Disintegration of the NuRD Complex in Primary Human Muscle Stem Cells in Critical Illness Myopathy

Int J Mol Sci. 2023 Feb 1;24(3):2772. doi: 10.3390/ijms24032772.

Abstract

Critical illness myopathy (CIM) is an acquired, devastating, multifactorial muscle-wasting disease with incomplete recovery. The impact on hospital costs and permanent loss of quality of life is enormous. Incomplete recovery might imply that the function of muscle stem cells (MuSC) is impaired. We tested whether epigenetic alterations could be in part responsible. We characterized human muscle stem cells (MuSC) isolated from early CIM and analyzed epigenetic alterations (CIM n = 15, controls n = 21) by RNA-Seq, immunofluorescence, analysis of DNA repair, and ATAC-Seq. CIM-MuSC were transplanted into immunodeficient NOG mice to assess their regenerative potential. CIM-MuSC exhibited significant growth deficits, reduced ability to differentiate into myotubes, and impaired DNA repair. The chromatin structure was damaged, as characterized by alterations in mRNA of histone 1, depletion or dislocation of core proteins of nucleosome remodeling and deacetylase complex, and loosening of multiple nucleosome-spanning sites. Functionally, CIM-MuSC had a defect in building new muscle fibers. Further, MuSC obtained from the electrically stimulated muscle of CIM patients was very similar to control MuSC, indicating the impact of muscle contraction in the onset of CIM. CIM not only affects working skeletal muscle but has a lasting and severe epigenetic impact on MuSC.

Keywords: critical illness; epigenetic; histone 1; muscle stem cell.

MeSH terms

  • Animals
  • Critical Illness
  • Humans
  • Mi-2 Nucleosome Remodeling and Deacetylase Complex* / metabolism
  • Mice
  • Muscle, Skeletal / metabolism
  • Muscular Diseases* / metabolism
  • Quality of Life
  • Stem Cells

Substances

  • Mi-2 Nucleosome Remodeling and Deacetylase Complex

Grants and funding

Our research was supported by the German Research Foundation (DFG KFO192/2), the Berlin Institute of Health (BIH), and the Charité. Schneider and Wollersheim are participants in the BIH-Charité Clinician Scientist Program funded by the Charité Universitätsmedizin Berlin and the Berlin Institute of Health. The authors have no financial relationships relevant to this article to disclose.