible that MKP-5-deficiency may act in a parallel pathway to influence the activation of JAK1/2 in response to other growth factor and/or cytokines. Further experiments will be needed to clarify the precise mechanism through which MKP-5 regulates JAK/STAT3 signaling in skeletal muscle.

Conclusion
This study provides important insight into the mechanisms of MKP-5 function in skeletal muscle homeostasis and regeneration. Our results demonstrate that MKP-5 coordinates the activation of p38 MAPK/JNK signaling that couples to Bcl-2-mediated regulation of apoptosis. Furthermore, MKP-5 deficiency protects against skeletal muscle death through pathways that involve improved mitochondria-mediated handling of oxidative stress. Together, these data provide further evidence that MKP-5 antagonism may represent a novel therapeutic approach for the preservation and/or maintenance of skeletal muscle health in dystrophic skeletal muscle diseases.