Torn apart: membrane rupture in muscular dystrophies and associated cardiomyopathies

Jan Lammerding1, Richard T Lee

  • 1Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02139, USA.

Insights

Muscular dystrophies involve muscle cell damage. Dysferlin protein is crucial for repairing heart muscle cell membranes, and its deficiency worsens exercise-induced cardiac issues in mice.

Area of Science:

  • Cardiovascular Biology
  • Muscle Physiology
  • Cellular Biology

Background:

  • Muscular dystrophies often stem from mutations in cytoskeletal proteins.
  • These mutations increase susceptibility to mechanical stress in muscle cells.
  • Cardiac muscle dysfunction is a hallmark of certain muscular dystrophies.

Purpose of the Study:

  • To investigate the role of dysferlin in cardiomyocyte membrane repair.
  • To examine the impact of exercise on cardiac function in dysferlin-deficient mice.
  • To explore the contribution of impaired membrane repair to muscular dystrophy pathogenesis.

Main Methods:

  • Utilized mouse models deficient in dysferlin.
  • Assessed cardiac membrane integrity and function following exercise.
  • Investigated the cellular mechanisms of membrane resealing in cardiomyocytes.

Main Results:

  • Dysferlin was found to be essential for membrane resealing in cardiomyocytes.
  • Exercise led to increased cardiac membrane damage in dysferlin-deficient mice.
  • Cardiac function was disturbed in these mice, correlating with membrane damage.

Conclusions:

  • Dysferlin plays a critical role in repairing damaged cardiomyocyte membranes.
  • Inadequate membrane repair, alongside mechanical damage, contributes to muscular dystrophies and cardiomyopathies.
  • Targeting membrane repair mechanisms may offer therapeutic strategies for these conditions.

Related Concept Videos

Satellite Stem Cells and Muscular Dystrophy01:21

Satellite Stem Cells and Muscular Dystrophy

Satellite stem cells or myosatellite cells are quiescent stem cells that Alexander Mauro first identified in 1961. These cells are located between the sarcolemma, the plasma membrane of muscle fibers, and the basal lamina, the connective tissue sheath covering it. These mononucleated cells are activated in response to muscle injury, can transform into myoblasts, and may form or repair muscle fibers. Myosatellite cells can provide additional myonuclei for muscle regeneration or return to a...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...