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A mouse model for congenital myasthenic syndrome due to MuSK mutations reveals defects in structure and function of neuromuscular junctions.

Abstract
In the muscle-specific tyrosine kinase receptor gene MUSK, a heteroallelic missense and a null mutation were identified in a patient suffering from a congenital myasthenic syndrome (CMS). We generated one mouse line carrying the homozygous missense mutation V789M in musk (musk(V789M/V789M) mice) and a second hemizygous line, resembling the patient genotype, with the V789M mutation on one allele and an allele lacking the kinase domain (musk(V789M/-) mice). We report here that musk(V789M/V789M) mice present no obvious abnormal phenotype regarding weight, muscle function and viability. In contrast, adult musk(V789M/-) mice suffer from severe muscle weakness, exhibit shrinkage of pelvic and scapular regions and hunchback. Musk(V789M/-) diaphragm develops less force upon direct or nerve-induced stimulation. A profound tetanic fade is observed following nerve-evoked muscle contraction, and fatigue resistance is severely impaired upon a train of tetanic nerve stimulations. Electrophysiological measurements indicate that fatigable muscle weakness is due to impaired neurotransmission as observed in a patient suffering from a CMS. The diaphragm of adult musk(V789M/-) mice exhibits pronounced changes in endplate architecture, distribution and innervation pattern. Thus, the missense mutation V789M in MuSK acts as a hypomorphic mutation and leads to insufficiency in MuSK function in musk(V789M/-) mutants. These mutant mice represent valuable models for elucidating the roles of MuSK for synapse formation, maturation and maintenance as well as for studying the pathophysiology of a CMS due to MuSK mutations.
AuthorsFrédéric Chevessier, Emmanuelle Girard, Jordi Molgó, Sönke Bartling, Jeanine Koenig, Daniel Hantaï, Veit Witzemann
JournalHuman molecular genetics (Hum Mol Genet) Vol. 17 Issue 22 Pg. 3577-95 (Nov 15 2008) ISSN: 1460-2083 [Electronic] England
PMID18718936 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Receptors, Cholinergic
  • MUSK protein, human
  • MuSK protein, mouse
  • Receptor Protein-Tyrosine Kinases
Topics
  • Animals
  • Axons (physiology)
  • Diaphragm (innervation, physiopathology)
  • Disease Models, Animal
  • Female
  • Humans
  • Kyphosis
  • Locomotion
  • Male
  • Mice
  • Microscopy, Electron
  • Motor Endplate (physiopathology)
  • Muscle Contraction
  • Muscle Weakness
  • Mutation, Missense
  • Myasthenic Syndromes, Congenital (genetics, metabolism, physiopathology)
  • Neuromuscular Junction (physiopathology, ultrastructure)
  • Receptor Protein-Tyrosine Kinases (genetics, metabolism)
  • Receptors, Cholinergic (genetics, metabolism)
  • Refractory Period, Electrophysiological
  • Synaptic Transmission

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