Duchenne muscular dystrophy (DMD) is a devastating genetic muscular disorder of childhood marked by progressive debilitating muscle weakness and wasting, and ultimately death in the second or third decade of life. Wnt7a signaling through its receptor Fzd7 accelerates and augments regeneration by stimulating satellite stem cell expansion through the planar cell polarity pathway, as well as myofiber hypertrophy through the AKT/mammalian target of rapamycin (mTOR) anabolic pathway. We investigated the therapeutic potential of the secreted factor Wnt7a for focal treatment of dystrophic DMD muscles using the mdx mouse model, and found that Wnt7a treatment efficiently induced satellite cell expansion and myofiber hypertrophy in treated mucles in mdx mice. Importantly, Wnt7a treatment resulted in a significant increase in muscle strength, as determined by generation of specific force. Furthermore, Wnt7a reduced the level of contractile damage, likely by inducing a shift in fiber type toward slow-twitch. Finally, we found that Wnt7a similarly induced myotube hypertrophy and a shift in fiber type toward slow-twitch in human primary myotubes. Taken together, our findings suggest that Wnt7a is a promising candidate for development as an ameliorative treatment for DMD.noncanonical Wnt signaling | skeletal muscle D uchenne muscular dystrophy (DMD) is a degenerative disorder characterized by muscle weakness and fragility. It is caused by mutations in the X-linked dystrophin gene, affecting 1 in 3,500 newborn males. Dystrophin deficiency results in the disruption of the dystrophin-glycoprotein complex, preventing binding of the actin cytoskeleton to the extracellular matrix. This leads to tearing of the muscle fibers during contraction, resulting in muscle damage, especially in fast fibers (1, 2). The muscle itself cannot compensate for this immense structural damage, ultimately leading to loss of muscle fibers, increased fibrosis, and reduced force generated by the muscle (3).Satellite stem cells represent a small subpopulation of satellite cells capable of self-renewal and long-term reconstitution of the satellite cell niche after transplantation (4). Previously, we found that the noncanonical Wnt receptor Fzd7 is specifically expressed in satellite stem cells. Recombinant Wnt7a protein dramatically stimulates the symmetric expansion of satellite stem cells, a process requiring both Fzd7 and Vangl2, components of the planar cell polarity signaling pathway. Overexpression of Wnt7a during muscle regeneration results in impressive enhancement of the regeneration process, generating fibers of larger caliber (5). In recent studies, we observed that binding of Wnt7a to Fzd7 directly activates the AKT/mammalian target of rapamycin (mTOR) pathway, thereby inducing myofiber hypertrophy. Notably, association of Fzd7 with PI3kinase is required for Wnt7a to activate the anabolic AKT/mTOR pathway. Wnt7a/Fzd7-mediated induction of this pathway is entirely independent of IGF (Insulin-like growth factor-1) receptor activation (6).Our experi...