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肢带型肌营养不良 2I 模型的肌营养不良症,确定了矫正肌营养不良症相关糖蛋白病的药物化合物。

A limb-girdle muscular dystrophy 2I model of muscular dystrophy identifies corrective drug compounds for dystroglycanopathies.

机构信息

Division of Genetics and Genomics at Boston Children's Hospital, Boston, Massachusetts, USA.

Department of Pediatrics, Division of Neurology at the University of Alabama at Birmingham and Children's of Alabama, Birmingham, Alabama, USA.

出版信息

JCI Insight. 2018 Sep 20;3(18). doi: 10.1172/jci.insight.120493.

DOI:10.1172/jci.insight.120493
PMID:30232282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6237228/
Abstract

Zebrafish are a powerful tool for studying muscle function owing to their high numbers of offspring, low maintenance costs, evolutionarily conserved muscle functions, and the ability to rapidly take up small molecular compounds during early larval stages. Fukutin-related protein (FKRP) is a putative protein glycosyltransferase that functions in the Golgi apparatus to modify sugar chain molecules of newly translated proteins. Patients with mutations in the FKRP gene can have a wide spectrum of clinical symptoms with varying muscle, eye, and brain pathologies depending on the location of the mutation in the FKRP protein. Patients with a common L276I FKRP mutation have mild adult-onset muscle degeneration known as limb-girdle muscular dystrophy 2I (LGMD2I), whereas patients with more C-terminal pathogenic mutations develop the severe Walker-Warburg syndrome (WWS)/muscle-eye-brain (MEB) disease. We generated fkrp-mutant zebrafish that phenocopy WWS/MEB pathologies including severe muscle breakdowns, head malformations, and early lethality. We have also generated a milder LGMD2I-model zebrafish via overexpression of a heat shock-inducible human FKRP (L276I) transgene that shows milder muscle pathology. Screening of an FDA-approved drug compound library in the LGMD2I zebrafish revealed a strong propensity towards steroids, antibacterials, and calcium regulators in ameliorating FKRP-dependent pathologies. Together, these studies demonstrate the utility of the zebrafish to both study human-specific FKRP mutations and perform compound library screenings for corrective drug compounds to treat muscular dystrophies.

摘要

斑马鱼是研究肌肉功能的有力工具,因为它们具有繁殖力强、维护成本低、肌肉功能进化保守以及在早期幼虫阶段能够快速吸收小分子化合物的特点。Fukutin 相关蛋白(FKRP)是一种假定的蛋白糖基转移酶,在高尔基体内发挥作用,修饰新翻译蛋白的糖链分子。FKRP 基因突变的患者可能具有广泛的临床表现,肌肉、眼睛和大脑的病变程度取决于 FKRP 蛋白中突变的位置。携带常见 L276I FKRP 突变的患者具有轻度成人发病的肌肉退行性变,称为肢带型肌营养不良症 2I(LGMD2I),而携带更靠 C 端致病性突变的患者则会发展为严重的 Walker-Warburg 综合征(WWS)/肌肉眼脑(MEB)疾病。我们生成了 FKRP 突变的斑马鱼,其表型与 WWS/MEB 病理相似,包括严重的肌肉分解、头部畸形和早期致死性。我们还通过过表达热休克诱导的人类 FKRP(L276I)转基因,生成了一种更轻微的 LGMD2I 模型斑马鱼,该模型显示出更轻微的肌肉病理学。在 LGMD2I 斑马鱼中对 FDA 批准的药物化合物库进行筛选,结果表明类固醇、抗菌药和钙调节剂在改善 FKRP 依赖性病变方面具有很强的倾向。总之,这些研究表明,斑马鱼既可以用于研究人类特异性 FKRP 突变,也可以用于进行化合物库筛选,以寻找治疗肌肉营养不良的矫正药物化合物。

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本文引用的文献

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Skeletal, cardiac, and respiratory muscle function and histopathology in the P448Lneo- mouse model of FKRP-deficient muscular dystrophy.FKRP 缺陷型肌营养不良症 P448Lneo- 小鼠模型的骨骼肌、心肌和呼吸肌功能及组织病理学。
Skelet Muscle. 2018 Apr 6;8(1):13. doi: 10.1186/s13395-018-0158-x.
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Long-Term Treatment of Tamoxifen and Raloxifene Alleviates Dystrophic Phenotype and Enhances Muscle Functions of FKRP Dystroglycanopathy.他莫昔芬和雷洛昔芬的长期治疗可改善 FKRP 肌营养不良症的营养不良表型并增强肌肉功能。
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Autologous intramuscular transplantation of engineered satellite cells induces exosome-mediated systemic expression of Fukutin-related protein and rescues disease phenotype in a murine model of limb-girdle muscular dystrophy type 2I.工程化卫星细胞的自体肌肉内移植诱导外泌体介导的福库汀相关蛋白的全身表达,并在2I型肢带型肌营养不良小鼠模型中挽救疾病表型。
Hum Mol Genet. 2017 Oct 1;26(19):3682-3698. doi: 10.1093/hmg/ddx252.
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Efficacy of Gene Therapy Is Dependent on Disease Progression in Dystrophic Mice with Mutations in the FKRP Gene.基因治疗的疗效取决于FKRP基因突变的营养不良小鼠的疾病进展。
Mol Ther Methods Clin Dev. 2017 Mar 8;5:31-42. doi: 10.1016/j.omtm.2017.02.002. eCollection 2017 Jun 16.
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Limb girdle muscular dystrophy type 2I: No correlation between clinical severity, histopathology and glycosylated α-dystroglycan levels in patients homozygous for common FKRP mutation.2I型肢带型肌营养不良症:常见FKRP突变纯合子患者的临床严重程度、组织病理学与糖基化α-肌营养不良蛋白聚糖水平之间无相关性。
Neuromuscul Disord. 2017 Jul;27(7):619-626. doi: 10.1016/j.nmd.2017.02.015. Epub 2017 Mar 4.
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AAV-mediated transfer of FKRP shows therapeutic efficacy in a murine model but requires control of gene expression.腺相关病毒介导的FKRP转移在小鼠模型中显示出治疗效果,但需要控制基因表达。
Hum Mol Genet. 2017 May 15;26(10):1952-1965. doi: 10.1093/hmg/ddx066.
8
Dystroglycanopathies: About Numerous Genes Involved in Glycosylation of One Single Glycoprotein.肌聚糖病:关于单个糖蛋白糖基化过程中涉及的众多基因
J Neuromuscul Dis. 2015;2(1):27-38.
9
Muscular dystrophy modeling in zebrafish.斑马鱼中的肌肉萎缩症建模
Methods Cell Biol. 2017;138:347-380. doi: 10.1016/bs.mcb.2016.11.004. Epub 2016 Dec 29.
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Adeno-Associated Virus-Mediated Mini-Agrin Delivery Is Unable to Rescue Disease Phenotype in a Mouse Model of Limb Girdle Muscular Dystrophy Type 2I.腺相关病毒介导的微聚集素递送未能挽救 2I 型肢带型肌营养不良症小鼠模型的疾病表型。
Am J Pathol. 2017 Feb;187(2):431-440. doi: 10.1016/j.ajpath.2016.09.024.