1. Loss of myogenic potential and fusion capacity of muscle stem cells isolated from contractured muscle in children with cerebral palsy.
- Author
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Domenighetti AA, Mathewson MA, Pichika R, Sibley LA, Zhao L, Chambers HG, and Lieber RL
- Subjects
- Adolescent, Cell Differentiation physiology, Cerebral Palsy metabolism, Child, Child, Preschool, Contracture metabolism, Down-Regulation physiology, Female, Focal Adhesion Protein-Tyrosine Kinases metabolism, Humans, Integrins metabolism, Male, Muscle Fibers, Skeletal metabolism, Muscle Fibers, Skeletal physiology, Muscle, Skeletal metabolism, Regeneration physiology, Satellite Cells, Skeletal Muscle metabolism, Stem Cells metabolism, Cerebral Palsy pathology, Contracture pathology, Muscle Development physiology, Muscle, Skeletal pathology, Satellite Cells, Skeletal Muscle pathology, Stem Cells pathology
- Abstract
Cerebral palsy (CP) is the most common cause of pediatric neurodevelopmental and physical disability in the United States. It is defined as a group of motor disorders caused by a nonprogressive perinatal insult to the brain. Although the brain lesion is nonprogressive, there is a progressive, lifelong impact on skeletal muscles, which are shorter, spastic, and may develop debilitating contractures. Satellite cells are resident muscle stem cells that are indispensable for postnatal growth and regeneration of skeletal muscles. Here we measured the myogenic potential of satellite cells isolated from contractured muscles in children with CP. When compared with typically developing (TD) children, satellite cell-derived myoblasts from CP differentiated more slowly (slope: 0.013 (SD 0.013) CP vs. 0.091 (SD 0.024) TD over 24 h, P < 0.001) and fused less (fusion index: 21.3 (SD 8.6) CP vs. 81.3 (SD 7.7) TD after 48 h, P < 0.001) after exposure to low-serum conditions that stimulated myotube formation. This impairment was associated with downregulation of several markers important for myoblast fusion and myotube formation, including DNA methylation-dependent inhibition of promyogenic integrin-β 1D (ITGB1D) protein expression levels (-50% at 42 h), and ~25% loss of integrin-mediated focal adhesion kinase phosphorylation. The cytidine analog 5-Azacytidine (5-AZA), a demethylating agent, restored ITGB1D levels and promoted myogenesis in CP cultures. Our data demonstrate that muscle contractures in CP are associated with loss of satellite cell myogenic potential that is dependent on DNA methylation patterns affecting expression of genetic programs associated with muscle stem cell differentiation and muscle fiber formation.
- Published
- 2018
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