Abstract

Myotonic dystrophy type 1 (DM1) is caused by an unstable expanded CTG repeat located within the DMPK gene 3’UTR. The nature, severity and age at onset of DM1 symptoms are very variable in patients. Different forms of the disease are described, among which the congenital form (CDM) is the most severe. Molecular mechanisms of DM1 are well characterized for the adult form and involve accumulation of mutant DMPK RNA forming foci in the nucleus. These RNA foci sequester proteins from the MBNL family and deregulate CELF proteins. These proteins are involved in many cellular mechanisms such as alternative splicing, transcriptional, translational and post-translational regulation miRNA regulation as well as mRNA polyadenylation and localization. All these mechanisms can be impaired in DM1 because of the deregulation of CELF and MBNL functions. The mechanisms involved in CDM are not clearly described. In order to get insight into the mechanisms underlying CDM, we investigated if expanded RNA nuclear foci, one of the molecular hallmarks of DM1, could be detected in human DM1 fetal tissues, as well as in embryonic and neonatal tissues from transgenic mice carrying the human DMPK gene with an expanded CTG repeat. We observed very abundant RNA foci formed by sense DMPK RNA and, to a lesser extent, antisense DMPK RNA foci. Sense DMPK RNA foci clearly co-localized with MBNL1 and MBNL2 proteins. In addition, we studied DMPK sense and antisense expression during development in the transgenic mice. We found that DMPK sense and antisense transcripts are expressed from embryonic and fetal stages in heart, muscle and brain and are regulated during development. These results suggest that mechanisms underlying DM1 and CDM involved common players including toxic expanded RNA forming numerous nuclear foci at early stages during development.

Highlights

  • Myotonic dystrophy type 1 (DM1) is a dominantly inherited neuromuscular disorder characterized by very variable symptoms

  • We used human fetal samples as well as mouse models that we previously developed by the insertion of a human 45 kb transgene expressing the DMPK gene with normal (DM20) or expanded (DMSXL) CTG repeats under the control of its own human promoter [27, 28]

  • In order to get more information on the developmental regulation of DMPK sense and antisense RNA over a wider development period, we studied by quantitative RT-PCR (qRT-PCR) the levels of transcripts in transgenic mice from E14.5 up to postnatal age 29 days (P29) (Fig 9)

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Summary

Introduction

Myotonic dystrophy type 1 (DM1) is a dominantly inherited neuromuscular disorder characterized by very variable symptoms. Several forms of DM1 can be differentiated: a late onset. RNA Foci in DM1 Embryos form with pre-senile cataracts and early frontal balding; an adult form which presents myotonia, insulin resistance, cardio-respiratory problems, muscle weakness, hypersomnia and cognitive impairments; and the congenital form (CDM), the most severe form. CDM is characterized by high perinatal mortality (30–40%), mainly due to respiratory distress, hypotonia, sucking and swallowing difficulties. Children who survive the neonatal period will later show delays in motor development and intellectual disability [1, 2]. No evident congenital form is observed in DM2, another form of myotonic dystrophy showing similar symptoms in adult, one case has been described [3]

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