PGC-1α pathway dysregulation disrupts myofiber specification in a mouse model of SBMA

Curtis J Kuo1,2, Laura B Chopp3, Zhigang Yu1

  • 1Department of Pathology.

JCI Insight
|May 7, 2026
PubMed

Insights

Spinal and bulbar muscular atrophy (SBMA) involves skeletal muscle degeneration linked to androgen receptor (AR) mutations. Our study reveals PGC-1α pathway dysfunction drives this muscle pathology in SBMA mice.

Area of Science:

  • Molecular Biology
  • Genetics
  • Neuroscience

Background:

  • Spinal and bulbar muscular atrophy (SBMA) is a neurodegenerative disease characterized by skeletal muscle pathology.
  • The exact mechanisms driving muscle degeneration in SBMA, a CAG/polyglutamine (polyQ) expansion disorder of the androgen receptor (AR), remain unclear.

Purpose of the Study:

  • To investigate the role of skeletal muscle myonuclei changes in SBMA pathogenesis.
  • To identify molecular pathways dysregulated in SBMA skeletal muscle.
  • To explore therapeutic strategies targeting AR in SBMA.

Main Methods:

  • Gene-targeted SBMA mouse model.
  • Single-nucleus RNA sequencing (snRNA-seq) to analyze myonuclei populations.
  • Chromatin immunoprecipitation sequencing (ChIP-seq) and RNA sequencing (RNA-seq) integration.
  • Subcutaneous delivery of AR-targeted antisense oligonucleotides.

Main Results:

  • A disease-specific myonuclei population emerged in SBMA skeletal muscle, replacing normal subtypes.
  • Dysregulation of the PGC-1α pathway was identified, impacting myofiber specification and metabolic identity.
  • Aberrant PGC-1α activity altered gene expression, promoting specific myofiber genes while downregulating healthy Type IIb and IIx myonuclei genes.
  • PGC-1α dysfunction was dependent on age, hormone levels, and polyQ length, and partially rescued by antisense oligonucleotide treatment.

Conclusions:

  • PGC-1α pathway dysregulation is a key event linking AR polyQ expansion to skeletal muscle degeneration in SBMA.
  • PolyQ-mediated sequestration of PGC-1α cofactors (MEF2, CREB, CBP) leads to transcriptional reprogramming and cellular dysfunction.
  • This study suggests a shared mechanism for polyQ-mediated muscle pathology across related neurodegenerative diseases.