Abstract

Lack of expression of dystrophin leads to degeneration of muscle fibers and infiltration of connective and adipose tissue. Cell transplantation therapy has been proposed as a treatment for intractable muscle degenerative disorders. Several reports have demonstrated the ability of bone-marrow derived cells (BMDC) to contribute to non-haematopoietic tissues including epithelium, heart, liver, skeletal muscle and brain following transplantation by means of fusion and reprogramming. A key issue is the extent to which fusion and reprogramming can occur in vivo, particularly under conditions of myogenic deterioration.To investigate the therapeutic potential of bone marrow transplantation in monogenetic myopathy, green fluorescent protein-positive (GFP+) bone marrow cells were transplanted into non-irradiated c-kit receptor – deficient (W41) mdx mice. This model allows BMDC reconstitution in the absence of irradiation induced myeloablation. We provide the first report of BMDC fusion in a W41/Dmdmdx deficient mouse model.In the absence of irradiation induced injury, few GFP+ cardiomyocytes and muscle fibres were detected 24 weeks post BMT. It was expected that the frequency of fusion in the hearts of W41Dmdmdx mice would be similar to frequencies observed in infarcted mice [1].Although, it is clear from this study that individual cardiomyocytes with monogenetic deficiencies can be rescued by fusion, it is as clear that in the absence of irradiation, the formation of stable and reprogrammed fusion hybrids occurs, with the current techniques, at very low levels in non-irradiated recipients.

Highlights

  • Duchenne muscular dystrophy (DMD) is an X-linked recessive disease characterized by mutations in the gene encoding the membrane protein dystrophin

  • We provide the first report of bone-marrow derived cells (BMDC) fusion in a W41/Dmdmdx deficient mouse model

  • Dystrophin membrane localization in W41/Dmdmdx mice was ablated in comparison to WT expression in skeletal muscle and myocardium (Figure 1)

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Summary

Introduction

Duchenne muscular dystrophy (DMD) is an X-linked recessive disease characterized by mutations in the gene encoding the membrane protein dystrophin. Several reports have demonstrated the ability of bone-marrow derived cells (BMDC) to contribute to non-haematopoietic tissues including epithelium, heart, liver, skeletal muscle and brain [1,2,3,4,5,6,7,8,9,10] following transplantation by means of fusion and reprogamming [11]. Irradiation conditioning impairs regeneration from endogenous myogenic precursors and provides mitogenic conditions for donor myoblasts This ablation has a major impact on the incorporation of bone marrow derived cells into the satellite cell compartment [12] and muscle fibres. Previous reports have demonstrated that 0.2–5% of total muscle fibres are donor derived when irradiated mice are transplanted with BMDC [5,12,13,14]

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