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Updated: Sep 27, 2026

Direct Reprogramming of Human Fibroblasts into Myoblasts to Investigate Therapies for Neuromuscular Disorders
Published on: April 3, 2021
FKHR (FOXO1a) is required for myotube fusion of primary mouse myoblasts
Philippe R J Bois1, Gerard C Grosveld
1St Jude Children's Research Hospital, Department of Genetics, 332 North Lauderdale, Memphis, TN 38105, USA.
Abstract:
Activation of the transcription factor FKHR (Forkhead in human rhabdomyosarcoma, FOXO1a) in various established cell lines induces cell cycle arrest followed by apoptosis. These effects are inhibited through activation of the phosphatidylinositol 3-kinase/Akt pathway, resulting in FKHR phosphorylation and its export from the nucleus, thus blocking its pro-apoptotic activity. Here we report that FKHR regulates fusion of differentiating primary myoblasts. We demonstrate that FKHR is localized in the cytoplasm of proliferating myoblasts, yet translocates to the nucleus by a phosphorylation-independent pathway following serum starvation, a condition that induces myoblast differentiation. FKHR phosphorylation during terminal differentiation appears to downregulate its fusion activity, as a dominant-active non-phosphorylatable FKHR mutant dramatically augments the rate and extent of myotube fusion. However, this FKHR mutant exerts its effects only after other events initiated the differentiation pro cess. Conversely, enforced expression of a dominant-negative FKHR mutant blocks myotube formation whereas wild-type FKHR has no effect. We conclude that in addition to the role of FoxO proteins in regulating cell cycle progress and apoptosis, FKHR controls the rate of myotube fusion during myogenic differentiation.
Insights
The transcription factor FKHR (Forkhead in human rhabdomyosarcoma, FOXO1a) regulates muscle cell fusion. Its nuclear translocation during differentiation, independent of phosphorylation, is crucial for myoblast fusion.
Area of Science:
- Molecular Biology
- Cell Biology
- Muscle Development
Background:
- The transcription factor FKHR (FOXO1a) is known to induce cell cycle arrest and apoptosis.
- The phosphatidylinositol 3-kinase/Akt pathway inhibits FKHR's pro-apoptotic activity via phosphorylation and nuclear export.
Purpose of the Study:
- To investigate the role of FKHR in the fusion of differentiating primary myoblasts.
- To elucidate the mechanism of FKHR's action during myogenic differentiation.
Main Methods:
- Studied FKHR localization in proliferating and differentiating myoblasts.
- Utilized dominant-active and dominant-negative FKHR mutants.
- Assessed myotube fusion rates and extent.
Main Results:
- FKHR translocates to the nucleus in a phosphorylation-independent manner during serum starvation-induced myoblast differentiation.
- A non-phosphorylatable FKHR mutant enhanced myotube fusion rate and extent.
- A dominant-negative FKHR mutant blocked myotube formation.
Conclusions:
- FKHR plays a critical role in regulating the rate of myotube fusion during myogenic differentiation.
- FKHR's function extends beyond cell cycle control and apoptosis to include muscle development.

