Abstract
The genetic defect underlying myotonic dystrophy (DM) has been identified as an unstable CTG trinucleotide repeat amplification in the 3'-untranslated region (3'-UTR) of the DM kinase gene (DMK). Individuals with the most severe congenital form display a marked delay in muscle terminal differentiation. To gain insight into the role of DMK during myogenesis, we have examined the effect of DMK overexpression on the terminal differentiation of the murine myoblast cell line C2C12. We demonstrate that a 4-10-fold constitutive overexpression of DMK mRNA in myoblasts caused a marked inhibition of terminal differentiation. Surprisingly, this activity was mapped to a 239-nucleotide region of the 3'-UTR of the DMK transcript. When the DMK 3'-UTR was placed downstream of a reporter gene, the same inhibition of myogenesis was observed. Following the induction of differentiation of myoblast clones overexpressing the DMK 3'-UTR, the levels of myogenin mRNA were reduced by approximately 4-fold, whereas the steady state levels of mef-2c transcripts were not affected. These data suggest that overexpression of the DMK 3'-UTR may interfere with the expression of musclespecific mRNAs leading to a delay in terminal differentiation.
Highlights
Myotonic dystrophy (DM),1 the most common form of inherited neuromuscular disease in adults, affects 1 in 8000 individuals globally
To construct HT3Ј and HT3ЈR, a 1.0-kilobase pair BamHI fragment encompassing the DM kinase gene (DMK) 3Ј-untranslated region (3Ј-UTR) was cloned in both orientations, into the BglII site downstream of the hygromycin-tk hybrid gene encoded by ptgCMV/Hy-tk [31]
Remarkably low levels of DMK were observed in the multipotent stem cell line P19, suggesting that DMK is upregulated during myogenic lineage determination
Summary
Myotonic dystrophy (DM), the most common form of inherited neuromuscular disease in adults, affects 1 in 8000 individuals globally. The genetic mutation for DM has been identified as an unstable CTG trinucleotide repeat in the 3Ј-untranslated region (3Ј-UTR) of a gene that encodes a serine/threonine kinase [5,6,7,8,9]. This repeat has been found to be polymorphic on normal chromosomes, ranging from 5 to approximately 40 triplets. In over 98% of DM individuals, this region has been shown to be significantly amplified, ranging from approximately 50, in mild cases, to several thousand repeats in severely affected individuals.
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