Pharmacological TRPC6 inhibition improves survival and muscle function in mice with Duchenne muscular dystrophy

Brian L Lin1, Joseph Y Shin1, William Pd Jeffreys1

  • 1Department of Cardiology.

JCI Insight
|September 13, 2022
PubMed

Insights

Targeting the TRPC6 channel significantly improved survival and muscle function in Duchenne muscular dystrophy (DMD) mouse models. TRPC6 inhibition offers a promising therapeutic strategy for this severe genetic muscle disease.

Area of Science:

  • Biochemistry
  • Genetics
  • Pharmacology

Background:

  • Duchenne muscular dystrophy (DMD) is a severe genetic muscle disease caused by dystrophin loss.
  • Current DMD therapies are largely palliative, highlighting the need for novel treatment strategies.
  • Dystrophin deficiency destabilizes muscle cell membranes, leading to increased calcium influx via channels like TRPC6, causing cell damage and dysfunction.

Purpose of the Study:

  • To investigate the role of Transient Receptor Potential Canonical 6 (TRPC6) in DMD pathophysiology.
  • To evaluate the therapeutic potential of TRPC6 inhibition in preclinical DMD models.

Main Methods:

  • Utilized dystrophin-deficient mouse models (mdx/utrn+/- and mdx/utrn-/-).
  • Assessed the effects of TRPC6 gene deletion and pharmacologic inhibition (BI 749327) on survival and muscle function.
  • Analyzed gene expression pathways affected by TRPC6 inhibition.

Main Results:

  • TRPC6 inhibition (gene deletion or BI 749327) increased survival 2- to 3-fold in DMD mouse models.
  • Pharmacologic TRPC6 inhibition improved skeletal muscle, cardiac muscle, and bone defects.
  • BI 749327 treatment modulated gene pathways involved in fat metabolism and TGF-β1 signaling.

Conclusions:

  • TRPC6 plays a significant role in DMD progression and pathology.
  • TRPC6 inhibition represents a promising novel therapeutic approach for Duchenne muscular dystrophy.
  • Further investigation and human trials of TRPC6 inhibitors are warranted for DMD and potentially other diseases.