Bortezomib (PS-341) treatment decreases inflammation and partially rescues the expression of the dystrophin-glycoprotein complex in GRMD dogs

PLoS One. 2013 Apr 8;8(4):e61367. doi: 10.1371/journal.pone.0061367. Print 2013.

Abstract

Golden retriever muscular dystrophy (GRMD) is a genetic myopathy corresponding to Duchenne muscular dystrophy (DMD) in humans. Muscle atrophy is known to be associated with degradation of the dystrophin-glycoprotein complex (DGC) via the ubiquitin-proteasome pathway. In the present study, we investigated the effect of bortezomib treatment on the muscle fibers of GRMD dogs. Five GRMD dogs were examined; two were treated (TD- Treated dogs) with the proteasome inhibitor bortezomib, and three were control dogs (CD). Dogs were treated with bortezomib using the same treatment regimen used for multiple myeloma. Pharmacodynamics were evaluated by measuring the inhibition of 20S proteasome activity in whole blood after treatment and comparing it to that in CD. We performed immunohistochemical studies on muscle biopsy specimens to evaluate the rescue of dystrophin and dystrophin-associated proteins in the muscles of GRMD dogs treated with bortezomib. Skeletal tissue from TD had lower levels of connective tissue deposition and inflammatory cell infiltration than CD as determined by histology, collagen morphometry and ultrastructural analysis. The CD showed higher expression of phospho-NFκB and TGF-β1, suggesting a more pronounced activation of anti-apoptotic factors and inflammatory molecules and greater connective tissue deposition, respectively. Immunohistochemical analysis demonstrated that dystrophin was not present in the sarcoplasmic membrane of either group. However, bortezomib-TD showed higher expression of α- and β-dystroglycan, indicating an improved disease histopathology phenotype. Significant inhibition of 20S proteasome activity was observed 1 hour after bortezomib administration in the last cycle when the dose was higher. Proteasome inhibitors may thus improve the appearance of GRMD muscle fibers, lessen connective tissue deposition and reduce the infiltration of inflammatory cells. In addition, proteasome inhibitors may rescue some dystrophin-associated proteins in the muscle fiber membrane.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Boronic Acids / administration & dosage
  • Boronic Acids / pharmacology*
  • Bortezomib
  • Chymotrypsin / metabolism
  • Collagen / metabolism
  • Dogs
  • Dystroglycans / metabolism
  • Dystrophin-Associated Protein Complex / metabolism*
  • Gene Expression
  • Immunohistochemistry
  • Inflammation / drug therapy
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / ultrastructure
  • Muscular Dystrophy, Animal / diagnosis
  • Muscular Dystrophy, Animal / drug therapy*
  • Muscular Dystrophy, Animal / metabolism*
  • Muscular Dystrophy, Duchenne / diagnosis
  • Muscular Dystrophy, Duchenne / drug therapy*
  • Muscular Dystrophy, Duchenne / metabolism*
  • Proteasome Endopeptidase Complex / metabolism
  • Pyrazines / administration & dosage
  • Pyrazines / pharmacology*

Substances

  • Boronic Acids
  • Dystrophin-Associated Protein Complex
  • Pyrazines
  • Dystroglycans
  • Bortezomib
  • Collagen
  • Chymotrypsin
  • Proteasome Endopeptidase Complex

Grants and funding

This study was supported by FAPESP with financial support provided as a research grant and a scholarship grant (2006/59060-9, 2006/61563-9,and 2006/53056-0). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.