Reversible model of RNA toxicity and cardiac conduction defects in myotonic dystrophy

Nat Genet. 2006 Sep;38(9):1066-70. doi: 10.1038/ng1857. Epub 2006 Jul 30.

Abstract

Myotonic dystrophy (DM1), the most common muscular dystrophy in adults, is caused by an expanded (CTG)n tract in the 3' UTR of the gene encoding myotonic dystrophy protein kinase (DMPK), which results in nuclear entrapment of the 'toxic' mutant RNA and interacting RNA-binding proteins (such as MBNL1) in ribonuclear inclusions. It is unclear if therapy aimed at eliminating the toxin would be beneficial. To address this, we generated transgenic mice expressing the DMPK 3' UTR as part of an inducible RNA transcript encoding green fluorescent protein (GFP). We were surprised to find that mice overexpressing a normal DMPK 3' UTR mRNA reproduced cardinal features of myotonic dystrophy, including myotonia, cardiac conduction abnormalities, histopathology and RNA splicing defects in the absence of detectable nuclear inclusions. However, we observed increased levels of CUG-binding protein (CUG-BP1) in skeletal muscle, as seen in individuals with DM1. Notably, these effects were reversible in both mature skeletal and cardiac muscles by silencing transgene expression. These results represent the first in vivo proof of principle for a therapeutic strategy for treatment of myotonic dystrophy by ablating or silencing expression of the toxic RNA molecules.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3' Untranslated Regions
  • Animals
  • Disease Models, Animal
  • Electrocardiography
  • Electromyography
  • Gene Silencing
  • Green Fluorescent Proteins / metabolism
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Mice
  • Mice, Transgenic
  • Muscle, Skeletal / chemistry
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / physiopathology
  • Myocardium / chemistry
  • Myocardium / metabolism*
  • Myotonia / physiopathology*
  • Myotonic Dystrophy / etiology
  • Myotonic Dystrophy / genetics*
  • Myotonic Dystrophy / metabolism
  • Myotonic Dystrophy / physiopathology*
  • Myotonin-Protein Kinase
  • Protein Binding
  • Protein Serine-Threonine Kinases / genetics
  • Protein Serine-Threonine Kinases / metabolism
  • RNA / toxicity*
  • RNA, Messenger / analysis
  • Transgenes
  • Trinucleotide Repeat Expansion

Substances

  • 3' Untranslated Regions
  • DMPK protein, mouse
  • RNA, Messenger
  • Green Fluorescent Proteins
  • RNA
  • Myotonin-Protein Kinase
  • Protein Serine-Threonine Kinases