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Muscular Dystrophy: From Molecular Basis to Therapies

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (31 December 2019) | Viewed by 25876

Special Issue Editor


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Guest Editor
Paul & Sheila Wellstone Muscular Dystrophy Center, Department of Neurology, Stem Cell Institute, University of Minnesota Medical School, Minneapolis, MN 55455, USA
Interests: muscular dystrophy; satellite cell; gene therapy; exon skipping; muscle regeneration; iPSC; dystrophin; skeletal muscle
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Special Issue Information

Dear Colleagues,

Duchenne muscular dystrophy (DMD) is the most common muscular dystrophy and an X-linked progressive muscle wasting disease. DMD is caused by mutation in dystrophin. Dystrophin protein is essential to form the dystrophin-associated glycoprotein complex (DGC) at the sarcolemma, linking the muscle sarcomere to the extracellular matrix. Absence of functional dystrophin results in vulnerable muscle fibers to mechanical stretch. Currently, there is no definitive cure for DMD. Since the responsible gene has been identified for more than thirty years, translational researches have produced several clinically relevant results, which will be potential therapeutic ways for DMD. In this Special Issue (Muscular Dystrophy), we will discuss the current progress of therapeutic approaches for DMD, including gene therapy and cell therapy, as well as the fields of muscle regenerative medicine related to DMD research.

Assoc. Prof. Atsushi Asakura
Guest Editor

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Keywords

  • muscular dystrophy
  • dystrophin
  • satellite cell
  • gene therapy
  • exon skipping
  • vascular therapy
  • regenerative medicine
  • skeletal muscle
  • muscle regeneration
  • iPSC

Published Papers (5 papers)

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Research

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9 pages, 1368 KiB  
Communication
Conditional Deletion of Dicer in Adult Mice Impairs Skeletal Muscle Regeneration
by Satoshi Oikawa, Minjung Lee and Takayuki Akimoto
Int. J. Mol. Sci. 2019, 20(22), 5686; https://doi.org/10.3390/ijms20225686 - 13 Nov 2019
Cited by 13 | Viewed by 3375
Abstract
Skeletal muscle has a remarkable regenerative capacity, which is orchestrated by multiple processes, including the proliferation, fusion, and differentiation of the resident stem cells in muscle. MicroRNAs (miRNAs) are small noncoding RNAs that mediate the translational repression or degradation of mRNA to regulate [...] Read more.
Skeletal muscle has a remarkable regenerative capacity, which is orchestrated by multiple processes, including the proliferation, fusion, and differentiation of the resident stem cells in muscle. MicroRNAs (miRNAs) are small noncoding RNAs that mediate the translational repression or degradation of mRNA to regulate diverse biological functions. Previous studies have suggested that several miRNAs play important roles in myoblast proliferation and differentiation in vitro. However, their potential roles in skeletal muscle regeneration in vivo have not been fully established. In this study, we generated a mouse in which the Dicer gene, which encodes an enzyme essential in miRNA processing, was knocked out in a tamoxifen-inducible way (iDicer KO mouse) and determined its regenerative potential after cardiotoxin-induced acute muscle injury. Dicer mRNA expression was significantly reduced in the tibialis anterior muscle of the iDicer KO mice, whereas the expression of muscle-enriched miRNAs was only slightly reduced in the Dicer-deficient muscles. After cardiotoxin injection, the iDicer KO mice showed impaired muscle regeneration. We also demonstrated that the number of PAX7+ cells, cell proliferation, and the myogenic differentiation capacity of the primary myoblasts did not differ between the wild-type and the iDicer KO mice. Taken together, these data demonstrate that Dicer is a critical factor for muscle regeneration in vivo. Full article
(This article belongs to the Special Issue Muscular Dystrophy: From Molecular Basis to Therapies)
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11 pages, 5828 KiB  
Communication
Human Skeletal Muscle Cells Derived from the Orbicularis Oculi Have Regenerative Capacity for Duchenne Muscular Dystrophy
by Yukito Yamanaka, Nana Takenaka, Hidetoshi Sakurai, Morio Ueno, Shigeru Kinoshita, Chie Sotozono and Takahiko Sato
Int. J. Mol. Sci. 2019, 20(14), 3456; https://doi.org/10.3390/ijms20143456 - 14 Jul 2019
Cited by 6 | Viewed by 3369
Abstract
Skeletal muscle stem cells (MuSCs) have been proposed as suitable candidates for cell therapy in muscular disorders since they exhibit good capacity for myogenic regeneration. However, for better therapeutic outcomes, it is necessary to isolate human MuSCs from a suitable tissue source with [...] Read more.
Skeletal muscle stem cells (MuSCs) have been proposed as suitable candidates for cell therapy in muscular disorders since they exhibit good capacity for myogenic regeneration. However, for better therapeutic outcomes, it is necessary to isolate human MuSCs from a suitable tissue source with high myogenic differentiation. In this context, we isolated CD56+CD82+ cells from the extra eyelid tissue of young and aged patients, and tested in vitro myogenic differentiation potential. In the current study, myogenic cells derived from extra eyelid tissue were characterized and compared with immortalized human myogenic cells. We found that myogenic cells derived from extra eyelid tissue proliferated and differentiated myofibers in vitro, and restored DYSTROPHIN or PAX7 expression after transplantation with these cells in mice with Duchenne muscular dystrophy. Thus, human myogenic cells derived from extra eyelid tissue including the orbicularis oculi might be good candidates for stem cell-based therapies for treating muscular diseases. Full article
(This article belongs to the Special Issue Muscular Dystrophy: From Molecular Basis to Therapies)
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11 pages, 17130 KiB  
Article
Expression and Functional Analyses of Dlk1 in Muscle Stem Cells and Mesenchymal Progenitors during Muscle Regeneration
by Lidan Zhang, Akiyoshi Uezumi, Takayuki Kaji, Kazutake Tsujikawa, Ditte Caroline Andersen, Charlotte Harken Jensen and So-ichiro Fukada
Int. J. Mol. Sci. 2019, 20(13), 3269; https://doi.org/10.3390/ijms20133269 - 03 Jul 2019
Cited by 10 | Viewed by 4037
Abstract
Delta like non-canonical Notch ligand 1 (Dlk1) is a paternally expressed gene which is also known as preadipocyte factor 1 (Pref−1). The accumulation of adipocytes and expression of Dlk1 in regenerating muscle suggests a correlation between fat accumulation and [...] Read more.
Delta like non-canonical Notch ligand 1 (Dlk1) is a paternally expressed gene which is also known as preadipocyte factor 1 (Pref−1). The accumulation of adipocytes and expression of Dlk1 in regenerating muscle suggests a correlation between fat accumulation and Dlk1 expression in the muscle. Additionally, mice overexpressing Dlk1 show increased muscle weight, while Dlk1-null mice exhibit decreased body weight and muscle mass, indicating that Dlk1 is a critical factor in regulating skeletal muscle mass during development. The muscle regeneration process shares some features with muscle development. However, the role of Dlk1 in regeneration processes remains controversial. Here, we show that mesenchymal progenitors also known as adipocyte progenitors exclusively express Dlk1 during muscle regeneration. Eliminating developmental effects, we used conditional depletion models to examine the specific roles of Dlk1 in muscle stem cells or mesenchymal progenitors. Unexpectedly, deletion of Dlk1 in neither the muscle stem cells nor the mesenchymal progenitors affected the regenerative ability of skeletal muscle. In addition, fat accumulation was not increased by the loss of Dlk1. Collectively, Dlk1 plays essential roles in muscle development, but does not greatly impact regeneration processes and adipogenic differentiation in adult skeletal muscle regeneration. Full article
(This article belongs to the Special Issue Muscular Dystrophy: From Molecular Basis to Therapies)
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Review

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28 pages, 337 KiB  
Review
Cardiac Pathophysiology and the Future of Cardiac Therapies in Duchenne Muscular Dystrophy
by Tatyana A. Meyers and DeWayne Townsend
Int. J. Mol. Sci. 2019, 20(17), 4098; https://doi.org/10.3390/ijms20174098 - 22 Aug 2019
Cited by 85 | Viewed by 10299
Abstract
Duchenne muscular dystrophy (DMD) is a devastating disease featuring skeletal muscle wasting, respiratory insufficiency, and cardiomyopathy. Historically, respiratory failure has been the leading cause of mortality in DMD, but recent improvements in symptomatic respiratory management have extended the life expectancy of DMD patients. [...] Read more.
Duchenne muscular dystrophy (DMD) is a devastating disease featuring skeletal muscle wasting, respiratory insufficiency, and cardiomyopathy. Historically, respiratory failure has been the leading cause of mortality in DMD, but recent improvements in symptomatic respiratory management have extended the life expectancy of DMD patients. With increased longevity, the clinical relevance of heart disease in DMD is growing, as virtually all DMD patients over 18 year of age display signs of cardiomyopathy. This review will focus on the pathophysiological basis of DMD in the heart and discuss the therapeutic approaches currently in use and those in development to treat dystrophic cardiomyopathy. The first section will describe the aspects of the DMD that result in the loss of cardiac tissue and accumulation of fibrosis. The second section will discuss cardiac small molecule therapies currently used to treat heart disease in DMD, with a focus on the evidence supporting the use of each drug in dystrophic patients. The final section will outline the strengths and limitations of approaches directed at correcting the genetic defect through dystrophin gene replacement, modification, or repair. There are several new and promising therapeutic approaches that may protect the dystrophic heart, but their limitations suggest that future management of dystrophic cardiomyopathy may benefit from combining gene-targeted therapies with small molecule therapies. Understanding the mechanistic basis of dystrophic heart disease and the effects of current and emerging therapies will be critical for their success in the treatment of patients with DMD. Full article
(This article belongs to the Special Issue Muscular Dystrophy: From Molecular Basis to Therapies)
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13 pages, 2134 KiB  
Review
Blockade of TRPV2 is a Novel Therapy for Cardiomyopathy in Muscular Dystrophy
by Yuko Iwata and Tsuyoshi Matsumura
Int. J. Mol. Sci. 2019, 20(16), 3844; https://doi.org/10.3390/ijms20163844 - 07 Aug 2019
Cited by 19 | Viewed by 4090
Abstract
Muscular dystrophy and dilated cardiomyopathy are intractable diseases and their treatment options are very limited. Transient receptor potential cation channel subfamily V, member 2 (TRPV2), is a stretch-sensitive Ca2+-permeable channel that causes sustained intracellular Ca2+ increase in muscular cells, which [...] Read more.
Muscular dystrophy and dilated cardiomyopathy are intractable diseases and their treatment options are very limited. Transient receptor potential cation channel subfamily V, member 2 (TRPV2), is a stretch-sensitive Ca2+-permeable channel that causes sustained intracellular Ca2+ increase in muscular cells, which is a pathophysiological feature of degenerative muscular disease. Recent reports have clarified that TRPV2 is concentrated and activated in the sarcolemma of cardiomyocytes/myocytes during cardiomyopathy/heart failure and muscular dystrophy. Furthermore, these reports showed that inactivation of TRPV2 ameliorates muscle dysgenesis to improve cardiac function and survival prognosis. Although TRPV2 is a potential therapeutic target for cardiomyopathy, there were no TRPV2 inhibitors available until recently. In this review, we introduce our recent findings and discuss the current progress in the development of TRPV2 inhibitors and their therapeutic applications for cardiomyopathy associated with muscular dystrophy. Full article
(This article belongs to the Special Issue Muscular Dystrophy: From Molecular Basis to Therapies)
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