Science That Changes Lives
From breakthroughs in the lab to real-world progress—accelerating research that delivers results for families today.
Grant - Summer 2011 - ALS — Vasanthi Jayaraman, Ph.D.
MDA awarded $294,183 over three years to Vasanthi Jayaraman, an associate professor in the department of biochemistry and molecular biology at the University of Texas Health Science Center in Houston. The funds will help support Jayaraman’s study of the molecular mechanisms underlying motor neuron death in ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
Jayaraman is particularly interested in a type of glutamate receptor known as calcium-permeable AMPA receptors. These cause toxicity and are thought to be a major trigger for selective motor neuron death and the resulting loss of muscle control in ALS.
Although AMPA receptor inhibitors have been shown to consistently decrease neuronal death in experimental models and increase survival time in a mouse model of ALS, they’ve not been tried in the clinic.
The challenge her research team has taken on, Jayaraman said, is to develop AMPA receptor antagonists that prevent activation of the calcium-permeable AMPA receptors without causing harmful side effects or affecting the function of other subtypes of glutamate receptors.
“With the funds provided by the Muscular Dystrophy Association,” Jayaraman said, “we are in a position to show the feasibility of these projects, which we believe will have high rewards in terms of being able to develop therapeutic agents toward ALS.”
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Vasanthi Jayaraman, Ph.D.
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Grant - Winter 2012 - Pompe - Darin Falk, Ph.D.
Darin Falk, a postdoctoral fellow in the department of pediatrics at the University of Florida in Gainesville, has received an MDA development grant (DG) totaling $179,846 over three years. The funds will help support Falk's research into the potential for gene therapy as a treatment forPompe disease (acid maltase deficiency or AMD). (MDA development grants are awarded to exceptional postdoctoral candidates who have the best chance of becoming independent researchers and future leaders of neuromuscular disease research.)
The current treatment for Pompe disease is enzyme replacement therapy (ERT), in which the acid maltase enzyme is administered to patients via intravenous infusion. ERT has dramatically changed the outcomes for people with Pompe disease but, Falk says, it "does not effectively reach and treat the disease component in the central nervous system."
In a Pompe research mouse model, Falk and colleagues will use the emptied-out shell of an adeno-associated virus (AAV) to deliver the gene for the acid maltase enzyme to the heart, skeletal muscles and spinal cord.
It’s hoped that the result will be sustained enzyme activity at appropriate levels in the targeted tissues.
Falk noted that while gene therapy already is a promising treatment strategy, further development and optimization of AAV delivery methods will allow scientists to more precisely target key tissues, resulting in improved outcomes for people with the disease.
Grantee: Pompe - Darin Falk, Ph.D.
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Grant - Summer 2012 - MM - Mito. Myopathy — Michio Hirano, M.D.
MDA awarded a research grant totaling $398,532 over three years to Michio Hirano, professor of neurology and chief of the neuromuscular division at Columbia University Medical Center in New York. The funds will help support Hirano’s study of “molecular bypass therapy” for a mitochondrial myopathy called thymidine kinase 2 (TK2) deficiency.
Cellular “energy factories” called mitochondria generate the energy that fuels cells. Defects in mitochondria, which have their own DNA, are the causes of numerous human diseases that typically affect muscle and the brain.
One such disease, TK2 deficiency, usually begins in infancy. The disease also can manifest as adult-onset eye and limb muscle weakness. An enzyme (type of protein) called TK2 is required to synthesize the molecular building blocks of mitochondrial DNA.
With a previous MDA grant, Hirano and colleagues generated a research mouse model that has severely decreased TK2 activity and that develops muscle weakness similar to that of people with the infantile-onset form of TK2 deficiency.
In preliminary studies, administration of compounds to bypass the defective TK2 enzyme slowed the progression of the disease and doubled the life spans of the mice. Now, Hirano’s team is working to optimize the molecular bypass treatment in the TK2 mice.
Intensive research has revealed more than 200 genetically distinct mitochondrial diseases as well as novel therapeutic approaches for them, Hirano says. If successful, his new work could lead to the development of therapies for human TK2 deficiency and related diseases.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MM - Mito. Myopathy — Michio Hirano, M.D.
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Grant - Summer 2011 - ALS — Raymond Grill, Ph.D.
MDA has awarded a research grant totaling $202,508 over a period of three years to Raymond Grill, assistant professor in the department of integrative biology and pharmacology at the University of Texas Health Science Center, Houston. The funds will support testing in the SOD1 mouse model of an experimental combination drug treatment in ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
One process suspected to be heavily involved in ALS disease progression is inflammation, which can create a toxic environment and kill motor neurons.
Using the SOD1 ALS research mouse model, Grill's research team will test the hypothesis that a drug called Licofelone, which has completed phase 3 testing in humans, will enhance the ability of riluzole (Rilutek) to better penetrate the nervous system. (Rilutek is the only drug approved by the U.S. Food and Drug Administration for treatment of ALS.)
The researchers expect the combination treatment will reduce inflammation, protect motor function, rescue motor neurons and prolong survival in the SOD1 mice, and if favorable results are obtained, the group will attempt to "fast-track" the "two-part" treatment into clinical development.
"The support provided by the Muscular Dystrophy Association provides an invaluable opportunity for laboratories such as ours to enter this important field and both test and translate new ideas."
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Raymond Grill, Ph.D.
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Grant - Winter 2012 - Pompe - Celine Baligand, Ph.D.
MDA awarded a development grant (DG) totaling $170,873 over three years to Celine Baligand, a postdoctoral associate at the University of Florida College of Medicine in Gainesville. The funds will help support Baligand's research into the use of various imaging techniques to help determine the natural progression of Pompe disease (acid maltase deficiency or AMD). (MDA development grants are awarded to exceptional postdoctoral candidates who have the best chance of becoming independent researchers and future leaders of neuromuscular disease research.)
The current therapeutic approach for Pompe disease, enzyme replacement therapy or ERT, has improved outcomes for people with the disease. Alternatives to ERT, such as gene therapy, are under development.
Baligand and colleagues plan to develop tools, including magnetic resonance (MR) spectroscopy and other imaging techniques, for use in the noninvasive study of the natural course of Pompe disease in a mouse model. Such tools will facilitate the development of second- and third-generation treatment strategies for the disease.
"The development of MRI technology is crucial to improving the treatment of muscle diseases," Baligand said, noting that the development and validation of appropriate procedures for MRI could inform the preclinical testing of drugs and gene therapy in Pompe mouse models, potentially speeding the development of treatments for people with the disease.
Funding for this MDA grant began February 1, 2012.
Grantee: Pompe - Celine Baligand, Ph.D.
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Grant - Summer 2012 - MMD — Thurman Wheeler, M.D.
Thurman Wheeler, assistant professor in the department of neurology and Center for Neural Development & Disease at the University of Rochester, New York, was awarded an MDA research grant totaling $396,000 over three years to identify potential therapies aimed either at slowing down the progression of muscle degeneration or improving muscle health in type 1 myotonic muscular dystrophy (MMD1, or DM1).
The mechanism responsible for progressive muscle degeneration in MMD1 in humans is unknown.
Wheeler and colleagues have developed novel therapies that correct most aspects of myotonic dystrophy in mice with mild muscle degeneration. It’s unclear, however, whether the therapies will be as safe and effective in mice with advanced muscular dystrophy similar to MMD1 in humans.
Now the team is working with muscle cell cultures, muscle tissue and research mouse models of MMD1 to determine why progressive muscle degeneration occurs, and to identify therapeutic agents that slow progression of muscle degeneration or improve muscle pathology.
One of the therapeutic agents being tested by the team is antisense oligonucleotides (ASOs), administered by subcutaneous (under the skin) injection to mice with a disease resembling MMD1. The safety and efficacy of ASOs in mice with advanced muscle disease may help predict the safety and therapeutic response in people with MMD1 ahead of clinical trials.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MMD — Thurman Wheeler, M.D.
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Grant - Summer 2011 - ALS — Junping Xin, Ph.D.
MDA has awarded a development grant totaling $180,000 over a period of three years to Junping Xin, research associate at the Neuroscience Institute, Loyola University Medical Center in Chicago, and Edward Hines Jr. Veterans Administration Hospital in Hines, Ill. The funds will help support Xin’s research into the possible effects of immune system dysfunction in ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
In particular, Xin plans to study a specific type of immune system cell called the CD4+ T cell, which when dysregulated may lead to increased disease-related inflammation in people with ALS. It’s also known, however, that CD4+ T cells play an important role in supporting motor neuron survival.
Xin, and colleagues, plan to elucidate the mechanisms of the CD4+ T cell-mediated neuroprotection as well as the effects that result when the cells become dysfunctional.
A better understanding of both the normal and dysfunctional roles of CD4+ T cells should provide a better understanding of their possible use in new experimental therapies to treat ALS.
“MDA funding is critical to my being able to investigate these questions,” Xin said. “This grant funding will provide me with the chance to not only help people with ALS, but to develop an independent career in research medicine.”
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Junping Xin, Ph.D.
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Grant - Winter 2012 - Muscle Physiology - Elizabeth Chen, Ph.D.
MDA has awarded a research grant totaling $321,489 over a period of three years to Elizabeth Chen, an associate professor at Johns Hopkins University School of Medicine in Baltimore. The funds will help support Chen's research into a mechanistic understanding of normal muscle physiology, which will inform potential therapeutic strategies aimed at treating various genetic and acquired degenerative muscle diseases.
Skeletal muscle is composed of large numbers of muscle fibers, each of which is the product of fusion between hundreds or even thousands of immature muscle cells called myoblasts. Myoblast fusion is not only important for skeletal muscle development, but also essential for stem-cell-based muscle regeneration.
Despite a large body of studies over several decades, the mechanisms underlying myoblast fusion in mammals remain poorly understood.
In this study, Chen and colleagues plan to characterize the role of a small type of protein called a GTPase during myoblast fusion in fruit fly (drosophila) muscle development and in a mouse model of muscle regeneration.
"While studies in Drosophila continue to provide novel insights into the molecular and cellular mechanism of myoblast fusion, the fundamental principles revealed by the Drosophila studies are now being tested in the mammalian systems," Chen said. "Such a cross-species approach will provide the basis for enhancing therapeutic efficacy in the treatment of a variety of muscle degenerative disease."
Funding for this MDA grant began Feb. 1, 2012.
Grantee: Muscle Physiology - Elizabeth Chen, Ph.D.
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Grant - Summer 2012 - MMD — Charles Thornton, M.D.
Charles Thornton, professor of neurology at the University of Rochester in New York, was awarded an MDA research grant totaling $308,935 over three years. The funds will help support Thornton's work to expedite the development of effective treatments for type 1 myotonic muscular dystrophy (MMD, also known as DM).
MMD1 is caused by a repeat expansion mutation — an expanded section of DNA — in the DMPK gene, located on chromosome 19. Expanded DNA leads to the creation of expanded and toxic RNA, which causes problems for cells mainly because it traps and disables important proteins. Therefore, an important goal in MMD research is to free these cellular proteins — particularly one called muscleblind 1 or MBNL1 — so that they're able to perform their crucial functions.
One treatment approach that recently has emerged involves the use of small molecules to restore the activity of MBNL proteins, either by increasing their production or by blocking their interactions with toxic RNA. Another approach involves antisense oligonucleotides (AONs) that neutralize RNA toxicity or stimulate the clearance of toxic RNA.
"The model systems that are needed for preclinical testing of these respective approaches are somewhat different," Thornton explains. "Until now, the testing of small molecules has mainly been performed in HSALR transgenic mice, due to advantages of cost and efficiency; however, this model has limitations."
Thornton and colleagues are working to generate new mouse models that better reproduce the muscle weakness and degeneration that are characteristic in human MMD1. In addition, the team plans to design a model that will facilitate the testing of AONs.
Such mouse models could be used in the development and testing of potential new drugs to treat MMD.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MMD — Charles Thornton, M.D.
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Grant - Summer 2013 - LGMD/Miyoshi Myopathy — Jyoti Jaiswal, Ph.D.
Jyoti Jaiswal, associate professor at George Washington University School of Medicine and Health Sciences and investigator at Children’s Research Institute in Washington, D.C., was awarded an MDA research grant totaling $300,000 over a period of three years to evaluate whether a new anti-inflammatory compound can reduce muscle damage in dysferlinopathies.
Dysferlinopathies are muscle diseases due to mutations in the dysferlin gene, an important muscle repair protein. They include limb-girdle muscular dystrophy 2B and Miyoshi myopathy. Jaiswal is studying patient cells and mouse models to determine whether a new compound, called VBP15, can improve muscle damage.
“Unlike some of the other muscular dystrophies where anti-inflammatory steroidal drugs are beneficial, these drugs are ineffective in dysferlinopathy patients,” Jaiswal says. “At present, there are no drugs available for dysferlinopathy, and the drugs being tested do not simultaneously address the poor muscle cell membrane repair and muscle inflammation — two of the key deficits common to dysferlinopathy patients.”
VBP15 improves the ability of muscle cells to heal damage to their outer membrane and is a potent anti-inflammatory agent that lacks the metabolic side effects associated with use of steroidal anti-inflammatory drugs. It is currently approaching clinical trials for other diseases.
“Establishing the preclinical benefits of VBP15 using dysferlinopathic mice could make this a viable drug-based therapy for dysferlinopathy patients,” Jaiswal says.
Funding for this MDA grant began August 1, 2013.
Grantee: LGMD/Miyoshi Myopathy — Jyoti Jaiswal, Ph.D.
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Grant - Summer 2011 - ALS — Jasna Kriz, Ph.D.
Jasna Kriz, associate professor in the department of psychiatry and neuroscience at Laval University, Quebec City, Canada, was awarded an MDA research grant totaling $445,086 over a period of three years to help refine and describe a new mouse model that will enable scientists to visualize different aspects of the disease process in ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
Previously, Kriz and colleagues developed mouse models with bioluminescent and fluorescent genes (from fireflies) that allow researchers to visualize ALS-related events such as neuroinflammation and neuronal damage in the brains and spinal cords of living mice. They even were able to detect distinct and disease-specific signals linked to presymptomatic stages of the disease.
Now, Kriz plans to use the previously generated models to generate ALS imaging reporter mice, which will enable scientists to visualize, in live mice, different elements of the ALS disease process.
Once their characteristics are fully understood, the ALS reporter mice will represent a unique tool that will allow scientists to study the ALS disease process and real-time response to experimental therapies.
Favorable results are expected to lead to more efficient translation of experimental therapies to the clinic and new therapeutic strategies for ALS.
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Jasna Kriz, Ph.D.
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Grant - Winter 2012 - Muscle Physiology - Chris Weihl, M.D., Ph.D.
Chris Weihl, assistant professor of neurology at Washington University School of Medicine in St. Louis, was awarded an MDA grant totaling $397,064 over a period of three years. The funds will help support Weihl’s research into a process called autophagy in skeletal muscle. Data gleaned from Weihl’s studies may be applicable to a number of neuromuscular disorders including amyotrophic lateral sclerosis (ALS) and the muscular dystrophies; Weihl and colleagues will conduct their studies on a mouse model of myofibrillar myopathy (MFM).
Autophagy, which means "self-digestion," is a cellular cleanup and garbage-disposal system. Cells use it to degrade and destroy abnormal cellular or protein components that otherwise could lead to toxicity and cell death.
One hallmark in a number of neuromuscular diseases is the presence of protein clumps called aggregates or inclusions in affected tissues. It’s unknown whether facilitating the clearance or degradation of these inclusions is beneficial.
Weihl and colleagues plan to test FDA-approved drugs reported to enhance autophagy to determine whether protein degradation via autophagy is protective. The group will test the drugs in a newly developed mouse model of myofibrillar myopathy.
“These studies will answer the question of whether enhancing autophagy in protein-aggregate disorders is protective,” Weihl said.
Funding for this MDA grant began February 1, 2012.
Grantee: Muscle Physiology - Chris Weihl, M.D., Ph.D.
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Grant - Summer 2011 - ALS — Don Cleveland, Ph.D.
MDA has awarded a research grant totaling $429,983 over three years to Don Cleveland, departmental chair of cellular and molecular medicine; professor of medicine, neurosciences, and cellular and molecular medicine; and member of the Ludwig Institute for Cancer Research in La Jolla, Calif. The funds will help support Cleveland’s research into the connection between mitochondria and ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
Mitochondria, the intracellular compartments that consume oxygen to produce chemical fuel that supports the cell, have been implicated as targets for toxicity in the inherited, SOD1-associated forms of ALS.
It is not known, however, in which cell types of the nervous system mitochondrial damage occurs, whether the ensuing mitochondrial dysfunctions are a cause or a consequence of neuronal degeneration during the disease and if the effects are the same in SOD1-associated ALS caused by different SOD1 mutations.
Using mice that are genetic mimics of inherited, SOD1-related ALS, Cleveland intends to determine at what disease stage and in which cell types of the central nervous system mitochondrial dysfunction occurs, and whether rescue of individual mitochondrial functions or an increase in mitochondrial activity may alter the ALS disease course.
“This comparative analysis will, in principle, provide a test for whether mitochondria are a common target of toxicity,” Cleveland said.
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Don Cleveland, Ph.D.
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Grant - Winter 2012 - MMD - Mani Mahadevan, M.D.
Mani Mahadevan, a professor at the University of Virginia in Charlottesville was awarded an MDA grant totaling $281,352 over a period of two years. The funds will help support Mahadevan's investigation into potential therapies for type 1 myotonic muscular dystrophy (MMD1, or DM1).
A key component of Mahadevan's new work is collaboration between the Mahadevan lab and Novartis through the Genomics Institute of the Novartis Research Foundation. Together, the two groups intend to identify compounds that correct defects in muscle tissue formation in DM1.
They will do this via a screening method that will evaluate approximately 850,000 compounds; promising candidates will then be evaluated in a mouse model to determine whether they lead to any improvement in the generation of mature muscles in DM1.
Compounds identified through the screening process may be used as starting points for further development of a DM1 therapy.
"The current state of translational research is very exciting," Mahadevan said. "A number of different approaches, including antisense oligos and small molecules are being developed and tested by labs around the world to try to develop therapies for myotonic dystrophy and have yielded promising results in mouse models."
Funding for this MDA grant began February 1, 2012.
Grantee: MMD - Mani Mahadevan, M.D.
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Grant - Spring 2011 - ALS — Clotilde Lagier-Tourenne, M.D., Ph.D.
Clotilde Lagier-Tourenne, a postdoctoral fellow at the University of California, San Diego, in La Jolla, was awarded an MDA development grant totaling $180,000 over a period of three years to study the roles of two proteins, TDP43 and FUS, in ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).
ALS-causing mutations in the genes for two RNA binding proteins, TDP43 and FUS, appear to cause disruption in the processing of RNA (the chemical step that directs protein synthesis).
In a research mouse model, Lagier-Tourenne and colleagues have identified RNAs that TDP43 normally binds to, as well as abnormalities in the processing of RNA that occur when TDP43 is depleted.
Similarly, in their new work, the researchers plan to determine the role of FUS in the regulation of RNA in the mouse central nervous system.
The team's proposed set of studies is expected to identify a set of alterations to normal RNA processing that will define a TDP43- and FUS-dependent ALS disease signature.
"I am really grateful for the support from MDA," Lagier-Tourenne said. "It represents strong encouragement at this stage of my career and will allow me to extend my research on the role of RNA processing in neurodegeneration."
Funding for this MDA grant began August 1, 2011.
Grantee: ALS — Clotilde Lagier-Tourenne, M.D., Ph.D.
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Grant - Winter 2012 - MMD - Laura Ranum, Ph.D.
MDA awarded a research grant totaling $415,092 over a period of three years to Laura Ranum, professor of molecular genetics and microbiology at the University of Florida in Gainesville.
The funds will help support Ranum's research into the role of a phenomenon called Repeat Associated Non-ATG translation (RAN translation) in myotonic dystrophy (MMD, or DM1).
Ranum and colleagues have discovered a new mechanism, RAN translation, by which repeat sequences (series of repeated segments of DNA) direct protein synthesis in the absence of normal regulatory signals. Evidence suggests that RAN translation results in the production of unexpected mutant proteins in myotonic dystrophy.
In her new work, Ranum and colleagues plan to determine how many of these unexpected proteins are made in myotonic dystrophy, which cells in the body are able to make them, and what effects they have on the disease.
"We have demonstrated that RAN translation occurs in cell culture and in animal models of type 1 myotonic dystrophy, and in tissues from human patients," Ranum said. "We must now consider the effects that these newly discovered mutant proteins could have on the disease."
Funding for this MDA grant began February 1, 2012.
Grantee: MMD - Laura Ranum, Ph.D.
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Grant - Summer 2012 - MG — Lin Mei, M.D., Ph.D.
MDA awarded a research grant totaling $390,000 over three years to Lin Mei, professor and director of the Institute of Molecular Medicine and Genetics at the Medical College of Georgia, part of Georgia Regents University. The funds will help support Mei’s research on the role of a protein called LRP4 in myasthenia gravis (MG).
MG is an autoimmune disease — a disease that occurs when the immune system attacks the body's own tissues. The attack occurs at theneuromuscular junction (NMJ), the space where signals pass between muscle and nerve.
Symptoms include weakness in muscles that control the eyes, face, neck and limbs; partial paralysis of eye movements; double vision and droopy eyelids; and weakness and fatigue in the neck and jaws with problems in chewing, swallowing and holding up the head.
Most MG occurs when the immune system uses special proteins calledantibodies to target either the acetylcholine (ACh) receptor, or muscle-specific kinase (MuSK), a protein that helps organize ACh receptors on the muscle cell surface. But approximately 10 percent of people with the disease are seronegative for antibodies to the ACh receptor or MuSK, meaning the antibodies aren't detectable in their blood.
In preliminary studies, Mei and colleagues have identified an antibody against a protein called LRP4 in people with seronegative MG. (LRP4 is known to play a role in formation and maintenance of the NMJ.)
Now the group is studying the possible role and mechanisms of LRP4 in seronegative MG.
"Such information should contribute to a better understanding of seronegative MG and development of novel diagnostic and therapeutic means for this devastating disease," Mei says.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MG — Lin Mei, M.D., Ph.D.
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Grant - Summer 2013 - FSHD — Gregory Block, Ph.D.
Gregory Block, senior fellow in pediatrics at the University of Washington in Seattle, was awarded an MDA development grant totaling $179,994 over a period of three years to search for treatment targets infacioscapulohumeral muscular dystrophy (FSHD).
FSHD occurs when a section at the tip of one chromosome, chromosome number 4, is shortened. When that happens, it allows a gene called DUX4 to remain active into adulthood, instead of becoming inactive after early development. The symptoms of FSHD are due to this extended activity of DUX4, so preventing that activity, or blocking its effects, could be therapeutic in the disease. Block has developed a cell-based system to study DUX4 activation, and has found one chemical pathway in muscle cells that can prevent activation. He will continue investigating this pathway to determine if it can be used to develop treatments for FSHD.
“This is an exciting time for FSHD research,” Block says. “Four years ago, there was still considerable debate as to the genetic cause of the disease, and today we are challenged with defining pragmatic approaches for disease intervention. We are hoping the data generated from this project will provide considerable insight into the mechanisms used by cells to silence DUX4.”
Funding for this MDA grant began August 1, 2013.
Grantee: FSHD — Gregory Block, Ph.D.
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Grant - Winter 2012 - MG - Premkumar Christadoss, M.B.B.S.
Premkumar Christadoss, a professor in the department of microbiology and immunology at the University of Texas Medical Branch in Galveston, was awarded an MDA research grant totaling $390,000 over a period of three years to study the potential for gene therapy as a treatment in myasthenia gravis (MG).
In MG, an "autoimmune" disease, the immune system attacks the body's own tissues. The attack occurs at the junction between nerve and muscle, and targets the acetylcholine receptor, the part of a muscle cell that receives signals from a nerve cell. Specific functions involved in driving the attack are generated by components (including the proteins C2, C4 and C1) in what is known as the complement system.
In a research mouse model of MG, Christadoss and colleagues will administer what are called small interfering RNAs (siRNAs) designed to block activation of C2, C4 and/or C1. Inhibition of the proteins should shed light on each protein's role in the autoimmune disease process and guide the development of therapies that can target them.
"Successful completion of this project will lead to human complement C2, C4 or C1 siRNA gene therapy for myasthenia gravis," Christadoss said. "Moreover, this complement gene therapy can be applied to other complement-mediated muscle diseases as well."
Funding for this MDA grant began February 1, 2012.
Grantee: MG - Premkumar Christadoss, M.B.B.S.
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Grant - Summer 2012 - MG — JianRong Sheng, Ph.D.
JianRong Sheng, assistant professor in the department of neurology and rehabilitation at the University of Illinois at Chicago Medical Center, was awarded an MDA research grant totaling $317,058 over three years. The funds will help support Sheng's study of potential therapeutic treatments for myasthenia gravis (MG).
MG is an autoimmune disease — a disease that occurs when the immune system attacks the body's own tissues. The attack occurs at theneuromuscular junction (NMJ), the space where signals pass between muscle and nerve.
Most MG occurs when the immune system uses special proteins calledantibodies to target either the acetylcholine (ACh) receptor, or muscle-specific kinase (MuSK), a protein that helps organize ACh receptors on the muscle cell surface.
"Current major therapies for MG produce general, nonspecific suppression of the immune system and are associated with significant long-term risk of infection and malignant tumors, and are therefore not optimal for treatment," Sheng explains. "There is a need to develop more focused treatments that only target those immune cells responsible for causing diseases without otherwise affecting the remainder of the immune system."
In previous studies, Sheng has shown that a growth factor called GM-CSF prevented development of a disease resembling MG called experimental autoimmune myasthenia gravis (EAMG). The treatment increases numbers of T cells and B cells, and Sheng showed that the T cells suppressed MG-associated antibodies.
Now, Sheng and colleagues are working on discerning the function, mechanisms and therapeutic potential of B cells in EAMG, and evaluating new medications aimed at mobilizing the cells for the treatment of MG.
Sheng's work potentially could change the fundamental approach to the treatment of MG from general, nonspecific immune suppression to focused, individualized and more specific therapy.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MG — JianRong Sheng, Ph.D.
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Grant - Summer 2013 - DMD/BMD — Terence Partridge, Ph.D.
Terence Partridge, professor of integrative systemic biology and pediatrics at George Washington University and associate director of the Children’s Research Institute in Washington, D.C., was awarded an MDA research grant totaling $300,000 over a period of three years to investigate differences in muscle repair mechanisms in mice and humans, in the context of Duchenne muscular dystrophy (DMD).
When muscle is damaged, cells called satellite cells divide in order to replace the damaged muscle. This occurs in DMD, but eventually the satellite cell repair system is exhausted, leading to irreversible loss of muscle tissue. Mice also employ satellite cells, but the mouse system differs in some important ways from the human one, and these differences may have an impact on lessons that can be learned from using a mouse model of DMD (called the mdx mouse) to study repair in DMD.
Partridge will use the mdx mouse to investigate differences between satellite cell muscle building early and later in the mouse life cycle. “We now have ways of indelibly marking satellite cells during growth," Partridge says. "We can use this to ask whether the cells that are repairing the dystrophic muscle after two years of continuous repair are descended from the cells that were used for growth during the first three weeks of life, or whether they are recruited from other stem cell sources.
“At present, we do not know whether interventions designed to augment muscle regeneration that have been devised in the mdx mouse would be applicable to humans,” he says. “Design of effective strategies for rescuing or enhancing muscle repair in DMD requires that we learn which cells to use and how best to use them. We aim therefore to identify the significant participants and to characterize their relative roles in the formation, maintenance and repair of normal and chronically diseased muscle.”
Funding for this MDA grant began August 1, 2013.
Grantee: DMD/BMD — Terence Partridge, Ph.D.
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Grant - Winter 2012 - Mito. Myopathy - Salvatore DiMauro, M.D.
MDA awarded a research grant totaling $272,974 over a period of two years to Salvatore DiMauro, the Lucy G. Moses Professor of Neurology at Columbia University Medical Center in New York. The funds will help support DiMauro’s research into developing a therapy designed to treat neutral lipid storage disease with myopathy (NLSDM), a mitochondrial myopathy.
NLDSM is a lipid storage myopathy. The genetic cause of the disease is mutations in the PNPLA2 gene, which carries instructions for ATGL, anenzyme (type of protein) that normally sticks to cellular “fat storage compartments” called lipid droplets and breaks down the more complex lipids, such as triglycerides, into simpler fatty acids. These fatty acids are then used by mitochondria — the “energy factories” that provide the power required for cells to perform their functions.
“We have been following for five years an 18-year-old woman with well-documented NLSDM, who is still totally asymptomatic although her muscle and cultured skin fibroblasts [immature cells that will develop into fibrous tissue] are loaded with triglyceride droplets,” DiMauro said. His team also has obtained cultured fibroblasts from four symptomatic patients with PNPLA2 mutations.
In cultured cells, DiMauro and colleagues plan to test the ability of compounds called beta agonists to reduce the abnormal triglyceride storage, with the ultimate goal of applying one of the strategies to their patients.
If favorable results are obtained, the investigators plan to conduct a one-person trial in their “pre-symptomatic patient,” followed by an international controlled trial.
Funding for this MDA grant began February 1, 2012.
Grantee: Mito. Myopathy - Salvatore DiMauro, M.D.
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Grant - Summer 2013 - DMD/BMD — Lynn Megeney, Ph.D.
Lynn Megeney, senior scientist at the Sprott Centre for Stem Cell Research, Ottawa Hospital Research Institute in Ottawa, Ontario, Canada, was awarded an MDA research grant totaling $300,000 over a period of three years to study how muscle stem cells are controlled.
When muscles are damaged, stem cells called satellite cells divide to form new muscle. In muscular dystrophies such as Duchenne (DMD) andBecker (BMD) muscular dystrophies, satellite cells offer a pool of stem cells that, at least temporarily, can replace the muscle cells that are lost in the disease. However, Megeney notes, “the steps that control the self-renewal process of these cell types remain largely unknown.” He is investigating the role of a critical enzyme called caspase 3, which promotes maturation of satellite cells into muscle fibers. Caspase 3 targets and cleaves other proteins, either activating or destroying them, and thus altering cell development. Megeney has identified one such target, calledPax7, and will work to learn more about this system and to discover other caspase 3 targets, in both cell culture and mouse models of muscular dystrophy.
“We anticipate that the knowledge gained through our research efforts will provide a means to direct both the self-renewal process, as well as the maturation steps toward fully functional adult muscle cells,” Megeny says. “These basic science innovations will influence stem cell mediated therapies in general, impacting the range of dystrophies that are amenable to such a therapeutic intervention.”
Funding for this MDA grant began August 1, 2013.
Grantee: DMD/BMD — Lynn Megeney, Ph.D.
Grant type: Research Grant
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Grant - Summer 2013 - DMD — Steve Wilton, Ph.D.
Steve Wilton, foundation chair in molecular therapies at the Centre for Comparative Genomics at Murdoch (Australia) University, was awarded an MDA research grant totaling $300,000 over a period of three years to develop exon-skipping compounds for the less common mutations causingDuchenne muscular dystrophy (DMD).
Exon skipping has emerged as a promising therapeutic strategy for DMD. An exon is a section of a gene; multiple exons are combined to make the instructions for a protein. In DMD, a mutation that affects one or more exons of the dystrophin gene can prevent the protein from being made properly.
By blocking an exon or exons near the mutation, it is sometimes possible to restore the cell’s ability to create a smaller-than-normal, but still functional, dystrophin protein.
Different people carry different mutations and will require that different exons be blocked to treat those mutations. Experimental treatments that block (“skip”) exon 51 are now being tested in clinical trials, and results from early trials indicate these treatments may be beneficial.
But these treatments can only treat those who can benefit from blocking exon 51, Wilton points out, accounting for about 15 percent of all cases of DMD.
“Individuals with different mutations in their dystrophin gene need to have other morpholino oligos [the name for the exon-skipping treatment] designed to address their dystrophin mutations. Our project will extend exon skipping to the rare exons and other mutations that require multiple exons to be removed.”
The goal, he says, is to have these treatments ready to test if the current exon 51-targeting therapies continue to show promise in the clinic.
“If this therapy is shown to be able to slow or halt the progression of DMD, we want to have lead morpholino candidates ready to treat as many other DMD mutations as possible.”
Funding for this MDA grant began August 1, 2013.
Grantee: DMD — Steve Wilton, Ph.D.
Grant type: Research Grant
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Grant - Summer 2012 - MG — Feng Lin, Ph.D.
Feng Lin, associate professor in the department of pathology at Case Western Reserve University School of Medicine in Cleveland, Ohio, was awarded an MDA research grant totaling $390,000 over three years to study a potential new cell-based therapy for myasthenia gravis (MG).
MG is part of a large class of diseases known as autoimmune diseases, in which the body's immune system attacks its own tissues.
In MG, the attack occurs at the neuromuscular junction (NMJ) — the space where signals pass between muscle and nerve.
Symptoms include weakness in muscles that control the eyes, face, neck and limbs; partial paralysis of eye movements; double vision and droopy eyelids; and weakness and fatigue in the neck and jaws with problems in chewing, swallowing and holding up the head.
In previous work, Lin and colleagues developed a new method for generating a special group of cells that are highly effective at suppressing the immune system.
"Pilot studies in our labs found that this group of cells concurrently inhibited both T and B cell responses that lead to myasthenia gravis," Lin says.
Now Lin is testing the effectiveness of the special cells in treating MG in an animal model of the disease.
"Results from this project could help to develop these cells as a new, effective treatment for myasthenia gravis," Lin says.
Funding for this MDA grant began Aug. 1, 2012.
Grantee: MG — Feng Lin, Ph.D.
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