骨架型兰尼碱受体参与杜氏肌营养不良症患者的肌原性分化受损。
Skeletal Ryanodine Receptors Are Involved in Impaired Myogenic Differentiation in Duchenne Muscular Dystrophy Patients.
机构信息
PhyMedExp, University of Montpellier, Inserm, CNRS, 34295 Montpellier, France.
Reference Centre for Neuromuscular Diseases AOC, Clinical Investigation Centre, Pediatric Neurology Department, Montpellier University Hospital, 34000 Montpellier, France.
出版信息
Int J Mol Sci. 2021 Nov 30;22(23):12985. doi: 10.3390/ijms222312985.
Duchenne muscular dystrophy (DMD) is characterized by progressive muscle wasting following repeated muscle damage and inadequate regeneration. Impaired myogenesis and differentiation play a major role in DMD as well as intracellular calcium (Ca) mishandling. Ca release from the sarcoplasmic reticulum is mostly mediated by the type 1 ryanodine receptor (RYR1) that is required for skeletal muscle differentiation in animals. The study objective was to determine whether altered RYR1-mediated Ca release contributes to myogenic differentiation impairment in DMD patients. The comparison of primary cultured myoblasts from six boys with DMD and five healthy controls highlighted delayed myoblast differentiation in DMD. Silencing expression using specific si-RNA in a healthy control induced a similar delayed differentiation. In DMD myotubes, resting intracellular Ca concentration was increased, but RYR1-mediated Ca release was not changed compared with control myotubes. Incubation with the RYR-calstabin interaction stabilizer S107 decreased resting Ca concentration in DMD myotubes to control values and improved calstabin1 binding to the RYR1 complex. S107 also improved myogenic differentiation in DMD. Furthermore, intracellular Ca concentration was correlated with endomysial fibrosis, which is the only myopathologic parameter associated with poor motor outcome in patients with DMD. This suggested a potential relationship between RYR1 dysfunction and motor impairment. Our study highlights RYR1-mediated Ca leakage in human DMD myotubes and its key role in myogenic differentiation impairment. RYR1 stabilization may be an interesting adjunctive therapeutic strategy in DMD.
杜氏肌营养不良症(DMD)的特征是反复肌肉损伤和再生不足后进行性肌肉消耗。受损的肌生成和分化在 DMD 中以及细胞内钙(Ca)处理不当中起主要作用。肌浆网 Ca 释放主要由 1 型兰尼碱受体(RYR1)介导,该受体在动物的骨骼肌分化中是必需的。研究目的是确定 RYR1 介导的 Ca 释放改变是否导致 DMD 患者的肌生成分化受损。对来自 6 名 DMD 男孩和 5 名健康对照者的原代培养肌母细胞进行比较,突出了 DMD 中的肌母细胞分化延迟。使用特异性 si-RNA 沉默 在健康对照者中的表达诱导了类似的分化延迟。与对照肌管相比,DMD 肌管中的静息细胞内 Ca 浓度增加,但 RYR1 介导的 Ca 释放没有改变。用 RYR-钙结合蛋白 1 相互作用稳定剂 S107 孵育可使 DMD 肌管中的静息 Ca 浓度降低至对照值,并改善钙结合蛋白 1 与 RYR1 复合物的结合。S107 还改善了 DMD 的肌生成分化。此外,细胞内 Ca 浓度与肌内膜纤维化相关,这是唯一与 DMD 患者运动预后不良相关的肌病学参数。这表明 RYR1 功能障碍与运动障碍之间存在潜在关系。我们的研究强调了 RYR1 介导的 Ca 渗漏在人类 DMD 肌管中的作用及其在肌生成分化受损中的关键作用。RYR1 稳定可能是 DMD 的一种有趣的辅助治疗策略。