2020
DOI: 10.1186/s13395-020-00224-7
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Acute conversion of patient-derived Duchenne muscular dystrophy iPSC into myotubes reveals constitutive and inducible over-activation of TGFβ-dependent pro-fibrotic signaling

Abstract: Background: In Duchenne muscular dystrophy (DMD), DYSTROPHIN deficiency exposes myofibers to repeated cycles of contraction/degeneration, ultimately leading to muscle loss and replacement by fibrotic tissue. DMD pathology is typically exacerbated by excessive secretion of TGFβ and consequent accumulation of pro-fibrotic components of the extra-cellular matrix (ECM), which in turn impairs compensatory regeneration and complicates the efficacy of therapeutic strategies. It is currently unclear whether DMD skelet… Show more

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Cited by 29 publications
(44 citation statements)
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“…Fibrosis is a major hallmark of DMD pathophysiology, and the regulation of this process has been largely investigated in the past 50,74 . A long‐debated question is the implication of the TGFβ signalling pathway 75,76 . In this study, TGFβ signalling was inhibited up to Day 17 by specific molecules contained in the cell culture media, and TGFβ‐related genes were not up‐regulated at Day 25, suggesting that the observed up‐regulation of fibrosis‐related markers is TGFβ‐independent.…”
Section: Discussionmentioning
confidence: 67%
“…Fibrosis is a major hallmark of DMD pathophysiology, and the regulation of this process has been largely investigated in the past 50,74 . A long‐debated question is the implication of the TGFβ signalling pathway 75,76 . In this study, TGFβ signalling was inhibited up to Day 17 by specific molecules contained in the cell culture media, and TGFβ‐related genes were not up‐regulated at Day 25, suggesting that the observed up‐regulation of fibrosis‐related markers is TGFβ‐independent.…”
Section: Discussionmentioning
confidence: 67%
“…Induced pluripotent stem cell (iPSC) technologies and patient-derived iPSCs provide opportunities for regenerative medicine, drug discovery, and disease modeling from patient-derived stem cells, such as in cystic fibrosis, Huntington’s, Duchenne muscular dystrophy, Alzheimer, amyotrophic lateral sclerosis, age macular degeneration, and retinitis pigmentosa [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. Although monolayer cultures are relatively easy to be cultivated, the features that they do not display, the complex tissue organization, limits their bioavailability.…”
Section: Introductionmentioning
confidence: 99%
“…This suggests that increased TGFβ release in Gaa KO DBA mice, which are homozygous for the Ltbp4 Δ36 allele, may have an important role in the aetiology of the observed respiratory defects. Differently from PD, the high basal level of TGFβ in the mdx muscle [71] and the superior activation of the TGFβ-SMAD2/3 signalling pathway in MD myotubes [72] may possibly synergize with the increased TGFβ release in the DBA2/J background [42] to significantly worsen MD. Notably, we also found that the early restoration of the missing enzyme in skeletal muscle of Gaa KO DBA mice by systemic administration of AAV-secGAA vectors was able to normalize glycogen content, autophagy/mitophagy block and transcriptome gene expression.…”
Section: Discussionmentioning
confidence: 99%