杜氏肌营养不良症中钙稳态的紊乱:多种后果背后的共同机制。
Disrupted Calcium Homeostasis in Duchenne Muscular Dystrophy: A Common Mechanism behind Diverse Consequences.
机构信息
Molecular Biology Unit, Mossakowski Medical Research Institute Polish Academy of Sciences, 02-106 Warsaw, Poland.
School of Pharmacy and Biomedical Sciences, University of Portsmouth, St Michael's Building, White Swan Road, Portsmouth PO1 2DT, UK.
出版信息
Int J Mol Sci. 2021 Oct 13;22(20):11040. doi: 10.3390/ijms222011040.
Duchenne muscular dystrophy (DMD) leads to disability and death in young men. This disease is caused by mutations in the gene encoding diverse isoforms of dystrophin. Loss of full-length dystrophins is both necessary and sufficient for causing degeneration and wasting of striated muscles, neuropsychological impairment, and bone deformities. Among this spectrum of defects, abnormalities of calcium homeostasis are the common dystrophic feature. Given the fundamental role of Ca in all cells, this biochemical alteration might be underlying all the DMD abnormalities. However, its mechanism is not completely understood. While abnormally elevated resting cytosolic Ca concentration is found in all dystrophic cells, the aberrant mechanisms leading to that outcome have cell-specific components. We probe the diverse aspects of calcium response in various affected tissues. In skeletal muscles, cardiomyocytes, and neurons, dystrophin appears to serve as a scaffold for proteins engaged in calcium homeostasis, while its interactions with actin cytoskeleton influence endoplasmic reticulum organisation and motility. However, in myoblasts, lymphocytes, endotheliocytes, and mesenchymal and myogenic cells, calcium abnormalities cannot be clearly attributed to the loss of interaction between dystrophin and the calcium toolbox proteins. Nevertheless, DMD gene mutations in these cells lead to significant defects and the calcium anomalies are a symptom of the early developmental phase of this pathology. As the impaired calcium homeostasis appears to underpin multiple DMD abnormalities, understanding this alteration may lead to the development of new therapies. In fact, it appears possible to mitigate the impact of the abnormal calcium homeostasis and the dystrophic phenotype in the total absence of dystrophin. This opens new treatment avenues for this incurable disease.
杜氏肌营养不良症(DMD)会导致年轻男性残疾和死亡。这种疾病是由编码不同肌营养不良蛋白异构体的基因突变引起的。全长肌营养不良蛋白的缺失是导致横纹肌退化和萎缩、神经心理损伤和骨骼畸形的必要和充分条件。在这一系列缺陷中,钙稳态异常是常见的肌营养不良特征。鉴于钙在所有细胞中的基本作用,这种生化改变可能是所有 DMD 异常的基础。然而,其机制尚未完全清楚。虽然所有的营养不良细胞中都发现静止细胞内钙离子浓度异常升高,但导致这种结果的异常机制具有细胞特异性成分。我们探讨了各种受影响组织中钙反应的不同方面。在骨骼肌、心肌细胞和神经元中,肌营养不良蛋白似乎作为参与钙稳态的蛋白质的支架,而其与肌动蛋白细胞骨架的相互作用影响内质网的组织和运动。然而,在成肌细胞、淋巴细胞、内皮细胞以及间充质和肌源性细胞中,钙异常不能明确归因于肌营养不良蛋白与钙工具箱蛋白之间相互作用的丧失。然而,这些细胞中的 DMD 基因突变导致明显的缺陷,钙异常是该病理学早期发育阶段的一个症状。由于受损的钙稳态似乎是多种 DMD 异常的基础,因此了解这种改变可能会导致新疗法的发展。事实上,在完全缺乏肌营养不良蛋白的情况下,似乎有可能减轻异常钙稳态和营养不良表型的影响。这为这种无法治愈的疾病开辟了新的治疗途径。