Cathelicidin-related antimicrobial peptide mediates skeletal muscle degeneration caused by injury and Duchenne muscular dystrophy in mice.

dc.contributor.author

Choi, Moon-Chang

dc.contributor.author

Jo, Jiwon

dc.contributor.author

Lee, Myeongjin

dc.contributor.author

Park, Jonggwan

dc.contributor.author

Yao, Tso-Pang

dc.contributor.author

Park, Yoonkyung

dc.date.accessioned

2023-01-01T14:59:16Z

dc.date.available

2023-01-01T14:59:16Z

dc.date.issued

2022-12

dc.date.updated

2023-01-01T14:59:11Z

dc.description.abstract

Background

Cathelicidin, an antimicrobial peptide, plays a key role in regulating bacterial killing and innate immunity; however, its role in skeletal muscle function is unknown. We investigated the potential role of cathelicidin in skeletal muscle pathology resulting from acute injury and Duchenne muscular dystrophy (DMD) in mice.

Methods

Expression changes and muscular localization of mouse cathelicidin-related antimicrobial peptide (Cramp) were examined in the skeletal muscle of normal mice treated with chemicals (cardiotoxin and BaCl2 ) or in dystrophic muscle of DMD mouse models (mdx, mdx/Utrn+/- and mdx/Utrn-/- ). Cramp penetration into myofibres and effects on muscle damage were studied by treating synthetic peptides to mouse skeletal muscles or C2C12 myotubes. Cramp knockout (KO) mice and mdx/Utrn/Cramp KO lines were used to determine whether Cramp mediates muscle degeneration. Muscle pathophysiology was assessed by histological methods, serum analysis, grip strength and lifespan. Molecular factors targeted by Cramp were identified by the pull-down assay and proteomic analysis.

Results

In response to acute muscle injury, Cramp was activated in muscle-infiltrating neutrophils and internalized into myofibres. Cramp treatments of mouse skeletal muscles or C2C12 myotubes resulted in muscle degeneration and myotube damage, respectively. Genetic ablation of Cramp reduced neutrophil infiltration and ameliorated muscle pathology, such as fibre size (P < 0.001; n = 6) and fibrofatty infiltration (P < 0.05). Genetic reduction of Cramp in mdx/Utrn+/- mice not only attenuated muscle damage (35%, P < 0.05; n = 9-10), myonecrosis (53%, P < 0.05), inflammation (37-65%, P < 0.01) and fibrosis (14%, P < 0.05) but also restored muscle fibre size (14%, P < 0.05) and muscle force (18%, P < 0.05). Reducing Cramp levels led to a 63% (male, P < 0.05; n = 10-14) and a 124% (female, P < 0.001; n = 20) increase in the lifespan of mdx/Utrn-/- mice. Proteomic and mechanistic studies revealed that Cramp cross-talks with Ca2+ signalling in skeletal muscle through sarcoplasmic/endoplasmic reticulum Ca2+ -ATPase1 (SERCA1). Cramp binds and inactivates SERCA1, leading to the activation of Ca2+ -dependent calpain proteases that exacerbate DMD progression.

Conclusions

These findings identify Cramp as an immune cell-derived regulator of skeletal muscle degeneration and provide a potential therapeutic target for DMD.
dc.identifier.issn

2190-5991

dc.identifier.issn

2190-6009

dc.identifier.uri

https://hdl.handle.net/10161/26396

dc.language

eng

dc.publisher

Wiley

dc.relation.ispartof

Journal of cachexia, sarcopenia and muscle

dc.relation.isversionof

10.1002/jcsm.13065

dc.subject

Muscle, Skeletal

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Animals

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Mice, Inbred mdx

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Mice, Knockout

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Mice

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Muscular Dystrophy, Duchenne

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Proteomics

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Female

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Male

dc.title

Cathelicidin-related antimicrobial peptide mediates skeletal muscle degeneration caused by injury and Duchenne muscular dystrophy in mice.

dc.type

Journal article

pubs.begin-page

3091

pubs.end-page

3105

pubs.issue

6

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Basic Science Departments

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Clinical Science Departments

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Pharmacology & Cancer Biology

pubs.organisational-group

Radiation Oncology

pubs.organisational-group

Duke Cancer Institute

pubs.publication-status

Published

pubs.volume

13

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