Abstract

Duchenne muscular dystrophy (DMD) is a severe muscle-wasting disease. Although the lack of dystrophin protein is the primary defect responsible for the development of DMD, secondary disease complications such as persistent inflammation contribute greatly to the pathogenesis and the time-dependent progression of muscle destruction. The immunoproteasome is a potential therapeutic target for conditions or diseases mechanistically linked to inflammation. In this study, we explored the possible effects of ONX-0914 administration, an inhibitor specific for the immunoproteasome subunit LMP7 (ß5i), on motor performance, muscular pathology and protein degradation in 7-week old MDX mice, an age when the dystrophic muscles show extensive degeneration and regeneration. ONX-0914 (10 mg/kg) was injected subcutaneously on Day 2, 4, and 6. The mice were evaluated for physical performance (walking speed and strength) on Day 1 and 8. We show that this short-term treatment of ONX-0914 in MDX mice did not alter strength nor walking speed. The physical performance findings were consistent with no change in muscle inflammatory infiltration, percentage of central nuclei and proteasome content. Taken together, muscle structure and function in the young adult MDX mouse model are not altered with ONX-0914 treatment, indicating the administration of ONX-0914 during this critical time period does not exhibit any detrimental effects and may be an effective treatment of secondary complications of muscular dystrophy after further investigations.

Highlights

  • Duchenne muscular dystrophy (DMD) is a severe muscle-wasting disease that affects 1 in 3500 male births worldwide, which is caused by mutations in the X-linked gene encoding the cytoplasmic protein dystrophin [1]

  • Muscle structure and function in the young adult MDX mouse model are not altered with ONX-0914 treatment, indicating the administration of ONX-0914 during this critical time period does not exhibit any detrimental effects and may be an effective treatment of secondary complications of muscular dystrophy after further investigations

  • cross-sectional area (CSA) and regeneration (CN): We investigated the impact of ONX-0914 administration on single fiber CSA and the percentage of central nuclei (CN) in the EDL muscle of MDX mice (Table 3)

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Summary

Introduction

Duchenne muscular dystrophy (DMD) is a severe muscle-wasting disease that affects 1 in 3500 male births worldwide, which is caused by mutations in the X-linked gene encoding the cytoplasmic protein dystrophin [1]. Dystrophin is expressed in striated skeletal muscle and interacts with the dystrophin-glycoprotein complex at the cell membrane as well as specific signaling processes [2,3]. The lack of dystrophin is the primary defect responsible for the development of DMD, secondary disease complications such as persistent inflammation and impaired regeneration contribute greatly to the pathogenesis and the time-dependent progression of muscle destruction [1,6,7]. To date, it is well-established that the dystrophic muscles are invaded by macrophages, neutrophils, Int. J. Public Health 2020, 17, 5211; doi:10.3390/ijerph17145211 www.mdpi.com/journal/ijerph

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