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While often cited as an indication of overall metabolic health, multiple studies have shown that body mass index (BMI) in older adults is not consistently associated with higher risk of mortality. To date, the only factor shown to be consistent with reduced mortality in this population is increased muscle mass1. Muscle tissue represents one of the largest sources of insulin-sensitive cells in the body, and is therefore critical in the maintenance of overall metabolic homeostasis2. Activation of skeletal muscle tissue via exercise is associated with increases in both local insulin sensitivity and overall metabolic health3. While in vivo models are essential for studying muscle physiology and the impact of muscle function on integrated metabolism, primary cultures of myotubes provide a tractable system that reduces the complexity of animal studies.
Myoblasts derived from post-natal muscles can be used to study the impact of numerous treatment and growth conditions in a highly reproducible manner. This has long been recognized and several methods for myoblast isolation and culture have been described4,5,6,7,8,9. Some of these methods use neonatal muscles and yield relatively low numbers of myoblasts5,8, requiring several animals for larger scale studies. Also, most widely used methods for culturing myoblasts use "pre-plating" to enrich for myoblasts, which are less adherent than other cell types. We have found the alternative enrichment method described here to be much more efficient and reproducible for enriching a highly proliferative myoblast population. In summary, this protocol enables the isolation of highly proliferative myoblasts from young adult muscle explants, via outgrowth into culture media. Myoblasts can be harvested repeatedly, over several days, rapidly expanded, and induced to differentiate into myotubes. This protocol reproducibly generates a large number of healthy myoblast cells that robustly differentiate into spontaneously twitching myotubes. It has enabled us to study metabolism and circadian rhythms in primary myotubes of mice of a variety of genotypes. Finally, we include methods for preparing myotubes for the study of oxidative metabolism, using measurements of oxygen consumption rates in 96-well plates.