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Updated: May 21, 2026

Immunolabelling Myofiber Degeneration in Muscle Biopsies
Published on: December 5, 2019
DNA damage response by single-strand breaks in terminally differentiated muscle cells and the control of muscle
P Fortini1, C Ferretti, B Pascucci
1Department of Environment and Primary Prevention, Istituto Superiore di Sanità, Rome, Italy.
Abstract:
DNA single-strand breaks (SSB) formation coordinates the myogenic program, and defects in SSB repair in post-mitotic cells have been associated with human diseases. However, the DNA damage response by SSB in terminally differentiated cells has not been explored yet. Here we show that mouse post-mitotic muscle cells accumulate SSB after alkylation damage, but they are extraordinarily resistant to the killing effects of a variety of SSB-inducers. We demonstrate that, upon SSB induction, phosphorylation of H2AX occurs in myotubes and is largely ataxia telangiectasia mutated (ATM)-dependent. However, the DNA damage signaling cascade downstream of ATM is defective as shown by lack of p53 increase and phosphorylation at serine 18 (human serine 15). The stabilization of p53 by nutlin-3 was ineffective in activating the cell death pathway, indicating that the resistance to SSB inducers is due to defective p53 downstream signaling. The induction of specific types of damage is required to activate the cell death program in myotubes. Besides the topoisomerase inhibitor doxorubicin known for its cardiotoxicity, we show that the mitochondria-specific inhibitor menadione is able to activate p53 and to kill effectively myotubes. Cell killing is p53-dependent as demonstrated by full protection of myotubes lacking p53, but there is a restriction of p53-activated genes. This new information may have important therapeutic implications in the prevention of muscle cell toxicity.
Insights
Terminally differentiated muscle cells resist DNA single-strand break (SSB) inducers due to defective p53 signaling. Specific damage, like menadione, can activate p53 and induce cell death in myotubes.
Area of Science:
- Molecular Biology
- Cellular Biology
- Genetics
Background:
- DNA single-strand breaks (SSB) are crucial for muscle development, and their repair defects cause disease.
- The DNA damage response to SSB in terminally differentiated cells remains largely uncharacterized.
Purpose of the Study:
- To investigate the DNA damage response to SSB in post-mitotic muscle cells (myotubes).
- To explore the mechanisms underlying resistance to SSB-inducing agents in these cells.
- To identify specific damage types that can trigger cell death in myotubes.
Main Methods:
- Induction of SSB using alkylation agents and SSB-inducers in mouse post-mitotic muscle cells.
- Assessment of H2AX phosphorylation and its dependence on ataxia telangiectasia mutated (ATM).
- Evaluation of p53 activation, stabilization (using nutlin-3), and downstream signaling.
- Treatment with doxorubicin and menadione to assess cell killing and p53 dependence.
Main Results:
- Post-mitotic muscle cells accumulate SSB but exhibit resistance to common SSB inducers.
- SSB induction triggers ATM-dependent H2AX phosphorylation, but downstream p53 signaling is impaired.
- Nutlin-3 stabilization of p53 fails to induce cell death, indicating a defect in p53-mediated pathways.
- Mitochondria-specific inhibitor menadione effectively kills myotubes in a p53-dependent manner, though with restricted p53-activated gene expression.
Conclusions:
- Terminally differentiated muscle cells possess a unique DNA damage response characterized by resistance to many SSB inducers due to defective p53 signaling.
- Targeting specific damage pathways, such as mitochondrial damage with menadione, can overcome this resistance and induce p53-mediated cell death.
- Understanding these mechanisms offers potential therapeutic strategies to prevent muscle cell toxicity.
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