Systemic deletion of DMD exon 51 rescues clinically severe Duchenne muscular dystrophy in a pig model lacking DMD exon 52

Duchenne muscular dystrophy (DMD) is a fatal X-linked disease caused by mutations in the DMD gene, leading to complete absence of dystrophin and progressive degeneration of skeletal musculature and myocardium. In DMD patients and in a corresponding pig model with a deletion of DMD exon 52 (DMDΔ52), expression of an internally shortened dystrophin can be achieved by skipping of DMD exon 51 to reframe the transcript. To predict the best possible outcome of this strategy, we generated DMDΔ51-52 pigs, additionally representing a model for Becker muscular dystrophy (BMD). DMDΔ51-52 skeletal muscle and myocardium samples stained positive for dystrophin and did not show the characteristic dystrophic alterations observed in DMDΔ52 pigs. Western blot analysis confirmed the presence of dystrophin in the skeletal muscle and myocardium of DMDΔ51-52 pigs and its absence in DMDΔ52 pigs. The proteome profile of skeletal muscle, which showed a large number of abundance alterations in DMDΔ52 vs. wild-type (WT) samples, was normalized in DMDΔ51-52 samples. Cardiac function at age 3.5 mo was significantly reduced in DMDΔ52 pigs (mean left ventricular ejection fraction 58.8% vs. 70.3% in WT) but completely rescued in DMDΔ51-52 pigs (72.3%), in line with normalization of the myocardial proteome profile. Our findings indicate that ubiquitous deletion of DMD exon 51 in DMDΔ52 pigs largely rescues the rapidly progressing, severe muscular dystrophy and the reduced cardiac function of this model. Long-term follow-up studies of DMDΔ51-52 pigs will show if they develop symptoms of the milder BMD.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:120

Enthalten in:

Proceedings of the National Academy of Sciences of the United States of America - 120(2023), 29 vom: 18. Juli, Seite e2301250120

Sprache:

Englisch

Beteiligte Personen:

Stirm, Michael [VerfasserIn]
Shashikadze, Bachuki [VerfasserIn]
Blutke, Andreas [VerfasserIn]
Kemter, Elisabeth [VerfasserIn]
Lange, Andreas [VerfasserIn]
Stöckl, Jan B [VerfasserIn]
Jaudas, Florian [VerfasserIn]
Laane, Laeticia [VerfasserIn]
Kurome, Mayuko [VerfasserIn]
Keßler, Barbara [VerfasserIn]
Zakhartchenko, Valeri [VerfasserIn]
Bähr, Andrea [VerfasserIn]
Klymiuk, Nikolai [VerfasserIn]
Nagashima, Hiroshi [VerfasserIn]
Walter, Maggie C [VerfasserIn]
Wurst, Wolfgang [VerfasserIn]
Kupatt, Christian [VerfasserIn]
Fröhlich, Thomas [VerfasserIn]
Wolf, Eckhard [VerfasserIn]

Links:

Volltext

Themen:

Becker muscular dystrophy
Duchenne muscular dystrophy
Dystrophin
Exon skipping
Journal Article
Pathology
Pig model
Proteome
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 12.07.2023

Date Revised 09.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1073/pnas.2301250120

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359299113