Muscle expression of mutant androgen receptor accounts for systemic and motor neuron disease phenotypes in spinal and bulbar muscular atrophy.

Journal Article (Journal Article)

X-linked spinal and bulbar muscular atrophy (SBMA) is characterized by adult-onset muscle weakness and lower motor neuron degeneration. SBMA is caused by CAG-polyglutamine (polyQ) repeat expansions in the androgen receptor (AR) gene. Pathological findings include motor neuron loss, with polyQ-AR accumulation in intranuclear inclusions. SBMA patients exhibit myopathic features, suggesting a role for muscle in disease pathogenesis. To determine the contribution of muscle, we developed a BAC mouse model featuring a floxed first exon to permit cell-type-specific excision of human AR121Q. BAC fxAR121 mice develop systemic and neuromuscular phenotypes, including shortened survival. After validating termination of AR121 expression and full rescue with ubiquitous Cre, we crossed BAC fxAR121 mice with Human Skeletal Actin-Cre mice. Muscle-specific excision prevented weight loss, motor phenotypes, muscle pathology, and motor neuronopathy and dramatically extended survival. Our results reveal a crucial role for muscle expression of polyQ-AR in SBMA and suggest muscle-directed therapies as effective treatments.

Full Text

Duke Authors

Cited Authors

  • Cortes, CJ; Ling, S-C; Guo, LT; Hung, G; Tsunemi, T; Ly, L; Tokunaga, S; Lopez, E; Sopher, BL; Bennett, CF; Shelton, GD; Cleveland, DW; La Spada, AR

Published Date

  • April 16, 2014

Published In

Volume / Issue

  • 82 / 2

Start / End Page

  • 295 - 307

PubMed ID

  • 24742458

Pubmed Central ID

  • 24742458

Electronic International Standard Serial Number (EISSN)

  • 1097-4199

Digital Object Identifier (DOI)

  • 10.1016/j.neuron.2014.03.001


  • eng

Conference Location

  • United States