Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1

Myotonic dystrophy type 1 (DM1), the most common form of adult-onset muscular dystrophy, is caused by a CTG expansion resulting in significant transcriptomic dysregulation that leads to muscle weakness and wasting. While strength training is clinically beneficial in DM1, molecular effects had not be...

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Main Authors: Emily E. Davey, Cécilia Légaré, Lori Planco, Sharon Shaughnessy, Claudia D. Lennon, Marie-Pier Roussel, Hannah K. Shorrock, Man Hung, John Douglas Cleary, Elise Duchesne, J. Andrew Berglund
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-07-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.163856
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author Emily E. Davey
Cécilia Légaré
Lori Planco
Sharon Shaughnessy
Claudia D. Lennon
Marie-Pier Roussel
Hannah K. Shorrock
Man Hung
John Douglas Cleary
Elise Duchesne
J. Andrew Berglund
author_facet Emily E. Davey
Cécilia Légaré
Lori Planco
Sharon Shaughnessy
Claudia D. Lennon
Marie-Pier Roussel
Hannah K. Shorrock
Man Hung
John Douglas Cleary
Elise Duchesne
J. Andrew Berglund
author_sort Emily E. Davey
collection DOAJ
description Myotonic dystrophy type 1 (DM1), the most common form of adult-onset muscular dystrophy, is caused by a CTG expansion resulting in significant transcriptomic dysregulation that leads to muscle weakness and wasting. While strength training is clinically beneficial in DM1, molecular effects had not been studied. To determine whether training rescued transcriptomic defects, RNA-Seq was performed on vastus lateralis samples from 9 male patients with DM1 before and after a 12-week strength-training program and 6 male controls who did not undergo training. Differential gene expression and alternative splicing analysis were correlated with the one-repetition maximum strength evaluation method (leg extension, leg press, hip abduction, and squat). While training program–induced improvements in splicing were similar among most individuals, rescued splicing events varied considerably between individuals. Gene expression improvements were highly varied between individuals, and the percentage of differentially expressed genes rescued after training were strongly correlated with strength improvements. Evaluating transcriptome changes individually revealed responses to the training not evident from grouped analysis, likely due to disease heterogeneity and individual exercise response differences. Our analyses indicate that transcriptomic changes are associated with clinical outcomes in patients with DM1 undergoing training and that these changes are often specific to the individual and should be analyzed accordingly.
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spelling doaj.art-d641442504a74f18b3344b7cb793d3592023-11-07T16:25:54ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-07-01814Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1Emily E. DaveyCécilia LégaréLori PlancoSharon ShaughnessyClaudia D. LennonMarie-Pier RousselHannah K. ShorrockMan HungJohn Douglas ClearyElise DuchesneJ. Andrew BerglundMyotonic dystrophy type 1 (DM1), the most common form of adult-onset muscular dystrophy, is caused by a CTG expansion resulting in significant transcriptomic dysregulation that leads to muscle weakness and wasting. While strength training is clinically beneficial in DM1, molecular effects had not been studied. To determine whether training rescued transcriptomic defects, RNA-Seq was performed on vastus lateralis samples from 9 male patients with DM1 before and after a 12-week strength-training program and 6 male controls who did not undergo training. Differential gene expression and alternative splicing analysis were correlated with the one-repetition maximum strength evaluation method (leg extension, leg press, hip abduction, and squat). While training program–induced improvements in splicing were similar among most individuals, rescued splicing events varied considerably between individuals. Gene expression improvements were highly varied between individuals, and the percentage of differentially expressed genes rescued after training were strongly correlated with strength improvements. Evaluating transcriptome changes individually revealed responses to the training not evident from grouped analysis, likely due to disease heterogeneity and individual exercise response differences. Our analyses indicate that transcriptomic changes are associated with clinical outcomes in patients with DM1 undergoing training and that these changes are often specific to the individual and should be analyzed accordingly.https://doi.org/10.1172/jci.insight.163856Muscle biologyTherapeutics
spellingShingle Emily E. Davey
Cécilia Légaré
Lori Planco
Sharon Shaughnessy
Claudia D. Lennon
Marie-Pier Roussel
Hannah K. Shorrock
Man Hung
John Douglas Cleary
Elise Duchesne
J. Andrew Berglund
Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
JCI Insight
Muscle biology
Therapeutics
title Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
title_full Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
title_fullStr Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
title_full_unstemmed Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
title_short Individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
title_sort individual transcriptomic response to strength training for patients with myotonic dystrophy type 1
topic Muscle biology
Therapeutics
url https://doi.org/10.1172/jci.insight.163856
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