Mitigation of muscular dystrophy in mice by SERCA overexpression in skeletal muscle

J Clin Invest. 2011 Mar;121(3):1044-52. doi: 10.1172/JCI43844.

Abstract

Muscular dystrophies (MDs) comprise a group of degenerative muscle disorders characterized by progressive muscle wasting and often premature death. The primary defect common to most MDs involves disruption of the dystrophin-glycoprotein complex (DGC). This leads to sarcolemmal instability and Ca(2+) influx, inducing cellular necrosis. Here we have shown that the dystrophic phenotype observed in δ-sarcoglycan–null (Sgcd(–/–)) mice and dystrophin mutant mdx mice is dramatically improved by skeletal muscle–specific overexpression of sarcoplasmic reticulum Ca(2+) ATPase 1 (SERCA1). Rates of myofiber central nucleation, tissue fibrosis, and serum creatine kinase levels were dramatically reduced in Sgcd(–/–) and mdx mice with the SERCA1 transgene, which also rescued the loss of exercise capacity in Sgcd(–/–) mice. Adeno-associated virus–SERCA2a (AAV-SERCA2a) gene therapy in the gastrocnemius muscle of Sgcd(–/–) mice mitigated dystrophic disease. SERCA1 overexpression reversed a defect in sarcoplasmic reticulum Ca(2+) reuptake that characterizes dystrophic myofibers and reduced total cytosolic Ca(2+). Further, SERCA1 overexpression almost completely rescued the dystrophic phenotype in a mouse model of MD driven solely by Ca(2+) influx. Mitochondria isolated from the muscle of SERCA1-Sgcd(–/–) mice were no longer swollen and calpain activation was reduced, suggesting protection from Ca(2+)-driven necrosis. Our results suggest a novel therapeutic approach using SERCA1 to abrogate the altered intracellular Ca(2+) levels that underlie most forms of MD.

Publication types

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

MeSH terms

  • Animals
  • Calcium / metabolism
  • Creatine Kinase / genetics
  • Dystrophin / genetics*
  • Gene Expression Regulation*
  • Mice
  • Mice, Transgenic
  • Mitochondria / metabolism
  • Muscle, Skeletal / metabolism*
  • Muscular Dystrophies / genetics*
  • Muscular Dystrophies / pathology*
  • Necrosis
  • Phenotype
  • Sarcoglycans / genetics*
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases / biosynthesis*
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases / genetics
  • Transgenes

Substances

  • Atp2a1 protein, mouse
  • Dystrophin
  • Sarcoglycans
  • Creatine Kinase
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases
  • Calcium