Key result
The presence of an expanded (CTG)2600 repeat in DM1 myoblasts caused disproportionate inclusion of MBNL1 exon 5 (56% vs 24%) and MBNL2 exons 5 and 8, leading to reduced and imbalanced MBNL proteins.
Why the study?
DM1 involves sequestered MBNL isoforms leading to aberrant splicing, prompting an evaluation of MBNL RNA and protein variant expression during myogenic differentiation.
Absolute Event Rate: 56% vs 24%
p-value: p=<0.001
In a DM1 myoblast model, the expanded (CTG)2600 repeat causes aberrant alternative splicing and altered subcellular localization of MBNL1 and MBNL2 starting at the myoblast stage.
Aberrant MBNL splicing in DM1 myoblasts supports early spliceopathy; leaves open whether targeting these variants modifies disease progression.
Myotonic dystrophy type 1 (DM1) is a severe neuromuscular disorder caused by the expression of trinucleotide repeat-containing DMPK transcripts. Abnormally expanded (CUG)n repeats in these transcripts form hairpin-like structures that cause the RNA to accumulate in the cell nucleus by sequestering isoforms of the Muscleblind (MBNL) family, tissue-specific regulators of developmentally programmed, post-transcriptional processes in RNA metabolism. Through this mechanism, the function of MBNL in RNA processing becomes dominantly perturbed, which eventually leads to aberrant alternative splicing and the expression of foetal splice variants of a wide variety of proteins, including the MBNL isoforms themselves. Here, we employ a patient-derived muscle cell model for DM1 to examine in detail the expression of MBNL RNA and protein variants during myogenic differentiation. This DM1 model consists of a panel of isogenic myoblast cell lines that either contain a pathogenic DMPK allele with a congenital mutation of 2600 triplets, or lack this expanded repeat through CRISPR/Cas9-mediated gene editing. We found that the temporal expression levels of MBNL1, MBNL2 and MBNL3 RNAs are not influenced by presence of the (CTG)2600 repeat during myogenesis in vitro. However, throughout myoblast proliferation and differentiation to myotubes a disproportionate inclusion of MBNL1 exon 5 and MBNL2 exons 5 and 8 occurs in cells with the (CTG)2600 repeat. As a consequence, a reduced quantity and imbalanced collection of splice variants of MBNL1 and MBNL2 accumulates in both the cytoplasm and the nucleus of DM1 myoblasts and myotubes. We thus propose that both the quantitative and qualitative changes in the intracellular partitioning of MBNL proteins are a pivotal cause of skeletal muscle problems in DM1, starting already in muscle progenitor cells.
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André et al. (2019) studied Myotonic dystrophy type 1 (DM1). Expanded (CTG)2600 repeat vs. Isogenic myoblasts lacking the expanded repeat was evaluated on MBNL1 exon 5 inclusion in proliferating myoblasts (p=<0.001). The presence of an expanded (CTG)2600 repeat in DM1 myoblasts caused disproportionate inclusion of MBNL1 exon 5 (56% vs 24%) and MBNL2 exons 5 and 8, leading to reduced and imbalanced MBNL proteins.
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