Abstract
LMNA-related muscular dystrophies are caused by mutations of the LMNA gene. Inflammatory changes and cellular apoptosis are significant pathological findings in the muscle cells of these patients. We aimed to investigate the roles of nuclear factor-κB (NF-κB) mediated inflammation as a molecular mechanism for the pathogenesis of LMNA-related muscular dystrophies. Muscle specimen of a patient with LMNA gene mutation (c.1117A>G, p.I373V, reported in our previous work) showed significant inflammatory changes. The ultrastructure of muscle cells showed severe nuclear abnormalities compared with the control. Therefore, we used this mutation to establish mutant cell line for in vitro studies. Transfected human embryonic kidney 293 (HEK293) cells containing a mutant construct from this patient showed irregular nuclear morphology. Mass spectrometry analysis suggested genomic instability and augmented expression of apoptosis-related genes. We detected activation of NF-κB pathway in LMNA mutant cells which promoted the expression of downstream inflammatory factors. The LMNA mutation also activated the molecular pathway of apoptosis in LMNA mutant cells. These are important molecular mechanisms underlying the pathogenesis of LMNA-related muscular dystrophies. Our research provides crucial evidence for future pathogenetic studies and possible treatment strategies for LMNA-related muscular dystrophies.
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The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. All data relevant to the study are included in the article.
References
Cappelletti C, Salerno F, Canioni E, Mora M, Mantegazza R, Bernasconi P, Maggi L (2018) Up-regulation of Toll-like receptors 7 and 9 and its potential implications in the pathogenic mechanisms of LMNA-related myopathies. Nucleus 9:398–409. https://doi.org/10.1080/19491034.2018.1471947
Chen SN, Lombardi R, Karmouch J, Tsai JY, Czernuszewicz G, Taylor MRG, Mestroni L, Coarfa C, Gurha P, Marian AJ (2019) DNA damage response/TP53 pathway is activated and contributes to the pathogenesis of dilated cardiomyopathy associated with lamin A/C mutations. Circ Res 124:856–873. https://doi.org/10.1161/CIRCRESAHA.118.314238
DuBose AJ, Lichtenstein ST, Petrash NM, Erdos MR, Gordon LB, Collins FS (2018) Everolimus rescues multiple cellular defects in laminopathy-patient fibroblasts. Proc Natl Acad Sci USA 115:4206–4211. https://doi.org/10.1073/pnas.1805694115
González-Granado JM, Silvestre-Roig C, Rocha-Perugini V, Trigueros-Motos L, Cibrián D, Morlino G, Blanco-Berrocal M, Osorio FG, Freije JMP, López-Otín C, Sánchez-Madrid F, Andrés V (2014) Nuclear envelope lamin-A couples actin dynamics with immunological synapse architecture and T cell activation. Sci Signal 7:ra37. https://doi.org/10.1126/scisignal.2004872
Gonzalo S, Kreienkamp R (2015) DNA repair defects and genome instability in Hutchinson-Gilford progeria Syndrome. Curr Opin Cell Biol 34:75–83. https://doi.org/10.1016/j.ceb.2015.05.007
Kang SM, Yoon MH, Park BJ (2018) Laminopathies; mutations on single gene and various human genetic diseases. BMB Rep 51:327–337. https://doi.org/10.5483/BMBRep.2018.51.7.113
Komaki H, Hayashi YK, Tsuburaya R, Sugie K, Kato M, Nagai T, Imataka G, Suzuki S, Saitoh S, Asahina N, Honke K, Higuchi Y, Sakuma H, Saito Y, Nakagawa E, Sugai K, Sasaki M, Nonaka I, Nishino I (2011) Inflammatory changes in infantile-onset LMNA-associated myopathy. Neuromuscul Disord 21:563–568. https://doi.org/10.1016/j.nmd.2011.04.010
Lammerding J, Schulze PC, Takahashi T, Kozlov S, Sullivan T, Kamm RD, Stewart CL, Lee RT (2004) Lamin A/C deficiency causes defective nuclear mechanics and mechanotransduction. J Clin Investig 113:370–378. https://doi.org/10.1172/JCI19670
Liang WC, Tian X, You CY, Chen WZ, Kan TM, Su YN, Nishino I, Wong LC, Jong YJ (2017) Comprehensive target capture/next-generation sequencing as a second-tier diagnostic approach for congenital muscular dystrophy in Taiwan. PLoS ONE 12:e0183406. https://doi.org/10.1371/journal.pone.0183406
Li Y, Zhou G, Bruno IG, Zhang N, Sho S, Tedone E, Lai TP, Cooke JP, Shay JW (2019) Transient introduction of human telomerase mRNA improves hallmarks of progeria cells. Aging Cell 18:e12979. https://doi.org/10.1111/acel.12979
Maggi L, D'Amico A, Pini A, Sivo S, Pane M, Ricci G, Vercelli L, D'Ambrosio P, Travaglini L, Sala S, Brenna G, Kapetis D, Scarlato M, Pegoraro E, Ferrari M, Toscano A, Benedetti S, Bernasconi P, Colleoni L, Lattanzi G et al (2014) LMNA-associated myopathies: the Italian experience in a large cohort of patients. Neurology 83:1634–1644. https://doi.org/10.1212/WNL.0000000000000934
Maraldi NM, Capanni C, Cenni V, Fini M, Lattanzi G (2011) Laminopathies and lamin-associated signaling pathways. J Cell Biochem 112:979–992. https://doi.org/10.1002/jcb.22992
Osorio FG, Barcena C, Soria-Valles C, Ramsay AJ, de Carlos F, Cobo J, Fueyo A, Freije JM, López-Otín C (2012) Nuclear lamina defects cause ATM-dependent NF-κB activation and link accelerated aging to a systemic inflammatory response. Genes Dev 26:2311–2324
Pramanik KC, Makena MR, Bhowmick K, Pandey MK (2018) Advancement of NF-κB signaling pathway: a novel target in pancreatic cancer. Int J Mol Sci. https://doi.org/10.3390/ijms19123890
Qi YX, Yao QP, Huang K, Shi Q, Zhang P, Wang GL, Han Y, Bao H, Wang L, Li HP, Shen BR, Wang Y, Chien S, Jiang ZL (2016) Nuclear envelope proteins modulate proliferation of vascular smooth muscle cells during cyclic stretch application. Proc Natl Acad Sci USA 113:5293–5298. https://doi.org/10.1073/pnas.1604569113
Resende ATP, Martins CS, Bueno AC, Moreira AC, Foss-Freitas MC, de Castro M (2019) Phenotypic diversity and glucocorticoid sensitivity in patients with familial partial lipodystrophy type 2. Clin Endocrinol (Oxf) 91:94–103. https://doi.org/10.1111/cen.13984
Schreiber KH, Kennedy BK (2013) When lamins go bad: nuclear structure and disease. Cell 152:1365–1375. https://doi.org/10.1016/j.cell.2013.02.015
Straub V, Murphy A, Udd B, LGMD workshop study group (2018) 229th ENMC international workshop: Limb girdle muscular dystrophies: nomenclature and reformed classification Naarden, the Netherlands, 17–19 March 2017. Neuromuscul Disord 28:702–710. https://doi.org/10.1016/j.nmd.2018.05.007
Tan D, Yang H, Yuan Y, Bonnemann C, Chang X, Wang S, Wu Y, Wu X, **ong H (2015) Phenotype-genotype analysis of Chinese patients with early-onset LMNA-related muscular dystrophy. PLoS ONE 10:e0129699. https://doi.org/10.1371/journal.pone.0129699
Yu L, Li L, Medeiros LJ, Young KH (2017) NF-κB signaling pathway and its potential as a target for therapy in lymphoid neoplasms. Blood Rev 31:77–92. https://doi.org/10.1016/j.blre.2016.10.001
Zwerger M, Medalia O (2013) From lamins to lamina: a structural perspective. Histochem Cell Biol 140:3–12. https://doi.org/10.1007/s00418-013-1104-y
Acknowledgements
The authors appreciated all the grant supports that enabled this research. This work was sponsored by the National Key Research and Development Program of China (No. 2016YFC0901505); National Natural Science Foundation of China (No. 81571220); Bei**g key laboratory of molecular diagnosis and study on pediatric genetic diseases (No. BZ0317); Peking University Medicine Seed Fund for Interdisciplinary Research supported by the Fundamental Research Funds for the Central Universities (No. BMU2017MX003, BMU2018MX001); Natural Science Foundation of Jiangxi Province (No. 20161BAB215192).
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Yanbin Fan conducted the experiments and wrote the first draft of the manuscript. Danyu Song, Lin Ge, Haipo Yang, and Jianxin Liu took part in the experiments and data analysis. Xu Zhang and Suxia Wang analyzed the muscle cell ultrastructure of the patients. Dandan Tan constructed lentiviral vectors expressing LMNA wild-type or mutant-type (c.1117A>G, p.I373V). **ngzhi Chang, Shuang Wang, and Hui Yan provided advice to the manuscript. Carsten Bonnemann, **ru Wu, Hong Zhang, and Hui **ong took part in study design, experiments and critical discussions. Hong Zhang, and Hui **ong conceived the study, and participated in its design and coordination and helped to draft the manuscript. All authors participated in drafting and critically revising the article and approved the final manuscript.
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The study was approved by the Ethics Committee of Peking University First Hospital (No. 2015[916], Bei**g, China).
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Fan, Y., Tan, D., Zhang, X. et al. Nuclear Factor-κB Pathway Mediates the Molecular Pathogenesis of LMNA-Related Muscular Dystrophies. Biochem Genet 58, 966–980 (2020). https://doi.org/10.1007/s10528-020-09989-4
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DOI: https://doi.org/10.1007/s10528-020-09989-4