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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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) |
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DOAJ |
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EN |
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centronuclear myopathy myotubular myopathy myotubularin dynamin amphiphysin ryanodine receptor Biology (General) QH301-705.5 Chemistry QD1-999 |
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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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