PMID- 34360794 OWN - NLM STAT- MEDLINE DCOM- 20210908 LR - 20210908 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 15 DP - 2021 Jul 27 TI - Activation of Muscle-Specific Kinase (MuSK) Reduces Neuromuscular Defects in the Delta7 Mouse Model of Spinal Muscular Atrophy (SMA). LID - 10.3390/ijms22158015 [doi] LID - 8015 AB - Spinal muscular atrophy (SMA) is a motor neuron disease caused by insufficient levels of the survival motor neuron (SMN) protein. One of the most prominent pathological characteristics of SMA involves defects of the neuromuscular junction (NMJ), such as denervation and reduced clustering of acetylcholine receptors (AChRs). Recent studies suggest that upregulation of agrin, a crucial NMJ organizer promoting AChR clustering, can improve NMJ innervation and reduce muscle atrophy in the delta7 mouse model of SMA. To test whether the muscle-specific kinase (MuSK), part of the agrin receptor complex, also plays a beneficial role in SMA, we treated the delta7 SMA mice with an agonist antibody to MuSK. MuSK agonist antibody #13, which binds to the NMJ, significantly improved innervation and synaptic efficacy in denervation-vulnerable muscles. MuSK agonist antibody #13 also significantly increased the muscle cross-sectional area and myofiber numbers in these denervation-vulnerable muscles but not in denervation-resistant muscles. Although MuSK agonist antibody #13 did not affect the body weight, our study suggests that preservation of NMJ innervation by the activation of MuSK may serve as a complementary therapy to SMN-enhancing drugs to maximize the therapeutic effectiveness for all types of SMA patients. FAU - Feng, Zhihua AU - Feng Z AD - Section of Neurobiology, Department of Biological Sciences, University of Southern California, Los Angeles, CA 90089, USA. FAU - Lam, Steven AU - Lam S AD - Section of Neurobiology, Department of Biological Sciences, University of Southern California, Los Angeles, CA 90089, USA. FAU - Tenn, Elena-Marie Sandino AU - Tenn ES AD - Section of Neurobiology, Department of Biological Sciences, University of Southern California, Los Angeles, CA 90089, USA. FAU - Ghosh, Arundhati Sengupta AU - Ghosh AS AD - Department of Neuroscience, Genentech, South San Francisco, CA 94080, USA. FAU - Cantor, Sarah AU - Cantor S AD - Department of Neuroscience, Skirball Institute of Biomolecular Medicine, New York University, New York City, NY 10016, USA. FAU - Zhang, Wei AU - Zhang W AUID- ORCID: 0000-0001-7601-7034 AD - Department of Neuroscience, Skirball Institute of Biomolecular Medicine, New York University, New York City, NY 10016, USA. FAU - Yen, Pei-Fen AU - Yen PF AD - Section of Neurobiology, Department of Biological Sciences, University of Southern California, Los Angeles, CA 90089, USA. FAU - Chen, Karen S AU - Chen KS AD - Spinal Muscular Atrophy Foundation, P.O. Box 9214, Jackson, WY 83002, USA. FAU - Burden, Steven AU - Burden S AD - Department of Neuroscience, Skirball Institute of Biomolecular Medicine, New York University, New York City, NY 10016, USA. FAU - Paushkin, Sergey AU - Paushkin S AD - Spinal Muscular Atrophy Foundation, P.O. Box 9214, Jackson, WY 83002, USA. FAU - Ayalon, Gai AU - Ayalon G AUID- ORCID: 0000-0002-0872-9168 AD - Ultragenyx Pharmaceutical, Novato, CA 94949, USA. FAU - Ko, Chien-Ping AU - Ko CP AUID- ORCID: 0000-0002-3365-0005 AD - Section of Neurobiology, Department of Biological Sciences, University of Southern California, Los Angeles, CA 90089, USA. LA - eng GR - N/A/Spinal Muscular Atrophy Foundation/ PT - Journal Article DEP - 20210727 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Smn1 protein, mouse) RN - 0 (Survival of Motor Neuron 1 Protein) RN - EC 2.7.10.1 (MuSK protein, mouse) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Animals MH - Disease Models, Animal MH - Enzyme Activation MH - Mice MH - Mice, Transgenic MH - Motor Neurons/*enzymology/pathology MH - Muscular Atrophy, Spinal/*enzymology/genetics/pathology MH - Neuromuscular Junction/*enzymology/genetics/pathology MH - Receptor Protein-Tyrosine Kinases/genetics/*metabolism MH - Survival of Motor Neuron 1 Protein/genetics/metabolism PMC - PMC8348537 OTO - NOTNLM OT - denervation OT - innervation OT - muscle-specific kinase (MuSK) OT - neuromuscular junction OT - skeletal muscle OT - spinal muscular atrophy COIS- A.S.G. is financially compensated as employees of Genentech. G.A. is an employee of Ultragenyx Pharmaceutical. The funders (S.P. and K.S.C.) had no role other than what was listed above in the Author Contribution section. All other authors declare no conflict of interest. EDAT- 2021/08/08 06:00 MHDA- 2021/09/09 06:00 PMCR- 2021/07/27 CRDT- 2021/08/07 01:07 PHST- 2021/05/31 00:00 [received] PHST- 2021/07/22 00:00 [revised] PHST- 2021/07/23 00:00 [accepted] PHST- 2021/08/07 01:07 [entrez] PHST- 2021/08/08 06:00 [pubmed] PHST- 2021/09/09 06:00 [medline] PHST- 2021/07/27 00:00 [pmc-release] AID - ijms22158015 [pii] AID - ijms-22-08015 [pii] AID - 10.3390/ijms22158015 [doi] PST - epublish SO - Int J Mol Sci. 2021 Jul 27;22(15):8015. doi: 10.3390/ijms22158015.