在杆状体肌病的Acta1:p.Asp286Gly小鼠模型中,替拉西泮增强次最大肌肉张力。
Tirasemtiv enhances submaximal muscle tension in an Acta1:p.Asp286Gly mouse model of nemaline myopathy.
作者信息
Galli Ricardo A, Borsboom Tamara C, Gineste Charlotte, Brocca Lorenza, Rossi Maira, Hwee Darren T, Malik Fady I, Bottinelli Roberto, Gondin Julien, Pellegrino Maria-Antonietta, de Winter Josine M, Ottenheijm Coen A C
机构信息
Amsterdam UMC Location Vrije Universiteit Amsterdam, Physiology , Amsterdam, The Netherlands.
Amsterdam Movement Sciences, Musculoskeletal Health and Tissue Function and Regeneration, Amsterdam, The Netherlands.
出版信息
J Gen Physiol. 2024 Apr 1;156(4). doi: 10.1085/jgp.202313471. Epub 2024 Feb 20.
Nemaline myopathies are the most common form of congenital myopathies. Variants in ACTA1 (NEM3) comprise 15-25% of all nemaline myopathy cases. Patients harboring variants in ACTA1 present with a heterogeneous disease course characterized by stable or progressive muscle weakness and, in severe cases, respiratory failure and death. To date, no specific treatments are available. Since NEM3 is an actin-based thin filament disease, we tested the ability of tirasemtiv, a fast skeletal muscle troponin activator, to improve skeletal muscle function in a mouse model of NEM3, harboring the patient-based p.Asp286Gly variant in Acta1. Acute and long-term tirasemtiv treatment significantly increased muscle contractile capacity at submaximal stimulation frequencies in both fast-twitch extensor digitorum longus and gastrocnemius muscle, and intermediate-twitch diaphragm muscle in vitro and in vivo. Additionally, long-term tirasemtiv treatment in NEM3 mice resulted in a decreased respiratory rate with preserved minute volume, suggesting more efficient respiration. Altogether, our data support the therapeutic potential of fast skeletal muscle troponin activators in alleviating skeletal muscle weakness in a mouse model of NEM3 caused by the Acta1:p.Asp286Gly variant.
杆状体肌病是先天性肌病最常见的形式。ACTA1(NEM3)基因变异占所有杆状体肌病病例的15%-25%。携带ACTA1基因变异的患者疾病进程各异,其特征为肌肉无力稳定或进展,严重时会出现呼吸衰竭甚至死亡。迄今为止,尚无特效治疗方法。由于NEM3是一种基于肌动蛋白的细肌丝疾病,我们测试了快速骨骼肌肌钙蛋白激活剂替拉西泮改善NEM3小鼠模型骨骼肌功能的能力,该小鼠模型的Acta1基因携带基于患者的p.Asp286Gly变异。急性和长期给予替拉西泮治疗均显著提高了快速收缩的趾长伸肌和腓肠肌以及中间收缩的膈肌在亚最大刺激频率下的肌肉收缩能力,无论是在体外还是体内。此外,对NEM3小鼠进行长期替拉西泮治疗导致呼吸频率降低,但每分通气量保持不变,这表明呼吸效率更高。总之,我们的数据支持快速骨骼肌肌钙蛋白激活剂在缓解由Acta1:p.Asp286Gly变异导致的NEM3小鼠模型骨骼肌无力方面具有治疗潜力。
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