PMID- 25324540 OWN - NLM STAT- MEDLINE DCOM- 20151116 LR - 20220309 IS - 1460-2083 (Electronic) IS - 0964-6906 (Linking) VI - 24 IP - 5 DP - 2015 Mar 1 TI - Utrophin A is essential in mediating the functional adaptations of mdx mouse muscle following chronic AMPK activation. PG - 1243-55 LID - 10.1093/hmg/ddu535 [doi] AB - Duchenne muscular dystrophy (DMD) is caused by the absence of dystrophin along muscle fibers. An attractive therapeutic avenue for DMD consists in the upregulation of utrophin A, a protein with high sequence identity and functional redundancy with dystrophin. Recent work has shown that pharmacological interventions that induce a muscle fiber shift toward a slower, more oxidative phenotype with increased expression of utrophin A confer morphological and functional improvements in mdx mice. Whether such improvements result from the increased expression of utrophin A per se or are linked to other beneficial adaptations associated with the slow, oxidative phenotype remain to be established. To address this central issue, we capitalized on the use of double knockout (dKO) mice, which are mdx mice also deficient in utrophin. We first compared expression of signaling molecules and markers of the slow, oxidative phenotype in muscles of mdx versus dKO mice and found that both strains exhibit similar phenotypes. Chronic activation of 5' adenosine monophosphate-activated protein kinase with 5-amino-4-imidazolecarboxamide riboside (AICAR) resulted in expression of a slower, more oxidative phenotype in both mdx and dKO mice. In mdx mice, this fiber type shift was accompanied by clear functional improvements that included reductions in central nucleation, IgM sarcoplasmic penetration and sarcolemmal damage resulting from eccentric contractions, as well as in increased grip strength. These important morphological and functional adaptations were not seen in AICAR-treated dKO mice. Our findings show the central role of utrophin A in mediating the functional benefits associated with expression of a slower, more oxidative phenotype in dystrophic animals. CI - (c) The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - Al-Rewashdy, Hasanen AU - Al-Rewashdy H AD - Department of Cellular and Molecular Medicine, and Centre for Neuromuscular Disease, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. FAU - Ljubicic, Vladimir AU - Ljubicic V AD - Department of Cellular and Molecular Medicine, and Centre for Neuromuscular Disease, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. FAU - Lin, Wei AU - Lin W AD - Department of Cellular and Molecular Medicine, and Centre for Neuromuscular Disease, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. FAU - Renaud, Jean-Marc AU - Renaud JM AD - Department of Cellular and Molecular Medicine, and Centre for Neuromuscular Disease, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. FAU - Jasmin, Bernard J AU - Jasmin BJ AD - Department of Cellular and Molecular Medicine, and Centre for Neuromuscular Disease, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada jasmin@uottawa.ca. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141016 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (Ribonucleosides) RN - 0 (Utrn protein, mouse) RN - 0 (Utrophin) RN - 146888-27-9 (Dystroglycans) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - 53IEF47846 (acadesine) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/genetics/*metabolism MH - Aminoimidazole Carboxamide/analogs & derivatives/metabolism MH - Animals MH - Disease Models, Animal MH - Dystroglycans/genetics/metabolism MH - Female MH - Genotyping Techniques MH - Hand Strength/physiology MH - Male MH - Mice MH - Mice, Inbred mdx MH - Mice, Knockout MH - Muscular Dystrophy, Duchenne/genetics MH - Myofibrils/*physiology MH - Phenotype MH - Ribonucleosides/metabolism MH - Utrophin/*genetics/metabolism EDAT- 2014/10/18 06:00 MHDA- 2015/11/17 06:00 CRDT- 2014/10/18 06:00 PHST- 2014/10/18 06:00 [entrez] PHST- 2014/10/18 06:00 [pubmed] PHST- 2015/11/17 06:00 [medline] AID - ddu535 [pii] AID - 10.1093/hmg/ddu535 [doi] PST - ppublish SO - Hum Mol Genet. 2015 Mar 1;24(5):1243-55. doi: 10.1093/hmg/ddu535. Epub 2014 Oct 16.