McClung JM, Judge AR, Powers SK, Yan Z. p38 MAPK links oxidative stress to autophagy-related gene expression in cachectic muscle wasting. Am J Physiol Cell Physiol 298: C542-C549, 2010. First published December 2, 2009; doi:10.1152/ajpcell.00192.2009.-Oxidative stress is a primary trigger of cachectic muscle wasting, but the signaling pathway(s) that links it to the muscle wasting processes remains to be defined. Here, we report that activation of p38 mitogenactivated protein kinase (MAPK) (phosphorylation) and increased oxidative stress (trans-4-hydroxy-2-nonenal protein modification) in skeletal muscle occur as early as 8 h after lipopolysaccharide (1 mg/kg) and 24 h after dexamethasone (25 mg/kg) injection (intraperitoneal) in mice, concurrent with upregulation of autophagy-related genes, Atg6, Atg7, and Atg12. Treating cultured C2C12 myotubes with oxidant hydrogen peroxide (4 h) resulted in increased p38 phosphorylation and reduced FoxO3 phosphorylation along with induced Atg7 mRNA expression without activation of NF-B or FoxO3a transcriptional activities. Furthermore, inhibition of p38␣/ by SB202190 blocked hydrogen peroxide-induced atrophy with diminished upregulation of Atg7 and atrogenes [muscle atrophy F-box protein (MAFbx/Atrogin-1), muscle ring finger protein 1 (MuRF-1), and Nedd4]. These findings provide direct evidence for p38␣/ MAPK in mediating oxidative stress-induced autophagy-related genes, suggesting that p38␣/ MAPK regulates both the ubiquitin-proteasome and the autophagylysosome systems in muscle wasting. skeletal muscle; atrophy; cachexia SKELETAL MUSCLE ATROPHY OCCURS as a consequence of numerous pathological conditions, including cachexia and disuse (reviewed in Refs. 35 and 41). Cachectic muscle wasting is a complex process that proceeds via a rapid decline in protein synthesis and a large, sustained increase in protein degradation. In concert with other pathological and functional changes, such as decreases in mitochondrial function, capillary supply, and contractile force production, cachectic muscle wasting poses a profound negative impact on physical performance and metabolism resulting in diminished quality of life and increased mortality. Understanding the molecular and signaling mechanisms underlying cachectic muscle wasting is of critical value to improving survival and quality of life in these patient populations.Many cellular signaling events contribute to skeletal muscle atrophy (20,27,37,39,43,45,50), and research in these areas has begun to explore the molecular signaling responsible for tipping the homeostatic balance of protein metabolism toward proteolysis and suggested the importance of two major proteolysis systems: the ubiquitin-proteasome system (UPS) and the autophagy-lysosome system (ALS) (37,43,50). In particular, activation of the forkhead box O (FoxO) class of transcription factors, which includes forkhead homolog 1 in rhabdomyosarcoma/ forkhead box O1 (FKHR/FoxO1), forkhead homolog in rhabdomyosarcoma like 1/forkhead box O3 (FKHR-L1/FoxO3), and AFX/FoxO4 (43)...