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Human Molecular Genetics Advance Access published online on June 9, 2004

Human Molecular Genetics, doi:10.1093/hmg/ddh174
© 2004 by Oxford University Press
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Article

Full-length dystrophin expression in half of the heart cells ameliorates {beta}-isoproterenol-induced cardiomyopathy in mdx mice

Yongping Yue 1, Jeffrey W. Skimming 2, Mingju Liu 1, Tammy Strawn 2, Dongsheng Duan 3*

1 Department of Molecular Microbiology and Immunology, The University of Missouri, School of Medicine
2 Department of Child Health and Department of Medical Pharmacology and Physiology, The University of Missouri, School of Medicine
3 Department of Molecular Microbiology and Immunology, The University of Missouri, School of Medicine, One Hospital Dr., Room M610G, MSB, Columbia, MO 65212

* To whom correspondence should be addressed. E-mail: duand{at}missouri.edu.


   Abstract

Gene therapy holds great promise for curing Duchenne muscular dystrophy (DMD), the most common fatal inherited childhood muscle disease. Success of DMD gene therapy depends upon functional improvement in both skeletal and cardiac muscle. Numerous gene transfer studies have been performed to correct skeletal muscle pathology, yet little is known about cardiomyopathy gene therapy. Since complete transduction of the entire heart is an impractical goal, it becomes critical to determine the minimal level of correction needed for successful DMD cardiomyopathy gene therapy. To address this question, we generated heterozygous mice that persistently expressed the full-length dystrophin gene in 50% of the cardiomyocytes of mdx mice, a model for DMD. We asked whether dystrophin expression in half of the heart cells was sufficient to prevent stress-induced cardiomyopathy. Mdx mouse heart function is normal in the absence of external stress. To determine the therapeutic effect, we challenged three-month-old mice with {beta}-isoproterenol. Cardiomyocyte sarcolemma integrity was significantly impaired in mdx but not in heterozygous and C57Bl/10 mice. Importantly, in vivo closed-chest hemodynamic assays revealed normal left ventricular function in {beta}-isoproterenol-stimulated heterozygous mice. Since the expression profile in the heterozygous mice mimicked viral transduction, we conclude that gene therapy correction in 50% of the heart cells may be sufficient to treat cardiomyopathy in mdx mice. This finding may also apply to the gene therapy of other inherited cardiomyopathies.


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