Human Molecular Genetics Advance Access originally published online on June 22, 2004
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Human Molecular Genetics, 2004, Vol. 13, No. 16 1775-1784
DOI: 10.1093/hmg/ddh190
Human Molecular Genetics, Vol. 13, No. 16 © Oxford University Press 2004; all rights reserved
Laminin
1 chain reduces muscular dystrophy in laminin
2 chain deficient mice
1Department of Cell and Molecular Biology, Section for Cell and Developmental Biology, University of Lund, Lund, Sweden and 2Department of Molecular Therapy, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
Received April 14, 2004; Accepted June 11, 2004
| ABSTRACT |
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Laminin (LN)
2 chain deficiency in humans and mice leads to severe forms of congenital muscular dystrophy (CMD). Here, we investigated whether LN
1 chain in mice can compensate for the absence of LN
2 chain and prevent the development of muscular dystrophy. We generated mice expressing a LN
1 chain transgene in skeletal muscle of LN
2 chain deficient mice. LN
1 is not normally expressed in muscle, but the transgenically produced LN
1 chain was incorporated into muscle basement membranes, and normalized the compensatory changes of expression of certain other laminin chains (
4, ß2). In 4-month-old mice, LN
1 chain could fully prevent the development of muscular dystrophy in several muscles, and partially in others. The LN
1 chain transgene not only reversed the appearance of histopathological features of the disease to a remarkable degree, but also greatly improved health and longevity of the mice. Correction of LN
2 chain deficiency by LN
1 chain may serve as a paradigm for gene therapy of CMD in patients. | INTRODUCTION |
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Laminins (LN), major components of basement membranes, are heterotrimers of
-, ß- and
-chains. The five
-, three ß- and three
-chains give rise to at least 15 different protein isoforms that differ in their tissue distribution (1,2). Mutations in the LAMA2 gene encoding the LN
2 chainthe main
chain in skeletal musclecause congenital muscular dystrophy (CMD) with LN
2 chain deficiency. In European populations this accounts for about 50% of the classical CMDs (3). This disorder shows autosomal recessive inheritance and is characterized by neonatal onset of muscle weakness, hypotonia, early muscle fiber degeneration and white matter abnormalities (46).
Two knock-out mouse models (dyw/dyw, dy3K/dy3K) and three spontaneous mutant mouse strains (dy/dy, dy2J/dy2J, dyPas/dyPas) representing animal models for CMD with LN
2 chain deficiency have been reported (712). The dyw/dyw mice still express small amounts of a truncated LN
2 chain, whereas the dy3K/dy3K mice are completely deficient in LN
2 chain. Both strains develop early and severe clinical signs of muscular dystrophy (79). In addition, LN
2 chain deficiency in mice results in defects in multiple tissues including peripheral and central nervous systems (7,8,1315).
The development of therapies for muscular dystrophy involves in vivo strategies aiming to introduce a normal copy of the defective gene (16). Indeed, it has been demonstrated that a human LN
2 chain transgene can rescue the dystrophic symptoms in the dyw/dyw mouse (8). However, one major obstacle of gene transfer is the tendency of the immune system to reject novel antigens (16). Instead, delivery of homologous genes already expressed at other sites in the body could eradicate these concerns. Utrophin can compensate for dystrophin deficiency and prevent the development of muscular dystrophy in a mouse model for Duchenne muscular dystrophy (17). Yet, there is no evidence that homologous gene therapy would work in CMD.
In several mouse models for LN deficiency other LN chains are upregulated. The LN
4 chain is upregulated in the LN
2 chain deficient muscle, but this upregulation is inadequate to prevent muscular dystrophy (18). Similarly, the upregulation of LNß1 chain in the glomerular basement membrane of LNß2 chain deficient kidneys does not prevent nephrosis (19). In addition, some basement membranes in LN
5 chain deficient mice are ultrastructurally defective despite ectopic deposition of other
-chains (20). Thus, whether LN chains functionally can compensate for each other in vivo remains to be determined.
Here, we analyzed whether LN
1 chain, which is mainly expressed in epithelial cells (21,22), could compensate for LN
2 chain deficiency and rescue the dystrophic symptoms in LN
2 chain deficient dy3K/dy3K mice. LN
1 chain was chosen as a therapeutic protein, because this
-chain is structurally most similar to LN
2 chain (1,23). Furthermore, LN-1, which contains the
1-chain, can significantly promote myogenesis in vitro (24), perhaps by binding to integrins (25) or dystroglycan (26). Yet, there are also notable differences between the LN
1 and LN
2 chains. The
2-chain binds much more efficiently to dystroglycan than the
1-chain (26). Myoblast spreading is significantly faster on
2LNs than on
1LNs (27), and
2LNs have been reported to be specifically required for myotube stability and survival in vitro (28). Therefore, it was by no means clear from previous studies that LN
1 chain would compensate for lack of
2-chain in muscles in vivo.
We demonstrate that expression of LN
1 chain transgene in skeletal muscles of dy3K/dy3K mice reduces the dystrophy symptoms in these animals as evaluated by histology of muscle, weight gain and longevity of the animals. Our data also illustrate for the first time that LN
chains can functionally compensate for each other in vivo.
| RESULTS |
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Generation and characterization of LN
1 chain transgenic miceLN
1 chain is mainly limited to some epithelial basement membranes in adult mice (21). To achieve broad expression of LN
1 chain as a transgene, the cDNA for mouse LN
1 chain was inserted into a vector driven by the cytomegalovirus (CMV) enhancer and the chicken ß-actin promoter, followed by the rabbit ß-globin polyadenylation signal (29) (Fig. 1A). Fifty-one mice were born from microinjected fertilized eggs. Thirteen of the mice carried the transgene as detected by Southern blot analyses (data not shown). Our primary goal was to study the effects of the LN
1 transgene in LN
2 chain deficient muscle. Thus, we selected mice expressing LN
1 chain in skeletal muscle. Five of the 13 mice showed immunofluorescence staining of LN
1 chain to a varying degree in skeletal muscles. Skeletal muscles from line No. 12 contained high expression of LN
1 chain, and were selected for further analysis and for production of dy3K mice lacking LN
2 chain but expressing LN
1 chain. The data presented were obtained with mice derived from line No. 12. Reverse transcriptionpolymerase chain reaction (RTPCR) reactions yielded a 532 bp amplicon corresponding to a LN
1 chain product in transgenic mice (Fig. 1B). No LN
1 chain was detected in skeletal muscle of wild-type mice (Fig. 1CE) (30). In contrast, immunofluorescence staining demonstrated the presence of LN
1 chain in basement membranes of skeletal and cardiac muscle in line No. 12 (Fig. 1C). Also, blood vessels within muscle, which normally do not express LN
1 chain (21), were positively stained for LN
1 chain (Fig. 1C). In skeletal muscle, LN
1 chain was also detected in the neuromuscular and myotendinous junctions (Fig. 1D and E). LN
1 chain expression was noted in other organs (e.g. salivary gland, pancreas and thymus) where it is normally not expressed (data not shown). However, LN
1 chain was not present in the sciatic nerve of line No. 12 (Fig. 1C). Importantly, overexpression of LN
1 chain in mice revealed no discernible pathological phenotypes.
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We next produced mice heterozygous for the transgene and homozygous for the dy3K mutation, hereafter called dy3KLN
1TG. The LN
1 transgene was expressed in these mice in the same manner as the transgenic line No. 12 (Fig. 3).
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Dy3K/dy3K mice with LN
1 transgene are healthy and long-livedDy3K/dy3K mice are characterized by growth retardation and severe muscular dystrophy symptoms (7). As shown in Figure 2A and B, the overall health of dy3KLN
1TG mice was significantly improved compared with dy3K/dy3K mice. First, dy3KLN
1TG mice are bigger than dy3K/dy3K mice. At 2 weeks of age, dy3K/dy3K mice can be identified owing to their growth retardation, whereas dy3KLN
1TG mice appeared outwardly normal (data not shown). Weight gain for dy3K/dy3K mice was greatly delayed in 5-week-old mice, whereas the weight gain for dy3KLN
1TG mice was significantly increased compared with dy3K/dy3K mice (Fig. 2C). In addition, the average body weight of 10-week-old dy3KLN
1TG mice was close to that of wild-type mice (Fig. 2D). Second, dy3KLN
1TG mice live longer. On an average, dy3K/dy3K mice died at the age of 45 weeks (Fig. 2E). Besides the death of a single dy3KLN
1TG mouse, dy3KLN
1TG mice survived beyond 10 weeks (Fig. 2E). Currently, our oldest mouse is 11 months old.
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Previous studies have shown that 4-week-old LN
2 chain deficient mice display a significantly reduced locomotory activity (31). Here, we analyzed the activity of older dy3KLN
1TG mice (1017-week-old). Exploratory locomotion studies revealed that dy3KLN
1TG mice appeared as active as wild-type mice (Fig. 2F). An additional indication for the improved health is that both male and female dy3KLN
1TG mice are able to produce offspring (data not shown). Dy3K/dy3K mice die before reaching reproductive age, however, dy/dy mice survive longer but do not reproduce (32) (www.jax.org).
Localization of basement membrane components in muscles of dy3KLN
1TG mice
As expected, LN
2 chain was completely absent in dy3KLN
1TG mice (Fig. 3). In wild-type mice, LN
4 and LN
5 chains were mainly expressed in blood vessels. In agreement with previous studies, the expression of the LN
4 chain was strongly increased at the muscle basement membrane area in dy3K/dy3K mice, whereas the LN
5 chain was weakly upregulated (18,31) (Fig. 3). In dy3KLN
1TG mice, the muscle basement membrane expression of LN
4 chain was down-regulated to some extent, whereas the expression of LN
5 chain remained unchanged. Cohn et al. (33) have previously reported a reduction of LNß2 staining in skeletal muscle membranes of CMD patients with LN
2 deficiency. Similarly, we noted a moderate reduction of LNß2 chain in dy3K/dy3K mice. Interestingly, the expression of LNß2 chain in the skeletal muscle membrane of dy3KLN
1TG mice was also normalized to expression levels seen in wild-type mice (Fig. 3). Other basement membrane components including type IV collagen and perlecan were similarly expressed in wild-type, dy3K/dy3K and in dy3KLN
1TG mice (Fig. 3). Dystroglycan (composed of
- and ß-subunits) is a major receptor for several LNs (26,34). It was recently suggested on the basis of immunofluorescence that the amount of
-dystroglycan is decreased, whereas the expression of ß-dystroglycan is increased in dyw/dyw mice compared with controls (31). Yet, using similar assays but different antibodies, we found no differences in the expression patterns of
- or ß-dystroglycan between normal mice and dy3K/dy3K or dy3KLN
1TG mice (Fig. 3).
LN
1 transgene reduces dystrophic pathology of skeletal muscles
We next examined the morphology of dy3K/dy3K and dy3KLN
1TG skeletal muscle. Histological features of dystrophic muscle in 2-week-old dy3K/dy3K mice included large groups of centrally nucleated small-caliber muscle fibers revealing the process of active regeneration (7). In contrast, muscles from 2-week-old dy3KLN
1TG mice had a near normal morphology with significantly fewer central nuclei (Fig. 4A and B). Hence, LN
1 chain expression protected myofibers from degeneration. In 2-week-old dy3K/dy3K mice there was a nearly complete absence of basement membrane around muscle fibers as revealed by electron microscopy studies (Fig. 4C) (7). The LN
1 chain transgene restored the basement membrane in dy3KLN
1TG mice (Fig. 4C).
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To investigate whether the LN
1 chain also prevented pathological changes in older mice we analyzed skeletal muscles (quadriceps femoris, gluteus maximus, tibialis anterior, triceps brachii and diaphragm) from 4-month-old mice. No dy3K/dy3K mice survive till that age. Skeletal muscles of 34-week-old dy3K/dy3K mice display signs of a severe dystrophy with pronounced fibrosis characteristic of LN
2 chain deficient CMD (Fig. 5) (7). In addition, dy/dy mice show extensive fibrosis in various muscles (35). Fibrous tissue is believed to replace muscle when the myogenic satellite cell pool becomes exhausted and consequently fail to maintain muscle regeneration (36). Noticeably, no pathological fibrous tissue was detected in skeletal muscles of 4-month-old dy3KLN
1TG mice (Fig. 5), whereas pronounced fibrosis was detected in all muscles of 3.5-week-old dy3K/dy3K mice (Fig. 5). In quadriceps femoris of dy3KLN
1TG mice most fibers were of polygonal shape and normal size, and very few fibers had internally placed nuclei (Fig. 5). A very mild myopathy was detected in gluteus maximus of dy3KLN
1TG mice, with occasional areas of fibers with centrally located nuclei (Fig. 5). In tibialis anterior and triceps brachii of dy3KLN
1TG mice we noted larger areas with centrally located nuclei but no fibrosis (Fig. 5). In contrast, diaphragm of dy3KLN
1TG mice had a near normal morphology with no fibrosis, regular myofibre size and virtually no centralized nuclei, whereas severe fibrosis was detected in diaphragm of dy3K/dy3K mice (Fig. 5).
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In mature dy/dy muscle, the expression of tenascin-C is upregulated and extended to the interstitium between muscle fibers, especially within focal lesions, whereas in control muscle, tenascin-C expression is restricted to the myotendinous junction (37). In sharp contrast to this, very little tenascin-C expression was noted in skeletal muscles of dy3KLN
1TG mice (Fig. 6 and data not shown).
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LN
2 chain deficiency also results in dysmyelination of peripheral nerve (3840), a phenotype that was not corrected in dy3KLN
1TG mice, as the LN
1 chain was not expressed in peripheral nerve (Fig. 1C). Injury to peripheral nerve causes neurogenic atrophy of muscle fibers. Accordingly, we noted occasional shrunken angular muscle fibers indicating neurogenic lesions in several muscles of 4-month-old dy3KLN
1TG mice (Fig. 7).
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| DISCUSSION |
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We report that LN
2 chain deficient mice expressing a LN
1 chain transgene in skeletal muscle display a prolonged life, better health and improved muscle morphology. The greatly improved health of the LN
2 chain deficient mice induced by the transgene was remarkable for several reasons. First, although some classical studies showed that the LN
1 chain can promote short-term myogenesis in vitro (24,41),
2 chain LNs are much better than
1 chain LNs as in vitro stimulators of myoblast spreading (27) and myotube stability and survival (28). Second, detailed studies of LN receptors have revealed that LN
1 chain binds to dystroglycan with about 10-fold lower affinity than LN
2 chain or agrin (26), and dystroglycan is an essential link between the extracellular matrix and the cytoskeleton in muscle (42). Third, compensatory upregulation of other LN chains in mouse knock-out models of other LN chains appears to be of no apparent help (1).
Recently, it was reported that an agrin minigene similarly can rescue dystrophic symptoms in the dyW/dyW mouse model of CMD. In these experiments, LN
5 chain expression was significantly enhanced, suggesting an indirect mechanism of rescue (31). No enhanced expression of LN
5 chain was seen in the present study. Hence, we consider it likely that the neo-expression of LN
1 in muscles is the major cause of the rescue, although we cannot exclude that expression in other tissues also was beneficial.
Our results indicate that early gene transfer of LN
1 chain into skeletal muscles constitute promising therapeutic strategies for LN
2 chain deficient CMD. This could be achieved by introducing LN
1 chain into myofibers by the usage of viral vectors. Because the LN
1 chain cDNA is fairly large (
9 kb), gutted adenoviral vectors, which have a cloning capacity>30 kb, would be the viral vector of choice (43). Investigations aiming at up-regulating endogenous LN
1 chain in skeletal muscle are also merited. For example, constitutively active Akt-1 induces transcription and synthesis of LN
1 chain in embryonic stem cells (44). However, Akt controls numerous transcription factors and is considered to be a hot drug target for the treatment of cancer, diabetes and stroke (45). Thus, it is unlikely to be specific for the treatment of CMD. Interestingly, the identification of an upstream enhancer in the mouse LN
1 chain was recently reported (46). This enhancer activates LN
1 chain expression in parietal endoderm cells, and activating this enhancer in muscle cells could be a possible strategy in the treatment of LN
2 chain deficient CMD.
Peripheral nerve is also involved in LN
2 chain deficient CMD (6,3840). In addition, dy3KLN
1TG mice flexed their hind legs to the trunk when lifted by the tail, an indication of a neurological problem. They also displayed hind leg paralysis, but to a varying degree (data not shown). In addition, we detected angular atrophic muscle fibers (indicating neurogenic lesions) in rescued muscles although they appeared rarely. As the LN
1 chain was not expressed in peripheral nerves of LN
1 chain transgenic mice, the nerve defect was not expected to be rescued. In this context, it is noteworthy that several attempts to express a LN
2 transgene in peripheral nerve have failed (9). Interestingly, loss of LN
2 chain in sciatic nerve of dy2J/dy2J mice was recently found to be accompanied by variable expression of LN
1 chain (47). Thus, it remains possible that overexpression of LN
1 chain can compensate for LN
2 chain deficiency also in peripheral nerves.
Apart for muscular dystrophy and peripheral neuropathy, LN
2 chain deficient mice also display central nervous system myelination defects, hearing loss and abnormal thymocyte and odontoblast development (1315,48). It will now be interesting to investigate whether LN
1 chain can compensate for the absence of LN
2 chain in central nervous system, inner ear, thymus and tooth.
In conclusion, we have established that LN
1 chain significantly reduces muscular dystrophy in LN
2 chain deficient mice. Hence, our data suggest that LN
1 chain should be considered in the design of therapies to treat LN
2 chain deficient CMD. We also provide the first evidence that LN
chains functionally can compensate for each other in vivo.
| MATERIALS AND METHODS |
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Transgenic construct
Full-length mouse LN
1 cDNA was generously provided by Dr P. Yurchenco (Robert Wood Johnson Medical School, Piscataway, NJ, USA) (49). EcoRI adaptors (Amersham-Pharmacia) were ligated to the ends of LN
1 chain cDNA, which was subsequently inserted to the EcoRI site of the expression vector pCAGGS containing a CMV enhancer and chicken ß-actin promoter (generously provided by Dr J. Miyazaki, Osaka University Medical School, Osaka, Japan) (29). A 12 kb transgenic vector was released with SalI and HindIII and used for one-cell embryo microinjection.
Production of LN
1 chain transgenic mice on wild-type background
Transgenic mice were generated by microinjections of transgene DNA into the pronucleus of fertilized single-cell CBAxC57BL/6 embryos (Karolinska Center of Transgene Technologies, Stockholm, Sweden). LN
1 transgenic mice were identified by Southern blot analysis using genomic DNA prepared from mouse tails and the probe indicated in Figure 1A. LN
1 positive founder transgenic mice were maintained in animal facilities according to animal care guidelines. The use of animals complied with national guidelines, and permission was given by the regional ethical board.
Production of transgenic mice on dy3K background
Heterozygous LN
1 transgenic mice were bred to heterozygous dy3K/+ mice (7), followed by sib breeding to generate mice heterozygous for the transgene and homozygous for dy3K.
Genotyping
PCR on tail DNA was performed with LN
1 cDNA primer 5'-GGCATTGGGCGTGTCGAACAG-3' and chicken ß-actin primer 5'-GGTTCGGCTTCTGGCGTGTGA-3', amplifying a 400 bp product for LN
1 chain positive transgenic mice. Dy3K PCR was performed with primers 5'-CTTTCAGATTGCATTGCAAGC-3' and 5'-CAATGCAGCTTTTTGATCTTAC-3', which anneal to Lama2 intron sequences flanking an exon (encoding a part of domain VI of LN
2 chain) that is disrupted by the insertion of a neo cassette in dy3K/dy3K mice (7). The PCR product is 1 kb for wild-type mice; 1 and 2.5 kb for heterozygous dy3K/+ mice and 2.5 kb for homozygous dy3K/dy3K mice.
RTPCR
Total RNA from skeletal muscle was isolated using TRIzol reagent (Invitrogen) according to manufacturer specifications. First strand cDNA synthesis from total RNA was performed using SuperscriptTM II RT (Invitrogen). PCR was perfomed using primers directed against LN
1 chain: 5'-ATATCACACGCAATCGATGG-3' and 5'-AGTAATAACGTCTTGTG-3'.
Exploratory locomotion
Exploratory locomotion was examined in an open field test. In each experiment a mouse was placed into a new cage and allowed to explore the cage for 5 min. The time that the mouse spent moving around was measured manually. For all experiments, each dy3KLN
1TG animal (n=4) was compared with a wild-type (n=4) sibling of the same sex from the same litter.
Immunofluorescence
Tissues were immersed in Tissue Tek and frozen in liquid nitrogen. Cryosections (7 µm) were either stained with hemotoxylin and eosin (H&E) or analyzed by immunofluorescence. Primary antibodies were: anti-LN
1 chain mAb200 (50), anti tenascin-C MTn15 (50), anti-LN
2 chain 4H8-2 (Alexis Biochemicals), anti-LN
4 chain (generously provided by Dr R. Timpl), anti-LN
5 chain (generously provided by Dr R. Timpl), anti-LNß2 chain (generously provided by Dr T. Sasaki) (51), anti-collagen type IV (Chemicon), anti-perlecan (generously provided by Dr R. Timpl), anti-
-dystroglycan IIH6C4 (Upstate Biotechnology). A rabbit polyclonal antibody was generated against the C-terminal 15 amino acids (KNMTPYRSPPPYVPPC) of ß-dystroglycan and affinity purified. For staining of NMJs, samples were simultaneously incubated with FITC-conjugated
-bungarotoxin (Molecular Probes). Images of sections analyzed by fluorescence microscopy (Zeiss Axioplan) were captured using an ORCA 1394 ER digital camera with Openlab 3 software. Images were prepared for publication using Adobe Photoshop software.
Transmission electron microscopy
Tibialis anterior muscles were fixed for 2 h with 2.5% glutaraldehyde, rinsed in Sörensen's phosphate buffer, post-fixed in 1% OsO4 and then embedded in Epon. Ultra-thin sections were stained with uranyl acetate and lead citrate. Specimens were examined by transmission electron microscopy (Philips CM 10).
| ACKNOWLEDGEMENTS |
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We thank P. Yurchenco, J. Miyazaki, T. Sasaki and the late R. Timpl for gifts of reagents and T. Hjalt and V. Allamand for critical reading of the manuscript. VR, Kungliga Fysiografiska Sällskapet, and Crafoord, Lars Hiertas Minne, Magnus Bergwall, and Åke Wibergs foundations funded this work.
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* To whom correspondence should be addressed at: Department of Cell and Molecular Biology, Section for Cell and Developmental Biology, University of Lund, BMC B12, 221 84 Lund, Sweden. Tel: +46 462220812; Fax: +46 462220855; Email: madeleine.durbeej_hjalt{at}medkem.lu.se
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