PUBLICATION

Repression of phosphatidylinositol transfer protein α ameliorates the pathology of Duchenne muscular dystrophy

Authors
Vieira, N.M., Spinazzola, J.M., Alexander, M.S., Moreira, Y.B., Kawahara, G., Gibbs, D.E., Mead, L.C., Verjovski-Almeida, S., Zatz, M., Kunkel, L.M.
ID
ZDB-PUB-170524-9
Date
2017
Source
Proceedings of the National Academy of Sciences of the United States of America   114(23): 6080-6085 (Journal)
Registered Authors
Alexander, Matthew, Kawahara, Genri, Kunkel, Louis M., Vieira, Natássia
Keywords
Duchenne muscular dystrophy, genetic modifier, phosphatidylinositol transfer protein-α, skeletal muscle
MeSH Terms
  • Animals
  • Cell Line
  • Disease Models, Animal
  • Dogs
  • Dystrophin/genetics
  • Dystrophin/metabolism
  • Humans
  • Muscle Cells/physiology
  • Muscle Fibers, Skeletal/metabolism
  • Muscle, Skeletal/metabolism
  • Muscular Dystrophy, Animal/genetics
  • Muscular Dystrophy, Duchenne/metabolism*
  • Muscular Dystrophy, Duchenne/physiopathology
  • Mutation
  • Phospholipid Transfer Proteins/metabolism*
  • Phospholipid Transfer Proteins/physiology*
  • Phosphorylation
  • Proto-Oncogene Proteins c-akt
  • Zebrafish/metabolism
PubMed
28533404 Full text @ Proc. Natl. Acad. Sci. USA
Abstract
Duchenne muscular dystrophy (DMD) is a progressive muscle wasting disease caused by X-linked inherited mutations in the DYSTROPHIN (DMD) gene. Absence of dystrophin protein from the sarcolemma causes severe muscle degeneration, fibrosis, and inflammation, ultimately leading to cardiorespiratory failure and premature death. Although there are several promising strategies under investigation to restore dystrophin protein expression, there is currently no cure for DMD, and identification of genetic modifiers as potential targets represents an alternative therapeutic strategy. In a Brazilian golden retriever muscular dystrophy (GRMD) dog colony, two related dogs demonstrated strikingly mild dystrophic phenotypes compared with those typically observed in severely affected GRMD dogs despite lacking dystrophin. Microarray analysis of these "escaper" dogs revealed reduced expression of phosphatidylinositol transfer protein-α (PITPNA) in escaper versus severely affected GRMD dogs. Based on these findings, we decided to pursue investigation of modulation of PITPNA expression on dystrophic pathology in GRMD dogs, dystrophin-deficient sapje zebrafish, and human DMD myogenic cells. In GRMD dogs, decreased expression of Pitpna was associated with increased phosphorylated Akt (pAkt) expression and decreased PTEN levels. PITPNA knockdown by injection of morpholino oligonucleotides in sapje zebrafish also increased pAkt, rescued the abnormal muscle phenotype, and improved long-term sapje mutant survival. In DMD myotubes, PITPNA knockdown by lentiviral shRNA increased pAkt and increased myoblast fusion index. Overall, our findings suggest PIPTNA as a disease modifier that accords benefits to the abnormal signaling, morphology, and function of dystrophic skeletal muscle, and may be a target for DMD and related neuromuscular diseases.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping