Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome

Abstract Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder caused by mutations of the dystrophin gene, which spans 2.4 Mb on the X chromosome. Creatine kinase (CK) activity in blood and titin fragment levels in urine have been identified as biomarkers in DMD to monitor disease prog...

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Main Authors: Yosuke Hiramuki, Miwa Hosokawa, Kayo Osawa, Taku Shirakawa, Yasuhiro Watanabe, Ritsuko Hanajima, Hiroyuki Kugoh, Hiroyuki Awano, Masafumi Matsuo, Yasuhiro Kazuki
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Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85369-5
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author Yosuke Hiramuki
Miwa Hosokawa
Kayo Osawa
Taku Shirakawa
Yasuhiro Watanabe
Ritsuko Hanajima
Hiroyuki Kugoh
Hiroyuki Awano
Masafumi Matsuo
Yasuhiro Kazuki
author_facet Yosuke Hiramuki
Miwa Hosokawa
Kayo Osawa
Taku Shirakawa
Yasuhiro Watanabe
Ritsuko Hanajima
Hiroyuki Kugoh
Hiroyuki Awano
Masafumi Matsuo
Yasuhiro Kazuki
author_sort Yosuke Hiramuki
collection DOAJ
description Abstract Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder caused by mutations of the dystrophin gene, which spans 2.4 Mb on the X chromosome. Creatine kinase (CK) activity in blood and titin fragment levels in urine have been identified as biomarkers in DMD to monitor disease progression and evaluate therapeutic intervention. However, the difference in the sensitivity of these biomarkers in DMD remains unclear. Previously, we generated transchromosomic mice carrying the full-length human dystrophin gene on a human artificial chromosome (DYS-HAC1) vector. The human dystrophin derived from DYS-HAC1 improved pathological phenotypes observed in DMD-null mice, which lack the entire 2.4 Mb of the dystrophin gene. In this study, we compared the values of plasma CK activity and urine/plasma titin fragment levels in wild-type (WT), DYS-HAC1, DMD-null, and DYS-HAC1; DMD-null mice. Plasma CK activity and urine/plasma titin fragment levels in DMD-null mice were significantly higher than those in WT mice. Although plasma CK activity showed no significant difference between WT and DYS-HAC1; DMD-null mice, urine/plasma titin fragment levels in DYS-HAC1; DMD-null mice were higher than those in WT mice. Human dystrophin in DYS-HAC1; DMD-null mice drastically improved muscular dystrophy phenotypes seen in DMD-null mice; however, the proportion of myofibers with central nuclei in DYS-HAC1; DMD-null mice had a tendency to be slightly higher than that in WT mice. These results suggest that urine/plasma titin fragment levels could be a more sensitive biomarker than plasma CK activity.
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spelling doaj-art-a18ced02baad4a71abbf24d977c4861f2025-01-19T12:19:37ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-85369-5Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosomeYosuke Hiramuki0Miwa Hosokawa1Kayo Osawa2Taku Shirakawa3Yasuhiro Watanabe4Ritsuko Hanajima5Hiroyuki Kugoh6Hiroyuki Awano7Masafumi Matsuo8Yasuhiro Kazuki9Department of Chromosome Biomedical Engineering, School of Life Science, Faculty of Medicine, Tottori UniversityDepartment of Chromosome Biomedical Engineering, Graduate School of Medical Science, Tottori UniversityFaculty of Health Sciences, Kobe Tokiwa UniversityFaculty of Health Sciences, Kobe Tokiwa UniversityDivision of Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDivision of Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDepartment of Chromosome Biomedical Engineering, School of Life Science, Faculty of Medicine, Tottori UniversityResearch Initiative Center, Organization for Research Initiative and Promotion, Tottori UniversityFaculty of Health Sciences, Kobe Tokiwa UniversityDepartment of Chromosome Biomedical Engineering, School of Life Science, Faculty of Medicine, Tottori UniversityAbstract Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder caused by mutations of the dystrophin gene, which spans 2.4 Mb on the X chromosome. Creatine kinase (CK) activity in blood and titin fragment levels in urine have been identified as biomarkers in DMD to monitor disease progression and evaluate therapeutic intervention. However, the difference in the sensitivity of these biomarkers in DMD remains unclear. Previously, we generated transchromosomic mice carrying the full-length human dystrophin gene on a human artificial chromosome (DYS-HAC1) vector. The human dystrophin derived from DYS-HAC1 improved pathological phenotypes observed in DMD-null mice, which lack the entire 2.4 Mb of the dystrophin gene. In this study, we compared the values of plasma CK activity and urine/plasma titin fragment levels in wild-type (WT), DYS-HAC1, DMD-null, and DYS-HAC1; DMD-null mice. Plasma CK activity and urine/plasma titin fragment levels in DMD-null mice were significantly higher than those in WT mice. Although plasma CK activity showed no significant difference between WT and DYS-HAC1; DMD-null mice, urine/plasma titin fragment levels in DYS-HAC1; DMD-null mice were higher than those in WT mice. Human dystrophin in DYS-HAC1; DMD-null mice drastically improved muscular dystrophy phenotypes seen in DMD-null mice; however, the proportion of myofibers with central nuclei in DYS-HAC1; DMD-null mice had a tendency to be slightly higher than that in WT mice. These results suggest that urine/plasma titin fragment levels could be a more sensitive biomarker than plasma CK activity.https://doi.org/10.1038/s41598-025-85369-5Duchenne muscular dystrophyDystrophinCreatine kinaseTitinHuman artificial chromosome
spellingShingle Yosuke Hiramuki
Miwa Hosokawa
Kayo Osawa
Taku Shirakawa
Yasuhiro Watanabe
Ritsuko Hanajima
Hiroyuki Kugoh
Hiroyuki Awano
Masafumi Matsuo
Yasuhiro Kazuki
Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
Scientific Reports
Duchenne muscular dystrophy
Dystrophin
Creatine kinase
Titin
Human artificial chromosome
title Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
title_full Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
title_fullStr Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
title_full_unstemmed Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
title_short Titin fragment is a sensitive biomarker in Duchenne muscular dystrophy model mice carrying full-length human dystrophin gene on human artificial chromosome
title_sort titin fragment is a sensitive biomarker in duchenne muscular dystrophy model mice carrying full length human dystrophin gene on human artificial chromosome
topic Duchenne muscular dystrophy
Dystrophin
Creatine kinase
Titin
Human artificial chromosome
url https://doi.org/10.1038/s41598-025-85369-5
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