Duchenne Muscular Dystrophy Patient iPSCs-Derived Skeletal Muscle Organoids Exhibit a Developmental Delay in Myogenic

Urs Kindler1,2, Lampros Mavrommatis1,3, Franziska Käppler1,3

  • 1Department of Anatomy and Molecular Embryology, Institute of Anatomy, Faculty of Medicine, Ruhr University Bochum, 44801 Bochum, NRW, Germany.

Cells
|July 11, 2025
PubMed

Insights

This study demonstrates that 3D skeletal muscle organoids (SMOs) derived from Duchenne muscular dystrophy (DMD) patients reveal an immature developmental stage in myogenic progenitors (MPs) and activated fibro-adipogenic progenitors (FAPs), offering a new in vitro model for muscular dystrophy research.

Area of Science:

  • Biomedical research
  • Stem cell biology
  • Regenerative medicine

Background:

  • Duchenne muscular dystrophy (DMD) causes progressive muscle weakness and degeneration, linked to impaired muscle regeneration and fibrosis.
  • Skeletal muscle stem cells (satellite cells) are crucial for muscle maintenance, but their function may be compromised in DMD due to dystrophin deficiency.
  • Limited patient biopsies hinder research into DMD's cellular mechanisms.

Purpose of the Study:

  • To establish and validate a 3D skeletal muscle organoid (SMO) system using DMD patient-derived induced pluripotent stem cells (iPSCs).
  • To investigate the cellular and molecular characteristics of myogenic progenitors (MPs) and other cell types within DMD SMOs.
  • To assess the utility of DMD SMOs as an in vitro model for studying muscular dystrophy.

Main Methods:

  • Generation of 3D skeletal muscle organoids (SMOs) from three DMD patient-derived iPSC lines and two healthy control iPSC lines.
  • Single-cell RNA sequencing (scRNA-seq) analysis of cells within DMD and healthy SMOs.
  • Comparison of DMD SMO data with human myogenic reference atlas and primary satellite cell (SC) scRNA-seq data.

Main Results:

  • DMD SMOs exhibited reduced myogenic progenitor (MP) populations with persistent activation and differentiation, trending towards embryonic and immature myotubes.
  • scRNA-seq analysis indicated that DMD organoid-derived MPs are at a more immature developmental stage compared to controls.
  • Activated fibro-adipogenic progenitors (FAPs) were observed in DMD SMO cultures.

Conclusions:

  • The 3D skeletal muscle organoid (SMO) system provides a robust in vitro model for studying Duchenne muscular dystrophy (DMD), particularly for early-onset disease.
  • This organoid approach effectively overcomes the challenge of limited patient material for skeletal muscle disease modeling.
  • The findings highlight developmental immaturity and progenitor cell dysregulation in DMD, offering insights for therapeutic strategies.
Abstract