Membrane blebbing as an assessment of functional rescue of dysferlin-deficient human myotubes via nonsense suppression

J Appl Physiol (1985). 2010 Sep;109(3):901-5. doi: 10.1152/japplphysiol.01366.2009. Epub 2010 Jun 17.

Abstract

Mutations that result in the loss of the protein dysferlin result in defective muscle membrane repair and cause either a form of limb girdle muscular dystrophy (type 2B) or Miyoshi myopathy. Most patients are compound heterozygotes, often carrying one allele with a nonsense mutation. Using dysferlin-deficient mouse and human myocytes, we demonstrated that membrane blebbing in skeletal muscle myotubes in response to hypotonic shock requires dysferlin. Based on this, we developed an in vitro assay to assess rescue of dysferlin function in skeletal muscle myotubes. This blebbing assay may be useful for drug discovery/validation for dysferlin deficiency. With this assay, we demonstrate that the nonsense suppression drug, ataluren (PTC124), is able to induce read-through of the premature stop codon in a patient with a R1905X mutation in dysferlin and produce sufficient functional dysferlin (approximately 15% of normal levels) to rescue myotube membrane blebbing. Thus ataluren is a potential therapeutic for dysferlin-deficient patients harboring nonsense mutations.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Animals, Newborn
  • Biological Assay / methods*
  • Cell Membrane / drug effects*
  • Cell Membrane / metabolism
  • Cell Membrane / pathology
  • Cells, Cultured
  • Codon, Nonsense*
  • Dysferlin
  • Humans
  • Hypotonic Solutions
  • Membrane Proteins / deficiency*
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Muscle Fibers, Skeletal / drug effects*
  • Muscle Fibers, Skeletal / metabolism
  • Muscle Fibers, Skeletal / pathology
  • Muscle Proteins / deficiency
  • Muscle Proteins / genetics
  • Muscle Proteins / metabolism*
  • Osmotic Pressure
  • Oxadiazoles / pharmacology*
  • Quadriceps Muscle / metabolism*
  • Quadriceps Muscle / pathology
  • Transfection

Substances

  • Codon, Nonsense
  • DYSF protein, human
  • Dysf protein, mouse
  • Dysferlin
  • Hypotonic Solutions
  • Membrane Proteins
  • Muscle Proteins
  • Oxadiazoles
  • ataluren