Facioscapulohumeral Muscular Dystrophy (FSHD) is the 3rd most common form of muscular dystrophy in man, affecting about 1 in 15,000 people worldwide. It typically affects young adults and leads to wheelchair dependence in the 3rd to 4th decade of life. The underlying cause of FSHD is the sporadic expression of DUX4, a gene that is normally not expressed in muscle. In FSHD, DUX4 is expressed in only a small number of muscle fibers at a time. When it is expressed, it leads to the expression of a number of other genes. This cascade causes the death of the fibers and ultimately a severe loss of muscle tissue, but how it does so is still unknown. Although identifying those muscles where loss has already occurred is possible by physiological testing and magnetic resonance imaging (MRI), identifying affected muscles early in disease progression, as loss just begins, has not yet been possible. This makes it challenging to follow the progression of the disease and, perhaps more importantly, to assess therapies, now being developed, early on. Our methods are designed to detect diseased FSHD muscle fibers just as DUX4 begins to exert its devastating effects. We have also tentatively identified one of the genes activated by DUX4 that, when expressed alone, kills muscle fibers. We propose that this is a key contributor to FSHD pathology. If our ideas are correct, our method should be readily translated to the clinic, for use in clinical trials of new treatments for FSHD.
Grantee: Robert Bloch Ph.D., Harvard University, 1972
Grant type: Research Grant
Award total: $300,000.00
Institution: University of Maryland, Baltimore
Country: USA