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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2026.1749942</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Muscling in on immunity: the role of muscle in the insect immune response, demonstrating the value of a whole organism perspective</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Adamo</surname><given-names>Shelley A.</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/44463/overview"/>
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<aff id="aff1"><institution>Dept. Psychology and Neuroscience, Dalhousie University</institution>, <city>Halifax</city>, <state>NS</state>,&#xa0;<country country="ca">Canada</country></aff>
<author-notes>
<corresp id="c001"><label>*</label>Correspondence: Shelley A. Adamo, <email xlink:href="mailto:sadamo@dal.ca">sadamo@dal.ca</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-25">
<day>25</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>17</volume>
<elocation-id>1749942</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>02</month>
<year>2026</year>
</date>
<date date-type="rev-recd">
<day>18</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Adamo.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Adamo</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-25">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Insects have robust immune systems to protect themselves against pathogens. However, the immune system relies on the support of a number of organs for effective immune defense. Muscle plays an unexpectedly key role in both cell-mediated and humoral immunity in insects. During an immune response, muscle responds to increasing cytokine levels by producing antimicrobial peptides. Muscle also shifts resources toward the immune system by releasing myokinins and other factors. These compounds reduce insulin-like peptide release from the brain. In addition, muscle undergoes insulin resistance, further reducing its uptake of glucose. Muscle also donates its own resources, breaking down glycogen to support the hemocytes&#x2019; need for glucose during cell-mediated immunity. However, this support of immune function results in a decline in muscular capacity, leading to reduced anti-predator behavior and increased predation. This physiological trade-off between muscle and immunity may help explain why sick animals typically reduce exposure to predators by increasing shelter use. In addition, muscle&#x2019;s ability to regulate the flow of resources in the body suggests that it may also play a role in mediating trade-offs between immune function and other life history traits, such as reproduction. Muscle should be considered as a research target by ecoimmunologists. Some immune-mediated effects, such as insulin resistance and chronic inflammation, may have adaptive functions when viewed from the perspective of fitness maximization under adverse conditions.</p>
</abstract>
<kwd-group>
<kwd>adaptive immunopathology</kwd>
<kwd>ecoimmunology</kwd>
<kwd>immunometabolism</kwd>
<kwd>insect immunology</kwd>
<kwd>physiological network</kwd>
<kwd>trade-offs</kwd>
</kwd-group>
<funding-group>
<award-group id="gs1">
<funding-source id="sp1">
<institution-wrap>
<institution>Natural Sciences and Engineering Research Council of Canada</institution>
<institution-id institution-id-type="doi" vocab="open-funder-registry" vocab-identifier="10.13039/open_funder_registry">10.13039/501100000038</institution-id>
</institution-wrap>
</funding-source>
</award-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. Funding was provided by the Natural Sciences and Engineering Research Council of Canada (NSERC), #RGPIN-2024-03847.</funding-statement>
</funding-group>
<counts>
<fig-count count="1"/>
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<ref-count count="77"/>
<page-count count="8"/>
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<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Comparative Immunology</meta-value>
</custom-meta>
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</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Infection is a potentially lethal event in the life of an organism. Over time, animals have evolved specialized cells and organs (i.e. the immune system) to destroy pathogens. However, defending against pathogens is expensive, and the magnitude of the response waxes and wanes depending on a number of factors (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Moreover, pathogens are patchily distributed in the environment. The variability in the immune system&#x2019;s resource requirements favors the evolution of a distributed immune network; one that taps into other organ systems when necessary. This type of organization reduces the amount of resources tied up in the immune system when not required.</p>
<p>Evidence for the cross-organ reach of the immune system can be found in the physiological trade-offs between the immune system and other life-history traits (e.g. in insects: <xref ref-type="bibr" rid="B3">3</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>). Immune system activation can result in organ damage, leading to decreased lifespan (<xref ref-type="bibr" rid="B6">6</xref>). Animals negotiate the balance between immune defense, the needs of other physiological systems, and avoiding immunopathology, by reconfiguring physiological networks, thereby optimizing fitness (<xref ref-type="bibr" rid="B7">7</xref>). Therefore, understanding how immune systems operate requires a whole network perspective, incorporating the contributions of other organ systems (e.g. <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B77">77</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B12">12</xref>). This review discusses the role of skeletal (i.e. somatic) muscle in immune defense in insects.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Brief summary of insect immunology from a network perspective</title>
<p>Insects have robust immune systems, allowing them to flourish in pathogen-laden environments. Insect immune systems have two principle components: cell-mediated immunity and humoral immunity (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Cell-mediated immunity consists of the immune cells of the blood (i.e. hemocytes). These cells can destroy invading organisms using a variety of methods including phagocytosis, encapsulation and nodulation (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Humoral immunity includes the proteins and peptides found in hemolymph that can destroy invading organisms (<xref ref-type="bibr" rid="B15">15</xref>). One of the most important components of humoral immunity is the phenoloxidase pathway (<xref ref-type="bibr" rid="B16">16</xref>). Once activated, this pathway generates reactive molecules (e.g. reactive oxygen species, ROS) and melanin that kill invaders (<xref ref-type="bibr" rid="B17">17</xref>). Antimicrobial proteins and peptides also destroy pathogens, and their production is induced by pathogen presence (<xref ref-type="bibr" rid="B15">15</xref>). They are made by the fat body (an immune and energy storage organ, (<xref ref-type="bibr" rid="B15">15</xref>) and hemocytes (e.g. <xref ref-type="bibr" rid="B18">18</xref>).</p>
<p>The immune system consumes substantial resources in insects (e.g. <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>). In <italic>Drosophila</italic>, activating cell-mediated immunity requires shunting large amounts of glucose to hemocytes (<xref ref-type="bibr" rid="B9">9</xref>). Activated hemocytes shift their metabolism towards glycolysis (i.e. the Warburg effect), allowing them to generate ATP quickly; however, this shift also requires large amounts of glucose (<xref ref-type="bibr" rid="B9">9</xref>). During an immune response, hemocytes consume 27% of the animal&#x2019;s total glucose budget (<xref ref-type="bibr" rid="B20">20</xref>). Hemocytes also require increased amounts of amino acids, such as glutamine and methionine, to allow them to alter their cytoskeleton and encapsulate invaders (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B17">17</xref>). These changes in hemocyte metabolism allow for a rapid and effective response (<xref ref-type="bibr" rid="B21">21</xref>), that is critical for overcoming a pathogen (<xref ref-type="bibr" rid="B22">22</xref>). Humoral immunity is costly too. The phenoloxidase pathway uses tyrosine-derived compounds as a substrate (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B23">23</xref>). It also requires an increase in the use of antioxidants (e.g. glutathione) to protect the host from immunopathology (<xref ref-type="bibr" rid="B24">24</xref>). The recruitment of resources by the immune system results in a decline in resource availability for other systems. For example, activation of immune responses results in slower growth and development in the caterpillar <italic>Manduca sexta</italic> (<xref ref-type="bibr" rid="B25">25</xref>) and reduces reproduction in a range of insect species (<xref ref-type="bibr" rid="B4">4</xref>). However, without these additional resources (e.g. glucose), disease resistance declines, as shown in <italic>Drosophila</italic> (e.g. <xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>Immune systems in insects are deeply embedded within dense intra- and inter-organ signaling networks (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B27">27</xref>&#x2013;<xref ref-type="bibr" rid="B31">31</xref>) (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1</bold></xref>). The immune system uses chemical signals (i.e. cytokines) to help coordinate its own response (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B36">36</xref>). For example, plasmatocyte spreading peptide is vital for hemocyte function in <italic>M. sexta</italic> (<xref ref-type="bibr" rid="B37">37</xref>). Cytokines can act individually, synergistically or antagonistically (<xref ref-type="bibr" rid="B13">13</xref>). Many organs have receptors for cytokines, including the central nervous system (CNS) and muscle (<xref ref-type="bibr" rid="B36">36</xref>). The existence of these cytokine receptors reflects, in part, the participation of cytokines in multiple physiological functions in insects (e.g. immunity and development, <xref ref-type="bibr" rid="B36">36</xref>). For example, interconnections between the immune system and muscle occur even in the absence of an immune response. In <italic>Drosophila</italic>, some hemocytes reside in close proximity to skeletal muscle, and these hemocytes chronically release low levels of the cytokines Upd2 and Upd3 (<xref ref-type="bibr" rid="B38">38</xref>). These cytokines bind with Dome receptors on muscle, producing a baseline level of activity of the Jak/Stat pathway (<xref ref-type="bibr" rid="B38">38</xref>). If muscles lack the receptor for Upd2 and Upd3 (i.e. Dome), muscles develop lipid inclusions, and the climbing ability of the fly declines (<xref ref-type="bibr" rid="B38">38</xref>). This immune-muscle connection demonstrates that the immune system also helps regulate muscle metabolism. Cytokine receptors in organs such as muscle are also activated during an immune challenge (<xref ref-type="bibr" rid="B12">12</xref>). During an infection, hemocytes increase their cytokine release, raising activity in the Jak/Stat pathway in muscle above basal levels (<xref ref-type="bibr" rid="B38">38</xref>). Therefore, cytokine receptors provide a mechanism by which a variety of organs can participate in an immune response.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>The immune system and muscle are interconnected. Muscle has receptors for cytokines (e.g. Toll and Dome receptors), allowing it to receive signals from hemocytes (e.g. cytokines Upd2 and Upd3) and the humoral immune system (e.g. Spatzle). In response to the cytokine Spatzle, muscle produces AMPs. Activation of the Jak/Stat pathway by Upd3 leads to reductions in glycogen synthesis and glucose uptake in muscle, probably via Jak/Stat interactions with the insulin signaling pathway. During an immune response, muscle releases glutamate, and myoglianin, inducing the fat body to release lipid. Muscle also releases ImpL2 and myokinins that result in reduced ILP (insulin-like peptides) release from insulin producing cells (IPC) in the insect brain. Green text represents compounds that are increased during an immune response; red text represents compounds that are decreased. InR: insulin-like peptide receptor, eAdo: extracellular adenosine. Adapted from: Yu et&#xa0;al. (<xref ref-type="bibr" rid="B12">12</xref>)McMullen et&#xa0;al. (<xref ref-type="bibr" rid="B26">26</xref>)Alfa and Kim (<xref ref-type="bibr" rid="B32">32</xref>)Droujinine and Perrimon (<xref ref-type="bibr" rid="B33">33</xref>)Bajgar et&#xa0;al. (<xref ref-type="bibr" rid="B34">34</xref>)Zhao and Karpac (<xref ref-type="bibr" rid="B35">35</xref>). Created in <ext-link ext-link-type="uri" xlink:href="https://BioRender.com">https://BioRender.com</ext-link>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1749942-g001.tif">
<alt-text content-type="machine-generated">Diagram illustrating Drosophila muscle immune-metabolic signaling pathways, showing interactions among Dome, Toll, InR, and eAdoR receptors in muscle, and connections with fat body, hemocyte, and brain. Arrows depict signaling molecules, changes in glucose, lipid, insulin-like peptides, AMPs, and pathogen response.</alt-text>
</graphic></fig>
<p>Additionally, many cells of the immune system contain receptors for signaling molecules from &#x2018;non-immune&#x2019; organs, such as the endocrine system (i.e. hormones, <xref ref-type="bibr" rid="B30">30</xref>) and CNS (e.g. <xref ref-type="bibr" rid="B39">39</xref>). The ability of the immune system to respond to signals from other organs enables it to alter its responses depending on internal and external conditions. For example, resource availability can modulate immune responses via the insulin signaling pathway, as shown in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Olfactory cues indicating the presence of pathogens can increase immune responsiveness via signals from the CNS (<xref ref-type="bibr" rid="B39">39</xref>). It is these inter-organ connections that allow the immune system to gain access to resources, to recruit other organs to assist, to respond to competing needs within the organism, and to respond to pathogen prevalence in the environment. These connections allow insects to have an immune response of a type and magnitude that enhances its fitness. Animals are selected to maximize fitness, not immune function.</p>
</sec>
<sec id="s3">
<label>3</label>
<title>The role of skeletal muscle in immune function</title>
<p>Muscle plays a crucial role in immune defense in both mammals (<xref ref-type="bibr" rid="B41">41</xref>) and insects (<xref ref-type="bibr" rid="B42">42</xref>&#x2013;<xref ref-type="bibr" rid="B44">44</xref>). One of the first indications that muscle plays a direct role in the immune response in insects was the discovery that <italic>Drosophila</italic> muscle produces antimicrobial peptides (AMPs) (e.g. drosocin, drosomycin and diptericin) in response to infection (<xref ref-type="bibr" rid="B42">42</xref>). Moreover, these AMPs are important for the successful clearance of bacteria (<xref ref-type="bibr" rid="B42">42</xref>). In addition to AMPs, muscle can also produce pathogen recognition molecules (e.g. <italic>Antheraea pernyi</italic> (Lepidopteran) <xref ref-type="bibr" rid="B44">44</xref>), further contributing to humoral immunity. During an immune challenge, muscle also upregulates the expression of cytokine receptors such as Toll and Dome in <italic>M. sexta</italic> (<xref ref-type="bibr" rid="B45">45</xref>), potentially increasing muscle&#x2019;s sensitivity to immune signals when pathogens are present. Therefore, muscle acts as an auxiliary immune organ, responding to cytokines with the production of key immune proteins. By recruiting additional tissues like muscle, the immune system maximizes its response to life-threatening infections.</p>
<p>In addition to playing a direct role in immunity, muscle also plays a critical role in mediating the metabolic changes needed for a successful immune response (<xref ref-type="bibr" rid="B26">26</xref>). First, muscle is a major consumer of resources (<xref ref-type="bibr" rid="B46">46</xref>), and, therefore, a competitor with the immune system for these resources. During an immune challenge in <italic>Drosophila</italic>, muscle reduces its own uptake of lipid (<xref ref-type="bibr" rid="B9">9</xref>) and glucose (<xref ref-type="bibr" rid="B26">26</xref>) due to increased activity of the Jak/Stat pathway. The result is an increase in energy availability for the immune system (<xref ref-type="bibr" rid="B26">26</xref>). The details of how the Jak/Stat pathway promotes the insulin resistance that helps reduce glucose uptake remains uncertain (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Nevertheless, these intra-muscular metabolic changes are vital for an effective cell-mediated immune response in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>Secondly, muscle donates its own resources to the immune system during an immune response, as shown in <italic>Drosophila</italic> (i.e. glucose, <xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B47">47</xref>). Muscle is one of the largest sources of stored glycogen in the insect body (<xref ref-type="bibr" rid="B46">46</xref>), making it a vital source of fuel for the immune system. The liberation of glucose from muscle allows hemocytes to maximize their function against invaders (<xref ref-type="bibr" rid="B43">43</xref>). Without this release of glucose from muscle glycogen, cell mediated immunity is drastically reduced in larval <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B47">47</xref>).</p>
<p>Thirdly, muscle helps mediate the necessary metabolic changes in other organs to ensure resource availability for the immune system. During an immune response, muscle releases signaling molecules (e.g. myokinins and glutamate) that help promote lipid mobilization in the fat body (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B46">46</xref>). In <italic>Drosophila</italic>, muscle also redirects resources away from non-immune organs (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B12">12</xref>), by secreting myokinins (e.g. myoglianin) and ImpL2 (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B32">32</xref>). These chemical signals reduce the release of insulin-like peptides (ILPs) by the brain, leading to widespread reductions in glucose uptake in other tissues (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Muscle&#x2019;s assistance in redirecting resources during an immune response is critical for effective cell-mediated immunity (<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>Many questions about immune-muscle connections remain to be resolved. For example, both McMullen et&#xa0;al. (<xref ref-type="bibr" rid="B26">26</xref>) working with larval <italic>Drosophila</italic>, and Yang et&#xa0;al. (<xref ref-type="bibr" rid="B48">48</xref>), working with adult <italic>Drosophila</italic>, find that elevated levels of the cytokine Upd3 reduces muscle-dependent behavior (i.e. locomotion in larvae, and climbing in adults). Based on their results, McMullen et&#xa0;al. (<xref ref-type="bibr" rid="B26">26</xref>) postulate that the decline in muscle activity reflects the decline in muscle glycogen and the lack of glucose uptake by muscle in response to raised levels of Upd3. However, Yang et&#xa0;al. (<xref ref-type="bibr" rid="B48">48</xref>), using a brain infection model that also results in increased Upd3 levels systemically, argue that the decline in muscle ability is unrelated to glucose. Adult fly muscle showed increased glucose content during an immune response in their study, and an increase in glucose uptake (<xref ref-type="bibr" rid="B48">48</xref>), although the data for that seems to be the increase in muscle glucose, as opposed to a direct measure of uptake. Yang et&#xa0;al. (<xref ref-type="bibr" rid="B48">48</xref>) suggest that the decline in muscle capacity during an immune response is due to changes in muscle mitochondrial metabolism, and/or neurodegeneration of motorneurons due to immunopathology (<xref ref-type="bibr" rid="B48">48</xref>, Supplementary Figure S1L). More research is needed to resolve this discrepancy. The lack of concordance between the two studies may reflect a difference between the response of adult and larval <italic>Drosophila</italic> muscle during an infection. It may also be due to differences between an immune response to a localized brain infection versus a parasitoid egg in the abdomen. In larvae, it is clear that without additional glucose from muscle, cell-mediated immunity is impaired (<xref ref-type="bibr" rid="B26">26</xref>). However, it is unclear what function muscle plays during a localized brain infection (<xref ref-type="bibr" rid="B48">48</xref>). There are also many methodological differences between the two studies, making direct comparison difficult. For example, the two studies use very different time points, i.e. less than 24 h after infection (<xref ref-type="bibr" rid="B26">26</xref>), compared to days after infection (<xref ref-type="bibr" rid="B48">48</xref>). The two papers may be demonstrating the progression of muscle&#x2019;s immune response over time. Finally, both studies were done in <italic>Drosophila</italic>. Little is known about the relationship between muscle and the immune system in other insects. A wider phylogenetic perspective would help put these results in context, as discussed below.</p>
</sec>
<sec id="s4">
<label>4</label>
<title>Changes during an immune response may reflect both the shifting of resources, as well as mechanisms to compensate for muscle resource loss</title>
<p>Muscle, with its abundant glucose resources (stored as glycogen), is an obvious source of energy for the immune system. As described in the previous section, the liberation of glucose from muscle plays an important role in both humoral and cell-mediated immunity. However, the recruitment of muscle during an immune response is not without costs (e.g. <italic>M. sexta</italic>, <xref ref-type="bibr" rid="B45">45</xref>, <italic>Drosophila</italic>, <xref ref-type="bibr" rid="B26">26</xref>). Nevertheless, these negative impacts of immune activation are not necessarily a sign of immune dysregulation, i.e. a failure of the immune system&#x2019;s regulatory network leading to damage (<xref ref-type="bibr" rid="B49">49</xref>). Instead, these changes may be a sign of a coordinated reconfiguration of physiological networks, optimizing the organism to deal with the present crisis. For example, during an immune response, glucose uptake in muscle in response to ILPs is reduced (<xref ref-type="bibr" rid="B26">26</xref>). This insulin resistance can cause muscle wasting, and has been considered a pathological condition in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B50">50</xref>). However, insulin resistance is also the mechanism by which the immune system is given priority for energy resources, required for an effective immune defense (<xref ref-type="bibr" rid="B26">26</xref>). In other words, insulin resistance is one of the mechanisms that allows the immune system to be fully effective. Therefore, insulin resistance in muscle during inflammation may not always be a sign of dysregulation, but may be part of the reconfiguration of physiological networks needed in order to support immunity.</p>
<p>The loss of muscle capacity has serious implications for behaviors that require intense muscle activity (e.g. anti-predator activity). For example, during an immune response, <italic>M. sexta</italic> caterpillars show a decline in muscle glycogen content, a reduction of the force of its anti-predator defensive strike, a reduced ability to evade parasitic wasps, and an increased risk of death (<xref ref-type="bibr" rid="B45">45</xref>). Larval damselflies (<italic>Coenagrion puella</italic>) exposed to bacteria have lower abdominal muscle mass, and a reduction in their swimming speed, suggesting that their anti-predator behavior is compromised (<xref ref-type="bibr" rid="B51">51</xref>). A number of species across phyla show a reduction in the effectiveness of anti-predator behavior during infection (e.g. crickets, <xref ref-type="bibr" rid="B52">52</xref>; vertebrates, <xref ref-type="bibr" rid="B53">53</xref>). Despite the serious costs related to muscle&#x2019;s involvement in the immune system, these costs are not necessarily a sign of immune dysregulation. Because selection favors fitness, if reducing muscle capacity to boost immunity usually results in greater reproductive success, then this strategy will spread in the population.</p>
<p>However, selection will also favor animals with counter-strategies that limit the costs of muscle&#x2019;s involvement in the immune response. One solution, often considered a &#x2018;pathology&#x2019; in the past, is sickness behavior (<xref ref-type="bibr" rid="B54">54</xref>). Sickness behavior is the collection of behaviors animals adopt during an immune challenge that reduces the cost of infection, and promotes the reallocation of resources to the immune system (insects: <xref ref-type="bibr" rid="B55">55</xref>, mammals: <xref ref-type="bibr" rid="B56">56</xref>). For example, some sickness behaviors reduce the risk of predation by increasing shelter use. This behavioral change results in a decrease in predator encounters, reducing the cost of muscle weakness (mammals, <xref ref-type="bibr" rid="B54">54</xref>, insects, <xref ref-type="bibr" rid="B55">55</xref>; fish, <xref ref-type="bibr" rid="B57">57</xref>). Sickness behavior also includes the reduction of other muscle-demanding behaviors. For example, immune-challenged male crickets (<italic>Gryllus texensis</italic>) are less likely to fight, even in the presence of females (<xref ref-type="bibr" rid="B58">58</xref>). It has been hypothesized that reducing the need for fight-or-flight behavior allows more resources to be devoted to overcoming infection (<xref ref-type="bibr" rid="B54">54</xref>). However, it has remained unclear how and why this occurs. The recent research demonstrating trade-offs between the immune system and muscle (e.g. <xref ref-type="bibr" rid="B26">26</xref>) helps explain why there is a behavioral shift during infection in many animals. If connections between the immune system and muscle cannot be uncoupled because of the energy demands of the immune response, then it would be expected that many species will alter their behavior during infection. Given the reduction in muscle capacity, reducing behaviors that require intense activity would reduce the animal&#x2019;s risk of damage and death. Even if these changes in behavior seem to be negative (e.g. malaise) they are not necessarily a sign of immune dysregulation, but may be an evolved strategy to reduce the risk of death due to the effects of the immune response on muscle.</p>
<p>Many insects require bouts of muscle activity that cannot be easily reduced due to time constraints (e.g. due to limited mating opportunities). Therefore, it is perhaps unsurprising that an immune challenge does not always reduce courtship behavior in insects (<xref ref-type="bibr" rid="B4">4</xref>). For example, <italic>Drosophila</italic> males continue to court females even while mounting an immune response (<xref ref-type="bibr" rid="B59">59</xref>). Courting males require intense effort from specific muscles in order to produce their courtship song (<xref ref-type="bibr" rid="B60">60</xref>). Therefore, immune activation spares at least some muscles in <italic>Drosophila</italic> males during courtship. The relationship between muscle and the immune system should be examined under courtship conditions in <italic>Drosophila</italic>. Such a study could illuminate novel methods of boosting immune function without impacting muscle.</p>
<p>Muscle&#x2019;s importance for redirecting energy resources allows it to participate in the redirection of resources between the immune system and other organ systems. For example, muscle plays a role in the physiological trade-offs between reproduction and immunity in female <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B4">4</xref>) by regulating lipid mobilization during infection (<xref ref-type="bibr" rid="B35">35</xref>). During aging, many animals increase their investment in reproduction (<xref ref-type="bibr" rid="B61">61</xref>). This phenomenon, called terminal reproductive investment, can provide animals with a fitness advantage despite the concomitant immunosuppression (<xref ref-type="bibr" rid="B61">61</xref>). Muscle may facilitate terminal reproductive investment by altering resource flow within the organism. Muscle may play an important role in producing adaptive shifts in immune function.</p>
<sec id="s4_1">
<label>4.1</label>
<title>Both pathogens and the immune response can damage muscle directly</title>
<p>In addition to muscle losing resources during an immune response, both pathogens and the immune response can damage muscle. In larval <italic>Drosophila</italic>, exposure of skeletal muscle to lipopolysaccharides, a pathogen associated molecular pattern (PAMP), leads to muscle cell hyperpolarization and a reduction in the amplitude of excitatory junction potentials (EJPs) (<xref ref-type="bibr" rid="B62">62</xref>). Reduced EJPs means less excitation and activation of muscle (<xref ref-type="bibr" rid="B63">63</xref>). PAMPs like lipopolysaccharides appear to have direct effects on ion channels in both muscle and motor neurons (<xref ref-type="bibr" rid="B64">64</xref>). PAMPs can also interrupt signaling systems between muscle and other organs. LPS appears to block muscle glutamate receptors (<xref ref-type="bibr" rid="B65">65</xref>). Furthermore, muscle is susceptible to oxidative damage generated by the immune system (i.e. immunopathology). For example, the increase in phenoloxidase activity in larval damselflies (<italic>C. puella</italic>) exposed to bacteria leads to oxidative damage in muscle and reduced swimming speed (<xref ref-type="bibr" rid="B51">51</xref>, <xref ref-type="bibr" rid="B66">66</xref>). Therefore, a decline in muscle function during an immune response can be the result of: a shift in resources away from muscle, damage by the pathogen (a cost of infection), and/or damage by the immune system (a cost of immune defense). Discovering the exact causes of immune-related declines in muscle capacity will require a detailed understanding of the cellular and molecular mechanisms leading to reduced muscle function. Such studies will also require manipulations of the system (e.g. effects of immune activation on muscle with and without the pathogen).</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Chronic inflammation as an adaptive strategy</title>
<p>Clinical immunology divides inflammation into two types: acute and chronic (<xref ref-type="bibr" rid="B67">67</xref>). Acute inflammation encompasses the immediate response of the immune system to a pathogen (<xref ref-type="bibr" rid="B67">67</xref>). Although it can be damaging, it exists for a brief period and subsides as infection wanes (<xref ref-type="bibr" rid="B67">67</xref>). Chronic inflammation, on the other hand, is frequently induced by non-pathogenic events, is long-lasting, and appears to continue without any apparent purpose or resolution (<xref ref-type="bibr" rid="B67">67</xref>). Because chronic inflammation is damaging, it has been characterized as immune dysregulation (<xref ref-type="bibr" rid="B49">49</xref>). The insect immune system can exhibit this type of dysregulation too. Insects also show chronic inflammation, i.e. increased immune activity that is long-lasting leading to organ damage. For example, older adult beetles (<italic>Tenebrio molitor</italic>) exhibited more Malpighian tubule damage after an immune challenge than younger beetles. This increased damage was caused by the increased phenoloxidase activity observed in older animals (<xref ref-type="bibr" rid="B6">6</xref>). Older beetles had chronically elevated levels of phenoloxidase activity compared with that of younger beetles, even without an immune challenge (<xref ref-type="bibr" rid="B6">6</xref>). Khan et&#xa0;al. (<xref ref-type="bibr" rid="B6">6</xref>) suggest that the immune system becomes dysregulated with age in these beetles. However, is chronic inflammation (i.e. chronically elevated immune function) always a sign of dysregulation? Below are examples in which chronic inflammation may be adaptive in insects, despite it destructive effects on muscle and other organs.</p>
<p>A number of non-pathogenic events lead to chronic immune activation in insects. In <italic>Drosophila</italic>, starvation results in increased AMP production via a non-Toll receptor pathway (<xref ref-type="bibr" rid="B68">68</xref>). Food limitation (<xref ref-type="bibr" rid="B69">69</xref>), and changes in nutrition (<xref ref-type="bibr" rid="B70">70</xref>), can lead to increased phenoloxidase activity lasting days, a sign of chronic inflammation (<xref ref-type="bibr" rid="B6">6</xref>). In <italic>M. sexta</italic> caterpillars, chronic immune activation due to fasting occurs because of a reconfiguration of the immune system. During immune system reconfiguration, the dynamics and amplitude of different immune components are altered. For example, fasting in <italic>M. sexta</italic> produces an upregulation of constitutive immunity, with some components, such as AMPs, switching from inducible to constitutive transcription (<xref ref-type="bibr" rid="B69">69</xref>). There is also an upregulation of phenoloxidase activity due to a rewiring of this biochemical pathway (<xref ref-type="bibr" rid="B69">69</xref>). The expression of inhibitors of the phenoloxidase pathway, such as <italic>serpin 3</italic>, are down-regulated and expression of activators such a <italic>phenoloxidase activating enzyme 3</italic> are upregulated (<xref ref-type="bibr" rid="B69">69</xref>). These changes lead to increased phenoloxidase activity in fasting caterpillars, even in the absence of an immune challenge (<xref ref-type="bibr" rid="B69">69</xref>). Phenoloxidase activity produces reactive molecules (e.g. ROS) (<xref ref-type="bibr" rid="B16">16</xref>) that can destroy pathogens (<xref ref-type="bibr" rid="B71">71</xref>). However, it also damages muscle and other tissues (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B66">66</xref>). The chronic increase in phenoloxidase activity that occurs during fasting may help to compensate for reductions in other immune components (<xref ref-type="bibr" rid="B69">69</xref>). Some immune components, such as hemocytes, perform poorly when resources are short (e.g. in <italic>Drosophila</italic>, <xref ref-type="bibr" rid="B26">26</xref>). Therefore, chronic inflammation during starvation may be a sign of a change in the immune response to compensate for the decline of some immune components.</p>
<p>Chronic inflammation could also be adaptive in environments with high pathogen prevalence. Populations of <italic>Drosophila</italic> exposed to high rates of parasitic wasps show increased hemocyte numbers, increasing the ability of larval <italic>Drosophila</italic> to encapsulate parasitic wasp eggs (<xref ref-type="bibr" rid="B72">72</xref>). The cytokine Upd3 is chronically increased, as even immature hemocytes (i.e. lamellocytes) secrete it (<xref ref-type="bibr" rid="B73">73</xref>). This increased secretion of Upd3 leads to chronically increased Jak/Stat activity in muscle (<xref ref-type="bibr" rid="B73">73</xref>), leading to an enhancement of both humoral and cell-mediated immunity (<xref ref-type="bibr" rid="B73">73</xref>). Although the duration of this effect is unclear, under abundant food conditions it appears to last as long as the stimulus is present (<xref ref-type="bibr" rid="B73">73</xref>). This chronic increase in Upd3 has negative consequences for muscle, such as a loss of muscle mass (<xref ref-type="bibr" rid="B50">50</xref>). Nevertheless, it provides larval <italic>Drosophila</italic> with stronger, faster immune responses, giving them a better chance of survival in an environment with high parasitism rates (<xref ref-type="bibr" rid="B73">73</xref>). Similarly, after clearing an infection, some insect species show a long-lasting increase in immune activity. For example, immune-challenged bumble bees (<italic>Bombus terrestris</italic>) show an increase in lysozyme-like activity that lasts at least 2 weeks after the initial challenge (<xref ref-type="bibr" rid="B74">74</xref>). Such an increase in immune activity improves the response to subsequent infections (<xref ref-type="bibr" rid="B14">14</xref>). Despite the damage caused by chronic up-regulation of immune responses, under pathogen-filled conditions such chronic inflammation may be adaptive.</p>
<p>In mammals, chronic elevation of immune activity leads to a loss of energy reserves, and other negative effects, and it is considered pathological (<xref ref-type="bibr" rid="B75">75</xref>). However, animals showing chronic inflammation are usually compared to animals in optimal situations, i.e. abundant food and low infection risk. Under these conditions, chronic immune activity, whether it be in mammals or insects, will always appear maladaptive due to its costs. However, animals showing chronic inflammation should be compared to animals in which food availability is low and/or infection prevalence is high. Preventing animals from producing chronic inflammation (e.g. by using RNAi to suppress cytokine production) under suboptimal conditions would also help demonstrate potential positive effects. Chronic inflammation may provide benefits that exist only under adverse conditions, and when viewed on the level of the whole organism (i.e. effects on fitness). The insect examples show that chronic inflammation may sometimes be an adaptive solution when the environment is suboptimal, even if it leads to damage in tissues such as muscle. In other words, some forms of chronic inflammation may be an evolved strategy that optimizes the immune response to maximize fitness when conditions are suboptimal (<xref ref-type="bibr" rid="B76">76</xref>).</p>
</sec>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusions</title>
<p>A strong immune response is required only intermittently in the life of an insect. The sporadic nature of pathogen exposure has probably contributed to the evolution of the immune system as a complex, multi-organ network. By calling upon the resources of other organ systems during an immune response, fewer resources are tied up unnecessarily in the immune system. In insects, muscle is an active participant in the immune response. Muscle produces antimicrobial molecules, provides needed energy resources, and helps rebalance metabolic pathways to redirect resources to immune cells (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1</bold></xref>). By recruiting additional tissues like muscle, the immune system enhances its response to life-threatening infections.</p>
<p>Unfortunately, our understanding of these interactions is incomplete, and almost non-existent for insects other than <italic>Drosophila</italic>. However, immune-muscle interactions have been documented in other insects (e.g. lepidopterans) suggesting that these interactions are not restricted to <italic>Drosophila</italic>. Given the selective forces shaping the interactions between immune function and muscle, examining muscle&#x2019;s involvement in different insect species, under different conditions (e.g. during food limitation, courtship, and different levels of pathogen and predator prevalence) would help us understand some of the evolutionary forces shaping immune function. How immune system networks adapt to different conditions is important information given the growing environmental challenges insects face.</p>
<p>Finally, viewing the immune system as an organism-wide response suggests that some examples of immune dysregulation may be due to the reconfiguration of physiological networks in the face of unfavorable conditions. For example, chronically high levels of phenoloxidase activity, although damaging to muscle, may compensate for declines in other immune components when resources are scarce. Chronic inflammation may allow an animal to produce the best immune response possible given its circumstances. In other words, some types of chronic inflammation may be a feature of the interconnected immune system, not a bug.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>SA: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p></sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
<sec id="s9" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p></sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p></sec>
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<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1888487">Xin Hu</ext-link>, The University of Texas MD Anderson Cancer Center, United States</p></fn>
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<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2390623">Farley Silva</ext-link>, Federal Rural University of Rio de Janeiro, Brazil</p></fn>
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