2015
DOI: 10.1038/ncomms8205
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Abnormal splicing switch of DMD’s penultimate exon compromises muscle fibre maintenance in myotonic dystrophy

Abstract: Myotonic Dystrophy type 1 (DM1) is a dominant neuromuscular disease caused by nuclear-retained RNAs containing expanded CUG repeats. These toxic RNAs alter the activities of RNA splicing factors resulting in alternative splicing misregulation and muscular dysfunction. Here we show that the abnormal splicing of DMD exon 78 found in dystrophic muscles of DM1 patients is due to the functional loss of MBNL1 and leads to the re-expression of an embryonic dystrophin in place of the adult isoform. Forced expression o… Show more

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Cited by 77 publications
(61 citation statements)
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“…By contrast, dystrophin exon 78 is required for muscle structure maintenance in adult skeletal muscle. Its abnormal exclusion in patients suffering from myotonic dystrophy (DM) due to depletion of the MBNL1 splicing factor likely contributes to the progressive dystrophic process in DM type1 patients31. In accordance with these data, exon 78 was found to be included in about 98% of the muscular transcripts in our RNA-Seq experiments as was exon 71.…”
Section: Discussionsupporting
confidence: 85%
“…By contrast, dystrophin exon 78 is required for muscle structure maintenance in adult skeletal muscle. Its abnormal exclusion in patients suffering from myotonic dystrophy (DM) due to depletion of the MBNL1 splicing factor likely contributes to the progressive dystrophic process in DM type1 patients31. In accordance with these data, exon 78 was found to be included in about 98% of the muscular transcripts in our RNA-Seq experiments as was exon 71.…”
Section: Discussionsupporting
confidence: 85%
“…Most CDM cases are associated with maternal transmission of relatively large CTG exp alleles (Myring et al 1992;Tsilfidis et al 1992), and pathogenic CUG exp RNAs are expressed in a variety of prenatal/neonatal tissues (Wong and Ashizawa 1997). To date, splicing transitions for DM-relevant transcripts have been described largely as postnatal phenomena (Lin et al 2006;Brinegar et al 2017), and, while disruption of these events affects muscle function (Mankodi et al 2002) and maintenance (Rau et al 2015), misregulation of postnatal exons is not expected to prevent the morphogenesis of newborn muscle. Here, we provide evidence that major splicing transitions for exons affected in CDM occur in utero, are conserved during mouse prenatal myogenesis, and are disrupted in the absence of MBNL proteins along with coincident congenital myopathy in compound knockout mice.…”
Section: Rna Misprocessing In Cdmmentioning
confidence: 99%
“…For instance, re-expression of an embryonic dystrophin isoform due to aberrant splicing mediation of DMD exon 78 has been strongly related to the severity of DM1. Recently, it has been reported that DMD exon 78 splicing is also regulated by MBNL1 during skeletal muscle development, and mis-exclusion of exon 78 is a direct consequence of MBNL1 loss-of-function caused by CUG repeats [101]. Up to date, two antisense drugs have been approved by U.S. Food and Drug Administration (FDA) as a treatment of cytomegalovirus retinitis [102, 103] and homozygous familial hypercholesterolemia [104].…”
Section: Future Perspectivesmentioning
confidence: 99%