L-arginine improves dystrophic phenotype in mdx mice

Neurobiol Dis. 2005 Oct;20(1):123-30. doi: 10.1016/j.nbd.2005.02.010.

Abstract

A possible treatment for Duchenne muscular dystrophies would be to compensate for dystrophin loss by increasing the expression of utrophin, another cytoskeletal protein of the muscle membrane. We previously found that L-arginine, the substrate for nitric oxide synthase, significantly increased utrophin level in muscle and targeted it to the sarcolemma. Here, we have addressed the expected benefit in the mdx mice. Magnetic resonance imaging of lower limbs revealed a 35% reduction of the necrotic zones, confirmed by histological staining of muscles. This regression of the necrosis was also supported by the drastic reduction of Evans blue incorporation, a cell impermeable dye. The creatine kinase level in the serum decreased by 57%. Utrophin level increased 2- to 3-fold in muscles. Beta-dystroglycan was relocalised with utrophin to the membrane. In the diaphragm, the most affected muscle in mdx mice, the isometric tension increased by 30%, with regression of collagen and of cytoplasmic lipid overloading. Finally, molsidomine, a therapeutic agent that is converted to a NO donor, also attenuated the dystrophic phenotype. Our results suggest that pharmacological activators of the NO pathway may constitute a realistic treatment for Duchenne and Becker muscular dystrophies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arginine / pharmacology*
  • Arginine / therapeutic use
  • Creatine Kinase / blood
  • Diaphragm / drug effects
  • Diaphragm / physiopathology
  • Disease Models, Animal
  • Dystroglycans / metabolism
  • Evans Blue
  • Female
  • Isometric Contraction / drug effects
  • Isometric Contraction / genetics
  • Magnetic Resonance Imaging
  • Mice
  • Mice, Inbred mdx
  • Muscle, Skeletal / drug effects*
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / physiopathology
  • Muscular Dystrophy, Animal / drug therapy*
  • Muscular Dystrophy, Animal / metabolism
  • Muscular Dystrophy, Animal / physiopathology
  • Necrosis / drug therapy
  • Necrosis / pathology
  • Necrosis / prevention & control
  • Nitric Oxide Donors / pharmacology
  • Phenotype
  • Recovery of Function / drug effects*
  • Recovery of Function / physiology
  • Treatment Outcome
  • Utrophin / metabolism

Substances

  • Nitric Oxide Donors
  • Utrophin
  • Dystroglycans
  • Evans Blue
  • Arginine
  • Creatine Kinase