PMID- 21659335 OWN - NLM STAT- MEDLINE DCOM- 20120112 LR - 20171116 IS - 1460-2083 (Electronic) IS - 0964-6906 (Linking) VI - 20 IP - 17 DP - 2011 Sep 1 TI - Chronic AMPK activation evokes the slow, oxidative myogenic program and triggers beneficial adaptations in mdx mouse skeletal muscle. PG - 3478-93 LID - 10.1093/hmg/ddr265 [doi] AB - A therapeutic approach for Duchenne muscular dystrophy (DMD) is to up-regulate utrophin in skeletal muscle in an effort to compensate for the lack of dystrophin. We previously hypothesized that promotion of the slow, oxidative myogenic program, which triggers utrophin up-regulation, can attenuate the dystrophic pathology in mdx animals. Since treatment of healthy mice with the AMP-activated protein kinase (AMPK) activator 5-aminoimidazole-4-carboxamide-1-beta-D-ribofuranoside (AICAR) enhances oxidative capacity and elicits a fast-to-slow fiber-type transition, we evaluated the effects of chronic AMPK stimulation on skeletal muscle phenotype and utrophin expression in mdx mice. Daily AICAR administration (500 mg/kg/day, 30 days) of 5-7-week-old mdx animals induced an elevation in mitochondrial cytochrome c oxidase enzyme activity, an increase in myosin heavy-chain type IIa-positive fibers and slower twitch contraction kinetics in the fast, glycolytic extensor digitorum longus muscle. Utrophin expression was significantly enhanced in response to AICAR, which occurred coincident with an elevated beta-dystroglycan expression along the sarcolemma. These adaptations were associated with an increase in sarcolemmal structural integrity under basal conditions, as well as during damaging eccentric contractions ex vivo. Notably, peroxisome proliferator-activated receptor gamma co-activator-1alpha (PGC-1alpha) and silent information regulator two ortholog 1 protein contents were significantly higher in muscle from mdx mice compared with wild-type littermates and AICAR further increased PGC-1alpha expression. Our data show that AICAR-evoked muscle plasticity results in beneficial phenotypic adaptations in mdx mice and suggest that the contextually novel application of this compound for muscular dystrophy warrants further study. FAU - Ljubicic, Vladimir AU - Ljubicic V AD - Department of Cellular and Molecular Medicine, Faculty of Medicine, Centre for Neuromuscular Disease, University of Ottawa, Ottawa, Ontario, Canada K1H 8M5. FAU - Miura, Pedro AU - Miura P FAU - Burt, Matthew AU - Burt M FAU - Boudreault, Louise AU - Boudreault L FAU - Khogali, Shiemaa AU - Khogali S FAU - Lunde, John A AU - Lunde JA FAU - Renaud, Jean-Marc AU - Renaud JM FAU - Jasmin, Bernard J AU - Jasmin BJ LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110609 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (PPAR gamma) RN - 0 (Ribonucleotides) RN - 146888-27-9 (Dystroglycans) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - F0X88YW0YK (AICA ribonucleotide) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Aminoimidazole Carboxamide/*analogs & derivatives/pharmacology MH - Animals MH - Cell Line MH - Dystroglycans/genetics/metabolism MH - Mice MH - Mice, Inbred mdx MH - Muscle, Skeletal/*drug effects/*metabolism MH - PPAR gamma/genetics/metabolism MH - Ribonucleotides/*pharmacology MH - Sarcolemma/genetics/metabolism EDAT- 2011/06/11 06:00 MHDA- 2012/01/13 06:00 CRDT- 2011/06/11 06:00 PHST- 2011/06/11 06:00 [entrez] PHST- 2011/06/11 06:00 [pubmed] PHST- 2012/01/13 06:00 [medline] AID - ddr265 [pii] AID - 10.1093/hmg/ddr265 [doi] PST - ppublish SO - Hum Mol Genet. 2011 Sep 1;20(17):3478-93. doi: 10.1093/hmg/ddr265. Epub 2011 Jun 9.