Muscle-specific microRNAs as biomarkers of Duchenne Muscular Dystrophy progression and response to therapies

L Giordani1, M Sandoná2, A Rotini2

  • 1Sanford-Burnham Medical Research Institute; Sanford Children's Health; Research Center , La Jolla, CA USA.

Insights

Fibro-adipogenic progenitors (FAPs) contribute to Duchenne Muscular Dystrophy (DMD) progression. HDAC inhibitors promote muscle regeneration by shifting FAPs from a fibro-adipogenic to a myogenic lineage via myomiRs.

Area of Science:

  • Muscle biology
  • Cellular and molecular medicine
  • Biomarkers

Background:

  • Fibro-adipogenic progenitors (FAPs) play a dual role in Duchenne Muscular Dystrophy (DMD), promoting regeneration early on but driving fibrosis and fat infiltration later.
  • HDAC inhibitors (HDACi) have shown potential in early-stage DMD treatment by modulating FAP behavior.

Purpose of the Study:

  • To investigate the mechanism by which HDAC inhibitors (HDACi) influence fibro-adipogenic progenitors (FAPs) in the context of Duchenne Muscular Dystrophy (DMD).
  • To explore the role of myomiRs and SWI/SNF complexes in mediating the therapeutic effects of HDACi on FAPs.

Main Methods:

  • Isolation of FAPs from mdx mouse muscles (a model for DMD).
  • Treatment of isolated FAPs with Trichostatin A (TSA), a histone deacetylase inhibitor (HDACi).
  • Analysis of gene and microRNA expression, focusing on myomiRs and SWI/SNF components.

Main Results:

  • Trichostatin A (TSA) induced miR-206 and BAF60C expression while reducing BAF60A in FAPs from mdx mice.
  • HDAC inhibition promotes a shift in FAPs towards a myogenic lineage by altering SWI/SNF complex composition.
  • MyomiRs are key mediators of HDACi's beneficial effects on FAPs in DMD.

Conclusions:

  • HDAC inhibitors, through myomiR induction, can reprogram FAPs to promote muscle regeneration and counteract fibro-adipogenic degeneration in DMD.
  • MyomiR expression patterns in dystrophic muscles and circulation may serve as valuable biomarkers for DMD progression and treatment efficacy.