Functional rescue in a mouse model of congenital muscular dystrophy with megaconial myopathy.

Document Type

Article

Publication Date

8-15-2019

Keywords

JMG

JAX Source

Hum Mol Genet 2019 Aug 15; 28(16):2635-2647

Volume

28

Issue

16

First Page

2635

Last Page

2647

ISSN

1460-2083

PMID

31216357

DOI

https://doi.org/10.1093/hmg/ddz068

Grant

AR054170

Abstract

Congenital muscular dystrophy with megaconial myopathy (MDCMC) is an autosomal recessive disorder characterized by progressive muscle weakness and wasting. The observation of megamitochondria in skeletal muscle biopsies is exclusive to this type of MD. The disease is caused by loss of function mutations in the choline kinase beta (CHKB) gene which results in dysfunction of the Kennedy pathway for the synthesis of phosphatidylcholine. We have previously reported a rostrocaudal MD (rmd) mouse with a deletion in the Chkb gene resulting in an MDCMC-like phenotype, and we used this mouse to test gene therapy strategies for the rescue and alleviation of the dystrophic phenotype. Introduction of a muscle-specific Chkb transgene completely rescues motor and behavioral function in the rmd mouse model, confirming the cell-autonomous nature of the disease. Intramuscular gene therapy post-disease onset using an adeno-associated viral 6 (AAV6) vector carrying a functional copy of Chkb is also capable of rescuing the dystrophy phenotype. In addition, we examined the ability of choline kinase alpha (Chka), a gene paralog of Chkb, to improve dystrophic phenotypes when upregulated in skeletal muscles of rmd mutant mice using a similar AAV6 vector. The sum of our results in a preclinical model of disease suggest that replacement of the Chkb gene or upregulation of endogenous Chka could serve as potential lines of therapy for MDCMC patients.

Comments

We would like to thank David G. Schroeder for assistance with general laboratory procedures and in colony maintenance, Jennifer Stauffer for assistance in laboratory procedures, Pete Finger for assistance with electron microscopy, Nick Gott for assistance with histology procedures and Gaylynn Wells and Traci McGarr for assistance with behavioral procedures.

Share

COinS