PMID- 31192302 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 2376-7839 (Print) IS - 2376-7839 (Electronic) IS - 2376-7839 (Linking) VI - 5 IP - 3 DP - 2019 Jun TI - Brain-derived neurotrophic factor, epigenetics in stroke skeletal muscle, and exercise training. PG - e331 LID - 10.1212/NXG.0000000000000331 [doi] LID - e331 AB - OBJECTIVE: (1) To compare paretic (P) vs nonparetic (NP) skeletal muscle brain-derived neurotrophic factor (BDNF) and the effects of resistive training (RT) on systemic and skeletal muscle BDNF mRNA expression in stroke; and (2) to compare the DNA methylation profile for BDNF and BDNFAS (BDNF antisense RNA) between P and NP muscle and the effects of aerobic exercise training (AEX) on DNA methylation in stroke. METHODS: In this longitudinal investigation, participants (50-76 years) with chronic stroke underwent a fasting blood draw, a 12-week (3x/week) RT intervention (n = 16), and repeated bilateral vastus lateralis muscle tissue biopsies (n = 10) with BDNF expression determined by RT-PCR. Five stroke survivors completed 6 months of AEX (3x/week) and had bilateral muscle biopsies. DNA methylation status in gene BDNF and BDNFAS was assessed by Illumina 450k methylation array. RESULTS: P muscle had approximately 45% lower BDNF mRNA expression than NP muscle (6.79 +/- 1.30 vs 10.52 +/- 2.06 arbitrary units [AU], p < 0.05), and P muscle exhibited differential methylation status in the DNA sequences of BDNF (3 CpG [5'-C-phosphate-G-3'] sites, p = 0.016-0.044) and BDNFAS (1 CpG site, p = 0.016) compared to NP. Plasma BDNF and muscle BDNF messenger RNA (mRNA) expression did not significantly change after RT. BDNFAS DNA methylation increased after AEX in P relative to NP muscle (p = 0.017). CONCLUSIONS: This is the first evidence that stroke hemiparesis reduces BDNF skeletal muscle expression, with our findings identifying methylation alterations on the DNA sequence of BDNF and BDNFAS gene. Preliminary results further indicate that AEX increases methylation in BDNFAS gene, which presumably could regulate the expression of BDNF. FAU - Ryan, Alice S AU - Ryan AS AD - VA Maryland Health Care System, Research Service, Department of Medicine, Division of Gerontology and Geriatric Medicine, Department of Neurology, at the University of Maryland School of Medicine, and the Baltimore Geriatric Research, Education and Clinical Center (GRECC), MD. FAU - Xu, Huichun AU - Xu H AD - VA Maryland Health Care System, Research Service, Department of Medicine, Division of Gerontology and Geriatric Medicine, Department of Neurology, at the University of Maryland School of Medicine, and the Baltimore Geriatric Research, Education and Clinical Center (GRECC), MD. FAU - Ivey, Frederick M AU - Ivey FM AD - VA Maryland Health Care System, Research Service, Department of Medicine, Division of Gerontology and Geriatric Medicine, Department of Neurology, at the University of Maryland School of Medicine, and the Baltimore Geriatric Research, Education and Clinical Center (GRECC), MD. FAU - Macko, Richard F AU - Macko RF AD - VA Maryland Health Care System, Research Service, Department of Medicine, Division of Gerontology and Geriatric Medicine, Department of Neurology, at the University of Maryland School of Medicine, and the Baltimore Geriatric Research, Education and Clinical Center (GRECC), MD. FAU - Hafer-Macko, Charlene E AU - Hafer-Macko CE AD - VA Maryland Health Care System, Research Service, Department of Medicine, Division of Gerontology and Geriatric Medicine, Department of Neurology, at the University of Maryland School of Medicine, and the Baltimore Geriatric Research, Education and Clinical Center (GRECC), MD. LA - eng GR - P30 AG028747/AG/NIA NIH HHS/United States PT - Journal Article DEP - 20190501 PL - United States TA - Neurol Genet JT - Neurology. Genetics JID - 101671068 PMC - PMC6515940 EDAT- 2019/06/14 06:00 MHDA- 2019/06/14 06:01 PMCR- 2019/05/01 CRDT- 2019/06/14 06:00 PHST- 2019/01/24 00:00 [received] PHST- 2019/03/25 00:00 [accepted] PHST- 2019/06/14 06:00 [entrez] PHST- 2019/06/14 06:00 [pubmed] PHST- 2019/06/14 06:01 [medline] PHST- 2019/05/01 00:00 [pmc-release] AID - NG2019010058 [pii] AID - 10.1212/NXG.0000000000000331 [doi] PST - epublish SO - Neurol Genet. 2019 May 1;5(3):e331. doi: 10.1212/NXG.0000000000000331. eCollection 2019 Jun.