Neurogenetics (2006) 7: 81–91 DOI 10.1007/s10048-006-0031-7 ORIGINA L ARTI CLE Patrick E. Baker . Jessica A. Kearney . Bendi Gong . Anita P. Merriam . Donald E. Kuhn . John D. Porter . Jill A. Rafael-Fortney Analysis of gene expression differences between utrophin/ dystrophin-deficient vs mdx skeletal muscles reveals a specific upregulation of slow muscle genes in limb muscles Received: 23 August 2005 / Accepted: 6 December 2005 / Published online: 9 March 2006 # Springer-Verlag 2006 Abstract Dystrophin deficiency leads to the progressive muscle wasting disease Duchenne muscular dystrophy (DMD). Dystrophin-deficient mdx mice are characterized by skeletal muscle weakness and degeneration but they appear outwardly normal in contrast to DMD patients. Mice lacking both dystrophin and the dystrophin homolog utrophin [double knockout (dko)] have muscle degeneration similar to mdx mice, but they display clinical features similar to DMD patients. Dko limb muscles also lack postsynaptic membrane folding and display fiber-type abnormalities including an abundance of phenotypically oxidative muscle fibers. Extraocular muscles, which are spared in mdx mice, show a significant pathology in dko mice. In this study, microarray analysis was used to characterize gene expression differences between mdx and dko tibialis anterior and extraocular skeletal muscles in an effort to understand the phenotypic differences between these two dystrophic mouse models. Analysis of gene expression differences showed that upregulation of slow muscle genes specifically characterizes dko limb muscle and suggests that upregulation of these genes may directly account for the more severe phenotype of dko mice. To P. E. Baker . J. A. Kearney . D. E. Kuhn . J. A. Rafael-Fortney (*) Department of Molecular and Cellular Biochemistry, College of Medicine, The Ohio State University, Columbus, OH, USA e-mail: [email protected] Tel.: +1-614-2927043 Fax: +1-614-2924118 B. Gong . A. P. Merriam . J. D. Porter Department of Neurology, Case Western Reserve University, Cleveland, OH, USA B. Gong . A. P. Merriam . J. D. Porter University Hospitals of Cleveland, Cleveland, OH, USA J. D. Porter National Institutes of Neurological Disorders and Stroke, 6001 Executive Blvd, NINDS/NSC, Bethesda, MD 2142, USA investigate whether any upregulation of slow genes is retained in vitro, independent of postsynaptic membrane abnormalities, we derived mdx and dko primary myogenic cultures and analyzed the expression of Myh7 and Myl2. Real-time reverse transcriptase-polymerase chain reaction analysis demonstrates that transcription of these slow genes is also upregulated in dko vs mdx myotubes. This data suggests that at least part of the fiber-type abnormality is due directly to the combined absence of utrophin and dystrophin and is not an indirect effect of the postsynaptic membrane abnormalities. Keywords Muscular dystrophy . Dystrophin . Myh7 . Myl2 . Myosin heavy chain . Myosin light chain Introduction The dystrophin-associated protein complex (DAPC) is a large, multimeric structure found at the sarcolemma of muscle fibers that functions to fortify the integrity of the cell membrane during contraction by linking the cytoskeleton with the extracellular matrix [1–3]. Dystrophin, a cytoplasmic component of this complex, is bound to F-actin of the subsarcolemmal cytoskeleton and to a transmembrane glycoprotein of the DAPC, β-dystroglycan [4–9]. Mutational inactivation of the dystrophin gene causes Duchenne muscular dystrophy (DMD), an X-linked neuromuscular degenerative disease [10, 11]. Patients with DMD experience gradual muscle weakness beginning in early childhood and are nonambulant by 12 years of age. DMD patients typically die due to either cardiac failure caused by wasting of cardiac muscles or respiratory infections, a consequence of breathing difficulties caused by weakening of the diaphragm muscle [12]. Histological hallmarks of dystrophin-deficient skeletal muscle include internal nuclei in muscle fibers undergoing cycles of degeneration and regeneration and infiltration of inflammatory cells to these sites of degeneration [13, 14]. At the molecular level, the loss of dystrophin is accompanied by the reduction of DAPC at the sarcolemma [15–17]. 82 The mdx (muscular dystrophy on the X-chromosome) mouse strain has a nonsense mutation in exon 23 of the dystrophin gene [18]. Although mdx mice lack functional dystrophin, just as their human DMD counterparts, they manifest much milder signs of the disease. Although mdx skeletal muscle is characterized by necrosis, fibrous tissue deposition, and reduction in force production, the loss of overall muscle mass in mdx mice is minimal and mdx mice live an almost normal life span [19]. The presence of the dystrophin paralog utrophin in mdx skeletal and cardiac muscles is believed to partially compensate for the lack of dystrophin in the assembly of the DAPC [20]. In normal skeletal muscle fibers, utrophin is concentrated at the neuromuscular and myotendinous junctions; however, utrophin is localized under the entire sarcolemma in newly regenerated fibers present in mdx skeletal muscle [21, 22]. Overexpression of utrophin in transgenic mdx mice was shown to inhibit muscular dystrophy [20]. Mice deficient for both dystrophin and utrophin [double knockout (dko)] exhibit clinical signs similar to that seen in DMD patients, including joint contractures, kyphosis, short stature, breathing difficulty, and premature death (10–20 weeks for mice) [23]. Although the amount of muscle damage and regeneration is similar between mdx and dko littermates, skeletal muscles of dko mice exhibit several additional abnormalities. Dko skeletal muscle is characterized by an almost complete lack of postsynaptic folding at the neuromuscular junctions (NMJs) and a fiber-type abnormality [23–26]. Quadriceps and tibialis anterior (TA) muscles from dko mice almost exclusively contain oxidative skeletal muscle fibers in contrast to the mixture of glycolytic and oxidative fibers in these muscles from normal and mdx mice [27]. In addition, dko muscles show a specific absence of fatigable fibers and a shift toward slower myosin heavy chain protein isoforms compared to mdx and control muscles [28]. Transgenic expression of truncated dystrophin protein lacking the β-dystroglycan binding domain (Δcys) is able to ameliorate both the postsynaptic membrane and fibertype abnormalities of dko skeletal muscle [27, 29]. However, this Δcys dystrophin protein is unable to prevent muscle degeneration because it does not restore the mechanical link between dystrophin and the DAPC. These data indicate that providing a mechanical linkage between the cytoskeleton and the extracellular matrix is not the only function of dystrophin and utrophin. It is important to note that dystrophinopathy does not have a universal effect on all skeletal muscles. In DMD patients and mdx mice, the extraocular muscles do not display any of the functional and structural anomalies of limb and diaphragm muscles. Extraocular muscles are skeletal muscles of unique ontogeny with a diverse makeup of fiber-types and display physiological characteristics (weak, fast, and fatigue-resistant) that are contradictory in other skeletal muscles. Fiber-types for the global and orbital layers of extraocular muscles are broken down into six categories including singly and multiply innervated fibers of the orbital layer; red, intermediate, and pale singly innervated fibers of the global layer; and global multiply innervated fibers (reviewed in [30]). Adult extraocular muscles continue expression of embryonic isoforms of myosin heavy chain, coexpress myosin heavy chain isoforms within fibers, and express a unique isoform in addition to a slow-tonic isoform and the four isoforms of myosin heavy chains present in other adult skeletal muscle (reviewed in [30]). In mdx extraocular muscle, utrophin protein is found at elevated levels compared to both normal extraocular muscles and to limb muscle of mdx mice [31]. This increase in utrophin in mouse extraocular muscle appears to spare this muscle group from destabilization of the sarcolemma and the degeneration of fibers observed in mdx limb muscle. This hypothesis is further supported by the pathology in dko extraocular muscles [31]. However, because some muscle fibers in extraocular muscle (the orbital layer of the rectus muscle) of dko mice retain protection against pathology, utrophin upregulation alone cannot be responsible for sparing these muscle fibers. To further characterize the differences between dko and mdx skeletal muscles, we used microarray analysis to compare global gene expression in TA and extraocular muscles from dko vs mdx mice. This microarray analysis showed mildly enhanced expression of genes that characterize the dystrophic process, which were similarly shown to be greatly upregulated in mdx vs wild-type limb muscles [32]. It is notable that slow muscle fiber-type genes were upregulated in TA muscles from dko compared to mdx mice. This class of genes was not upregulated in dko vs mdx extraocular muscles nor was it reported to be upregulated in mdx vs normal hind limb muscle, suggesting that the combined loss of utrophin and dystrophin in limb muscle affects the fiber-type at the level of transcription. To determine whether any differences in slow muscle gene expression in the combined absence of utrophin and dystrophin compared to dystrophin alone persists in vitro, we derived primary myogenic cultures from hind limbs of mdx and dko mice. We performed real-time quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) to quantitate Myl2 and Myh7 transcripts that were shown by microarray analysis to be upregulated in dko muscle. The Myl2 gene is normally expressed in cardiomyocytes and slow, skeletal muscle. The Myh7 gene encodes the slow, heavy chain isoform in adult skeletal muscle and in prenatal ventricular muscle [33, 34]. We show that some upregulation of the Myl2 and Myh7 genes persists in dko myogenic cultures indicating that at least some of the regulation of these slow muscle genes is a direct consequence of the absence of dystrophin and utrophin and is independent of the postsynaptic abnormalities in dko skeletal muscle. 83 Materials and methods Mouse husbandry Male and female mdx;utrn+/− (mdx) mice were mated to generate mdx;Utrn−/− (dko) mice and mdx;utrn+/+ (mdx) mice. All mice were genotyped for the utrophin knockout allele status by PCR as previously described [35, 36]. Wildtype C57BL/10 (C57) mice were maintained as a separate inbred line. Mice were treated in accordance with the Institutional Laboratory Animal Care and Use Committee. Microarray analysis DNA microarray methods were done as described previously [37–39]. Briefly, DNA microarray analysis was performed as three independent triplicates containing RNA from muscles of four 8-week-old mice of each genotype. Total RNA used for microarray runs were extracted from TA and extraocular muscles (four rectus and two oblique muscles were extracted from 12 mice for each mdx and dko genotype) using the TRIzol reagent (GibcoBRL, Rockville, MD, USA). The resultant RNA pellets were resuspended at 1 μg/μl in diethylpyrocarbonatetreated water and 8 μg of RNA was used in a reverse transcription reaction (SuperScript II, Life Technologies, Rockville, MD, USA) to generate single strand cDNA. Double strand cDNA was generated and used in an in vitro transcription (IVT) reaction to generate biotinylated cRNA. Fifteen micrograms of fragmented cRNA was used in a 300-μl hybridization cocktail containing herring sperm DNA and bovine serum albumin (BSA) as carrier molecules, spiked IVT controls, and buffering agents. A 200-μl aliquot of this cocktail was used for hybridization to Affymetric (Santa Clara, CA, USA) MG-U74Av2 microarrays for 16 h at 45°C. The microarrays were analyzed using the manufacturer’s posthybridization wash, doublestain, and scanning protocols on an Affymetrix GeneChip Fluidics Station 400 and with a Hewlett-Packard Gene Array scanner. The raw data from the microarray scans were analyzed with both Microarray Affymetrix Suite (MAS) 5.0 and Robust Multichip Average (RMA) algorithm [40] in ArrayAssist 2.0 (Iobion Informatics, La Jolla, CA, USA). Transcripts absent from all samples were excluded from analysis. The MAS filter required that transcripts meet two criteria. First, the transcripts must have consistent increase/ decrease call across all replicate comparisons at a given time point based upon Wilcoxon’s signed rank test (algorithm assesses probe pair saturation, calculates a P value, and determines increase, decrease, or no change calls). Secondly, the transcripts should have an average fold difference value ≥2.0. Similarly, the RMA filter also required that transcripts show an average fold difference value ≥2.0. Transcripts were ultimately defined as differentially expressed only if they passed filtering by both algorithms. The microarray raw data series and CEL files were posted on the National Center for Biotechnology Information, Gene Expression Omnibus database (http://www. ncbi.nlm.nih.gov/geo/) under series record accession number GSE1463. Cell culture Total hind limb was dissected from 5-day-old mice and dissolved in a filtered-sterilized solution of 1 mg/ml collagenase (Sigma-Aldrich, St Louis, MO, USA) and 1 mg/ml BSA (Sigma-Aldrich) in phosphate-buffered saline (Cellgro, Herndon, VA, USA) for 15 min at 37°C. The supernatants were collected and filtered through a 40 μM filter (BD Falcon, San Jose, CA, USA). The filtrates were centrifuged at 1,000 rpm for 10 min. The pellets were resuspended in 10 ml of F10 HAM nutrient solution containing 15% horse serum, 200 mM L-glutamine, 2.5 ng/ml of amphotericin B, 1× penicillin/streptomycin, and 6 ng/ml of basic fibroblast growth factor (bFGF) (all from Sigma-Aldrich) and were plated onto gelatin-coated (0.2%) plates. Cells were passaged by trypsinization and plated onto uncoated plastic for 1 h to remove fibroblasts. The media containing myogenic cells was then transferred to gelatin-coated plates. Cells were fed every 12 h with growth media. After 1 week, cells were switched to media containing 2 ng/ml bFGF. When cells were approximately 95% confluent, media containing 5% horse serum and no bFGF was added to the cells for 24 h to initiate differentiation. Twenty-four hours later, the primary cultures were refed with media containing 10% horse serum. Nine-day postdifferentiation fused myotubes were harvested and suspended in RNALater (Ambion, Austin, TX, USA) stabilization buffer and stored at −80°C. Immunocytochemistry Cells were plated onto chambered glass slides coated with poly-D-lysine and laminin (BD Biosciences, San Jose, CA, USA). Cultured cells were allowed to grow to confluency and switched as described previously to serial differentiation media to promote myotube formation. Immunostaining was performed on day 9 postdifferentiated cultures. Cells were fixed by the addition of an equal volume of 3.7% formaldehyde solution in potassium phosphatebuffered saline (KPBS) to the cell culture followed by incubation on ice for 5 min. Media/formaldehyde solution was removed and 3.7% formaldehyde was added for 3 min on ice. Slides were rinsed in cold KPBS and then extracted with 0.5% Triton X-100 (BioRad, Hercules, CA, USA) in KPBS for 5 min on ice and rinsed in KPBS. Samples were blocked in 1% normal goat serum (NGS) (Vector Laboratories, Burlingame, CA, USA) in KPBS for 30 min. The slides were incubated overnight at 4°C with monoclonal antibodies against fast (MHC-f; 1:25), slow (MHC-s; 1:40), or developmental (MHC-d; 1:25) myosin 84 heavy chain isoforms (Novocastra Laboratories, Newcastle Upon Tyne, UK) in KPBS containing 1% NGS and 0.1% Tween-20 (Sigma-Aldrich). Slides were rinsed five times in KPBS and incubated with 1:200 anti-mouse-CY3labeled secondary (Jackson Laboratories, Bar Harbor, ME, USA) in 1% NGS and 0.1% Tween-20 solution for 1 h at room temperature. Slides were rinsed five times and mounted in Vectashield (Vector Laboratories) containing 1 μl/ml DAPI (Sigma-Aldrich). Real-time RT-PCR To generate standards for the real-time RT-PCR, cDNA was first synthesized from C57 heart RNA using the SuperScript First Strand Synthesis System for RT-PCR (Invitrogen, Carlsbad, CA, USA). The cDNA served as template for subsequent PCR using the 18S-T7/18S-R, the Myl2-T7/ Myl2-R, and the Myh7-T7/Myh7-R primer pairs (Table 1) in separate reactions. The sequence for the T7 promoter was included at the 5′-end of the forward primers of each pair. This design resulted in the synthesis of PCR products containing the T7 promoter, which allowed the PCR products to be used as DNA templates for IVT with the MEGA Shortscript Kit (Ambion). The Myh7, Myl2, and 18S RNA from the IVT reactions were quantified using a spectrophometer and were aliquoted at concentrations of 100, 10, 1, 0.1, and 0.01 ng/4 μl. For real-time RT-PCR, total RNA was isolated from material that was frozen at −80°C or stored in RNALater using the RNeasy Mini kit (BioRad). The sources of the RNA were C57 heart, dko heart, mdx myotube cultures, dko myotube cultures, C57 quadriceps, dko quadriceps, and mdx quadriceps. The RNA was quantified using a spectrophotometer. For 18S detection, 100 ng/4 μl of sample RNA was used; 500 ng/4 μl of RNA was used for Myl2 detection; and 400 ng/4 μl of RNA was used for Myh7 detection. Four microliters of RNA at the appropriate concentration, 6.6 μl of sterile water, 1.3 μl of 50 mM Mn (OAc)2, and 0.75 μl of 0.25 μM of forward and reverse primers (18SII-F/18SII-R, Myl2-F/Myl2-R, or Myh7IV-F/ Myh7IV-R) (Table 1) were added to 7.5 μl of LightCycler Table 1 Primers used in RT-PCR Primers Primer sequence 18S-T7 5′-TAATACGACTCACTATAGGGTGACTCAA CACGGGAAACCTCAC-3′ 5′-TGACTCAACACGGGAAACCTCAC-3′ 5′-ATCCAATCGGTAGTAGCGACGG-3′ 5′-TAATACGACTCACTATAGGGCGACAAGAAT GACCTAAGGGACAC-3′ 5′-CGACAAGAATGACCTAAGGGACAC-3′ 5′-GCCAAGACTTCCTGTTTATTTGCG-3′ 5′-TAATACGACTCACTATAGGGCACTATGCTGG CACTGTGGACTAC-3′ 5′-CACTATGCTGGCACTGTGGACTAC-3′ 5′-TGGGTTCAGGATGCGATACCTC-3′ 18S-F 18S-R Myl2-T7 Myl2-F Myl2-R Myh7-T7 Myh7-F Myh7-R RNA Master SYBR Green I (Roche, Germany). The RTPCR reactions were carried out using the LightCycler realtime PCR machine (Roche) in capillary tubes (Roche) specifically designed for the apparatus. The reverse transcription phase was performed at 61°C for 20 min followed by the amplification phase. In the amplification phase, the samples underwent 30 cycles of 95°C for 5 s, 50°C for 50 s, and 72°C for 13 s. After the amplification phase, the samples were denatured at 95°C for 2 min. Melting curve analysis was conducted after the following treatment: 95°C for 5 s, 65°C for 15 s, and 95°C for 0 s. To calculate the actual number of transcripts in each RNA sample, standard curves were generated from analysis of the known amounts of Myl2, Myh7, and 18S RNA from IVT. The LightCycler software calculated the amount of PCR product yielded from the standards after the RTPCR and this data was used to create standard curves, which allowed the calculation of the copy number of Myl2, Myh7, or 18S RNA in the RNA samples from the muscle and cell culture samples. Real-time RT-PCR for each gene was performed in separate runs each consisting of the RNA standards and RNA samples from C57 heart, dko heart, mdx myotube culture, dko myotube culture, C57 quadriceps, dko quadriceps, and mdx quadriceps. The raw data for each sample was the mean of triplicate RT-PCR runs for each gene. The mean of these runs was corrected by dividing by 4 (for the Myh7 assays) or 5 (for the Myl2 assays) because either four or five times as much RNA was used for the Myh7 and Myl2 assays than what was used in the 18S assay. This corrected mean copy number of the three runs for a given sample was then divided by the mean of the copy number of three runs of 18S for that sample. Statistical analysis of data was performed using one-way ANOVA with the Scheffe multiple comparison post hoc test (SSPS version 12.0, Chicago, IL, USA). Results Genome-wide expression changes in dko vs mdx skeletal muscles We used DNA microarray analyses to identify global changes in gene expression in dko skeletal muscles compared to those of mdx mice. We have previously identified different sets of gene expression changes in extraocular vs limb muscles in response to dystrophindeficiency [37, 38]. We have also shown that dko mice show a pathology in extraocular muscles, which are spared in mdx [31]. Therefore, we compared expression profiles between dko and mdx mice for the limb muscle, TA, and extraocular muscles. Independent triplicate analyses were conducted for each muscle group and mouse strain and the data were analyzed using both the Affymetrix and RMA algorithms. Seventy-five and 30 transcripts in TA and extraocular muscles, respectively, were identified to be differentially expressed ± two-fold between dko and mdx using the 85 Affymetrix algorithm. In both muscles, the overwhelming majority of differentially regulated transcripts were increased in expression level in dko (83% for TA and 87% for extraocular muscle). For the hind limb, transcriptional patterns previously reported for mdx vs the wild-type control strain for both mdx and dko were further enhanced in dko vs mdx muscles [32]. We observed further increases above those reported for mdx in the expression of transcripts encoding proteins contributing to the extracellular matrix (e.g., Ctgf, Mmp3, Col8a1, and Col3a1), cytoskeleton (e.g., Tmsb 10 and Tubb2), muscle regeneration (e.g., Myh3, Myog, and Acta2), inflammation (e.g., Cd53, Ccl8, C1qb, and Gp49a), and proteolysis (e.g., Lzps, Lyzs, and Capn6) functional categories that represent the major events in dystrophic skeletal muscle. In contrast, the extraocular muscles showed nearly no changes in extracellular matrix transcripts and upregulation of only some genes related to inflammation (e.g., Ccl2, Lgals3, and Gp49b) and proteolysis (Lzp-s and Lyzs). Determination of differentially expressed transcripts using the RMA algorithm and a ± twofold difference cutoff identified fewer differentially expressed genes in dko vs mdx comparisons, 28 for hind limb and 15 for extraocular muscle. We chose to designate only those genes in the intersection of the Affymetrix and RMA algorithms as differentially expressed in dko muscles, resulting in 22 transcripts for TA (Table 2) and 12 transcripts for extraocular muscle (Table 3). In addition to the categories of differentially expressed genes that generally characterize dystrophic muscle, dko TA showed an upregulation of genes that characterize slow muscle fiber-type. This class of genes was not shown to be differentially expressed between mdx and wild-type limb muscles [32]. The differentially expressed slow fiber transcripts include those that encode sarcomeric proteins (Myl2, Myh7, Tnnc1, Tnnt1, Tnnt2, Tpm3, and Tnni1) and the slow isoform of a sarcoplasmic reticulum pump (Atp2a2). This induction of slow fiber transcripts represented a significant functional response, amounting to 42% of the upregulated genes observed for the TA. None of these genes nor any other genes linked to slow fiber function were differentially expressed in dko vs mdx extraocular muscle (moreover, none of the eight slow fiber genes identified for dko TA even met the threshold for extraocular muscle for either the Affymetrix or RMA algorithms). Analysis of the Myl2 and Myh7 genes in dko limb muscle and myogenic culture samples Because postsynaptic membrane and fiber-type abnormalities are both present in dko mice and are both ameliorated by the Δcys transgene, it was not determined whether these two phenotypes are linked or whether the absence of utrophin and dystrophin directly leads to alterations in Table 2 Gene expression differences in dko vs mdx TA muscle Affymetrix probe ID Slow muscle transcripts 93050_at 98616_f_at 101063_at 161361_s_at 99570_s_at 100593_at 93266_at 98561_at Other transcripts 160753_at 103570_at 93294_at 101993_at 92593_at 93037_i_at 100325_at 160487_at 93038_f_at 100611_at 102990_at 98942_r_at 101489_at 93584_at Accession no. Gene (symbol) Fold difference M91602 AJ223362 M29793 AV213431 AF029982 L47600 U04541 AJ242874 Myosin, light polypeptide 2, regulatory, cardiac, slow (Myl2) Myosin, heavy polypeptide 7, cardiac muscle, beta (Myh7) Troponin C, cardiac/slow skeletal (Tnnc1) Troponin T1, skeletal, slow (Tnnt1) ATPase, Ca++ transporting, cardiac muscle, slow twitch 2 (Atp2a2) Troponin T2, cardiac (Tnnt2) Tropomyosin 3, gamma (Tpm3) Troponin I, skeletal, slow 1 (Tnni1) 24.7 22.3 5.9 3.7 3.2 2.8 2.7 2.2 M74753 AI315647 M70642 X56304 D13664 M69260 M65027 M19436 M69260 M21050 AA655199 AW125284 D12780 V00821 Myosin, heavy polypeptide 3, skeletal muscle, embryonic (Myh3) C1q and tumor necrosis factor related protein 3 (C1qtnf3) Connective tissue growth factor (Ctgf) Tenascin C (Tnc) Periostin, osteoblast-specific factor (Postn) Annexin A1 (Anxa1) Glycoprotein 49 A (Gp49a) Myosin, light polypeptide 4 (Myl4) Annexin A1 (Anxa1) Lysozyme (Lyzs) Procollagen, type III, alpha 1 (Col3a1) RIKEN cDNA 2310032D16 S-adenosylmethionine decarboxylase 1 (Amd1) Immunoglobulin heavy chain 6 (heavy chain of IgM) (Igh-6) 3.8 3.6 3.2 3.1 2.5 2.5 2.4 2.3 2.2 2.1 2.1 −2.1 −2.4 −3.4 86 Table 3 Gene expression differences in dko vs mdx extraocular muscle Affymetrix probe ID Accession no. Gene (symbol) Fold difference 102736_at 97519_at 95706_at 98543_at 100325_at 101753_s_at 160469_at 99071_at 100611_at 98575_at 94057_g_at 101566_f_at M19681 X13986 X16834 AJ223208 M65027 X51547 M62470 L20315 M21050 X13135 M21285 M17818 Chemokine (C-C motif) ligand 2 (Ccl2) Secreted phosphoprotein 1 (Spp1) Lectin, galactose binding, soluble 3 (Lgals3) Cathepsin S (Ctss) Glycoprotein 49 A (Gp49a) P lysozyme structural (Lzp-s) Thrombospondin 1 (Thbs1) Macrophage expressed gene 1 (Mpeg1) Lysozyme (Lyzs) Fatty acid synthase (Fasn) Stearoyl-Coenzyme A desaturase 1 (Scd1) Major urinary protein 1 (Mup1) 6.1 5.6 5 4.5 3.4 2.8 2.6 2.6 2.4 −2 −2.3 −2.8 fiber-type pathways [27]. It is possible that the postsynaptic membrane abnormality present in dko muscle may alter the signal that the muscle fiber receives from the motor neuron through the NMJ. Skeletal muscle was shown to switch muscle fiber type in vivo in response to changes in innervation, physical activity, hormones, and aging [41]. Therefore, we sought to determine whether slow muscle gene expression differences between dko and mdx muscles persist in the absence of these in vivo factors. To investigate whether the upregulation of Myl2 and Myh7 (two slow fiber-type genes that demonstrated 24.7and 22.3-fold increases in expression compared to mdx) is independent of dko in vivo postsynaptic NMJ abnormalities, we derived primary myogenic cultures from dko and control mdx littermates. Hind limb muscle from day 5 neonatal littermates was used to isolate myogenic cells. In parallel, the mice were genotyped and cultures derived from two dko and two mdx littermates were expanded. Each culture was passed nine times to eliminate any carryover fibers from the original muscle and preplated on uncoated plastic culture dishes to remove the majority of fibroblasts. At 95% confluency, passage nine dko and mdx cultures were switched from growth media to differentiation media and allowed to fuse for a period of 9 days. The morphology, doubling rate, and rate of fusion were indistinguishable between dko and mdx cultures. To determine differences in gene expression of the Myh7 and Myl2 genes, we performed real-time RT-PCR in triplicate independent runs on total RNA derived from day 9 postdifferentiation dko and mdx cultures. Real-time RT-PCR enables us to determine target transcript copies in a given sample. To control for possible variations in the amount of RNA between samples, the raw data was normalized with the copy number of 18S ribosomal RNA calculated for each sample in a parallel real-time RT-PCR run. The 18S was chosen as a control because other housekeeping genes related to oxidative and glycolytic pathways are known to vary in the dko mice with skeletal muscle fiber-type abnormalities compared to controls. To confirm the data from the microarray analysis performed on dko and mdx skeletal muscle and to compare this data with data obtained from real-time RT-PCR analysis of the cell cultures, we included in this study RNA from quadriceps muscles isolated from dko, mdx, and C57 mice. Also, as positive controls, we included total heart RNA from C57 and dko mice where Myl2 and Myh7 should be expressed. The degree of statistical significance of differences in gene expression between samples was determined by one-way ANOVA with the Scheffe multiple comparison post hoc test. C57 heart expressed higher levels of Myh7 than dko heart did [146 copies (per 106 copies of 18S) vs 74 copies; a twofold difference] although this is not statistically significant (Fig. 1). As predicted, dko quadriceps (280±199 copies) expressed higher levels of Myh7 than mdx (2±0.4 copies; a 114-fold difference) and C57 (2±0.6 copies; 163fold difference) quadriceps (Fig. 1). Myh7 was also found to be upregulated in the dko myotube culture samples compared to the mdx culture (337±112 copies vs 74±3 copies; a 4.6-fold difference) (Fig. 1). The increase of Myh7 transcripts in dko in the cell culture group and the quadriceps group was determined to be statistically significant. The low expression level of Myh7 in C57 quadriceps muscle was consistent with previous studies of Myh7 in quadriceps using conventional RT-PCR experiments [42]. Real-time RT-PCR analysis showed that Myl2 (Fig. 2) has a more robust expression compared to Myh7 (Fig. 1) expression in C57 and dko heart. This data is consistent with reports of downregulation of Myh7 expression in the heart shortly after birth [33, 34]. A higher level of Myl2 gene expression was observed in dko quadriceps (249±149 copies) than in C57 quadriceps (10±4 copies; 25-fold difference) and in mdx quadriceps (4±2; 63-fold difference) (Fig. 2). Elevated levels of Myl2 were also observed in dko vs mdx myotube cultures (46±24 copies vs 9±3 copies; fivefold difference) and dko vs C57 heart RNA samples (19,894±3,700 copies vs 9,862±1,203 copies, respectively; twofold difference) (Fig. 2). Although the number of Myl2 copies detected in dko vs mdx myotubes and quadriceps had nonoverlapping standard deviations, statistical evalua- 87 copies of Myh7/ million copies of 18S rRNA 600.0 500.0 400.0 300.0 200.0 † 100.0 ‡ ‡ C57 Quadricep MDX Quadricep 0.0 Dko Heart C57 Heart MDX Dko Myotube Dko Myotube Quadricep elevated levels of Myh7 RNA compared to mdx myotube cultures and mdx quadriceps, respectively. However, Myh7 expression in dko heart was lower than in C57 heart sample. A P value of less than 0.05 denotes statistical significance under analysis with one-way ANOVA. Dagger (†) denotes that result is significantly different (P<0.05) from dko myotube culture. Double dagger (‡) denotes that result is significantly different (P<0.05) from dko quadriceps sample tion determined that the elevated levels detected in dko myotubes and quadriceps were not significantly different from mdx myotubes and quadriceps, respectively. Real-time RT-PCR was able to detect the low levels of Myl2 transcripts in the C57 and the mdx quadriceps RNA samples (9.9±4.4 copies and 3.6± 2.6 copies, respectively) (Fig. 2). This low level detection underscores the greater sensitivity of real-time analysis compared to Northern blotting, which in at least one previous study, failed to show any evidence of Myl2 in quadriceps muscle [43]. Copies of Myl2 RNA per 1 million copies of 18S rRNA Fig. 1 Expression of Myh7 in dko, mdx, and C57 muscle samples. Real-time RT-PCR analysis was performed to quantitate Myh7 transcripts present in total RNA derived from each sample listed on the x-axis. Each bar represents the mean (±SD) of Myh7 transcripts per million copies of 18S from three separate runs of RT-PCR using the same amount of total RNA for Myh7 (100 ng) and 18S (25 ng) assays. Dko myotube cultures and dko quadriceps expressed 100000.0 † ‡ 10000.0 ‡ 1000.0 ‡ 100.0 † † † ‡ † ‡ † 10.0 1.0 Dko Heart C57 Heart MDX Myotube Dko Myotube Fig. 2 Expression of Myl2 in dko, mdx, and C57 muscle samples. Real-time RT-PCR analysis was performed to quantitate Myl2 transcripts present in total RNA derived from each sample listed on the x-axis. Each bar represents the mean (±SD) of Myl2 transcripts per million copies of 18S from three separate runs of RT-PCR using the same amount of total RNA for myplc (125 ng) and 18S (25 ng) assays. Dko myotube cultures, dko quadriceps, and dko hearts expressed elevated levels of Myl2 RNA compared to mdx myotube Dko C57 Quadricep Quadricep MDX Quadricep cultures, mdx quadriceps, and mdx hearts, respectively. Statistical analysis using one-way ANOVA determined significant difference between both heart samples and the rest of the samples, but failed to find significant differences between the remainder of the samples. Dagger (†) denotes that result is significantly different (P<0.05) from dko heart. Double dagger (‡) denotes that result is significantly different (P<0.05) from C57 heart 88 Localization of myosin heavy chain isoforms in mdx and dko myotube cultures Because dko skeletal muscle in vivo is characterized by oxidative enzymes and slow muscle protein isoforms, we tested whether the upregulation of slow muscle gene expression observed in vitro correlated with a shift to slow muscle protein isoform in myotubes 9 days after switching the dko myogenic cultures to differentiation medium. Immunocytochemistry was conducted on mdx and dko myogenic cultures with antibodies against slow, fast, and developmental myosin heavy chain isoforms (MHC-s, MHC-f, and MHC-d) (Fig. 3). Although each of these antibodies reacts with similar affinities to dko muscles in vivo, antibodies against MHC-s only detect very low amounts of protein in a small percentage of myotubes in both dko and mdx (Fig. 3b). Most of the myotubes in both the dko and mdx cultures are brightly stained with antibody against MHC-f (Fig. 3a), which was shown to positively stain 2-week-old dko and mdx diaphragm muscle fibers [26]. Only a few fibers in both the dko and mdx cultures are stained with MHC-d (Fig. 3c). This result is in contrast Fig. 3 Immunocytochemistry for MHC isoforms on differentiated myotubes derived from mdx and dko primary cultures. Dko and mdx myotubes were incubated with antibodies against a MHC-f, b MHC-s, and c MHC-d and were visualized using anti-Cy3labeled secondary antibody (red). Nuclei were stained with DAPI (blue). Merged images of red and blue channels are shown. No differences were seen between the dko and mdx genotypes for any of the three antibodies. MHC-slow staining was overall less intense than the other two isoforms. Although MHC-d staining is intense, fewer positively stained myotubes than those immunostained with the fast and slow isoforms were present with dko diaphragm muscle and mdx and dko limb muscle, which show robust staining with MHC-d antibody in twoand four-week-old neonates, respectively [26, 44]. Taking this into consideration, our data suggests that myotubes 9 days after the switch to differentiation media are not mature enough to show incorporation of slow MHC proteins into the contractile apparatus due to the increased levels of transcription of Myh7. Discussion We utilized DNA microarray analysis in an attempt to identify genes with different expression in mdx vs dko TA and extraocular skeletal muscles that may contribute to differences between these two dystrophic mouse models in the severity of muscle pathologies, fiber-type, and overt clinical features. Twenty-two transcripts were differentially expressed greater than twofold between mdx and dko TA muscles. Eight of these transcripts (Myl2, Myh7, Tnnc1, Tnnt1, Tnnt2, Tpm3, Tnni1, and Atp2a2) were from genes that are characteristic of slow fiber-type muscle. These genes were upregulated in dko TA muscle when compared to mdx and were not previously shown to be differentially expressed in previous comparisons of limb muscles from mdx vs the wild-type control for mdx and dko using microarray technology [32]. These data therefore correlate with the previous observations of increases in slower myosin heavy chain protein isoforms and oxidative metabolism in dko compared to mdx limb muscles [27, 28]. Despite these interesting findings from microarray analysis, this technique was unsuccessful in identifying differential expression of genes involved in signaling pathways that could bridge the gap between dystrophin and utrophin loss with fiber-type alteration and postsynaptic abnormalities present in TA or the pathology present in extraocular muscles from dko mice. Therefore, the different effects of dystrophin and/or utrophin deficiency on extraocular muscle compared to TA muscles may be more attributable to their differing developmental origin, functional properties, hormonal response, and myosin phenotype than transcriptional modulation. From the finding that slow-type genes were upregulated in dko limb muscle, a central question emerged: whether upregulation of slow muscle fiber type genes in dko is a direct result of the loss of dystrophin and utrophin and independent of in vivo extrinsic factors such as neuronal input, physical activity, and hormones. To address this central question and to confirm the microarray data, we examined the expression profile of Myh7 and Myl2 in muscle cell culture and skeletal muscle tissue using realtime RT-PCR. Real-time RT-PCR was utilized for this study because of its superior sensitivity and quantitative capability compared to Northern blot analysis and conventional RT-PCR. The real-time data for both genes showed the same trends of upregulation in dko vs mdx limb muscle as the microarray data. Furthermore, the upregulation of Myh7 and Myl2 was also observed in dko myotubes compared to mdx myotubes. Higher levels of Myh7 and 89 Myl2 in dko vs mdx myotubes suggest that differentiated myogenic culture can mimic the gene expression profile observed in muscle tissue. Another implication of these data is that the upregulation of these genes is due, at least in part, to the absence of utrophin and dystrophin proteins and is not due to external cues caused by postsynaptic abnormalities in vivo. It is also unlikely that the primary cultures are still under the influence of in vivo factors. Several studies reported significant variation between the fiber-type phenotype of myotube cultures and that of the muscle tissue from which they were derived [45–47]. A recent study compared myosin heavy chain isoform expression in several different muscle types with primary cell cultures that were derived from these same muscles [42]. This study found that regardless of the fiber-type phenotype of the donor site, the cell cultures all expressed similar levels of Myh7. This homogeneity in the cell cultures and their dissimilarity with the donor muscle were attributed to the great care taken to remove the initial muscle fibers from the proliferative satellite cells. Possible contamination with this muscle tissue could provide signals for the direction of the fibertype phenotype of the satellite cells. Our cell culture was performed with similar stringency, therefore suggesting the validity of the data showing Myh7 and Myl2 upregulation in dko myotube cultures. The real-time data for in vivo skeletal muscle samples indicate a substantially greater level of upregulation in dko than the microarray study in the expression of both Myl2 (63× vs 24.7×) and Myh7 (114× vs 22.3×) genes. These differences could be explained by a greater sensitivity of real-time RT-PCR in quantitative analysis compared to microarray, the extremely stringent statistical analysis applied to generate the microarray data, or the difference in abundance of the control (18S) and experimental (Myl2 and Myh7) RNAs analyzed by RT-PCR. Although the number of copies of Myh7 transcript is higher in dko myotubes than in dko quadriceps, the upregulation in dko compared to mdx in the differentiated myotube culture is only 4.7-fold compared with a 63-fold increase for dko vs mdx quadriceps samples. This difference is due to the presence of a higher number of copies in the mdx myotube culture (74 copies) than in the mdx quadriceps (2 copies). Another explanation for lower level of upregulation of Myh7 gene expression in culture compared to in vivo may be due to the immaturity of the myotubes. Our analysis of MHC protein isoforms by immunocytochemistry confirms that gene expression changes were not yet entirely incorporated into protein. It is possible that the real-time RT-PCR data acquired from RNA isolated from day 9 myotubes may be measuring levels of gene expression that are continuing to increase in dko vs mdx cultures. However, after this time point, the myotubes began to vigorously contract and lift off the coated culture surface and therefore could not be analyzed at much later time points. The third and possibly most plausible hypothesis for the differences in the amount of upregulation of gene expression seen in vivo and in vitro is that the gene expression of Myh7 and Myl2 is partially dependent upon downstream factors caused by the structural alterations in the postsynaptic membrane in the combined absence of utrophin and dystrophin. Physiological experiments conducted nearly 40 years ago showed that electrical stimulation of muscle fibers at different frequencies can lead to different fibertype properties of muscle [48]. These seminal experiments demonstrated that nerve fibers excised from fast muscle and, subsequently, used to reinnervate slow muscle could induce the slow muscle to become fast. These data would suggest that the absence of innervation in cultured myotubes might account for the attenuated upregulation of slow-muscle gene expression. However, the persistence of upregulation of slow-muscle gene expression observed in this study between dko and mdx myogenic cultures is the first evidence that the absence of utrophin and dystrophin in dko muscle has an effect on downstream gene expression that is independent of their role at the postsynaptic membrane. It is of interest that the RNA levels of Myh7 and Myl2 are elevated in dko quadriceps where these genes are normally found in only trace amounts [42, 43]. This observation raises the question of what is the consequence of the improper expression of these genes. The Myh7 gene is normally expressed during embryonic development in the heart of large mammals but diminishes at birth, while expression remains in slow skeletal muscle [34, 49]. However, there are some instances of abnormal Myh7 expression that suggest that dysregulation of Myh7 expression may have a pathological role. Myh7 is known to be expressed abnormally in the adult heart as a result of diabetes, mechanical overload, and alterations in thyroid hormone levels [33, 34]. Also, a missense mutation in Myh7 gene causes improper accumulation of myosin and formation of aberrant filamentous structures in skeletal muscle resulting in skeletal myopathy but without cardiomyopathy [50]. Recently, mutations in Myh7 were shown to account for a large number of cases of hypertrophic and dilated cardiomyopathy [51, 52]. These associations between Myh7 and disease suggest that the upregulation of Myh7 in dko may contribute to differences in phenotypic severity in dko vs mdx mice. Acknowledgements This work was supported by the Muscular Dystrophy Association (to JRF), NIH R01 EY12779 (to JDP), and in part, by a Career Award in the Biomedical Sciences from the Burroughs Wellcome Fund (to JRF). PEB was supported by an NIH supplement (AR47034-S). We would like to thank Jaimy Lekan, Katherine L. 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