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A limb-girdle muscular dystrophy 2I model of muscular dystrophy identifies corrective drug compounds for dystroglycanopathies
Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander
Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander
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Research Article Muscle biology

A limb-girdle muscular dystrophy 2I model of muscular dystrophy identifies corrective drug compounds for dystroglycanopathies

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Abstract

Zebrafish are a powerful tool for studying muscle function owing to their high numbers of offspring, low maintenance costs, evolutionarily conserved muscle functions, and the ability to rapidly take up small molecular compounds during early larval stages. Fukutin-related protein (FKRP) is a putative protein glycosyltransferase that functions in the Golgi apparatus to modify sugar chain molecules of newly translated proteins. Patients with mutations in the FKRP gene can have a wide spectrum of clinical symptoms with varying muscle, eye, and brain pathologies depending on the location of the mutation in the FKRP protein. Patients with a common L276I FKRP mutation have mild adult-onset muscle degeneration known as limb-girdle muscular dystrophy 2I (LGMD2I), whereas patients with more C-terminal pathogenic mutations develop the severe Walker-Warburg syndrome (WWS)/muscle-eye-brain (MEB) disease. We generated fkrp-mutant zebrafish that phenocopy WWS/MEB pathologies including severe muscle breakdowns, head malformations, and early lethality. We have also generated a milder LGMD2I-model zebrafish via overexpression of a heat shock–inducible human FKRP (L276I) transgene that shows milder muscle pathology. Screening of an FDA-approved drug compound library in the LGMD2I zebrafish revealed a strong propensity towards steroids, antibacterials, and calcium regulators in ameliorating FKRP-dependent pathologies. Together, these studies demonstrate the utility of the zebrafish to both study human-specific FKRP mutations and perform compound library screenings for corrective drug compounds to treat muscular dystrophies.

Authors

Peter R. Serafini, Michael J. Feyder, Rylie M. Hightower, Daniela Garcia-Perez, Natássia M. Vieira, Angela Lek, Devin E. Gibbs, Omar Moukha-Chafiq, Corinne E. Augelli-Szafran, Genri Kawahara, Jeffrey J. Widrick, Louis M. Kunkel, Matthew S. Alexander

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Figure 5

Pentetic acid extends lifespan and ameliorates symptoms in LGMD2I zebrafish.

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Pentetic acid extends lifespan and ameliorates symptoms in LGMD2I zebraf...
(A) Drug screening of select compounds in the LGMD2I-model zebrafish. Five select compounds were individually tested: sildenafil citrate (purple squares), pentetic acid (blue triangles), propantheline bromide (green squares), ethosuximide (orange circles), and aminophylline (gray diamonds) at a concentration of 2.5 μM per compound. WT (black circles) aged-matched, vehicle (0.01% DMSO in fish water; yellow diamonds), and untreated (red squares) control zebrafish cohorts were also used in comparison (n = 50 fish per treatment cohort). Zebrafish were measured for overall viability between 1 and 7 dpf. Error bars indicate SEM. (B) Ablation of LGMD2I pathology in zebrafish treated with pentetic acid (2.5 μM) compared with vehicle (0.01% DMSO in fish water) control zebrafish. Scale bar: 300 μm. *P < 0.05 by 2-way ANOVA with Tukey’s HSD test.

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