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Originally published online as doi:10.2353/ajpath.2007.070452 on September 6, 2007

Published online before print September 6, 2007
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(American Journal of Pathology. 2007;171:1576-1587.)
© 2007 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2007.070452

Enhanced Na+/H+ Exchange Activity Contributes to the Pathogenesis of Muscular Dystrophy via Involvement of P2 Receptors

Yuko Iwata, Yuki Katanosaka, Takashi Hisamitsu and Shigeo Wakabayashi

From the Department of Molecular Physiology, National Cardiovascular Center Research Institute, Osaka, Japan

A subset of muscular dystrophy is caused by genetic defects in dystrophin-associated glycoprotein complex. Using two animal models (BIO14.6 hamsters and mdx mice), we found that Na+/H+ exchanger (NHE) inhibitors prevented muscle degeneration. NHE activity was constitutively enhanced in BIO myotubes, as evidenced by the elevated intracellular pH and enhanced 22Na+ influx, with activation of putative upstream kinases ERK42/44. NHE inhibitor significantly reduced the increases in baseline intracellular Ca2+ as well as Na+ concentration and stretch-induced damage, suggesting that Na+i-dependent Ca2+overload via the Na+/Ca2+ exchanger may cause muscle damage. Furthermore, ATP was found to be released continuously from BIO myotubes in a manner further stimulated by stretching and that the P2 receptor antagonists reduce the enhanced NHE activity and dystrophic muscle damage. These observations suggest that autocrine ATP release may be primarily involved in genesis of abnormal ionic homeostasis in dystrophic muscles and that Na+-dependent ion exchangers play a critical pathological role in muscular dystrophy.






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Copyright © 2007 by the American Society for Investigative Pathology.