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  • Article
  • Open Access

9 October 2026

30 Pages

The Impact of Aging on the Tongue Proteome

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1
Department of Biology, Maynooth University, Co. Kildare, W23 V5XH Maynooth, Ireland
2
Kathleen Lonsdale Institute for Human Health Research, Maynooth University, Co. Kildare, W23 V5XH Maynooth, Ireland
3
German Centre for Neurodegenerative Diseases, 53103 Bonn, Germany
4
Department of Neurooncology, Center for Neurology, University Hospital Bonn, 53127 Bonn, Germany

Abstract

The tongue is a highly important, multifunctional, and complex organ in human physiology. It is critical for digestion, speech, immune surveillance, and sensory perception, playing a dynamic role in daily life. Abnormalities in the innervation and/or myofiber integrity of the tongue can have severe pathophysiological effects on swallowing, speaking, chewing and bodily balance. The age-related decrease in skeletal muscle mass and contractile strength, a recognized risk factor for sarcopenia and frailty, also impacts the tongue muscles. This report has examined the tongue proteome and evaluated changes in protein abundance associated with the aging phenotype. Interestingly, the proteomic cataloging of the contractile apparatus of tongue muscle identified myosin heavy chain isoform MyHC-13, which is the superfast type of myosin that is restricted to specialized skeletal muscles such as extraocular and laryngeal muscles. Proteomics revealed that tongue aging is associated with considerable changes in the protein expression pattern. Decreases were identified in membrane repair-associated annexin A isoforms, luminal calcium-binding proteins, contractile proteins, and cytoskeletal elements. Lower levels of fast myosin isoform MyHC-2B suggests potential age-associated fiber type shifting towards slower twitch properties. Elevated levels of the fibrosis marker collagen COL-VI, which increased deposition in aged tongue muscle was verified by immunofluorescence microscopy, agrees with the idea of a higher degree of susceptibility to reactive myofibrosis in sarcopenia of old age.

1. Introduction

The tongue is a multifunctional organ in the oral cavity that is anatomically divided into the root structure (radix lingue) and the main body (corpus lingue) consisting of paired muscles and a mucosal layer with various types of papillae [1,2,3]. Crucial functions of the tongue are linked to body-wide processes, including digestion, autocrine/paracrine mechanisms, and speech. As an accessory organ of the sensory and digestive systems, the tongue is intrinsically involved in taste sensations, mastication, and swallowing, as well as clearing of the oral cavity [4]. Importantly, as a barrier organ of the oral cavity and being part of the protective oral mucosa, the tongue functions in immune surveillance [5] to defend the body from potentially harmful microbial, environmental and/or food-associated antigenic substances via both innate and adaptive immune responses [6,7,8]. Of note, tongue posture and pressure against the palate may activate trigeminal nerve sensory pathways, which are involved in postural control and balance [9].
The tongue can be associated with both superficial lesions and a variety of distinct disorders [10], and is also critical for clinical diagnosis due to the fact that the examination of the tongue can reveal specific lingual alterations [11] that may mirror disease status [12]. Tongue diseases include lingual pain, abnormal lingual sensitivity and impaired taste sensation [13], as well as tongue squamous cell carcinoma [14] and a variety of movement disorders such as overactive involuntary muscle twitching (fasciculations), uncontrolled choreic tongue movements (harlequin tongue), orolingual tremor and dystonia of the tongue [15]. During natural aging, tongue muscle physiology was shown to be impaired. Measurement of tongue pressure showed a significant decline in tongue muscle strength in sarcopenic individuals [16,17] and the fat mass of the tongue was shown to significantly increase with aging [18]. Sarcopenia of old age is defined as the progressive loss of skeletal muscle mass and contractile strength in the elderly [19,20,21] and is associated with changes in both myofiber size and fiber type distribution [22,23,24,25]. In analogy to general changes observed in the aged neuromuscular system, tongue muscle aging was shown to be associated with loss of tissue integrity, decreased contractile strength resulting in dysphagia, stem cell exhaustion, bioenergetic alterations, fiber type shifting, myofibrosis and fragmentation of the neuromuscular junction [26,27,28,29,30,31,32,33,34].
Although lingual muscles are crucial for eating and speech, relatively few studies have focused on the effects of aging on tongue musculature, as reviewed by Doyle et al. [5]. It was therefore of interest to study potential proteome-wide changes in the aged tongue using comparative mass spectrometry (MS) to survey young versus aged tongue. In contrast to the proteomic cataloging of a large number of individual skeletal muscles from animals and humans [35,36,37,38,39], including the screening of aged voluntary striated muscles [40,41,42,43,44], only limited numbers of proteomic studies have focused on the tongue, including the optimization of tissue lysis prior to proteomic analysis [45], the comparative analysis of tongue cancer and non-cancerous mucosa [46,47,48], and the effects of a Western diet on the remodeling of the tongue proteome [49].
Thus, in analogy to the recently outlined efforts for the systematic determination of cellular diversity involved in feeding, communication and breathing in form of the Human Oral and Craniofacial Cell Atlas [50], which also aims at the single cell transcriptomic characterization of tongue tissue [51], this report focuses on the protein cataloging of the tongue proteome and its aged phenotype. Here, we have employed bottom-up proteomics to characterize the mouse tongue and establish its protein constellation since rodent model systems are widely used in neuromuscular research [52,53,54] including investigations into the pathobiochemical mechanisms that underlie tissue wasting diseases and sarcopenia of lingual muscles [55,56,57].

2. Results

The primary finding of this report is that MS-based proteomics can be used to both efficiently catalog tongue muscle specimens and determine protein expression changes within a pathophysiological context. In contrast to screening methods such as semi-quantitative immunoblotting, which is heavily limited by the availability and specificity of antibodies and therefore of limited use for the identification of dynamic proteoforms [58], large-scale proteomic surveys represent a more cost-effective and less labor-intensive technique. This is especially relevant for studying the skeletal muscle proteome, which is characterized by a relatively skewed abundance distribution of abundant contractile protein species and also exhibits a high dynamic range of proteoform expression and post-translational modifications [35,36,37,38,39].
Proteomic profiling of the tongue has identified the expression of a variety of muscle- proteins that are associated with the sarcomere, specifically components of the contractile apparatus, the auxiliary titin filament, the Z-disc and the M-line, and markers of distinct subcellular locations, including the extracellular space, the extracellular matrix (epimysium, endomysium, perimysium, basal lamina), the plasmalemmal adhesion complex and costameres, the sarcolemma with its caveolae and sarcolemmal repair system, transverse tubules, the membrane cytoskeleton, intermediate filaments, microtubules, the sarcoplasmic reticulum (longitudinal tubules, terminal cisternae, lumen), triad junction membrane, ribosomes, Golgi apparatus, lysosome, peroxisome, proteasome, myonuclei, mitochondria and the cytosol [59,60,61].
Specific proteoforms include markers of the actomyosin apparatus, the regulators of excitation-contraction coupling, molecular chaperones, bioenergetic enzymes and organelle-specific proteins. The proteomic map of the mouse tongue muscles can now be employed as a reference for future large-scale investigations of systemic physiological versus pathological changes in the tongue. To illustrate the bioanalytical potential of proteomic screening, the aged phenotype of tongue muscle has been studied, and the mass spectrometric findings are discussed in this report.

2.1. Bottom-Up Proteomic Profiling of Tongue Muscle

2.1.1. Bioinformatic Analysis of Protein Class Distribution in the Tongue Proteome

Following the survey of crude tissue extracts from mouse tongue using a Thermo Fisher Ascend mass spectrometer coupled with a NeoVanquish (Thermo Fisher Scientific, Hemel Hempstead, UK) liquid chromatography (LC) system for label-free LC-MS/MS, the list of over 3000 identified protein species was further analyzed by bioinformatic PANTHER (release 19.0) [62] analysis to determine the protein class distribution of the tongue proteome. Figure 1 gives an overview of the bioanalytical approach used to characterize the tongue and the results from the PANTHER analysis.
Figure 1. Overview of the bioanalytical strategy to determine the tongue proteome. The experimental workflow and the findings from the bioinformatic PANTHER (http://pantherdb.org) [62] analysis of protein classes in the tongue proteome are shown.
The main protein classes related to DNA metabolism, RNA metabolism, calcium-binding, cell adhesion, cell junction formation, molecular chaperoning, chromatin/chromatin-binding, the cytoskeleton, defense/immunity, the extracellular matrix, gene-specific transcriptional regulation, intercellular signaling, membrane trafficking, metabolite interconversion, protein modifications, protein-binding modulation, scaffolding/adaptations, storage, structural maintenance, transfer/carrier activity, translation, transmembrane signaling and transport.

2.1.2. Proteomic Identification of Major Sarcomeric Tongue Muscle Proteins

The bottom-up proteomic profiling of total extracts from mouse muscle has identified a large number of contractile proteins and their regulatory components belonging to the A-band, I-band, titin filament, Z-disc and M-line region [63]. As listed in Table 1, key contractile proteins of the myosin-containing thick filament were identified in the form of a large number of myosin heavy chains (MyHC) and light chains (MLC) in both 3-month and 24-month old tissue preparations. The myosin heavy chain (MyHC) repertoire included Myosin-1 to Myosin-4, which represents the fast isoforms MyHC-2X (Myh1 gene), MyHC-2A (Myh2 gene) and MyHC-2B (Myh4 gene), as well as the embryonic isoform MyHC-3 (Myh3 gene). A differential identification of Myosin-6, the cardiac (α) MyHC-6 (Myh6 gene) isoform, and Myosin-7, the cardiac (β) MyHC-1 (Myh7 gene) isoform, was observed in young versus aged tongue muscle. Both preparations from young and aged tongue contained Myosin-8, the perinatal MyHC-8 (Myh8 gene) isoform.
Table 1. List of major sarcomeric tongue muscle proteins of the actomyosin apparatus, the titin filament, the Z-disc, and the M-line as determined by MS-based proteomics.
Interestingly, Myosin-13, the superfast type of myosin that is highly expressed in specialized skeletal muscles such as extraocular myofibers [64] and laryngeal muscles [65], was also identified in tongue muscle as the MyHC-13 isoform (Myh13 gene). Major myosin light chains (MLC) were determined to be present in tongue muscle, including MLC1/3 (essential/fast MLC), MLC3 (essential/slow MLC) and MLC11 (regulatory/fast MLC). In addition, myosin light chain kinase MYLK2 and the myosin binding proteins MyBP-C (slow) and MyBP-C (fast) were identified by proteomics [63].
The major contractile protein of the thin filament in tongue muscle was identified as α-actin in conjunction with its regulatory complex consisting of the troponin subunits TnC, TnI and TnT and tropomyosin isoforms TPM1, TPM2, TPM3 and TPM4. Additional actin filament associated components included the F-actin-capping proteins CapZ-A1, CapZ-A2 and CapZ-B, as well as the tropomodulins TMOD1 and TMOD3, the Xin actin-binding protein XIRP and myopalladin.
The giant protein component of the thin filament, nebulin of apparent 871 kDa and its anchoring protein NRAP, in addition to the extremely high-molecular-mass protein titin of apparent 3925 kDa and its associated ankyrin repeat protein MARP/ANKRD2, were clearly identified by MS analysis [66]. The tongue muscle proteome was also shown to contain key sarcomeric proteins of the Z-disc, such as actinin-2, myozenin MYOZ1, muscle-type filamin-C and telethonin, and the M-line, including obscurin of apparent 967 kDa and the myomesin isoforms MYOM1, MYOM2 and MYOM3 (Table 1).

2.1.3. Proteomic Identification of Subcellular Tongue Marker Proteins

Following the detailed analysis of the sarcomeric protein constellation, subcellular markers of tongue muscles were established. Table 2 lists proteomic marker proteins that were identified by MS analysis. The proteomic survey lists serum albumin and hemoglobin as components of the extracellular space and external oxygen supply of skeletal muscle tissue, respectively.
Table 2. List of subcellular marker proteins as determined by MS-based proteomics.
Key proteins of the main layers of the extensive extracellular matrix of tongue muscle, the epimysium, endomysium and perimysium, were classified as collagen COL-I, COL-VI and decorin, respectively, plus laminin of the basal lamina [67]. As markers of the sarcolemmal adhesion complex, costameres, the sarcolemma membrane, caveolae structures and the sarcolemmal repair system are listed integrin, talin, the Na+/K+-ATPase, caveolin CAV1 and dysferlin, respectively.
The various parts of the intracellular cytoskeleton are represented by spectrin of the membrane cytoskeleton, desmin of the intermediate filaments and tubulin of the microtubules [59,60,61,62]. Internal membrane systems, such as transverse tubules, the longitudinal tubules, terminal cisternae and lumen of the sarcoplasmic reticulum and the triad junctions are linked to the voltage-dependent L-type Ca2+-channel, sarcalumenin, the fast SERCA1 isoform of the sarcoplasmic reticulum Ca2+-ATPase, the fast CSQ1 isoform of the Ca2+-binding protein calsequestrin, and the RYR1 isoform of the ryanodine receptor Ca2+-release channel [59,60,61], respectively.
Common markers of organelles are listed as 40S ribosomal protein S4 (ribosomes), the general vesicular transport factor (Golgi apparatus), the lysosome-associated membrane glycoprotein LAMP1 (lysosomes), catalase (peroxisomes), the ubiquitin-conjugating enzyme E2 (proteasomes) and emerin (nuclei). Table 2 displays the mitochondrial proteins named voltage-dependent anion-selective channel protein VDAC1, the MIC60 subunit of the mitochondrial contact site complex, NADH dehydrogenase, succinate dehydrogenase, the cytochrome b-c complex, cytochrome c oxidase, ATP synthase, isocitrate dehydrogenase isoform IDH2 and hexokinase isoform HK2 as markers of the outer membrane, contact sites, inner membrane complex I, inner membrane complex II, inner membrane complex III, inner membrane complex IV, inner membrane complex V, the matrix and the metabolic flux regulator system between mitochondria and the cytosol [59,60,61]. Marker proteins of the sarcosol include phosphofructokinase of the glycolytic pathway, fatty acid binding protein isoform FABP3/FABPH involved in metabolite transportation, myoglobin responsible for intracellular oxygen transport and the cardiovascular heat shock protein isoform HSPB7 that plays a key role in the cellular stress response of skeletal muscle tissues (Table 2).

2.2. Comparative Proteomic Profiling of Young Versus Aged Tongue Muscle

2.2.1. Bioinformatic PANTHER Analysis of Proteome-Wide Changes During Tongue Aging

Proteomics identified changes in a large number of proteins during aging of the mouse tongue, i.e., 128 increased proteins and 298 decreased proteins (see Supplementary Data). Figure 2 shows the bioinformatic PANTHER [62] analysis of altered protein classes in senescent tongue tissue.
Figure 2. Comparative bioinformatic PANTHER (http://pantherdb.org) [62] analysis of protein classes with an increased versus decreased abundance in the aged mouse tongue. 128 proteins increased in abundance (green arrow) and 298 proteins decreased in abundance (red arrow) during tongue aging.
The main types of proteins with an increased abundance belong to the class of cell adhesion molecules, extracellular matrix proteins, metabolite interconversion enzymes, protein modifying enzymes, transfer/carrier proteins, and transporters. Increased proteins are involved in DNA metabolism, RNA metabolism, molecular chaperoning, membrane trafficking, metabolite interconversion, protein-binding activity modulation, structural maintenance, and translation.

2.2.2. Heatmap and Listing of Proteome-Wide Changes During Tongue Aging

A heatmap of changes in the protein constellation of the aged tongue is provided in Figure 3, which also includes a listing of decreased versus increased proteins symbolized by their respective gene names. Interesting proteomic changes include the reduction in annexin isoforms ANXA2, ANXA4 and ANXA6, the luminal calcium-binding proteins sarcalumenin and calsequestrin, various isoforms of tubulin, matrisomal proteins such as collagen isoforms COL-I and COL-XV, and the contractile apparatus components myosin binding protein MYBPH and fast MyHC-2B (Myosin-4). These alterations suggest age-associated modifications in membrane repair mechanisms, calcium handling, the provision of cytoskeletal networks, the maintenance of the extracellular matrix, and potential fiber type shifting towards slower twitch properties. On the other hand, increases in the fibrosis markers collagen COL-VI, fibrinogen and asporin suggest increased collagen deposition and a higher degree of susceptibility to reactive myofibrosis in in the aged tongue. The identification of the small heat shock protein αB-crystallin in the senescent tongue suggests cellular stress during aging. Overall, the heatmap visualizes that tongue aging is associated with considerable changes in the protein expression pattern of this highly specialized muscular organ.
Figure 3. Heatmap and listing of proteome-wide changes during tongue aging.

2.2.3. Bioinformatic ShinyGO Analysis of Alterations in Biological Processes During Tongue Aging

The findings from the bioinformatic ShinyGO (version 0.75) [68] analysis of alterations in biological processes during tongue aging are shown in Figure 4. The KEGG (Kyoto Encyclopedia of Genes and Genomes) [69] pathway comparison indicates increases versus decreases in specific processes related to fatty acid metabolism, the citric acid cycle, amino acid degradation, pyruvate metabolism, glutathione metabolism, carbon metabolism, nucleotide metabolism and purine metabolism, as well as changes in proteasome, phagosomes, endocytosis, cytoskeletal maintenance, motor protein abundance and neurodegenerative pathways.
Figure 4. Bioinformatic ShinyGO (http://bioinformatics.sdstate.edu/go77/; accessed on 1 March 2026) [68] analysis of alterations in biological processes during tongue aging. The enrichment analysis was performed using an FDR cutoff of q = 0.05; the size of the circle represents the number of responsible genes, with larger circles representing more genes. The color represents the strength of the FDR, with red and blue indicating higher and lower FDR values, respectively.

2.2.4. Bioinformatic STRING Analysis of Potential Protein–Protein Interaction Changes During Tongue Aging

Identified tongue proteins with an altered abundance in young versus aged tissue specimens were analyzed by the bioinformatic STRING (version 12.5) [70] program to determine potential alterations in predicted protein–protein interaction patterns during muscle aging (Figure 5). The diagram below shows clusters of hubs of protein interaction networks that might be altered during tongue aging. The increases in the interaction hub of extracellular matrix proteins are interesting, especially the COL-VI isoform of collagen [67] that might indicate a higher susceptibility to myofibrosis in the aged tongue.
Figure 5. Bioinformatic STRING (https://string-db.org) [70] analysis of alterations in protein–protein interactions during tongue aging. The figure shows the STRING network divided into two clusters identified by k-means clustering for proteins increased in abundance in aging tongue muscle. These clusters were associated with metabolism (larger cluster) and signaling. Different colors of the lines represent the types of evidence for association: neighborhood (green), gene fusion (red), cooccurrence (blue), co-expression (dark), experiments (pink), databases (sky blue).

2.2.5. Overview of Proteome-Wide Changes During Tongue Aging

The MS-based proteomic screening of young versus aged tongue preparations revealed a large number of increased versus decreased protein species. Table 3 and Table 4 list a select number of proteomic hits with a cutoff of a 1.5-fold change in abundance. Interesting proteome-wide changes include the increased expression of proteins involved in energy metabolism, hormonal regulation, iron homeostasis, inflammation, collagen accumulation, mitochondrial flexibility, nucleotide homeostasis, muscle regeneration, carbon dioxide removal, antioxidative protection, glucose metabolism and the maintenance of the network of intermediate filaments.
Table 3. List of identified proteins with an increased abundance in aged mouse tongue that are relevant to sarcopenia of old age.
Table 4. List of identified proteins with a decreased abundance in aged mouse tongue that are relevant to sarcopenia of old age.
Interesting proteome-wide changes include the decreased expression of proteins involved in matrisomal modifications, cytoskeletal rearrangements, muscle regeneration, protein glycosylation, bioenergetic processes, antioxidant defense, inflammatory response, iron transport, detoxification, and the regulation of blood flow.

2.2.6. Histological and Immunofluorescence Microscopical Analysis of Tongue Aging

Following the proteomic and bioinformatic analysis of the effects of aging on the tongue, a histological and immunofluorescence microscopical analysis was conducted. In general, bioimaging and cell biological studies have established that skeletal muscle aging is associated with progressive myofiber degeneration, inflammation and decreased contractile strength, and a concomitant increase of non-contractile cell types, including intramuscular adipose and connective tissues [19]. The fibro-fatty replacement and infiltration of contractile tissues contributes to detrimental patterns of myosteatosis and myofibrosis, which in turn results in loss of intrinsic skeletal muscle strength in the elderly. The pathophysiological replacement of contractile fibers by non-functional fibrous and adipose tissue is often progressive, chronic, and irreversible [71,72,73]. The histological analysis of young versus aged tongue tissue confirmed this pattern of apparent fibro-fatty changes during aging in this specialized muscle system. Figure 6 illustrates a drastic increase in myofiber degeneration and apparent replacement by fibrous structures and fatty tissue in 24-month old mouse tongue.
Figure 6. Histological comparison of young versus aged tongue. Bars equal 100 μm in (A,B) and 25 μm in (C,D). A sizable increase in myofiber degeneration and apparent replacement by fibrous structures and fatty tissue in aging tongue muscle is visible.
The above-described proteomic identification of elevated levels of collagen isoform COL-VI suggests increased collagen deposition and a higher degree of susceptibility to reactive myofibrosis in the senescent tongue. This was confirmed by immunofluorescence microscopy of COL-VI as shown in Figure 7. The labeling of the extracellular matrix region clearly shows abnormal cell shapes and diameters of aged myofibers with increased collagen expression (Figure 7D,E) and zones that are partially void of contractile tissues (Figure 7D,F), as compared to young tongue muscle (Figure 7A–C).
Figure 7. Immunofluorescence microscopical localization of the fibrosis marker collagen isoform COL-VI in young versus aged tongue. Green fluorescence displays labeling of collagen and 4′,6-diamidino-2-phenylindole (DAPI) staining was used to label nuclei. Bars equal 100 μm in figure (A,D) and 25 μm in figure (B,C,E,F).

3. Discussion

This report focuses on the proteomic profiling of the mouse tongue and the determination of age-related changes in the expression profile of its protein constellation. Prior to the comparative proteomic analysis of the senescent tongue, MS-based cataloging of sarcomeric proteins was used to established the broad range of expressed MyHC molecules, including the fast isoforms MyHC-2A (Myosin-2), MyHC-2B (Myosin-4) and MyHC-2X (Myosin-1) [63], as well as embryonic isoform MyHC-3 (Myosin-3) and perinatal isoform MyHC-8 (Myosin-8) [74]. The MyHC-2A (Myh2 gene) isoform and the MyHC-2X (Myh1 gene) isoform are established markers of fast oxidative-glycolytic type 2A fibers and fast glycolytic type 2X fibers in matured skeletal muscles, respectively [75]. The additionally identified fast-twitch MyHC-2B (Myh4 gene) isoform is mostly found in rodent and other non-human muscles [76]. Of note, the superfast isoform MyHC-13 (Myosin-13) was identified in young and aged tongue muscle [77]. The expression of this unusual MyHC is restricted to specialized types of extremely fast-twitching skeletal muscles, including extraocular and laryngeal muscles [64,65]. This study has shown that tongue muscles also belong to this sub-category of voluntary muscles with ultrafast myosin kinetics [63]. Although detailed physiological, transcriptomic, and proteomic surveys of skeletal muscle heterogeneity suggest that multi-dimensional variations exist between myofibers beyond MyHCs [78,79], the general categorization of fast versus slow fiber types based on MyHC distribution patterns is still valid [80]. Hence, the presence of four types of fast MyHC isoforms indicate that a large proportion of fast-twitching myofibers exist in tongue muscles [81]. This agrees with immunohistochemical and molecular biological studies that have shown a high concentration of MyHC-2A and MyHC-2B in predominantly fast-twitching mouse tongue muscles [82]. In contrast to fast MyHCs, slow myosin isoforms appear to be differentially expressed in 3-month versus 24-month old mouse tongue muscles, i.e., cardiac (α) MyHC-6 (Myosin-6) versus slow/cardiac (β) MyHC-1 (Myosin-7), an established marker of slow-oxidative type I myofibers in voluntary striated muscles [63,77].
In addition to myosins, the proteomic survey of tongue muscle identified the main isoforms of the thin filament including actin, nebulin, troponins and tropomyosins, as well as the half-sarcomere spanning protein titin and markers of the M-line and Z-disc [35,36,37,38,39,63]. Organellar markers of ribosomes, the Golgi apparatus, lysosomes, proteasomes, mitochondria, and nuclei were clearly identified [59,60,61], in addition to key components of the sarcosol including glycolytic enzymes [83], metabolite transporters [84] and molecular chaperones [85]. This successful tongue muscle cataloging exercise demonstrated the robustness of the MS-based proteomic approach used in this report, and formed the basis of a comprehensive comparative analysis of the effects of aging on the tongue proteome.
The comparative MS survey of young versus aged tongue preparations revealed interesting findings on the proteome-wide alteration in protein expression levels. The tongue-associated protein with the highest increase was identified as corticosteroid-binding globulin [86], also known as transcortin, which modulates the bioavailability of glucocorticoids and is implicated in the hormonal modulation of muscular atrophy, mitochondrial metabolism, and catabolic protein degradation. Elevated levels of lactadherin, also referred to as milk fat globule epidermal growth factor MFG-E8, which plays a potential anti-inflammatory role, have previously been observed during skeletal muscle aging [87]. Ceruloplasmin is a copper-carrying element that supports iron metabolism and antioxidant defense in skeletal muscles [88]. Increases in inter alpha-trypsin inhibitor agree with previous studies on skeletal muscle aging and its role in inflammation, degeneration, and progressive fibrosis [89]. Additional elevated myofibrosis markers [67] were identified as the FGA, FGB and FFG chains of fibrinogen [90], the small leucine-rich proteoglycan asporin [91] and collagen isoform COL-VI [92]. The excessive deposition of ECM proteins, especially the fibrillar collagen isoform COL-VI, are clear hallmarks of myofibrosis, which were shown to play a central role in loss of tissue elasticity, impaired contractile function and decreased capacity for muscle regeneration, resulting in progressive muscle weakness during aging [93]. Both histological analyses and immunofluorescence microscopical labeling of the general fibrosis marker collagen isoform COL-VI agree with the findings from the systematic proteomic analysis, and suggest fibro-fatty changes within the aging tongue [71,72,73]. This process appears to play a major part in sarcopenia of old age, possibly mediated by fibro-adipogenic progenitors (FAPs) [73] that can differentiate into fibroblasts and adipocytes and trigger intramuscular infiltration of fibrous and adipose tissue. Fibroblast heterogeneity is now an established concept. A variety of cellular phenotypes have been described as contributing to inflammation, fibrosis and adipogenesis in numerous human diseases, as recently reviewed [94], including sarcopenia of old age [73]. The progressive accumulation of non-contractile tissues and tissue scarring related loss of muscle elasticity can drastically impact the normal physiological functioning and adaptability of senescent muscles [19].
Compensatory mechanisms to counteract the aging phenotype might be represented by the increased expression levels of mitochondrial D-beta-hydroxybutyrate dehydrogenase BDH1, adenylate kinase isoform AK4, complement factor CFI, carbonic anhydrase isoform CA1, lysosomal protein palmitoyl-protein thioesterase PPT1, apolipoprotein A-I, carboxypeptidase CPN2, serotransferrin, alpha-2-antiplasmin, the intermediate filament protein desmin, and antithrombin AT-III. Mitochondrial D-beta-hydroxybutyrate dehydrogenase BDH1 is crucial for enhancing mitochondrial bioenergetics by supporting ketone utilization and metabolic flexibility [95]. An increased concentration of adenylate kinase isoform AK4 in aging agrees with its crucial role in the mitochondrial matrix as a stress-responsive protein that regulates cellular bioenergetics via maintaining nucleotide homeostasis [96]. Of note, increased exposure of skeletal muscles to complement factor CFI, an inactivator of the aging-associated complement component C4b, improves muscle regeneration and functional recovery [97]. Carbonic anhydrase CA1 is part of a large arsenal of muscle-associated enzymes that mediates the reversible hydration of carbon dioxide, and is involved in antioxidative protection and the maintenance of intracellular pH in myofibers [98]. The lysosomal protein palmitoyl-protein thioesterase PPT1 is important for muscle differentiation [99]. Apolipoprotein A-I is crucial for efficient glucose uptake in skeletal muscles [100]. Carboxypeptidase CPN2 is a protective subunit of the zinc metalloprotease CPN1 that modulates a variety of protein targets, including M-type creatine kinase (CK-MM) following release from damaged myofibers [101]. Importantly, serotransferrin its receptor are crucial factors in maintaining iron homeostasis in skeletal muscles, which is involved in myofiber metabolism, muscle growth, and regeneration [102]. Alpha-2-antiplasmin, which acts as the primary inhibitor of the enzyme plasmin, was shown to suppresses myoblast fusion, and thus affects myofiber differentiation and muscle repair mechanisms [103]. The increase in desmin, a muscle-specific type III intermediate filament protein [104], confirmed previous studies [105]. Desmin shows an age-related change in phosphorylation levels in skeletal muscles, which might be linked to impaired functioning in relation to force transmission, mechanical stability, and structural integrity in senescent muscles [106]. Antithrombin AT-III can actively suppress muscle damage by reducing inflammatory effects. AT-III was demonstrated to attenuate cellular injury from ischemia-reperfusion in skeletal muscle, making it a protective factor in damaged muscles [107].
In contrast to the above-described elevated levels of tongue proteins, aging was also shown to be associated with a large number of decreased protein species, which might reflect varying degrees of impaired cellular mechanisms, the impact of degenerative processes on the proteome and/or adaptations to adjust to the sarcopenic phenotype in the senescent tongue. Interestingly, the tongue protein with the most decreased abundance was identified as the large ribosomal subunit protein eL22, which agrees with the findings from a previous ribosome profiling analysis of aged human skeletal muscles that identified reduced translation of certain protein species in sarcopenia [108]. In general, a trend of age-related fast-to-slow transitions is observed in individual skeletal muscles [109]. As reported in this study, tongue muscle aging appears to be associated with a certain degree of decreases in fast isoforms of the SERCA1 isoform of the sarcoplasmic reticulum Ca2+-ATPase as a marker of calcium handling in predominantly fast-twitching muscles [110] and fast isoform MyHC-2B (Myosin-4) as an indicator of myosin twitch kinetics in fast muscles [24]. This agrees with the pathophysiological concept of preferential degenerative effects on fast-twitching type II fibers during sarcopenia of old age resulting in a slower contracting senescent muscle phenotype [24]. A potential compensatory mechanism is the observed up-regulation of perinatal heavy chain MyHC-8 (Myosin-8) during apparent phases of regeneration in aged myofibers [63].
In analogy to the above discussed increase in collagen isoform COL-VI and associated matrisomal proteins as established markers of myofibrosis [67], there appears to be a major remodeling of the ECM [111] in aged tongue muscles, including decreases in nidogen isoform NID1 of the basal lamina, the matrisomal protein fibulin-5, various laminin subunits, the matricellular protein periostin, thrombospondin TSP-4, and collagen isoforms COL-I and COL-XV. Nidogen NID1 (entactin) [112] is a crucial matrisomal glycoprotein of the basal lamina that is involved in muscle regeneration and cellular adhesion processes [113]. The heterotrimeric glycoprotein laminin-211 complex is highly expressed in skeletal muscles and consists of α2-, β1- and γ1-subunits [114]. The LAMA2/LAMB1/LAMC1 trimer named laminin-211 is centrally located between the sarcolemma and the surrounding matrisomal network mediating cellular proliferation, differentiation, adhesion and myofiber stabilization of contractile fibers [115]. Thus, the age-related reduction in nidogen and the α2- and γ1-subunits of laminin indicate lower levels of key components of the basal lamina that might impair muscle ECM maintenance. The matricellular protein periostin is a crucial component of muscle regeneration [116,117] and the reduced collagen isoforms in aged tongue muscle are the minor form COL-I and the tendon-associated isoform COL-XV [118]. Thrombospondin isoform TSP-4 is an ECM glycoprotein that regulates cell-to-matrix interactions [119].
Besides the ECM, major rearrangements were also indicated to occur in the intracellular cytoskeletal network. Based on the proteomic identification of reduced levels of the intermediate filament type III protein peripherin [120], the intermediate filament type IV protein synemin [121], distinct chains of the microtubules component tubulin [122] and the cytolinker epiplakin [123], tongue aging appears to be associated with considerable cytoskeletal remodeling. Intermediate filament proteins perform crucial bridging functions that anchor the actomyosin apparatus to the surface membrane structure and link costameres to desmin filaments [120,121]. Hence, decreased levels of the cytolinker epiplakin [123] in combination with reduced expression of synemin [121] and peripherin [121] may increase the susceptibility of aged muscles to contraction-induced injury and thereby reduce both the contractile force and mechanical strength of senescent myofibers. Since microtubules are intrinsically involved in the regulation of sarcomeric positioning, muscle mechanics and intracellular transport processes, the altered levels of tubulin chains [122] may reflect degeneration-regeneration cycles in senescent tongue tissues.
The reduction in other types of tongue proteins is potentially connected to abnormal patterns of regeneration, glycosylation, antioxidant response, adaptation of energy metabolism, the innate immune response, iron homeostasis, biotransformation, and blood flow regulation. Latexin is an inhibitor of zinc-dependent metallopeptidases and is involved in muscle satellite cell function, which may affect the rate of regeneration during muscle aging [124]. Mannose-1-phosphate guanylyltransferase catalyzes GDP-mannose formation, which has been shown to be crucial for the proper functioning of the basal lamina component α-dystroglycan of the dystrophin complex at costameres which are essential for efficient lateral force transmission [125]. The decrease in tripartite motif-containing protein might have negative effects, since Trim16 was previously shown to assist in the antioxidant response in aged skeletal muscles [126]. Lower levels of the cysteine and glycine-rich protein CSRP3, also known as muscle LIM protein, which is a component of the sarcomeric Z-disc, might affect efficient muscle remodeling of energy metabolism [127]. Protein phosphatase PP1, specifically the listed subunit PP1-R3A, facilitates glycogen metabolism making it a key controller of muscle energy metabolism [128]. Activation of the alternative complement system in the form of complement factor CFD/adipsin is involved in adipocyte-muscle crosstalk, the innate immune response in muscles and adipokine-related effects on skeletal muscle function, which appears to be lowered during aging [129]. Importantly, since serine protease inhibitors function as anti-fibrogenic factors and are crucial for promoting muscle integrity [130], their reduction might impair this response against reactive myofibrosis during aging. Altered levels of ferritin heavy chain FTH1 [131] indicate an age-related disturbance of ion transport in senescent tongue muscle. The considerable change in cytochrome P450 (CYP) levels might influence the efficiency of detoxification of xenobiotics and oxygen homeostasis in aged muscle, since CYP is a crucial enzyme for phase 1 biotransformation reactions, as well as the regulation of blood flow and uptake of oxygen in the neuromuscular system [132]. Several increased proteins, including hexosaminidase B (HEXB), Cathepsin B (CTSB), CD36, coagulation factor XIII A Chain (F13A1) and immunoglobulin chains point toward lysosomal/phagocytic and immune-associated remodeling. However, selected immune-related proteins, including apoptosis-associated speck-like protein containing a CARD (PYCARD/ASC) (inflammasome assembly), complement component 3 (C3) and complement factor D (CFD), show decreased abundance, while complement factor I (CFI) is increased. It looks like aging is associated with a shift in immune-related protein changes rather than a simple global increase in inflammation [133].
Protein biomarkers associated with tongue pressure and biomechanical movements could serve as key clinical functional biomarkers for evaluating swallowing impairment and dysphagia [134]. Tongue pressure biomarkers linked to swallowing difficulties could indicate the early manifestation of neurodegenerative conditions like spinal and bulbar muscular atrophy (SBMA) or amyotrophic lateral sclerosis (ALS). Proteins linked to tongue muscle weakening can become compromised during early or pre-sarcopenic stages as well as indicators of oral frailty in older adults affecting nutritional health and speech production [135].

4. Materials and Methods

4.1. Materials

For the proteomic profiling of mouse tongue and analysis of its aged phenotype, chemicals and general materials were purchased from Sigma Chemical Company (Dorset, UK), GE Healthcare (Little Chalfont, Buckinghamshire, UK) and Bio-Rad Laboratories (Hemel Hempstead, Hertfordshire, UK). Protease and phosphatase inhibitors, the Pierce 660 nm protein assay and C18 spin columns were obtained from Thermo Fisher Scientific (Hemel Hempstead, Hertfordshire, UK). Mass spectrometry grade trypsin (Trypsin Platinum) and ProteaseMAX surfactant trypsin enhancer were from Promega (Madison, WI, USA). The filter-aided sample preparation method was performed with Vivacon 500 spin filters (VN0H22; 30,000 MWCO) from Sartorius (Göttingen, Germany). The primary antibody against collagen (mAb SD83-03 against collagen VI) was from Invitrogen, Waltham, MA, USA. Fluorescein-conjugated secondary antibodies were purchased from Chemicon International (Temecula, CA, USA).

4.2. Ethical Approval, Animal License and Animal Maintenance

Wild type C57/BL6 mice were obtained from the Bioresource Unit of Bonn University and the National University of Ireland, Maynooth. Twelve animals were kept at a constant room temperature of 22 °C on a 12:12 h dark–light cycle with ad libitum access to food and water. All protocols and experiments were performed under the regulations of both the Institutional Animal Care and Use Committee (Germany) and the Department of Agriculture (Ireland). Biochemical and proteomic investigations were exclusively performed with post mortem tongue muscle samples. Freshly dissected tongue specimens were quick-frozen in liquid nitrogen and stored at −80 °C prior to proteomic analysis in accordance with the Department of Agriculture (animal by-product register number 2016/16 to the Department of Biology, National University of Ireland, Maynooth) [136].

4.3. Preparation of Mouse Tongue Muscle Extracts for Proteomic Analysis

Whole mouse tongue specimens were used in this proteomic study. Muscle protein identification and the comparative analysis of tissue extracts from young (n = 6; 3-month male) versus old (n = 6; 24-month male) wild type mice (C57/BL6) were evaluated in this study [137]. Tissue samples were homogenized in the commonly employed lysis buffer system RIPA (radioimmunoprecipitation assay), which consists of 50 mM Tris-HCl, 150 mM NaCl, 1% NP-40/Triton X-100, 0.5% sodium deoxycholate, 0.1% SDS. A ratio of 1 mL of ice-cold buffer per 50 mg of tissue was used. Following 30 min of incubation on ice and centrifugation at 14,000× g for 10 min at 4 °C, the protein-rich supernatant was collected. Importantly, the RIPA buffer contained protease and phosphatase inhibitors (Halt™ Protease and Phosphatase Inhibitor Cocktail, Thermo Scientific, Hemel Hempstead, UK). A Pierce 660 nm protein assay system was used to determine protein concentrations [138]. Buffer exchange of 50 μg of protein lysate was conducted using the filter-aided sample preparation (FASP) method with a buffer containing 8 M urea [139]. After reduction with dithiothreitol and iodoacetic acid-mediated alkylation, digestion was performed using trypsin (Trypsin Platinum, Mass Spectrometry Grade, Promega) overnight at 37 °C using in a buffer containing 50 mM NH4HCO3/0.1% ProteaseMax. Digested samples were desalted prior to analysis using C18 spin columns (Thermo Scientific, Hemel Hempstead, UK), dried through vacuum centrifugation and resuspended in mass spectrometry loading buffer (2% acetonitrile (ACN), 0.05% trifluoroacetic acid (TFA) in LC-MS grade water). Peptides were vortexed, sonicated and briefly centrifuged at 14,000× g and the supernatant transferred to mass spectrometry vials for label-free liquid chromatography mass spectrometry (LFQ LC-MS/MS).

4.4. Label-Free Liquid Chromatography Mass Spectrometry

A Thermo Fisher Ascend mass spectrometer coupled with a NeoVanquish LC system was used for label-free liquid chromatography mass spectrometry [137] whereby 500 ng of each digested sample was analyzed. Peptides were eluted over a 90 min binary gradient [solvent A: 2% (v/v) ACN and 0.1% (v/v) formic acid in LC-MS grade water and solvent B: 80% (v/v) ACN and 0.1% (v/v) formic acid in LC-MS grade water]. Data was acquired with Xcalibur software (Thermo Fisher Scientific). The mass spectrometer was externally calibrated and operated in positive, data-dependent mode. A full survey MS scan was performed in the 300–2000 m/z range. Collision-induced dissociation (CID) fragmentation was conducted on the fifteen most intense ions per scan (top 15) [140].

4.5. Protein Identification and Quantification

Data analysis, processing and visualization for protein identification and label-free quantification (LFQ) normalization of MS/MS data was performed using MaxQuant 2.4.9 (http://www.maxquant.org) and Perseus v2.1.6.0 (www.maxquant.org) software. Significant proteins were initially identified using MaxQuant software and the Andromeda search engine to explore the detected features against the Uni-ProtKB/SwissProt database for Mus musculus (Taxon ID: 10090). The following search parameters were used: (i) first search peptide tolerance of 20 ppm, (ii) main search peptide tolerance of 4.5 ppm, (iii) cysteine carbamidomethylation set as a fixed modification, (iv) methionine oxidation set as a variable modification, (v) a maximum of two missed cleavage sites and (vi) a minimum peptide length of seven amino acids. The false discovery rate (FDR) was set to 1% for both peptides and proteins using a target-decoy approach. Relative quantification was performed using the MaxLFQ algorithm. The “proteinGroups.txt” file produced by MaxQuant was further analyzed in Perseus. Minimum peptide length was set to 7 amino acids to ensure reliable identification. Decoy Mode: A randomized database strategy was used to estimate and filter false discoveries. Enzyme specificity was configured for specific proteolytic cleavage allowing a maximum of 2 missed cleavages. Accurate proteome-wide label-free quantification was processed using delayed normalization and maximal peptide ratio extraction, termed MaxLFQ. A 1.5-fold change in protein abundance was used as the cut-ff threshold for subsequent analysis. Proteins that matched the reverse database or a contaminants database or that were only identified by site were removed. The LFQ intensities were log2 transformed, and proteins with less than 70% valid values were removed from the dataset. Data imputation was performed to replace missing values with values that simulate signals from peptides with low abundance chosen from a normal distribution specified by a downshift of 1.8 times the mean standard deviation of all measured values and a width of 0.3 times this standard deviation. A two-sample t-test was performed using p < 0.05 on the post-imputated data to identify statistically significant differentially abundant proteins.
All data and analysis files are available on the Open Science Framework (https://osf.io/pq4va/overview?view_only=c3750462773c4513853b1556c5945951; accessed 1 September 2026).

4.6. Systems Bioinformatics

Optimized systems bioinformatic tools were employed for the evaluation of proteomic data [141,142], including functional enrichment analyses by ShinyGO with Gene Ontology (GO) terms [68] and Kyoto Encyclopedia of Genes and Genomes (KEGG) [68] pathways. In order to group identified tongue proteins based on their protein class and to identify potential protein–protein interaction patterns, the PANTHER database of protein families [62] (http://pantherdb.org/) and the STRING database of known and putative protein interactions that include both direct physical and indirect functional protein associations [70] (http://string-db.org/) were used [137].

4.7. Comparative Histology and Immunofluorescence Microscopy

Histopathological changes in the aged tongue were determined using routine histological hematoxylin and eosin staining and immunofluorescence microscopy, as previously described in detail [143,144]. Freshly dissected tongue muscle specimens from 3-month versus 24-month old mice were quick-frozen in liquid nitrogen-cooled isopentane and 10 µm sections cut in a cryostat. For immuno-labeling of collagen isoform COL-VI, unfixed cryosections were boiled in phosphate-buffered saline for 5 min. Primary antibodies were diluted appropriately in phosphate-buffered saline for overnight incubation at 4 °C. Tongue tissue specimens were washed and incubated with a secondary fluorescently-labeled anti-mouse RRX antibody for 45 min at room temperature. Nuclei were counter-stained with 1 μg/mL 4′,6-diamidino-2-phenylindole (DAPI). Antibody-labeled muscle tissue sections were embedded in Fluoromount G medium and viewed under a Zeiss Axioskop 2 epifluorescence microscope equipped with a digital Zeiss AxioCam HRc camera (Carl Zeiss Jena GmbH, Jena, Germany).

5. Conclusions

The MS-based proteomic study of the tongue has established the main protein species of this highly specialized and multifunctional muscular system, which is crucial for taste sensations, mastication, swallowing, clearing of the oral cavity, immune surveillance, speech development, and sensory perception. The expression of established protein markers of the sarcomere and the highly diverse actomyosin apparatus, as well as key organelles and the sarcosol, have been confirmed. Notably, the superfast myosin isoform MyHC-13 was identified in tongue tissue. Lingual muscles therefore belong to the class of very fast-twitching skeletal muscles, such as extraocular and laryngeal muscles, which express this unusual myosin molecule. The comparative analysis of young versus aged tongue has revealed age-related myofibrosis, based on the elevated expression of collagen isoform COL-VI, an established marker of abnormal ECM accumulation in diseased skeletal muscles. In addition, age-related proteomic alterations were identified in proteins that are involved in energy metabolism, hormonal regulation, iron homeostasis, inflammation, mitochondrial flexibility, nucleotide homeostasis, muscle regeneration, carbon dioxide removal, antioxidative protection, glucose metabolism, maintenance of the network of intermediate filaments, cytoskeletal rearrangements, muscle regeneration, protein glycosylation, bioenergetic processes, antioxidant defense, the inflammatory response, iron transport, detoxification and the regulation of blood flow. These findings agree with the pathophysiological concept of considerable changes in the aged tongue proteome and suggest that tongue muscle integrity is impaired during the natural aging process. In analogy to most voluntary striated muscles in the body, sarcopenia of old age seems to also majorly affect the muscle mass and contractile strength of the tongue. The results from the proteomic survey presented in this report confirm organ-wide alterations in the senescent tongue, such as altered tongue pressure, decreased tongue muscle strength, elevated fat mass, stem cell exhaustion, bioenergetic alterations, fiber type shifting and reactive myofibrosis. Hence, the application of rigorous quantitative LC-MS/MS resulted in the biochemical establishment of a comprehensive list of protein alterations in the aged tongue. The future orthogonal validation of these novel proteomic findings using biochemical assays, physiological measurement and immunochemical analyses can provide verification of protein abundance changes and new mechanistic insights into the aging process. However, these types of analyses are beyond the scope of this initial MS-based investigation, which was designed as a discovery-based proteomic analysis.

Supplementary Materials

The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/muscles5040073/s1, Table S1: Protein list increased in abundance in 3-month vs. 24-month; Table S2: Protein list increased in abundance in 24-month vs. 3-month.

Author Contributions

Conceptualization, K.O., D.S. and P.D.; methodology, K.O., M.Z., F.N. and P.D.; software, P.D.; validation, M.Z., F.N. and P.D.; formal analysis, M.Z. and P.D.; investigation, K.O., M.Z. and P.D.; resources, M.Z., F.N. and P.D.; data curation, K.O., M.Z. and P.D.; writing—original draft preparation, K.O. and P.D.; writing—review and editing, K.O., M.Z., F.N., D.S. and P.D.; project administration, K.O. and P.D.; funding acquisition, K.O. and P.D. All authors have read and agreed to the published version of the manuscript.

Funding

Research in the author’s laboratories was funded by a project grant from the Kathleen Lonsdale Institute for Human Health Research, Maynooth University, and equipment funding was provided under research infrastructure calls by Science Foundation Ireland (SFI-12/RI/2346/3) and Research Ireland (23/RI/1203).

Institutional Review Board Statement

The animal study protocol was approved by the Institutional Animal Care and Use Committee (Amt für Umwelt, Verbraucherschutz und Lokale Agenda der Stadt Bonn, North Rhine-Westphalia, Germany; protocol code AZ-2024-254, date of approval 6 April 2024).

Data Availability Statement

The original data presented in the study is available in the Open Science Framework (OSF) at http://osf.io/pq4va/overview?view_only=c3750462773c4513853b1556c5945951; accessed on 1 September 2026.

Acknowledgments

We would like to thank Caroline Batchelor (Proteomics Suite, Department of Biology, Maynooth University) for her expert technical help with the MS-based analysis of tongue specimens. We would also like to thank our many international colleagues for the continuous support of our skeletal muscle proteome initiative and the many fruitful discussions on findings from MS-based research projects.

Conflicts of Interest

The authors declare no conflicts of interest.

Abbreviations

The following abbreviations are used in this manuscript:
ACTAα-Actin, muscle
ACTNα-Actinin
AKAdenylate kinase
ANKRDAnkyrin repeat protein
ATAntithrombin
BDHD-beta-hydroxybutyrate dehydrogenase
CACarbonic anhydrase
CapZF-actin capping protein
CAVCaveolin
CFComplement factor
COLCollagen
CPNCarboxypeptidase
CSQCalsequestrin
CSRPCysteine and glycine-rich protein
CYCytochrome
DAPI4′,6-Diamidino-2-phenylindole
DCPPDemilune cell and parotid protein
ECMExtracellular matrix
FABPFatty acid binding protein
FGAFibrinogen, alpha
FGBFibrinogen, beta
FGGFibrinogen, gamma
FLNCFilamin-C, muscle
FTHFerritin heavy chain
HKHexokinase
HSPHeat shock protein
IDHIsocitrate dehydrogenase
LAMLaminin
LAMPLysosome-associated membrane glycoprotein
LCLiquid chromatography
LC-MS/MSLiquid chromatography tandem mass spectrometry
LFQLabel-free quantification
MLCMyosin light chain
MSMass spectrometry
MUGMurinoglobulin
MyBPMyosin binding protein
MyHCMyosin heavy chain
MYLKMyosin light chain kinase
MYOMMyomezin
MYOZMyozenin
MYPNMyopalladin
NEBNebulin
NIDNidogen
NRAPNebulin-related anchoring protein
OBSCNObscurin
OSFOpen Science Framework
PPProtein phosphatase
PPTPalmitoyl-protein thioesterase
RyRRyanodine receptor
TCAPTelethonin
TSPThrombospondin
TMODTropmodulin
TnCTroponin, calcium-binding subunit
TnITroponin, inhibitory subunit
TnTTroponin, tropomyosin-binding subunit
TPMTropomyosin
TRIMTripartite motif-containing protein
TTNTitin
SERCASarcoplasmic or endoplasmic reticulum calcium ATPase
XIRPXin actin-binding protein

References

  1. Sanders, I.; Mu, L. A three-dimensional atlas of human tongue muscles. Anat. Rec. 2013, 296, 1102–1114. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  2. Mathis, S.; Solé, G.; Damon-Perrière, N.; Rouanet-Larrivière, M.; Duval, F.; Prigent, J.; Nadal, L.; Péréon, Y.; Le Masson, G. Clinical Neurology in Practice: The Tongue (Part 1). Neurologist 2023, 28, 338–348. [Google Scholar] [PubMed]
  3. Mathis, S.; Solé, G.; Damon-Perrière, N.; Rouanet-Larrivière, M.; Duval, F.; Prigent, J.; Nadal, L.; Péréon, Y.; Le Masson, G. Clinical Neurology in Practice: The Tongue (part 2). Neurologist 2024, 29, 59–69. [Google Scholar] [PubMed]
  4. Bordoni, B.; Morabito, B.; Mitrano, R.; Simonelli, M.; Toccafondi, A. The Anatomical Relationships of the Tongue with the Body System. Cureus 2018, 10, e3695. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  5. Doyle, M.E.; Premathilake, H.U.; Yao, Q.; Mazucanti, C.H.; Egan, J.M. Physiology of the tongue with emphasis on taste transduction. Physiol. Rev. 2023, 103, 1193–1246. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  6. Lyras, E.M.; Zimmermann, K.; Wagner, L.K.; Dörr, D.; Klose, C.S.N.; Fischer, C.; Jung, S.; Yona, S.; Hovav, A.H.; Stenzel, W.; et al. Tongue immune compartment analysis reveals spatial macrophage heterogeneity. elife 2022, 11, e77490. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  7. Wang, Z.; Wang, M.; Liu, J.; Zhao, D.; Wang, J.; Wei, F. Macrophage is crucial for tongue development by regulating myogenesis and vascularization. BMC Oral Health 2025, 25, 678. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  8. Moutsopoulos, N.M.; Konkel, J.E. Tissue-Specific Immunity at the Oral Mucosal Barrier. Trends Immunol. 2018, 39, 276–287. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  9. Alghadir, A.H.; Zafar, H.; Iqbal, Z.A. Effect of tongue position on postural stability during quiet standing in healthy young males. Somatosens. Mot. Res. 2015, 32, 183–186. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  10. Barlow, L.A. The sense of taste: Development, regeneration, and dysfunction. WIREs Mech. Dis. 2022, 14, e1547. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  11. Segawa, M.; Iizuka, N.; Ogihara, H.; Tanaka, K.; Nakae, H.; Usuku, K.; Yamaguchi, K.; Wada, K.; Uchizono, A.; Nakamura, Y.; et al. Objective evaluation of tongue diagnosis ability using a tongue diagnosis e-learning/e-assessment system based on a standardized tongue image database. Front. Med. Technol. 2023, 5, 1050909. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  12. Rogers, R.S., 3rd; Bruce, A.J. The tongue in clinical diagnosis. J. Eur. Acad. Dermatol. Venereol. 2004, 18, 254–259. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  13. du Toit, D.F. The tongue: Structure and function relevant to disease and oral health. S. Afr. Dent. J. 2003, 58, 375–376. [Google Scholar]
  14. De Berardinis, R.; Tagliabue, M.; Belloni, P.; Gandini, S.; Scaglione, D.; Maffini, F.; Margherini, S.; Riccio, S.; Giugliano, G.; Bruschini, R.; et al. Tongue cancer treatment and oncological outcomes: The role of glossectomy classification. Surg. Oncol. 2022, 42, 101751. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  15. Mangold, A.R.; Torgerson, R.R.; Rogers, R.S., 3rd. Diseases of the tongue. Clin. Dermatol. 2016, 34, 458–469. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  16. Menezes, Í.T.A.; Pinheiro, I.M.; Souza, J.C.E.; Santos, D.M.D.; Nascimento, J.F.D.; Magalhães, M.O.C.; Nóbrega, A.C. Tongue pressure in sarcopenic and dynapenic elderly. Codas 2025, 37, e20240124. [Google Scholar] [CrossRef] [Scilit]
  17. Machida, N.; Tohara, H.; Hara, K.; Kumakura, A.; Wakasugi, Y.; Nakane, A.; Minakuchi, S. Effects of aging and sarcopenia on tongue pressure and jaw-opening force. Geriatr. Gerontol. Int. 2017, 17, 295–301. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  18. Nakao, Y.; Yamashita, T.; Honda, K.; Katsuura, T.; Hama, Y.; Nakamura, Y.; Ando, K.; Ishikura, R.; Kodama, N.; Uchiyama, Y.; et al. Association Among Age-Related Tongue Muscle Abnormality, Tongue Pressure, and Presbyphagia: A 3D MRI Study. Dysphagia 2021, 36, 483–491. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  19. Sayer, A.A.; Cooper, R.; Arai, H.; Cawthon, P.M.; Ntsama Essomba, M.J.; Fielding, R.A.; Grounds, M.D.; Witham, M.D.; Cruz-Jentoft, A.J. Sarcopenia. Nat. Rev. Dis. Primers 2024, 10, 68. [Google Scholar] [PubMed]
  20. Yuan, S.; Larsson, S.C. Epidemiology of sarcopenia: Prevalence, risk factors, and consequences. Metabolism 2023, 144, 155533. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  21. Petermann-Rocha, F.; Balntzi, V.; Gray, S.R.; Lara, J.; Ho, F.K.; Pell, J.P.; Celis-Morales, C. Global prevalence of sarcopenia and severe sarcopenia: A systematic review and meta-analysis. J. Cachexia Sarcopenia Muscle 2022, 13, 86–99. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  22. Dilesh, N.R.; Khatri, D.; Shrivastava, R.; Kushwaha, S. Molecular and Cellular Mechanisms of Sarcopenia: Integrating Fiber-Type Remodeling, Contractile Protein Dynamics, and Systemic Regulatory Pathways. Cell Biochem. Funct. 2026, 44, e70194. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  23. Lee, C.; Woods, P.C.; Paluch, A.E.; Miller, M.S. Effects of age on human skeletal muscle: A systematic review and meta-analysis of myosin heavy chain isoform protein expression, fiber size, and distribution. Am. J. Physiol. Cell Physiol. 2024, 327, C1400–C1415. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  24. Dowling, P.; Gargan, S.; Swandulla, D.; Ohlendieck, K. Fiber-Type Shifting in Sarcopenia of Old Age: Proteomic Profiling of the Contractile Apparatus of Skeletal Muscles. Int. J. Mol. Sci. 2023, 24, 2415. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  25. Wei, L.; Gregorich, Z.R.; Lin, Z.; Cai, W.; Jin, Y.; McKiernan, S.H.; McIlwain, S.; Aiken, J.M.; Moss, R.L.; Diffee, G.M.; et al. Novel Sarcopenia-related Alterations in Sarcomeric Protein Post-translational Modifications (PTMs) in Skeletal Muscles Identified by Top-down Proteomics. Mol. Cell. Proteom. 2018, 17, 134–145. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  26. Ota, F.; Connor, N.P.; Konopacki, R. Alterations in contractile properties of tongue muscles in old rats. Ann. Otol. Rhinol. Laryngol. 2005, 114, 799–803. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  27. Connor, N.P.; Russell, J.A.; Wang, H.; Jackson, M.A.; Mann, L.; Kluender, K. Effect of tongue exercise on protrusive force and muscle fiber area in aging rats. J. Speech Lang. Hear. Res. 2009, 52, 732–744. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  28. Johnson, A.M.; Connor, N.P. Effects of electrical stimulation on neuromuscular junction morphology in the aging rat tongue. Muscle Nerve 2011, 43, 203–211. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  29. Cullins, M.J.; Connor, N.P. Alterations of intrinsic tongue muscle properties with aging. Muscle Nerve 2017, 56, E119–E125. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  30. Schaser, A.J.; Wang, H.; Volz, L.M.; Connor, N.P. Biochemistry of the anterior, medial, and posterior genioglossus in the aged rat. Dysphagia 2011, 26, 256–263. [Google Scholar] [CrossRef] [Scilit] [PubMed][Green Version]
  31. Russell, J.A.; Connor, N.P. Effects of age and radiation treatment on function of extrinsic tongue muscles. Radiat. Oncol. 2014, 9, 254. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  32. Kletzien, H.; Hare, A.J.; Leverson, G.; Connor, N.P. Age-related effect of cell death on fiber morphology and number in tongue muscle. Muscle Nerve 2018, 57, E29–E37. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  33. Kletzien, H.; Kelm-Nelson, C.A.; Wang, S.; Suzuki, M.; Connor, N.P. Myogenic marker expression as a function of age and exercise-based therapy in the tongue. Exp. Gerontol. 2020, 142, 111104. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  34. Glass, T.J.; Rowe, L.M.; Cullen, J.; Connor, N.P. Bioenergetic Evaluation of Muscle Fatigue in Murine Tongue. Dysphagia 2023, 38, 1039–1048. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  35. Parker, K.C.; Walsh, R.J.; Salajegheh, M.; Amato, A.A.; Krastins, B.; Sarracino, D.A.; Greenberg, S.A. Characterization of human skeletal muscle biopsy samples using shotgun proteomics. J. Proteome Res. 2009, 8, 3265–3277. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  36. Deshmukh, A.S.; Murgia, M.; Nagaraj, N.; Treebak, J.T.; Cox, J.; Mann, M. Deep proteomics of mouse skeletal muscle enables quantitation of protein isoforms, metabolic pathways, and transcription factors. Mol. Cell. Proteom. 2015, 14, 841–853. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  37. Murphy, S.; Zweyer, M.; Raucamp, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Proteomic profiling of the mouse diaphragm and refined mass spectrometric analysis of the dystrophic phenotype. J. Muscle Res. Cell. Motil. 2019, 40, 9–28. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  38. Murgia, M.; Nogara, L.; Baraldo, M.; Reggiani, C.; Mann, M.; Schiaffino, S. Protein profile of fiber types in human skeletal muscle: A single-fiber proteomics study. Skelet. Muscle 2021, 11, 24. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  39. Momenzadeh, A.; Jiang, Y.; Kreimer, S.; Teigen, L.E.; Zepeda, C.S.; Haghani, A.; Mastali, M.; Song, Y.; Hutton, A.; Parker, S.J.; et al. A Complete Workflow for High Throughput Human Single Skeletal Muscle Fiber Proteomics. J. Am. Soc. Mass Spectrom. 2023, 34, 1858–1867. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  40. Doran, P.; Gannon, J.; O’Connell, K.; Ohlendieck, K. Aging skeletal muscle shows a drastic increase in the small heat shock proteins alphaB-crystallin/HspB5 and cvHsp/HspB7. Eur. J. Cell Biol. 2007, 86, 629–640. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  41. Théron, L.; Gueugneau, M.; Coudy, C.; Viala, D.; Bijlsma, A.; Butler-Browne, G.; Maier, A.; Béchet, D.; Chambon, C. Label-free quantitative protein profiling of vastus lateralis muscle during human aging. Mol. Cell. Proteom. 2014, 13, 283–294. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  42. Murgia, M.; Toniolo, L.; Nagaraj, N.; Ciciliot, S.; Vindigni, V.; Schiaffino, S.; Reggiani, C.; Mann, M. Single Muscle Fiber Proteomics Reveals Fiber-Type-Specific Features of Human Muscle Aging. Cell Rep. 2017, 19, 2396–2409. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  43. Ohlendieck, K. Two-CyDye-Based 2D-DIGE Analysis of Aged Human Muscle Biopsy Specimens. Methods Mol. Biol. 2023, 2596, 265–289. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  44. Schaiter, A.; Hentschel, A.; Kleefeld, F.; Schuld, J.; Umathum, V.; Procida-Kowalski, T.; Nelke, C.; Roth, A.; Hahn, A.; Krämer, H.H.; et al. Molecular composition of skeletal muscle in infants and adults: A comparative proteomic and transcriptomic study. Sci. Rep. 2024, 14, 22965. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  45. Gromov, P.; Celis, J.E.; Gromova, I.; Rank, F.; Timmermans-Wielenga, V.; Moreira, J.M. A single lysis solution for the analysis of tissue samples by different proteomic technologies. Mol. Oncol. 2008, 2, 368–379. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  46. He, Q.Y.; Chen, J.; Kung, H.F.; Yuen, A.P.; Chiu, J.F. Identification of tumor-associated proteins in oral tongue squamous cell carcinoma by proteomics. Proteomics 2004, 4, 271–278. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  47. Thiel, U.J.; Feltens, R.; Adryan, B.; Gieringer, R.; Brochhausen, C.; Schuon, R.; Fillies, T.; Grus, F.; Mann, W.J.; Brieger, J. Analysis of differentially expressed proteins in oral squamous cell carcinoma by MALDI-TOF MS. J. Oral Pathol. Med. 2011, 40, 369–379. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  48. Ananthi, S.; Lakshmi, C.N.P.; Atmika, P.; Anbarasu, K.; Mahalingam, S. Global Quantitative Proteomics reveal Deregulation of Cytoskeletal and Apoptotic Signalling Proteins in Oral Tongue Squamous Cell Carcinoma. Sci. Rep. 2018, 8, 1567. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  49. Dutt, M.; Ng, Y.K.; Molendijk, J.; Karimkhanloo, H.; Liao, L.; Blazev, R.; Montgomery, M.K.; Watt, M.J.; Parker, B.L. Western Diet Induced Remodelling of the Tongue Proteome. Proteomes 2021, 9, 22. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  50. Caetano, A.J.; Human Cell Atlas Oral and Craniofacial Bionetwork; Sequeira, I.; Byrd, K.M. A Roadmap for the Human Oral and Craniofacial Cell Atlas. J. Dent. Res. 2022, 101, 1274–1288. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  51. Tabula Muris Consortium. A single-cell transcriptomic atlas characterizes ageing tissues in the mouse. Nature 2020, 583, 590–595. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  52. McClung, J.R.; Goldberg, S.J. Functional anatomy of the hypoglossal innervated muscles of the rat tongue: A model for elongation and protrusion of the mammalian tongue. Anat. Rec. 2000, 260, 378–386. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  53. Tomiate, A.N.; Barbosa, G.K.; Rici, R.E.G.; de Almeida, S.R.Y.; Watanabe, I.S.; Ciena, A.P. Structural and Ultrastructural Changes in the Tongue of mdx Mice. Microsc. Microanal. 2022, 24, 559–566. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  54. Yamanouchi, K.; Tanaka, Y.; Ikeda, M.; Kato, S.; Okino, R.; Nishi, H.; Hakuno, F.; Takahashi, S.I.; Chambers, J.; Matsuwaki, T.; et al. Macroglossia and less advanced dystrophic change in the tongue muscle of the Duchenne muscular dystrophy rat. Skelet. Muscle 2022, 12, 24. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  55. Rohl, A.H.; Connor, N.P.; Russell, J.A. Age-related sex differences in tongue strength and muscle morphometry in a rat model. Arch. Oral Biol. 2023, 155, 105779. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  56. Lorena, M.D.S.V.; Santos, E.K.D.; Ferretti, R.; Nagana Gowda, G.A.; Odom, G.L.; Chamberlain, J.S.; Matsumura, C.Y. Biomarkers for Duchenne muscular dystrophy progression: Impact of age in the mdx tongue spared muscle. Skelet. Muscle 2023, 13, 16. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  57. Sieck, G.C.; Hernandez-Vizcarrondo, G.A.; Brown, A.D.; Fogarty, M.J. Sarcopenia of the longitudinal tongue muscles in rats. Respir. Physiol. Neurobiol. 2024, 319, 104180. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  58. Yang, L.; Shao, Q.; Su, J.; Liu, Y.; Chen, L.; Ndzie Noah, M.L.; Li, N.; Coorssen, J.R.; Zhan, X. What does one-dimensional gel electrophoresis-based western blotting data really mean in the reality of proteoforms? Talanta 2025, 295, 128266. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  59. Dowling, P.; Gargan, S.; Swandulla, D.; Ohlendieck, K. Identification of Subproteomic Markers for Skeletal Muscle Profiling. Methods Mol. Biol. 2023, 2596, 291–302. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  60. Dowling, P.; Gargan, S.; Zweyer, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Proteomic reference map for sarcopenia research: Mass spectrometric identification of key muscle proteins located in the sarcomere, cytoskeleton and the extracellular matrix. Eur. J. Transl. Myol. 2024, 34, 12564. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  61. Dowling, P.; Gargan, S.; Zweyer, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Proteomic reference map for sarcopenia research: Mass spectrometric identification of key muscle proteins of organelles, cellular signaling, bioenergetic metabolism and molecular chaperoning. Eur. J. Transl. Myol. 2024, 34, 12565. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  62. Thomas, P.D.; Ebert, D.; Muruganujan, A.; Mushayahama, T.; Albou, L.P.; Mi, H. PANTHER: Making genome-scale phylogenetics accessible to all. Protein Sci. 2022, 31, 8–22. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  63. Holland, A.; Ohlendieck, K. Proteomic profiling of the contractile apparatus from skeletal muscle. Expert Rev. Proteom. 2013, 10, 239–257. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  64. Gargan, S.; Dowling, P.; Zweyer, M.; Reimann, J.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Mass Spectrometric Profiling of Extraocular Muscle and Proteomic Adaptations in the mdx-4cv Model of Duchenne Muscular Dystrophy. Life 2021, 11, 595. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  65. Schiaffino, S.; Hughes, S.M.; Murgia, M.; Reggiani, C. MYH13, a superfast myosin expressed in extraocular, laryngeal and syringeal muscles. J. Physiol. 2024, 602, 427–443. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  66. Murphy, S.; Dowling, P.; Zweyer, M.; Swandulla, D.; Ohlendieck, K. Proteomic profiling of giant skeletal muscle proteins. Expert Rev. Proteom. 2019, 16, 241–256. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  67. Swandulla, D.; Ohlendieck, K. Proteomic profiling of the extracellular matrix in skeletal muscle. Adv. Clin. Chem. 2025, 129, 53–122. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  68. Ge, S.X.; Jung, D.; Yao, R. ShinyGO: A graphical gene-set enrichment tool for animals and plants. Bioinformatics 2020, 36, 2628–2629. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  69. Kanehisa, M.; Furumichi, M.; Sato, Y.; Kawashima, M.; Ishiguro-Watanabe, M. KEGG for taxonomy-based analysis of pathways and genomes. Nucleic Acids Res. 2023, 51, D587–D592. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  70. Szklarczyk, D.; Kirsch, R.; Koutrouli, M.; Nastou, K.; Mehryary, F.; Hachilif, R.; Gable, A.L.; Fang, T.; Doncheva, N.T.; Pyysalo, S.; et al. The STRING database in 2023: Protein-protein association networks and functional enrichment analyses for any sequenced genome of interest. Nucleic Acids Res. 2023, 51, D638–D646. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  71. Csapo, R.; Malis, V.; Sinha, U.; Du, J.; Sinha, S. Age-associated differences in triceps surae muscle composition and strength—An MRI-based cross-sectional comparison of contractile, adipose and connective tissue. BMC Musculoskelet. Disord. 2014, 15, 209. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  72. Wang, L.; Valencak, T.G.; Shan, T. Fat infiltration in skeletal muscle: Influential triggers and regulatory mechanism. iScience 2024, 27, 109221. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  73. Wang, N.; Zheng, A.; Yan, Y.; He, T.; Wu, X.; Xian, M.; Luo, J.; Li, C.; Wei, J.; Wang, Y.; et al. Aging induces sarcopenia by disrupting the crosstalk between the skeletal muscle microenvironment and myofibers. J. Adv. Res. 2026, 82, 785–802. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  74. Sharma, A.; Zehra, A.; Mathew, S.J. Myosin heavy chain-perinatal regulates skeletal muscle differentiation, oxidative phenotype and regeneration. FEBS J. 2024, 291, 2836–2848. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  75. Pette, D.; Staron, R.S. Myosin isoforms, muscle fiber types, and transitions. Microsc. Res. Tech. 2000, 50, 500–509. [Google Scholar] [CrossRef] [Scilit]
  76. Hoh, J.F.Y. Developmental, physiologic and phylogenetic perspectives on the expression and regulation of myosin heavy chains in mammalian skeletal muscles. J. Comp. Physiol. B 2023, 193, 355–382. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  77. Schiaffino, S.; Reggiani, C. Fiber types in mammalian skeletal muscles. Physiol. Rev. 2011, 91, 1447–1531. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  78. Blemker, S.S.; Brooks, S.V.; Esser, K.A.; Saul, K.R. Fiber-type traps: Revisiting common misconceptions about skeletal muscle fiber types with application to motor control, biomechanics, physiology, and biology. J. Appl. Physiol. 2024, 136, 109–121. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  79. Moreno-Justicia, R.; Van der Stede, T.; Stocks, B.; Laitila, J.; Seaborne, R.A.; Van de Loock, A.; Lievens, E.; Samodova, D.; Marín-Arraiza, L.; Dmytriyeva, O.; et al. Human skeletal muscle fiber heterogeneity beyond myosin heavy chains. Nat. Commun. 2025, 16, 1764. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  80. Reggiani, C.; Murgia, M. Comment on “Fiber-type traps: Revisiting common misconceptions about skeletal muscle fiber types with application to motor control, biomechanics, physiology, and biology”. J. Appl. Physiol. 2024, 136, 437–438. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  81. Rahnert, J.A.; Sokoloff, A.J.; Burkholder, T.J. Sarcomeric myosin expression in the tongue body of humans, macaques and rats. Cells Tissues Organs 2010, 191, 431–442. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  82. Abe, S.; Maejima, M.; Watanabe, H.; Shibahara, T.; Agematsu, H.; Doi, T.; Sakiyama, K.; Usami, A.; Gojyo, K.; Hashimoto, M.; et al. Muscle-fiber characteristics in adult mouse-tongue muscles. Anat. Sci. Int. 2002, 77, 145–148. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  83. Ohlendieck, K. Proteomics of skeletal muscle glycolysis. Biochim. Biophys. Acta 2010, 1804, 2089–2101. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  84. Dowling, P.; Gargan, S.; Zweyer, M.; Swandulla, D.; Ohlendieck, K. Proteomic profiling of fatty acid binding proteins in muscular dystrophy. Expert Rev. Proteom. 2020, 17, 137–148. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  85. Brinkmeier, H.; Ohlendieck, K. Chaperoning heat shock proteins: Proteomic analysis and relevance for normal and dystrophin-deficient muscle. Proteom. Clin. Appl. 2014, 8, 875–895. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  86. Le Rouzic, P.; Rousseau, K. Binding for life: Corticosteroid binding globulin from vertebrate physiology to human diseases. Front. Endocrinol. 2025, 16, 1647096. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  87. Ikemoto-Uezumi, M.; Zhou, H.; Kurosawa, T.; Yoshimoto, Y.; Toyoda, M.; Kanazawa, N.; Nakazawa, T.; Morita, M.; Tsuchida, K.; Uezumi, A. Increased MFG-E8 at neuromuscular junctions is an exacerbating factor for sarcopenia-associated denervation. Aging Cell 2022, 21, e13536. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  88. Linder, M.C.; Wooten, L.; Cerveza, P.; Cotton, S.; Shulze, R.; Lomeli, N. Copper transport. Am. J. Clin. Nutr. 1998, 67, 965S–971S. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  89. Lofaro, F.D.; Cisterna, B.; Lacavalla, M.A.; Boschi, F.; Malatesta, M.; Quaglino, D.; Zancanaro, C.; Boraldi, F. Age-Related Changes in the Matrisome of the Mouse Skeletal Muscle. Int. J. Mol. Sci. 2021, 22, 10564. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  90. Halper, J. Basic Components of Connective Tissues and Extracellular Matrix: Fibronectin, Fibrinogen, Laminin, Elastin, Fibrillins, Fibulins, Matrilins, Tenascins and Thrombospondins. Adv. Exp. Med. Biol. 2021, 1348, 105–126. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  91. Fan, R.; Yan, X.; Zhang, W. Relationship between asporin and extracellular matrix behavior: A literature review. Medicine 2022, 101, e32490. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  92. Di Martino, A.; Cescon, M.; D’Agostino, C.; Schilardi, F.; Sabatelli, P.; Merlini, L.; Faldini, C. Collagen VI in the Musculoskeletal System. Int. J. Mol. Sci. 2023, 24, 5095. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  93. Mahdy, M.A.A. Skeletal muscle fibrosis: An overview. Cell Tissue Res. 2019, 375, 575–588. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  94. Ohlendieck, C.M.; Matellan, C.; Manresa, M.C. Regulation of pathologic fibroblast functions in digestive diseases: A role for hypoxia? Am. J. Physiol. Gastrointest. Liver Physiol. 2025, 328, G229–G242. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  95. Williams, A.S.; Crown, S.B.; Lyons, S.P.; Koves, T.R.; Wilson, R.J.; Johnson, J.M.; Slentz, D.H.; Kelly, D.P.; Grimsrud, P.A.; Zhang, G.F.; et al. Ketone flux through BDH1 supports metabolic remodeling of skeletal and cardiac muscles in response to intermittent time-restricted feeding. Cell Metab. 2024, 36, 422–437.e8. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  96. Fujisawa, K. Regulation of Adenine Nucleotide Metabolism by Adenylate Kinase Isozymes: Physiological Roles and Diseases. Int. J. Mol. Sci. 2023, 24, 5561. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  97. Wang, K.; Smith, S.H.; Iijima, H.; Hettinger, Z.R.; Mallepally, A.; Shroff, S.G.; Ambrosio, F. Bioengineered 3D Skeletal Muscle Model Reveals Complement 4b as a Cell-Autonomous Mechanism of Impaired Regeneration with Aging. Adv. Mater. 2023, 35, e2207443. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  98. Dowling, P.; Gargan, S.; Zweyer, M.; Sabir, H.; Swandulla, D.; Ohlendieck, K. Proteomic profiling of carbonic anhydrase CA3 in skeletal muscle. Expert Rev. Proteom. 2021, 18, 1073–1086. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  99. Yun, H.R.; Jo, Y.H.; Kim, J.; Nguyen, N.N.Y.; Shin, Y.; Kim, S.S.; Choi, T.G. Palmitoyl Protein Thioesterase 1 Is Essential for Myogenic Autophagy of C2C12 Skeletal Myoblast. Front. Physiol. 2020, 11, 569221. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  100. Tang, S.; Tabet, F.; Cochran, B.J.; Cuesta Torres, L.F.; Wu, B.J.; Barter, P.J.; Rye, K.A. Apolipoprotein A-I enhances insulin-dependent and insulin-independent glucose uptake by skeletal muscle. Sci. Rep. 2019, 9, 1350. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  101. Matthews, K.W.; Mueller-Ortiz, S.L.; Wetsel, R.A. Carboxypeptidase N: A pleiotropic regulator of inflammation. Mol. Immunol. 2004, 40, 785–793. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  102. Halon-Golabek, M.; Borkowska, A.; Herman-Antosiewicz, A.; Antosiewicz, J. Iron Metabolism of the Skeletal Muscle and Neurodegeneration. Front. Neurosci. 2019, 13, 165. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  103. Suelves, M.; López-Alemany, R.; Lluís, F.; Aniorte, G.; Serrano, E.; Parra, M.; Carmeliet, P.; Muñoz-Cánoves, P. Plasmin activity is required for myogenesis in vitro and skeletal muscle regeneration in vivo. Blood 2002, 99, 2835–2844. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  104. Paulin, D.; Li, Z. Desmin: A major intermediate filament protein essential for the structural integrity and function of muscle. Exp. Cell Res. 2004, 301, 1–7. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  105. Russ, D.W.; Grandy, J.S. Increased desmin expression in hindlimb muscles of aging rats. J. Cachexia Sarcopenia Muscle 2011, 2, 175–180. [Google Scholar] [CrossRef] [Scilit] [PubMed][Green Version]
  106. Gannon, J.; Staunton, L.; O’Connell, K.; Doran, P.; Ohlendieck, K. Phosphoproteomic analysis of aged skeletal muscle. Int. J. Mol. Med. 2008, 22, 33–42. [Google Scholar] [CrossRef] [Scilit]
  107. Karamanos, D.G.; Karkos, C.; Kambaroudis, A.; Kritsepi, M.; Papadopoulos, S.; Spyridis, C.; Gerassimidis, T.S. The effect of Antithrombin-III on routine hematological and biochemical parameters in an experimental animal model of skeletal muscle ischemia-reperfusion injury. Hippokratia 2014, 18, 234–239. [Google Scholar] [PubMed]
  108. Tharakan, R.; Ubaida-Mohien, C.; Piao, Y.; Gorospe, M.; Ferrucci, L. Ribosome profiling analysis of human skeletal muscle identifies reduced translation of mitochondrial proteins with age. RNA Biol. 2021, 18, 1555–1559. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  109. Ohlendieck, K. Proteomic Profiling of Fast-To-Slow Muscle Transitions during Aging. Front. Physiol. 2011, 2, 105. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  110. Dowling, P.; Swandulla, D.; Ohlendieck, K. Biochemical and proteomic insights into sarcoplasmic reticulum Ca2+-ATPase complexes in skeletal muscles. Expert Rev. Proteom. 2023, 20, 125–142. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  111. Csapo, R.; Gumpenberger, M.; Wessner, B. Skeletal Muscle Extracellular Matrix—What Do We Know About Its Composition, Regulation, and Physiological Roles? A Narrative Review. Front. Physiol. 2020, 11, 253. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  112. Töpfer, U.; Holz, A. Nidogen in development and disease. Front. Cell Dev. Biol. 2024, 12, 1380542. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  113. Zhou, S.; Chen, S.; Pei, Y.A.; Pei, M. Nidogen: A matrix protein with potential roles in musculoskeletal tissue regeneration. Genes Dis. 2021, 9, 598–609. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  114. Durbeej, M. Laminins. Cell Tissue Res. 2010, 339, 259–268. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  115. Holmberg, J.; Durbeej, M. Laminin-211 in skeletal muscle function. Cell Adh. Migr. 2013, 7, 111–121. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  116. Holland, A.; Dowling, P.; Meleady, P.; Henry, M.; Zweyer, M.; Mundegar, R.R.; Swandulla, D.; Ohlendieck, K. Label-free mass spectrometric analysis of the mdx-4cv diaphragm identifies the matricellular protein periostin as a potential factor involved in dystrophinopathy-related fibrosis. Proteomics 2015, 15, 2318–2331. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  117. Ito, N.; Miyagoe-Suzuki, Y.; Takeda, S.; Kudo, A. Periostin Is Required for the Maintenance of Muscle Fibers during Muscle Regeneration. Int. J. Mol. Sci. 2021, 22, 3627. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  118. Lieber, R.L.; Meyer, G. Structure-Function relationships in the skeletal muscle extracellular matrix. J. Biomech. 2023, 152, 111593. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  119. Frolova, E.G.; Drazba, J.; Krukovets, I.; Kostenko, V.; Blech, L.; Harry, C.; Vasanji, A.; Drumm, C.; Sul, P.; Jenniskens, G.J.; et al. Control of organization and function of muscle and tendon by thrombospondin-4. Matrix Biol. 2014, 37, 35–48. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  120. Hol, E.M.; Capetanaki, Y. Type III Intermediate Filaments Desmin, Glial Fibrillary Acidic Protein (GFAP), Vimentin, and Peripherin. Cold Spring Harb. Perspect. Biol. 2017, 9, a021642. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  121. Russell, M.A. Synemin Redefined: Multiple Binding Partners Results in Multifunctionality. Front. Cell Dev. Biol. 2020, 8, 159. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  122. Lucas, L.; Cooper, T.A. Insights into Cell-Specific Functions of Microtubules in Skeletal Muscle Development and Homeostasis. Int. J. Mol. Sci. 2023, 24, 2903. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  123. Leung, C.L.; Green, K.J.; Liem, R.K. Plakins: A family of versatile cytolinker proteins. Trends Cell Biol. 2002, 12, 37–45. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  124. Liang, Y.; Van Zant, G. Aging stem cells, latexin, and longevity. Exp. Cell Res. 2008, 314, 1962–1972. [Google Scholar] [CrossRef] [Scilit] [PubMed][Green Version]
  125. Franzka, P.; Henze, H.; Jung, M.J.; Schüler, S.C.; Mittag, S.; Biskup, K.; Liebmann, L.; Kentache, T.; Morales, J.; Martínez, B.; et al. GMPPA defects cause a neuromuscular disorder with α-dystroglycan hyperglycosylation. J. Clin. Investig. 2021, 131, e139076. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  126. Guo, A.; Huang, K.; Lu, Q.; Tao, B.; Li, K.; Jiang, D. TRIM16 facilitates SIRT-1-dependent regulation of antioxidant response to alleviate age-related sarcopenia. J. Cachexia Sarcopenia Muscle 2024, 15, 2056–2070. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  127. Jiang, X.; Wang, Z.; Li, R.; Liu, Y.; Liu, B.; Yang, G.; Jin, J.; Shi, X. CSRP3 promotes skeletal muscle remodeling toward aerobic metabolism and enhances exercise endurance through increasing LDHD activity. Metabolism 2026, 179, 156577. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  128. Delibegovic, M.; Armstrong, C.G.; Dobbie, L.; Watt, P.W.; Smith, A.J.; Cohen, P.T. Disruption of the striated muscle glycogen targeting subunit PPP1R3A of protein phosphatase 1 leads to increased weight gain, fat deposition, and development of insulin resistance. Diabetes 2003, 52, 596–604. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  129. Wojciuk, B.; Frulenko, I.; Brodkiewicz, A.; Kita, D.; Baluta, M.; Jędrzejczyk, F.; Budkowska, M.; Turkiewicz, K.; Proia, P.; Ciechanowicz, A.; et al. The Complement System as a Part of Immunometabolic Post-Exercise Response in Adipose and Muscle Tissue. Int. J. Mol. Sci. 2024, 25, 11608. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  130. Tjondrokoesoemo, A.; Schips, T.; Kanisicak, O.; Sargent, M.A.; Molkentin, J.D. Genetic overexpression of Serpina3n attenuates muscular dystrophy in mice. Hum. Mol. Genet. 2016, 25, 1192–1202. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  131. Plays, M.; Müller, S.; Rodriguez, R. Chemistry and biology of ferritin. Metallomics 2021, 13, mfab021. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  132. Frisbee, J.C.; Lombard, J.H. Parenchymal tissue cytochrome P450 4A enzymes contribute to oxygen-induced alterations in skeletal muscle arteriolar tone. Microvasc. Res. 2002, 63, 340–343. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  133. Wu, J.Y. Tongue as a first-line immune organ? Protein Cell 2021, 12, 162–164. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  134. Magara, J.; Suzuki, T.; Yoshihara, M.; Onuki, W.; Sasa, A.; Tsujimura, T.; Inoue, M. Lingual pressure as a physiological indicator for dysphagia in amyotrophic lateral sclerosis and multiple system atrophy. Neurodegener. Dis. Manag. 2026, 16, 391–400. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  135. Murakami, T.; Kamide, N.; Ando, M.; Hata, W.; Sakamoto, M. Association between tongue pressure and skeletal muscle mass and muscle function in community-dwelling older people without sarcopenia. Eur. Geriatr. Med. 2022, 13, 649–653. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  136. Gargan, S.; Dowling, P.; Zweyer, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Proteomic Identification of Markers of Membrane Repair, Regeneration and Fibrosis in the Aged and Dystrophic Diaphragm. Life 2022, 12, 1679. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  137. Dowling, P.; Gargan, S.; Zweyer, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Protocol for the Bottom-Up Proteomic Analysis of Mouse Spleen. STAR Protoc. 2020, 1, 100196. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  138. Gargan, S.; Ohlendieck, K. Sample Preparation and Protein Determination for 2D-DIGE Proteomics. Methods Mol. Biol. 2023, 2596, 325–337. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  139. Dowling, P.; Gargan, S.; Zweyer, M.; Henry, M.; Meleady, P.; Swandulla, D.; Ohlendieck, K. Proteome-wide Changes in the mdx-4cv Spleen due to Pathophysiological Cross Talk with Dystrophin-Deficient Skeletal Muscle. iScience 2020, 23, 101500. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  140. He, Y.; Shishkova, E.; Peters-Clarke, T.M.; Brademan, D.R.; Westphall, M.S.; Bergen, D.; Huang, J.; Huguet, R.; Senko, M.W.; Zabrouskov, V.; et al. Evaluation of the Orbitrap Ascend Tribrid Mass Spectrometer for Shotgun Proteomics. Anal. Chem. 2023, 95, 10655–10663. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  141. Murphy, S.; Zweyer, M.; Swandulla, D.; Ohlendieck, K. Bioinformatic Analysis of the Subproteomic Profile of Cardiomyopathic Tissue. Methods Mol. Biol. 2023, 2596, 377–395. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  142. Murphy, S.; Zweyer, M.; Henry, M.; Meleady, P.; Mundegar, R.R.; Swandulla, D.; Ohlendieck, K. Proteomic analysis of the sarcolemma-enriched fraction from dystrophic mdx-4cv skeletal muscle. J. Proteom. 2019, 191, 212–227. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  143. Zweyer, M.; Ohlendieck, K.; Swandulla, D. Histological and Histochemical Microscopy Used to Verify 2D-DIGE Pathoproteomics. Methods Mol. Biol. 2023, 2596, 465–480. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  144. Zweyer, M.; Ohlendieck, K.; Swandulla, D. Verification of Protein Changes Determined by 2D-DIGE Based Proteomics Using Immunofluorescence Microscopy. Methods Mol. Biol. 2023, 2596, 445–464. [Google Scholar] [CrossRef] [Scilit] [PubMed]
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