RT Journal Article SR Electronic T1 Sam68 splicing regulation contributes to motor unit establishment in the postnatal skeletal muscle JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201900637 DO 10.26508/lsa.201900637 VO 3 IS 10 A1 Elisa De Paola A1 Laura Forcina A1 Laura Pelosi A1 Simona Pisu A1 Piergiorgio La Rosa A1 Eleonora Cesari A1 Carmine Nicoletti A1 Luca Madaro A1 Neri Mercatelli A1 Filippo Biamonte A1 Annalisa Nobili A1 Marcello D’Amelio A1 Marco De Bardi A1 Elisabetta Volpe A1 Daniela Caporossi A1 Claudio Sette A1 Antonio Musarò A1 Maria Paola Paronetto YR 2020 UL https://www.life-science-alliance.org/content/3/10/e201900637.abstract AB RNA-binding proteins orchestrate the composite life of RNA molecules and impact most physiological processes, thus underlying complex phenotypes. The RNA-binding protein Sam68 regulates differentiation processes by modulating splicing, polyadenylation, and stability of select transcripts. Herein, we found that Sam68−/− mice display altered regulation of alternative splicing in the spinal cord of key target genes involved in synaptic functions. Analysis of the motor units revealed that Sam68 ablation impairs the establishment of neuromuscular junctions and causes progressive loss of motor neurons in the spinal cord. Importantly, alterations of neuromuscular junction morphology and properties in Sam68−/− mice correlate with defects in muscle and motor unit integrity. Sam68−/− muscles display defects in postnatal development, with manifest signs of atrophy. Furthermore, fast-twitch muscles in Sam68−/− mice show structural features typical of slow-twitch muscles, suggesting alterations in the metabolic and functional properties of myofibers. Collectively, our data identify a key role for Sam68 in muscle development and suggest that proper establishment of motor units requires timely expression of synaptic splice variants.