Abstract

BackgroundDesminopathy is a clinically heterogeneous muscle disease caused by over 60 different mutations in desmin. The most common mutation with a clinical phenotype in humans is an exchange of arginine to proline at position 350 of desmin leading to p.R350P. We created the first CRISPR‐Cas9 engineered rat model for a muscle disease by mirroring the R350P mutation in humans.MethodsUsing CRISPR‐Cas9 technology, Des c.1045‐1046 (AGG > CCG) was introduced into exon 6 of the rat genome causing p.R349P. The genotype of each animal was confirmed via quantitative PCR. Six male rats with a mutation in desmin (n = 6) between the age of 120–150 days and an equal number of wild type littermates (n = 6) were used for experiments. Maximal plantar flexion force was measured in vivo and combined with the collection of muscle weights, immunoblotting, and histological analysis. In addition to the baseline phenotyping, we performed a synergist ablation study in the same animals.ResultsWe found a difference in the number of central nuclei between desmin mutants (1 ± 0.4%) and wild type littermates (0.2 ± 0.1%; P < 0.05). While muscle weights did not differ, we found the levels of many structural proteins to be altered in mutant animals. Dystrophin and syntrophin were increased 54% and 45% in desmin mutants, respectively (P < 0.05). Dysferlin and Annexin A2, proteins associated with membrane repair, were increased two‐fold and 32%, respectively, in mutants (P < 0.05). Synergist ablation caused similar increases in muscle weight between mutant and wild type animals, but changes in fibre diameter revealed that fibre hypertrophy in desmin mutants was hampered compared with wild type animals (P < 0.05).ConclusionsWe created a novel animal model for desminopathy that will be a useful tool in furthering our understanding of the disease. While mutant animals at an age corresponding to a preclinical age in humans show no macroscopic differences, microscopic and molecular changes are already present. Future studies should aim to further decipher those biological changes that precede the clinical progression of disease and test therapeutic approaches to delay disease progression.

Highlights

  • Desminopathies or desmin-related myopathies are a clinically heterogeneous group of myofibrillar myopathies caused by mutations of the desmin gene or its interactive partners

  • Animals were housed in a conventional vivarium and were specific pathogen free from the following pathogens: all ectoparasites and endoparasites, sialodacryoadenitis virus (RCV, SDAV), Sendai, Pneumonia Virus of Mice (PVM), Hantavirus, Rat Parvoviruses [RPV, RV (KRV), H-1], Reovirus (REO-3), Lymphocytic Choriomeningitis Virus (LCMV), Theiloviruses [MEV (TMEV), RTV (GDVII)], Cilia-Associated Respiratory Bacillus (CAR Bacillus; CARB), and Mycoplasma arthritidis and pulmonis

  • Desminopathy caused by a single nucleotide polymorphism in the DES gene that converts arginine 350 to proline (R350P), the most prevalent mutation of desmin in humans, commonly presents as progressive muscular atrophy and muscle weakness

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Summary

Introduction

Desminopathies or desmin-related myopathies are a clinically heterogeneous group of myofibrillar myopathies caused by mutations of the desmin gene or its interactive partners. More than 60 mutations in the desmin (DES) gene have been reported, the majority of which follow an autosomal-dominant inheritance[1]; autosomal-recessive cases and sporadic patients have been reported.[2] There seems to be a vague correlation between the genotype and the phenotype[2]; symptoms and disease progression vary widely.[3] Most patients first develop symptoms in their 30s, the age of onset ranges from infancy to late adulthood.[4,5,6] Desminopathy is associated with progressive skeletal myopathy and cardiomyopathy. Desminopathy is a clinically heterogeneous muscle disease caused by over 60 different mutations in desmin. We created the first CRISPR-Cas[9] engineered rat model for a muscle disease by mirroring the R350P mutation in humans. In addition to the baseline phenotyping, we performed a synergist ablation study in the same animals

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