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Publication : Muscle ERRγ mitigates Duchenne muscular dystrophy via metabolic and angiogenic reprogramming.

First Author  Matsakas A Year  2013
Journal  FASEB J Volume  27
Issue  10 Pages  4004-16
PubMed ID  23781095 Mgi Jnum  J:201176
Mgi Id  MGI:5511114 Doi  10.1096/fj.13-228296
Citation  Matsakas A, et al. (2013) Muscle ERRgamma mitigates Duchenne muscular dystrophy via metabolic and angiogenic reprogramming. FASEB J 27(10):4004-4016
abstractText  Treatment of Duchenne muscular dystrophy (DMD) by replacing mutant dystrophin or restoring dystrophin-associated glycoprotein complex (DAG) has been clinically challenging. Instead, identifying and targeting muscle pathways deregulated in DMD will provide new therapeutic avenues. We report that the expression of nuclear receptor estrogen-related receptor-gamma (ERRgamma), and its metabolic and angiogenic targets are down-regulated (50-85%) in skeletal muscles of mdx mice (DMD model) vs. wild-type mice. Corelatively, oxidative myofibers, muscle vasculature, and exercise tolerance (33%) are decreased in mdx vs. wild-type mice. Overexpressing ERRgamma selectively in the dystrophic muscles of the mdx mice restored metabolic and angiogenic gene expression compared with control mdx mice. Further, ERRgamma enhanced muscle oxidative myofibers, vasculature, and blood flow (by 33-66%) and improved exercise tolerance (by 75%) in the dystrophic mice. Restoring muscle ERRgamma pathway ameliorated muscle damage and also prevented DMD hallmarks of postexercise muscle damage, hypoxia, and fatigue in mdx mice. Notably, ERRgamma did not restore sarcolemmal DAG complex, which is thus dispensable for antidystrophic effects of ERRgamma. In summary, ERRgamma-dependent metabolic and angiogenic gene program is defective in DMD, and we demonstrate that its restoration is a potential strategy for treating muscular dystrophy.-Matsakas, A., Yadav, V., Lorca, S., Narkar, V. Muscle ERRgamma mitigates Duchenne muscular dystrophy via metabolic and angiogenic reprogramming.
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