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J Am Heart Assoc. 2015 Dec 23;4(12). pii: e002481. doi: 10.1161/JAHA.115.002481.

Sarcospan Regulates Cardiac Isoproterenol Response and Prevents Duchenne Muscular Dystrophy-Associated Cardiomyopathy.

Author information

1
Department of Integrative Biology and Physiology, University of California, Los Angeles, CA (M.S.P., J.L.M., R.T.N., V.A.R., R.H.C.W.) Center for Duchenne Muscular Dystrophy, University of California, Los Angeles, CA (M.S.P., J.L.M., M.C.J., V.A.R., K.P.R., R.H.C.W.).
2
Department of Integrative Biology and Physiology, University of California, Los Angeles, CA (M.S.P., J.L.M., R.T.N., V.A.R., R.H.C.W.).
3
Center for Duchenne Muscular Dystrophy, University of California, Los Angeles, CA (M.S.P., J.L.M., M.C.J., V.A.R., K.P.R., R.H.C.W.) Department of Physiology, David Geffen School of Medicine, University of California, Los Angeles, CA (M.C.J., K.P.R.).
4
Department of Integrative Biology and Physiology, University of California, Los Angeles, CA (M.S.P., J.L.M., R.T.N., V.A.R., R.H.C.W.) Center for Duchenne Muscular Dystrophy, University of California, Los Angeles, CA (M.S.P., J.L.M., M.C.J., V.A.R., K.P.R., R.H.C.W.) Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, CA (R.H.C.W.).

Abstract

BACKGROUND:

Duchenne muscular dystrophy is a fatal cardiac and skeletal muscle disease resulting from mutations in the dystrophin gene. We have previously demonstrated that a dystrophin-associated protein, sarcospan (SSPN), ameliorated Duchenne muscular dystrophy skeletal muscle degeneration by activating compensatory pathways that regulate muscle cell adhesion (laminin-binding) to the extracellular matrix. Conversely, loss of SSPN destabilized skeletal muscle adhesion, hampered muscle regeneration, and reduced force properties. Given the importance of SSPN to skeletal muscle, we investigated the consequences of SSPN ablation in cardiac muscle and determined whether overexpression of SSPN into mdx mice ameliorates cardiac disease symptoms associated with Duchenne muscular dystrophy cardiomyopathy.

METHODS AND RESULTS:

SSPN-null mice exhibited cardiac enlargement, exacerbated cardiomyocyte hypertrophy, and increased fibrosis in response to β-adrenergic challenge (isoproterenol; 0.8 mg/day per 2 weeks). Biochemical analysis of SSPN-null cardiac muscle revealed reduced sarcolemma localization of many proteins with a known role in cardiomyopathy pathogenesis: dystrophin, the sarcoglycans (α-, δ-, and γ-subunits), and β1D integrin. Transgenic overexpression of SSPN in Duchenne muscular dystrophy mice (mdx(TG)) improved cardiomyofiber cell adhesion, sarcolemma integrity, cardiac functional parameters, as well as increased expression of compensatory transmembrane proteins that mediate attachment to the extracellular matrix.

CONCLUSIONS:

SSPN regulates sarcolemmal expression of laminin-binding complexes that are critical to cardiac muscle function and protects against transient and chronic injury, including inherited cardiomyopathy.

KEYWORDS:

Duchenne muscular dystrophy; cardiac hypertrophy; cell adhesion molecules; gene therapy

PMID:
26702077
PMCID:
PMC4845268
DOI:
10.1161/JAHA.115.002481
[Indexed for MEDLINE]
Free PMC Article

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