Pathomechanism and therapeutic strategy of Fukuyama congenital muscular dystrophy and related disorders

  • Toda Tatsushi
    Division of Neurology, Kobe University Graduate School of Medicine

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  • シンポジウム5‐3 難治性筋疾患の病態機序‐CK発見から50年‐治療の時代へ 福山型筋ジストロフィーおよび類縁疾患の病態・治療戦略
  • 福山型筋ジストロフィーおよび類縁疾患の病態・治療戦略
  • フクヤマガタ キンジストロフィー オヨビ ルイエン シッカン ノ ビョウタイ チリョウ センリャク

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Abstract

Hypoglycosylation and reduced laminin-binding activity of α-dystroglycan are common characteristics of dystroglycanopathy, which is a group of congenital and limb-girdle muscular dystrophies. We previously identified the genes for Fukuyama congenital muscular dystrophy (FCMD) and muscle-eye-brain disease (MEB). FCMD, caused by a mutation in the fukutin gene, is a severe form of dystroglycanopathy. Knock-in mice carrying the founder retrotransposal insertion exhibited hypoglycosylated α-dystroglycan; however, no signs of muscular dystrophy were observed. More sensitive methods detected minor levels of intact α-dystroglycan, and solid-phase assays determined laminin binding levels to be approximately 50% of normal. In contrast, intact α-dystroglycan is undetectable in the dystrophic Large mouse, and laminin-binding activity is markedly reduced. These data indicate that a small amount of intact α-dystroglycan is sufficient to maintain muscle cell integrity in knock-in mice, suggesting that the treatment of dystroglycanopathies might not require the full recovery of glycosylation. Transfer of fukutin into knock-in mice restored glycosylation of α-dystroglycan. Transfer of LARGE produced laminin-binding forms of α-dystroglycan in both knock-in mice and the POMGnT1 mutant mouse. These data suggest that even partial restoration of α-dystroglycan glycosylation and laminin-binding activity by replacing or augmenting glycosylation-related genes might effectively deter dystroglycanopathy progression and thus provide therapeutic benefits.<br>

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 49 (11), 859-862, 2009

    Societas Neurologica Japonica

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