Mechanisms of muscle steatosis in dysferlinopathy: relationship to interaction of dysferlin and PTRF

Publications

Insights into lipid accumulation in skeletal muscle in dysferlin-deficient mice (2019)

Grant Duration
05/17 – 10/18

Objective
The first objective of our study is to explore the underlying mechanisms as to how excessive lipids (fat or triglycerides) accumulate in the muscle of dysferlin-deficient mice and humans. The second objective is to define how the deficiency of Cavin-1 protein (also known as PTRF), which plays a role in forming caveolae (small invaginations on the cell membrane), affects the function and subcellular localization of dysferlin (DYSF) in mice and in human.

We have been engaged for last several years in exploring and understanding how loss of protein(s) leads to loss of adipose tissue, both in animal models and in humans and have developed tools to explore the biology of fat in tissues like the liver and muscle. From this perspective, we have designed experiments to determine why a few muscles, like psoas, in dysferlin-deficient mice, accumulate lipids and to measure the deleterious effect of lipid accumulation in muscle function. We will also study how additional protein(s) interact with dysferlin protein and cause muscle dysfunction in mice and humans with dysferlin-deficiency. Such studies will define two important aspects: a) molecular mechanism(s) for muscle lipid accumulation and b) protein partners of dysferlin, aiding in further designing the therapeutic approaches for the treatment of patients with dysferlinopathy.

By Abhimanyu Garg, MD and Anil Agarwal, Ph.D., University of Texas Southwestern Medical Center (Dallas, TX)|2025-05-06T21:04:13+00:00November 1st, 2018|Past Projects|Comments Off

About the Author: Abhimanyu Garg, MD and Anil Agarwal, Ph.D., University of Texas Southwestern Medical Center (Dallas, TX)

Abhimanyu Garg, MD is a Professor of Internal Medicine and Chief of the Division of Nutrition and Metabolic Diseases at the University of Texas Southwestern Medical Center in Dallas, Texas. He holds a Distinguished Chair in Human Nutrition Research. Anil Agarwal is also a Professor of Internal Medicine in the Division of Nutrition and Metabolic Diseases at the University of Texas Southwestern Medical Center.

Bla/J mice (B6.A-Dysf^prmd/GeneJ)

Availability:
The Jackson Laboratory
Stock number: 012767
Strain information: http://jaxmice.jax.org/strain/012767.html
Phone: 800-422-MICE (800-422-6423)
610 Main Street, Bar Harbor, Maine 04609 USA

Please note that this strain has been cryopreserved by the Jackson Laboratories, but the Jain Foundation maintains a private colony of these mice for public use. To obtain these mice, please contact the Jain Foundation:

Jain Foundation Inc.
9706 Fourth Ave NE, Suite 101
Seattle, Washington 98115
Phone: 425-882-1492
Fax: 425-882-1050

Email: admin@jain-foundation.org

Development:
In these mice the progressive muscular dystrophy (prmd) allele from the A/J inbred strain is crossed onto the C57BL/6 genetic background. The cross was performed in the laboratory of Dr. Isabelle Richard at Genethon and the backcross generation reached N8. In collaboration with the Jain Foundation, Dr. Richard donated the strain to The Jackson Laboratory in 2010. Upon arrival, mice were bred to C57BL/6J for at least 2 generations to establish the colony.

Mutation:
An ETn retrotransposon (5-6kb) is inserted in intron 4 of the dysferlin gene.

Symptoms:
Disease onset is observed by 2 months and is characterized by the presence of centronucleated fibers and areas of inflammation. As seen with the original background A/J, mice homozygous for the prmd allele on the C57BL/6J background display an increasing number of centronucleated fibers and impairment in the majority of muscles by 4 months of age. In order of severity, the most affected muscles are psoas, quadriceps femoris, tibialis anterior, and gastrocnemius. Mice exhibit a decreased membrane repair capacity following laser wounding experiments. In an open space assay, mice cover less distance and are less active than wild-type. Mice that are homozygous for this allele are viable, fertile and normal in size.

Comparison with other disease strains:
Disease progression is similar to A/J: slightly slower than in SJL/J, Dysf-/- (Campbell), Dysf-/- (Brown), and C57BL/10.SJL mice. As in both SJL/J and Dysf-/- (Brown) mice, proximal muscles are more severely affected than distal muscles. As in Dysf-/- (Brown) mice, abdominal muscles are also affected.

Control strain(s):
C57BL/6 (for homozygotes); littermates (for heterozygotes).

References:
Lostal W; Bartoli M; Bourg N; Roudaut C; Bentaib A; Miyake K; Guerchet N; Fougerousse F; McNeil P; Richard I. 2010. Efficient recovery of dysferlin deficiency by dual adeno-associated vector-mediated gene transfer. Hum Mol Genet 19(10):1897-907.

PMID: 20154340

Below is a quick summary of the inclusion/exclusion criteria. Please review this information carefully prior to making any decision regarding participating.

Inclusion Criteria:

Must be Non-ambulant (cannot walk 10 meters in ≤ 30 sec) and age 18 years or older
Established mutations of the dysferlin gene on both alleles
Impaired muscle function but with sufficient muscle preservation to ensure muscle transfection based on magnetic resonance image of the EDB showing sufficient muscle preservation to permit transfection
Willingness of sexually active subjects with reproductive capacity to practice reliable method of contraception (If appropriate), during the first six months after gene transfer (females) or until two negative sperm samples are obtained post gene transfer (males).

Exclusion Criteria:

Active viral infection based on clinical observations or serological evidence of HIV, or Hepatitis A, B or C infection
The presence of dysferlin mutations without weakness or loss of function
Symptoms or signs of cardiomyopathy, including:
Dyspnea on exertion, pedal edema, shortness of breath upon lying flat, or rales at the base of the lungs
Echocardiogram with ejection fraction below 40%
Diagnosis of (or ongoing treatment for) an autoimmune disease
Persistent leukopenia or leukocytosis (WBC ≤ 3.5 K/µL or ≥ 20.0 K/µL) or an absolute neutrophil count < 1.5K/µL
Concomitant illness or requirement for chronic drug treatment that in the opinion of the PI creates unnecessary risks for gene transfer
Pregnancy
AAVrh74 or AAV8 binding antibody titers > 1:50 as determined by ELISA immunoassay
Abnormal laboratory values in the clinically significant range in the table below, based upon normal values in the Nationwide Children's Hospital Laboratory: GGT, Total Bilirubin, Cystatine, Hemoglobin, White Blood Cells
This first phase of the trial will be small and will only evaluate safety; patients enrolled are not expected to show improvement in their symptoms. If the initial trial is successful, a Phase 2 trial will be scheduled, which will look for efficacy (improvement in symptoms) as well as safety. Each phase would include more patients. So, it is a process and we are pacing ourselves as we support this major milestone in the field of therapeutic intervention for people suffering from dysferlinopathy.