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Publication : Sensitivity to behavioral stress impacts disease pathogenesis in dystrophin-deficient mice.

First Author  Lindsay A Year  2021
Journal  FASEB J Volume  35
Issue  12 Pages  e22034
PubMed ID  34780665 Mgi Jnum  J:317833
Mgi Id  MGI:6844973 Doi  10.1096/fj.202101163RR
Citation  Lindsay A, et al. (2021) Sensitivity to behavioral stress impacts disease pathogenesis in dystrophin-deficient mice. FASEB J 35(12):e22034
abstractText  Mutation to the gene encoding dystrophin can cause Duchenne muscular dystrophy (DMD) and increase the sensitivity to stress in vertebrate species, including the mdx mouse model of DMD. Behavioral stressors can exacerbate some dystrophinopathy phenotypes of mdx skeletal muscle and cause hypotension-induced death. However, we have discovered that a subpopulation of mdx mice present with a wildtype-like response to mild (forced downhill treadmill exercise) and moderate (scruff restraint) behavioral stressors. These "stress-resistant" mdx mice are more physically active, capable of super-activating the hypothalamic-pituitary-adrenal and renin-angiotensin-aldosterone pathways following behavioral stress and they express greater levels of mineralocorticoid and glucocorticoid receptors in striated muscle relative to "stress-sensitive" mdx mice. Stress-resistant mdx mice also presented with a less severe striated muscle histopathology and greater exercise and skeletal muscle oxidative capacity at rest. Most interestingly, female mdx mice were more physically active following behavioral stressors compared to male mdx mice; a response abolished after ovariectomy and rescued with estradiol. We demonstrate that the response to behavioral stress greatly impacts disease severity in mdx mice suggesting the management of stress in patients with DMD be considered as a therapeutic approach to ameliorate disease progression.
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