Abstract:
:Classic physiology studies dating to the 1930s demonstrate that moderate or transient glucocorticoid (GC) exposure improves muscle performance. The ergogenic properties of GCs are further evidenced by their surreptitious use as doping agents by endurance athletes and poorly understood efficacy in Duchenne muscular dystrophy (DMD), a genetic muscle-wasting disease. A defined molecular basis underlying these performance-enhancing properties of GCs in skeletal muscle remains obscure. Here, we demonstrate that ergogenic effects of GCs are mediated by direct induction of the metabolic transcription factor KLF15, defining a downstream pathway distinct from that resulting in GC-related muscle atrophy. Furthermore, we establish that KLF15 deficiency exacerbates dystrophic severity and muscle GC-KLF15 signaling mediates salutary therapeutic effects in the mdx mouse model of DMD. Thus, although glucocorticoid receptor (GR)-mediated transactivation is often associated with muscle atrophy and other adverse effects of pharmacologic GC administration, our data define a distinct GR-induced gene regulatory pathway that contributes to therapeutic effects of GCs in DMD through proergogenic metabolic programming.
journal_name
Proc Natl Acad Sci U S Aauthors
Morrison-Nozik A,Anand P,Zhu H,Duan Q,Sabeh M,Prosdocimo DA,Lemieux ME,Nordsborg N,Russell AP,MacRae CA,Gerber AN,Jain MK,Haldar SMdoi
10.1073/pnas.1512968112subject
Has Abstractpub_date
2015-12-08 00:00:00pages
E6780-9issue
49eissn
0027-8424issn
1091-6490pii
1512968112journal_volume
112pub_type
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