Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances

Centronuclear myopathies (CNM) are rare congenital disorders characterized by muscle weakness and structural defects including fiber hypotrophy and organelle mispositioning. The main CNM forms are caused by mutations in: the <i>MTM1</i> gene encoding the phosphoinositide phosphatase myot...

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Autores principales: Raquel Gómez-Oca, Belinda S. Cowling, Jocelyn Laporte
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:08539916a47a4d8389490e8ecf59e3502021-11-11T16:51:02ZCommon Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances10.3390/ijms2221113771422-00671661-6596https://doaj.org/article/08539916a47a4d8389490e8ecf59e3502021-10-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11377https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Centronuclear myopathies (CNM) are rare congenital disorders characterized by muscle weakness and structural defects including fiber hypotrophy and organelle mispositioning. The main CNM forms are caused by mutations in: the <i>MTM1</i> gene encoding the phosphoinositide phosphatase myotubularin (myotubular myopathy), the <i>DNM2</i> gene encoding the mechanoenzyme dynamin 2, the <i>BIN1</i> gene encoding the membrane curvature sensing amphiphysin 2, and the <i>RYR1</i> gene encoding the skeletal muscle calcium release channel/ryanodine receptor. MTM1, BIN1, and DNM2 proteins are involved in membrane remodeling and trafficking, while RyR1 directly regulates excitation-contraction coupling (ECC). Several CNM animal models have been generated or identified, which confirm shared pathological anomalies in T-tubule remodeling, ECC, organelle mispositioning, protein homeostasis, neuromuscular junction, and muscle regeneration. Dynamin 2 plays a crucial role in CNM physiopathology and has been validated as a common therapeutic target for three CNM forms. Indeed, the promising results in preclinical models set up the basis for ongoing clinical trials. Another two clinical trials to treat myotubular myopathy by MTM1 gene therapy or tamoxifen repurposing are also ongoing. Here, we review the contribution of the different CNM models to understanding physiopathology and therapy development with a focus on the commonly dysregulated pathways and current therapeutic targets.Raquel Gómez-OcaBelinda S. CowlingJocelyn LaporteMDPI AGarticlecentronuclear myopathymyotubular myopathymyotubularindynaminamphiphysinryanodine receptorBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11377, p 11377 (2021)
institution DOAJ
collection DOAJ
language EN
topic centronuclear myopathy
myotubular myopathy
myotubularin
dynamin
amphiphysin
ryanodine receptor
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle centronuclear myopathy
myotubular myopathy
myotubularin
dynamin
amphiphysin
ryanodine receptor
Biology (General)
QH301-705.5
Chemistry
QD1-999
Raquel Gómez-Oca
Belinda S. Cowling
Jocelyn Laporte
Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
description Centronuclear myopathies (CNM) are rare congenital disorders characterized by muscle weakness and structural defects including fiber hypotrophy and organelle mispositioning. The main CNM forms are caused by mutations in: the <i>MTM1</i> gene encoding the phosphoinositide phosphatase myotubularin (myotubular myopathy), the <i>DNM2</i> gene encoding the mechanoenzyme dynamin 2, the <i>BIN1</i> gene encoding the membrane curvature sensing amphiphysin 2, and the <i>RYR1</i> gene encoding the skeletal muscle calcium release channel/ryanodine receptor. MTM1, BIN1, and DNM2 proteins are involved in membrane remodeling and trafficking, while RyR1 directly regulates excitation-contraction coupling (ECC). Several CNM animal models have been generated or identified, which confirm shared pathological anomalies in T-tubule remodeling, ECC, organelle mispositioning, protein homeostasis, neuromuscular junction, and muscle regeneration. Dynamin 2 plays a crucial role in CNM physiopathology and has been validated as a common therapeutic target for three CNM forms. Indeed, the promising results in preclinical models set up the basis for ongoing clinical trials. Another two clinical trials to treat myotubular myopathy by MTM1 gene therapy or tamoxifen repurposing are also ongoing. Here, we review the contribution of the different CNM models to understanding physiopathology and therapy development with a focus on the commonly dysregulated pathways and current therapeutic targets.
format article
author Raquel Gómez-Oca
Belinda S. Cowling
Jocelyn Laporte
author_facet Raquel Gómez-Oca
Belinda S. Cowling
Jocelyn Laporte
author_sort Raquel Gómez-Oca
title Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
title_short Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
title_full Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
title_fullStr Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
title_full_unstemmed Common Pathogenic Mechanisms in Centronuclear and Myotubular Myopathies and Latest Treatment Advances
title_sort common pathogenic mechanisms in centronuclear and myotubular myopathies and latest treatment advances
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/08539916a47a4d8389490e8ecf59e350
work_keys_str_mv AT raquelgomezoca commonpathogenicmechanismsincentronuclearandmyotubularmyopathiesandlatesttreatmentadvances
AT belindascowling commonpathogenicmechanismsincentronuclearandmyotubularmyopathiesandlatesttreatmentadvances
AT jocelynlaporte commonpathogenicmechanismsincentronuclearandmyotubularmyopathiesandlatesttreatmentadvances
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