Loss of Mtm1 causes cholestatic liver disease in a model of X-linked myotubular myopathy
X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, though AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, four patients with XLMTM treate...
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Published in | The Journal of clinical investigation Vol. 133; no. 18; pp. 1 - 13 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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American Society for Clinical Investigation
15.09.2023
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Abstract | X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, though AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, four patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized a novel liver phenotype in a zebrafish model of this disease. Specifically, we have found that loss-of-function mutations in mtm1 lead to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosomal-mediated trafficking of canalicular transporters. Using a reporter tagged Mtm1 zebrafish line, we have established localization of Mtm1 in the liver in association with Rab11 and canalicular transport proteins, and demonstrated that hepatocyte specific re-expression of Mtm1 can rescue the cholestatic phenotype. Lastly, we completed a targeted chemical screen, and found that Dynasore, a dynamin II inhibitor, is able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate for the first time liver abnormalities that are directly caused by MTM1 mutation in a pre-clinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. |
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AbstractList | X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, though AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, four patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized a novel liver phenotype in a zebrafish model of this disease. Specifically, we have found that loss-of-function mutations in mtm1 lead to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosomal-mediated trafficking of canalicular transporters. Using a reporter tagged Mtm1 zebrafish line, we have established localization of Mtm1 in the liver in association with Rab11 and canalicular transport proteins, and demonstrated that hepatocyte specific re-expression of Mtm1 can rescue the cholestatic phenotype. Lastly, we completed a targeted chemical screen, and found that Dynasore, a dynamin II inhibitor, is able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate for the first time liver abnormalities that are directly caused by MTM1 mutation in a pre-clinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, 4 patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized what we believe to be a novel liver phenotype in a zebrafish model of this disease. Specifically, we found that loss-of-function mutations in mtm1 led to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosome-mediated trafficking of canalicular transporters. Using a reporter-tagged Mtm1 zebrafish line, we established localization of Mtm1 in the liver in association with Rab11, a marker of recycling endosomes, and canalicular transport proteins and demonstrated that hepatocyte-specific reexpression of Mtm1 could rescue the cholestatic phenotype. Last, we completed a targeted chemical screen and found that Dynasore, a dynamin-2 inhibitor, was able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate, for the first time to our knowledge, liver abnormalities that were directly caused by MTM1 mutation in a preclinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, 4 patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized what we believe to be a novel liver phenotype in a zebrafish model of this disease. Specifically, we found that loss-of-function mutations in mtm1 led to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosome-mediated trafficking of canalicular transporters. Using a reporter-tagged Mtm1 zebrafish line, we established localization of Mtm1 in the liver in association with Rab11, a marker of recycling endosomes, and canalicular transport proteins and demonstrated that hepatocyte-specific reexpression of Mtm1 could rescue the cholestatic phenotype. Last, we completed a targeted chemical screen and found that Dynasore, a dynamin-2 inhibitor, was able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate, for the first time to our knowledge, liver abnormalities that were directly caused by MTM1 mutation in a preclinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, 4 patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized what we believe to be a novel liver phenotype in a zebrafish model of this disease. Specifically, we found that loss-of-function mutations in mtml led to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosomemediated trafficking of canaliculartransporters. Using a reporter-tagged Mtm1 zebrafish line, we established localization of Mtm1 in the liver in association with Rab11, a marker of recycling endosomes, and canaliculartransport proteins and demonstrated that hepatocyte-specific reexpression of Mtm1 could rescue the cholestatic phenotype. Last, we completed a targeted chemical screen and found that Dynasore, a dynamin-2 inhibitor, was able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate, for the first time to our knowledge, liver abnormalities that were directly caused by MTM1 mutation in a predinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, 4 patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized what we believe to be a novel liver phenotype in a zebrafish model of this disease. Specifically, we found that loss-of-function mutations in mtm1 led to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosome-mediated trafficking of canalicular transporters. Using a reporter-tagged Mtm1 zebrafish line, we established localization of Mtm1 in the liver in association with Rab11, a marker of recycling endosomes, and canalicular transport proteins and demonstrated that hepatocyte-specific reexpression of Mtm1 could rescue the cholestatic phenotype. Last, we completed a targeted chemical screen and found that Dynasore, a dynamin-2 inhibitor, was able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate, for the first time to our knowledge, liver abnormalities that were directly caused by MTM1 mutation in a preclinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease.X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although AAV8-mediated gene transfer therapy has shown promise in animal models and preliminarily in patients. However, 4 patients with XLMTM treated with gene therapy have died from progressive liver failure, and hepatobiliary disease has now been recognized more broadly in association with XLMTM. In an attempt to understand whether loss of MTM1 itself is associated with liver pathology, we have characterized what we believe to be a novel liver phenotype in a zebrafish model of this disease. Specifically, we found that loss-of-function mutations in mtm1 led to severe liver abnormalities including impaired bile flux, structural abnormalities of the bile canaliculus, and improper endosome-mediated trafficking of canalicular transporters. Using a reporter-tagged Mtm1 zebrafish line, we established localization of Mtm1 in the liver in association with Rab11, a marker of recycling endosomes, and canalicular transport proteins and demonstrated that hepatocyte-specific reexpression of Mtm1 could rescue the cholestatic phenotype. Last, we completed a targeted chemical screen and found that Dynasore, a dynamin-2 inhibitor, was able to partially restore bile flow and transporter localization to the canalicular membrane. In summary, we demonstrate, for the first time to our knowledge, liver abnormalities that were directly caused by MTM1 mutation in a preclinical model, thus establishing the critical framework for better understanding and comprehensive treatment of the human disease. |
Audience | Academic |
Author | Deshwar, Ashish R Volpatti, Jonathan R Karolczak, Sophie Dowling, James J Kamath, Binita M Andreoletti, Gaia Aristegui, Evangelina Yin, Chunyue Lawlor, Michael W Ellis, Jillian L |
AuthorAffiliation | 5 Medical College of Wisconsin, Milwaukee, Wisconsin, USA 6 Translational Science Laboratory, Milwaukee, Wisconsin, USA 8 Division of Gastroenterology, Hepatology and Nutrition and Division of Developmental Biology and 2 Department of Molecular Genetics, The University of Toronto, Toronto, Ontario, Canada 4 Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada 10 Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada 1 Program in Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada 7 Astellas Gene Therapies, San Francisco, California, USA 9 Center for Undiagnosed and Rare Liver Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA 3 Division of Clinical and Metabolic Genetics and |
AuthorAffiliation_xml | – name: 1 Program in Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada – name: 2 Department of Molecular Genetics, The University of Toronto, Toronto, Ontario, Canada – name: 9 Center for Undiagnosed and Rare Liver Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA – name: 6 Translational Science Laboratory, Milwaukee, Wisconsin, USA – name: 4 Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada – name: 5 Medical College of Wisconsin, Milwaukee, Wisconsin, USA – name: 3 Division of Clinical and Metabolic Genetics and – name: 10 Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada – name: 7 Astellas Gene Therapies, San Francisco, California, USA – name: 8 Division of Gastroenterology, Hepatology and Nutrition and Division of Developmental Biology and |
Author_xml | – sequence: 1 givenname: Sophie surname: Karolczak fullname: Karolczak, Sophie organization: Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Canada – sequence: 2 givenname: Ashish R surname: Deshwar fullname: Deshwar, Ashish R organization: Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, Canada – sequence: 3 givenname: Evangelina surname: Aristegui fullname: Aristegui, Evangelina organization: Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Canada – sequence: 4 givenname: Binita M surname: Kamath fullname: Kamath, Binita M organization: Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada – sequence: 5 givenname: Michael W surname: Lawlor fullname: Lawlor, Michael W organization: Pathology, Medical College of Wisconsin, Milwaukee, United States of America – sequence: 6 givenname: Gaia surname: Andreoletti fullname: Andreoletti, Gaia organization: Astellas Gene Therapies, San Francisco, United States of America – sequence: 7 givenname: Jonathan R surname: Volpatti fullname: Volpatti, Jonathan R organization: Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Canada – sequence: 8 givenname: Jillian L surname: Ellis fullname: Ellis, Jillian L organization: Division of Gastroenterology, Hepatology and Nutrition and Division of Deve, Cincinnati Children's Hospital Medical Center, Cincinnati, United States of America – sequence: 9 givenname: Chunyue surname: Yin fullname: Yin, Chunyue organization: Division of Gastroenterology, Hepatology and Nutrition and Division of Deve, Cincinnati Children's Hospital Medical Center, Cincinnati, United States of America – sequence: 10 givenname: James J surname: Dowling fullname: Dowling, James J organization: The Hospital for Sick Children, Toronto, Canada |
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References | B20 B42 B21 B22 B44 B23 B45 B24 B25 B26 B27 B28 B29 B30 Shieh (B7) 2020; 94 B31 B10 B32 B33 B12 B34 B13 B35 B14 B36 B15 B37 B16 B38 B17 B39 B18 B19 Li (B43) 2021; 10 B1 B2 B3 B4 B5 B6 B8 B9 Amoasii (B11) 2012; 362 B40 B41 |
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Snippet | X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, though... X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although... X-linked myotubular myopathy (XLMTM) is a fatal congenital disorder caused by mutations in the MTM1 gene. Currently, there are no approved treatments, although... |
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SubjectTerms | Acids Animal models Bile Bile ducts Biomedical research Causes of Complications and side effects Congenital diseases Danio rerio Dynamin Endosomes Gallbladder Gallbladder diseases Gene therapy Genetic aspects Genotype & phenotype Hepatology Lipids Liver diseases Localization MTM1 gene Muscle biology Mutation Myopathy Neuromuscular diseases Ostomy Pathology Phenotypes Protein transport Protein turnover Proteins Zebrafish |
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Title | Loss of Mtm1 causes cholestatic liver disease in a model of X-linked myotubular myopathy |
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