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A limb-girdle muscular dystrophy 2I model of muscular dystrophy identifies corrective drug compounds for dystroglycanopathies
Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander
Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander
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Research Article Muscle biology

A limb-girdle muscular dystrophy 2I model of muscular dystrophy identifies corrective drug compounds for dystroglycanopathies

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Abstract

Zebrafish are a powerful tool for studying muscle function owing to their high numbers of offspring, low maintenance costs, evolutionarily conserved muscle functions, and the ability to rapidly take up small molecular compounds during early larval stages. Fukutin-related protein (FKRP) is a putative protein glycosyltransferase that functions in the Golgi apparatus to modify sugar chain molecules of newly translated proteins. Patients with mutations in the FKRP gene can have a wide spectrum of clinical symptoms with varying muscle, eye, and brain pathologies depending on the location of the mutation in the FKRP protein. Patients with a common L276I FKRP mutation have mild adult-onset muscle degeneration known as limb-girdle muscular dystrophy 2I (LGMD2I), whereas patients with more C-terminal pathogenic mutations develop the severe Walker-Warburg syndrome (WWS)/muscle-eye-brain (MEB) disease. We generated fkrp-mutant zebrafish that phenocopy WWS/MEB pathologies including severe muscle breakdowns, head malformations, and early lethality. We have also generated a milder LGMD2I-model zebrafish via overexpression of a heat shock–inducible human FKRP (L276I) transgene that shows milder muscle pathology. Screening of an FDA-approved drug compound library in the LGMD2I zebrafish revealed a strong propensity towards steroids, antibacterials, and calcium regulators in ameliorating FKRP-dependent pathologies. Together, these studies demonstrate the utility of the zebrafish to both study human-specific FKRP mutations and perform compound library screenings for corrective drug compounds to treat muscular dystrophies.

Authors

Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander

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Figure 6

Compounds structurally similar to pentetic acid can ameliorate pathologies and extend lifespan in LGMD2I zebrafish.

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Compounds structurally similar to pentetic acid can ameliorate pathologi...
(A) List of compounds tested and their manufacturers. (B) Dorsal muscle birefringence and (C) pericardiac edema average percentages in the LGMD2I-model drug-treated fish. Average percentages affected were normalized to vehicle-treated (100%) LGMD2I-model fish. *P < 0.05 compared with pentetic acid (compound 1; black circles) by 2-way ANOVA with Tukey’s HSD test, and the SEM is shown on the left side. NS, not significant when compared with pentetic acid (1; black circles) positive control. The following compounds were evaluated: vehicle (0.01% DMSO in fish water; black bar) was tested along with 1 (pentetic acid, black circles), 2 [(4R,4′R)-2,2′-(propane-2,2-diyl)bis(4-(tert-butyl)-4,5-dihydrooxazole); red circles], 3 (citric acid; green circles), 4 (diglycolic acid; blue circles), 5 (EDTA; purple circles), 6 (N-methyliminodiacetic acid; gray circles), 7 (triethanolamine; orange circles), and 8 (L-ascorbic acid, open circles). Twenty fish (n = 20) were tested for each compound pool.

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