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Am J Physiol Regul Integr Comp Physiol (June 10, 2004). doi:10.1152/ajpregu.00146.2004
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Submitted on March 8, 2004
Accepted on June 2, 2004

Regenerative capacity of the dystrophic (mdx) diaphragm after induced injury

Stefan Matecki1, Ghiabe H Guibinga1, and Basil J Petrof1*

1 Meakins-Christie Laboratories and Respiratory Division, McGill University, Montreal, Quebec, Canada

* To whom correspondence should be addressed. E-mail: basil.petrof{at}mcgill.ca.

Duchenne muscular dystrophy is characterized by myofiber necrosis, muscle replacement by connective tissue and crippling weakness. Although the mdx mouse also lacks dystrophin, most muscles show little myofiber loss or functional impairment. An exception is the mdx diaphragm, which is phenotypically similar to the human disease. Here we tested the hypothesis that the mdx diaphragm has a defective regenerative response to necrotic injury, which could account for its severe phenotype. Massive necrosis was induced in mdx and wild-type (C57BL10) mouse diaphragms in vivo by topical application of notexin, which destroys mature myofibers while leaving myogenic precursor satellite cells intact. At 4 hours after acute exposure to notexin, >90% of diaphragm myofibers in both wild-type and mdx mice demonstrated pathological sarcolemmal leakiness, and there was a complete loss of isometric force-generating capacity. Both groups of mice showed strong expression of embryonic myosin within the diaphragm at 5 days, which was largely extinguished by 20 days after injury. At 60 days post-injury, wild-type diaphragms exhibited a persistent loss (approximately 25%) of isometric force-generating capacity, associated with a trend toward increased connective tissue infiltration. In contrast, mdx diaphragms achieved complete functional recovery of force generation to non-injured values, and there was no increase in muscle connective tissue over baseline. These data argue against any loss of intrinsic regenerative capacity within the mdx diaphragm, despite characteristic features of major dystrophic pathology being present. Our findings support the concept that significant latent regenerative capacity resides within dystrophic muscles, which could potentially be exploited for therapeutic purposes.




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Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2006; 290(6): R1485 - R1487.
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