Key result
Dp71 overexpression triggers early systolic dysfunction, driving disproportionate cardiac toxicity in dystrophic mice.
Why the study?
Although the Dp71 dystrophin isoform has been implicated in Duchenne muscular dystrophy pathology, strong evidence supporting this role is lacking.
p-value: p=<0.05
Overexpression of the Dp71 dystrophin isoform in mice causes early-onset cardiac systolic dysfunction and pathological remodeling without major skeletal muscle defects, highlighting its potential role in DMD-associated cardiomyopathy.
Dp71 overexpression may preferentially impair cardiac over skeletal muscle in dystrophic mice; leaves open its role in human DMD cardiomyopathy.
Dystrophin is a 427 kDa protein that stabilizes muscle cell membranes through interactions with the cytoskeleton and various membrane-associated proteins. Loss of dystrophin as in Duchenne muscular dystrophy (DMD) causes progressive skeletal muscle weakness and cardiac dysfunction. Multiple promoters along the dystrophin gene (DMD) give rise to a number of shorter isoforms. Of interest is Dp71, a 71 kDa isoform implicated in DMD pathology by various animal and patient studies. Strong evidence supporting such a role for Dp71, however, is lacking. Here, we use del52;WT mice to understand how Dp71 overexpression affects skeletal and cardiac muscle phenotypes. Apart from the mouse Dmd gene, del52;WT mice are heterozygous for a full-length, exon 52-deleted human DMD transgene expected to only permit Dp71 expression in muscle. Thus, del52;WT mice overexpress Dp71 through both the human and murine dystrophin genes. We observed elevated Dp71 protein in del52;WT mice, significantly higher than wild-type in the heart but not the tibialis anterior. Moreover, del52;WT mice had generally normal skeletal muscle but impaired cardiac function, exhibiting significant systolic dysfunction as early as 3 months. No histological abnormalities were found in the tibialis anterior and heart. Our results suggest that Dp71 overexpression may have more detrimental effects on the heart than on skeletal muscles, providing insight into the role of Dp71 in DMD pathogenesis.
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Lim et al. (2021) studied Duchenne muscular dystrophy (DMD) / Dp71 overexpression. Dp71 overexpression (del52;WT genotype) vs. Wild-type and mdx mice was evaluated on Left ventricle ejection fraction and fractional shortening (p=<0.05). Dp71 overexpression in del52;WT mice caused significant systolic dysfunction as early as 3 months of age, suggesting Dp71 has more detrimental effects on the heart than on skeletal muscles.
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