PMID- 22278411 OWN - NLM STAT- MEDLINE DCOM- 20130528 LR - 20121211 IS - 1476-5462 (Electronic) IS - 0969-7128 (Linking) VI - 19 IP - 12 DP - 2012 Dec TI - AAV-based shRNA silencing of NF-kappaB ameliorates muscle pathologies in mdx mice. PG - 1196-204 LID - 10.1038/gt.2011.207 [doi] AB - Chronic inflammation, promoted by an upregulated NF-kappa B (NF-kappaB) pathway, has a key role in Duchenne muscular dystrophy (DMD) patients' pathogenesis. Blocking the NF-kappaB pathway has been shown to be a viable approach to diminish chronic inflammation and necrosis in the dystrophin-defective mdx mouse, a murine DMD model. In this study, we used the recombinant adeno-associated virus serotype 9 (AAV9) carrying an short hairpin RNA (shRNA) specifically targeting the messenger RNA of NF-kappaB/p65 (p65-shRNA), the major subunit of NF-kappaB associated with chronic inflammation in mdx mice. We examined whether i.m. AAV9-mediated delivery of p65-shRNA could decrease NF-kappaB activation, allowing for amelioration of muscle pathologies in 1- and 4-month-old mdx mice. At 1 month after treatment, NF-kappaB/p65 levels were significantly decreased by AAV gene transfer of p65-shRNA in the two ages of treatment groups, with necrosis significantly decreased compared with controls. Quantitative analysis revealed that central nucleation (CN) of the myofibers of p65-shRNA-treated 1-month-old mdx muscles was reduced from 67 to 34%, but the level of CN was not significantly decreased in treated 4-month-old mdx mice. Moreover, delivery of the p65-shRNA enhanced the capacity of myofiber regeneration in old mdx mice treated at 4 months of age when the dystrophic myofibers were most exhausted; however, such p65 silencing diminished the myofiber regeneration in young mdx mice treated at 1 month of age. Taken together, these findings demonstrate that the AAV-mediated delivery of p65-shRNA has the capacity to ameliorate muscle pathologies in mdx mice by selectively reducing NF-kappaB/p65 activity. FAU - Yang, Q AU - Yang Q AD - Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA 15219, USA. FAU - Tang, Y AU - Tang Y FAU - Imbrogno, K AU - Imbrogno K FAU - Lu, A AU - Lu A FAU - Proto, J D AU - Proto JD FAU - Chen, A AU - Chen A FAU - Guo, F AU - Guo F FAU - Fu, F H AU - Fu FH FAU - Huard, J AU - Huard J FAU - Wang, B AU - Wang B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120126 PL - England TA - Gene Ther JT - Gene therapy JID - 9421525 RN - 0 (NF-kappa B) RN - 0 (RNA, Small Interfering) SB - IM MH - Animals MH - Dependovirus/genetics MH - Male MH - Mice MH - Mice, Inbred mdx MH - Muscle, Skeletal/*pathology MH - Muscular Dystrophy, Duchenne/*genetics/pathology MH - NF-kappa B/*genetics/metabolism MH - RNA, Small Interfering MH - Regeneration/genetics EDAT- 2012/01/27 06:00 MHDA- 2013/05/29 06:00 CRDT- 2012/01/27 06:00 PHST- 2012/01/27 06:00 [entrez] PHST- 2012/01/27 06:00 [pubmed] PHST- 2013/05/29 06:00 [medline] AID - gt2011207 [pii] AID - 10.1038/gt.2011.207 [doi] PST - ppublish SO - Gene Ther. 2012 Dec;19(12):1196-204. doi: 10.1038/gt.2011.207. Epub 2012 Jan 26.