X-linked myotubular myopathy is associated with epigenetic alterations and is ameliorated by HDAC inhibition

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Volpatti, Jonathan | Ghahramani-Seno, Mehdi | Mansat, Mélanie | Sabha, Nesrin | Sarikaya, Ege | Goodman, Sarah | Chater-Diehl, Eric | Celik, Alper | Pannia, Emanuela | Froment, Carine | Combes-Soia, Lucie | Maani, Nika | Yuki, Kyoko | Chicanne, Gaëtan | Uusküla-Reimand, Liis | Monis, Simon | Alvi, Sana Akhtar | Genetti, Casie | Payrastre, Bernard | Beggs, Alan | Bonnemann, Carsten | Muntoni, Francesco | Wilson, Michael | Weksberg, Rosanna | Viaud, Julien | Dowling, James

Edité par CCSD ; Springer Verlag -

International audience. X-linked myotubular myopathy (XLMTM) is a fatal neuromuscular disorder caused by loss of function mutations in MTM1 . At present, there are no directed therapies for XLMTM, and incomplete understanding of disease pathomechanisms. To address these knowledge gaps, we performed a drug screen in mtm1 mutant zebrafish and identified four positive hits, including valproic acid, which functions as a potent suppressor of the mtm1 zebrafish phenotype via HDAC inhibition. We translated these findings to a mouse XLMTM model, and showed that valproic acid ameliorates the murine phenotype. These observations led us to interrogate the epigenome in Mtm1 knockout mice; we found increased DNA methylation, which is normalized with valproic acid, and likely mediated through aberrant 1-carbon metabolism. Finally, we made the unexpected observation that XLMTM patients share a distinct DNA methylation signature, suggesting that epigenetic alteration is a conserved disease feature amenable to therapeutic intervention.

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