Abstract
The Cardiomyopathy–associated gene 5 (Cmya5) encodes myospryn, a large tripartite motif (TRIM)-related protein found predominantly in cardiac and skeletal muscle. Cmya5 is an expression biomarker for a number of diseases affecting striated muscle and may also be a schizophrenia risk gene. To further understand the function of myospryn in striated muscle, we searched for additional myospryn paralogs. Here we identify a novel muscle-expressed TRIM-related protein minispryn, encoded by Fsd2, that has extensive sequence similarity with the C-terminus of myospryn. Cmya5 and Fsd2 appear to have originated by a chromosomal duplication and are found within evolutionarily-conserved gene clusters on different chromosomes. Using immunoaffinity purification and mass spectrometry we show that minispryn co-purifies with myospryn and the major cardiac ryanodine receptor (RyR2) from heart. Accordingly, myospryn, minispryn and RyR2 co-localise at the junctional sarcoplasmic reticulum of isolated cardiomyocytes. Myospryn redistributes RyR2 into clusters when co-expressed in heterologous cells whereas minispryn lacks this activity. Together these data suggest a novel role for the myospryn complex in the assembly of ryanodine receptor clusters in striated muscle.
Introduction
The unique cytoskeletal organisation of striated muscle is dependent upon the formation of specialised interactions between proteins that have both structural and signalling functions1. For example, the sarcomere is organised around the 4 MDa protein titin; the largest protein in the vertebrate proteome, that spans half the length of the sarcomere from the Z-disc to the M-line. The Z-disc provides the framework for the assembly and anchoring of the numerous multi-protein complexes of the sarcomere and also integrates signal transduction events that are thought to mediate the stretch response2, 3. In addition to titin, striated muscle expresses a repertoire of very large proteins that interact with the unique structural elements of the sarcomere. Many of these enigmatic proteins including obscurin, nebulin and titin have a repeating, modular architecture and interact with a myriad of different proteins in the myocyte and cardiomyocyte4–8.
Myospryn, encoded by the CMYA5 gene, is a similarly enigmatic 500 kDa protein that is expressed predominantly in skeletal and cardiac muscle9, 10. Myospryn has greatest sequence similarity to the midline E3 ubiquitin ligases that are members of the TRIM superfamily of proteins and has also been designated TRIM769, 11, 12. This similarity does not encompass the RING domain of the midline proteins potentially negating the possibility that myospryn is an E3 ubiquitin ligase. While the function of myospryn in muscle is unknown, levels of its transcript are altered in diseases affecting striated muscle including Duchenne muscular dystrophy (DMD), experimentally-induced hypertrophy and cardiomyopathy13–16. Furthermore, heterozygous CMYA5 mutations have recently been identified by whole exome sequencing in Chinese patients with sporadic hypertrophic cardiomyopathy whereas CMYA5 polymorphisms are associated with left ventricular wall thickness in patients with hypertension17, 18. Myospryn expression is positively regulated in vivo by the transcription factor Mef2a and is consequently down-regulated in Mef2a-deficient mice10. In addition to muscle disease, common CMYA5 genetic variants have also been associated with an increased risk of schizophrenia19, 20.
Myospryn was originally identified in a yeast two-hybrid screen for proteins interacting with dysbindin; a component of the biogenesis of lysosome-related organelles complex-1 (BLOC-1) endosomal trafficking complex9. In addition to dysbindin, myospryn has been shown to interact with desmin21, α-actinin10, the RIIα regulatory subunit of PKA22, 23, dystrophin22, calcineurin24, titin and calpain-325. In spite of myospryn’s size, all of the currently identified myospryn interactors bind to overlapping regions in the C-terminus of the protein encompassing the tripartite motif15, 25, 26. For example, α-actinin, the regulatory subunit of protein kinase A (PKA, RIIα) and titin bind to overlapping sites within the C-terminus of myospryn that include the FN3 domains, the BBC domain and the SPRY domain10, 23, 25, 27. Similarly, calpain-3 and dysbindin bind to the region encompassing the BBOX’/BBC and first FN3 domains whereas desmin binds to the distal part of the SPRY domain at the extreme C-terminus of myospryn9, 21, 25.
Given the number of myospryn-binding proteins described to date, it is not surprising that its specific function(s) in striated muscle remains unresolved. Furthermore, the subcellular location of myospryn in muscle is far from clear. Myospryn has been shown to co-localise with α-actinin, dystrophin and the RIIα regulatory subunit of PKA at the costameres of skeletal muscle10, 22, 23. It has therefore been suggested that myospryn may be a costameric A-kinase anchoring protein22, 23. By contrast, Sarparanta and colleagues showed that myospryn immunoreactivity flanked the Z-line and was also present at sites along the sarcomere including the M-band where it can interact with titin and calpain-325. In cardiac muscle myospryn is reported to be found predominantly at the intercalated discs and costameres co-localising with desmin and, at the perinuclear region and endoplasmic/sarcoplasmic reticulum of cultured neonatal cardiomyocytes21.
To gain further insight into the function of myospryn in striated muscle we used a combination of biochemical and immunochemical techniques to find physiologically relevant myospryn-associated proteins. Using immunoaffinity chromatography and mass spectrometry we show that myospryn exists as part of an oligomeric protein complex in cardiac muscle with the cardiac ryanodine receptor (RyR2). This complex also contains a previously unreported paralog of myospryn that we have named minispryn.
Results
Cloning and initial characterisation of minispryn
Previously we reported that myospryn has a BBOX’ domain required for binding to dysbindin9. To find other proteins that have a similar architecture, we searched the NCBI (National Center for Biotechnology Information) databases for myospryn paralogs that contained this sequence. This search identified a single expressed sequence tag (EST, srf30) that was predicted to encode a BBOX’-containing protein9. A PCR product spanning the EST was used to screen a skeletal muscle cDNA library for full-length cDNA clones, thus yielding mini7E. The full-length sequence of mini7E is 6148 bp and has a single large open reading frame that encodes a 716 amino acid protein with a predicted molecular mass of 81 kDa (Supplementary Fig. S1). Based upon its size and paralogy with myospryn (see below), we have named this protein minispryn. The NCBI annotation for the genes encoding minispryn and myospryn are Fsd2 (fibronectin type III and SPRY domain containing 2, Gene ID: 244091) and Cmya5 (Gene ID: 76469) respectively. For convenience, in this manuscript we have used the names Fsd2 and Cmya5 to describe the gene, and minispryn and myospryn to describe their respective cognate proteins.
Minispryn shares 45.5% protein sequence similarity with the C-terminus of myospryn retaining the same domain architecture and order; BBOX’, BBC, two FN3 domains and a C-terminal SPRY domain (Fig. 1a). By contrast, minispryn lacks the large N-terminal region that constitutes the majority of the myospryn protein including the low complexity repeat region9. Other than myospryn, the closest vertebrate minispryn homologs are the midline proteins encoded by the MID1 and MID2 genes and the Muscle Ring Finger (MuRF) proteins (Fig. 1b). The midline and MuRF proteins contain the canonical RING, BBOX and BBC domains found in the majority of the TRIM family of E3-ubiquitin ligases11. By contrast, minispryn and myospryn only contain the C-terminal domains that follow the BBOX of the midline proteins and are thus devoid of an apparent RING-domain (Fig. 1b). Furthermore, minispryn and myospryn have tandem FN3 domains whereas the midline proteins only have a single FN3 domain.
Comparison of the genomic organization of Fsd2 and Cmya5 shows that the architecture of each gene is remarkably similar, both being composed of 13 exons (Supplementary Fig. S2A). The difference in size of the two proteins is attributable to the sequence encoded by exon 2, which in Cmya5 is 9.3 kb but only 582 bp in Fsd2. Long-range sequence analysis around the CMYA5 and FSD2 loci showed that each gene is contained within a conserved chromosomal duplication (Supplementary Fig. S2B). The CMYA5 cluster that contains the HOMER1, JMY and AP3B1 genes spans approximately 2.5 Mbp of chromosome 5 whereas the FSD2 cluster on chromosome 15 that contains HOMER2, WHAMM (JMY paralog) and AP3B2 spans only 240 kb. The genomic architecture of the CMYA5 and FSD2 clusters is also conserved in teleost fish species such as Tetraodon that diverged from a common ancestor approximately 450 million years ago.
Minispryn transcript and protein
Northern blot analysis shows that the 7 kb minispryn transcript is expressed at highest levels in heart but is also detectable in skeletal muscle (Fig. 2a). An anti-minispryn antibody (819) was raised in rabbits against the first 227 amino acids of minispryn. The specificity of the anti-myospryn and anti-minispryn antibodies was determined by immunoblotting extracts prepared from HEK293T cells over-expressing untagged myospryn and minispryn. Each antibody detects its cognate antigen and does not cross-react with their respective paralog (Fig. 2b). The tissue distribution of minispryn in the adult mouse was confirmed with the anti-minispryn antibody that detects a protein of approximately 90 kDa in cardiac and skeletal muscle (Fig. 2c). We used publically available expression data to examine the relative abundance of the transcripts encoding minispryn and myospryn in heart and skeletal muscle28. FSD2 was expressed at relatively low levels in heart (6.3 RPKM (Reads Per Kb of transcript per Million mapped reads)) and skeletal muscle (5.6 RPKM). By contrast, levels of CMYA5 where significantly higher in skeletal muscle (388.3 RPKM) compared to heart (94.2 RPKM). Interestingly, these data place CMYA5 (myospryn) in the top 100 most highly expressed transcripts in skeletal muscle. The relative abundance of each transcript is mirrored by the levels of the cognate protein in the same tissue (Fig. 2c)9.
Since paralogous proteins often participate in similar protein:protein interactions we used co-immunoprecipitation to determine whether minispryn and myospryn form a protein complex in vivo. Proteins were co-immunoprecipitated from heart and skeletal muscle RIPA extracts using myospryn- and minispryn-specific antibodies. Myospryn and minispryn were robustly immunoprecipitated with their cognate antisera (Fig. 2d and e). Importantly, minispryn was detected in the protein complex immunoprecipitated with anti-myospryn antisera. Conversely, myospryn was detected in material immunoprecipitated by the anti-minispryn antibody. In control experiments, neither myospryn nor minispryn could be immunoprecipitated from cardiac or skeletal muscle with an unrelated IgG (Fig. 2d and e).
Immunoaffinity purification of the myospryn complex from cardiac muscle
To search for additional minispryn:myospryn associated proteins, we used the 819 antibody to immunoaffinity purify minispryn and associated proteins from mouse heart. Immunoprecipitated proteins were eluted from the immunoaffinity matrix and resolved on Novex gradient gels stained with colloidal Coomassie blue (Fig. 3a). Minispryn (band A3) was highly enriched following immunoaffinity purification demonstrating the efficacy of this technique for protein purification from tissue (Fig. 3b). Bands that were not shared with the protein G control were excised from the gel, digested with trypsin and analysed by mass spectrometry. Tryptic peptides derived from minispryn (band A3) and myospryn (band A1 and A2) were readily identified, supporting our finding that both proteins exist in a complex in vivo (Table 1). Furthermore, numerous peptides corresponding to the cardiac ryanodine receptor (RyR2) were obtained from band A1 at approximately 550 kDa. Although SERCA2 was also identified in band A3, we have not confirmed this potential interaction experimentally (Fig. 3a). In control experiments, myospryn was immunoaffinity purified from cardiac muscle using des122-conjugated agarose beads (Supplementary Fig. S4). Once again, bands were excised and processed for mass spectrometry as described above. Tryptic peptides derived from myospryn, minispryn and RyR2 were identified in the myospryn immunoaffinity purification (Supplementary Dataset 1). Interestingly, previously described interactors such as α-actinin did not co-purify with myospryn under the conditions used to immunoaffinity purify the complex from cardiac muscle (Supplementary Fig. S4)10.
Table 1.
Protein | Score | Coverage | Peptides | MW | |
---|---|---|---|---|---|
MINISPRYN IAP | ryanodine receptor 2, cardiac [Mus musculus]/gi124430578 (A1) | 1496.39 | 24.16 | 120 | 564.5 |
stretch-responsive fibronectin protein type 3 [Mus musculus]/gi45774102 (A1) | 1458.93 | 34.30 | 110 | 397.5 | |
fibronectin type III and SPRY domain-containing protein 2 [Mus musculus]/gi116063550 (A3) | 432.45 | 36.31 | 31 | 81.4 | |
MYOSPRYN IAP | ryanodine receptor 2, cardiac [Mus musculus]/gi124430578 | 3427.78 | 36.57 | 246 | 564.5 |
stretch-responsive fibronectin protein type 3 [Mus musculus]/gi45774102 | 3008.80 | 42.70 | 188 | 397.5 | |
fibronectin type III and SPRY domain-containing protein 2 [Mus musculus]/gi116063550 | 463.66 | 36.73 | 58 | 81.4 |
Proteins identified by mass spectrometry from minispryn (Fig. 3a) and myospryn (Supplementary Fig. S4) immunoaffinity purification from cardiac muscle. For clarity, in this study we have only focussed on the three most significant matches from each experiment. Note that stretch-responsive fibronectin protein type 3 [Mus musculus]/gi45774102 is the alternative name for Cmya5/myospryn and fibronectin type III and SPRY domain-containing protein 2 [Mus musculus]/gi116063550 is Fsd2/minispryn.
Immunolocalisation of myospryn in striated muscle
Confocal microscopy was used to localise myospryn and minispryn in isolated adult guinea pig ventricular cardiomyocytes. At low magnification, myospryn immunoreactivity was concentrated in discontinuous stripes that ran tangentially to the long axis of the cardiomyocyte (Fig. 4a and d). Myospryn immunoreactivity was also present diffusely throughout the myocyte and also in or around the nucleus as described previously (arrow in Fig. 4a)21. A similar pattern of immunoreactivity was found with the anti-RyR antibody within the same cell suggesting that myospryn is localised to the sarcoplasmic reticulum (SR) of cardiomyocytes (Fig. 4b). At higher magnification, myospryn and the RyRs co-localise in distinct punctae throughout the cell (Fig. 4d–f). Similarly, minispryn immunoreactivity was detected in discontinuous striations running perpendicular to the long axis of the cardiomyocyte that partially co-localise with RyR2 (Fig. 4g–j). Punctate myospryn immunoreactivity also overlapped with the continuous α-actinin labelling at the Z-line of the cardiomyocyte (Fig. 4m–o). Minispryn immunoreactivity also overlapped α-actinin at the Z-line (Fig. 4p–r) and despite the absence of an apparent nuclear localisation signal, minispryn was also found in or around the nucleus (arrow in Fig. 4g and p). Double labelling with antibodies raised against SERCA2 (Fig. 4s–u) or sarcalumenin (Fig. 4v–x) showed that myospryn is associated with the junctional SR (j-SR) rather than the majority of the longitudinal SR (l-SR) that also contain SERCA2 and sarcalumenin (Fig. 4s–x).
We also examined the subcellular localisation of myospryn and minispryn in skeletal muscle using antibodies that label different compartments of the myocyte (Supplementary Fig. S6). In longitudinal sections of guinea pig quadriceps muscle, minispryn is localised to a region flanking the Z-line, labelled with an anti-α-actinin antibody (Supplementary Fig. S6). No labelling of the sarcolemma was observed. By contrast to α-actinin labelling, minispryn immunoreactivity is concentrated in small punctae that run parallel to the Z-line. This pattern is reminiscent of the sarcoplasmic reticulum as shown by double immunofluorescence labelling of minispryn and the RyRs in the same section. Both antigens have a similar and partially overlapping distribution in longitudinal sections suggesting that minispryn also concentrates at the SR. In skeletal muscle myospryn (and minispryn) punctate immunoreactivity is observed flanking the Z-line (at the A-I band interface) in close apposition to RyRs whereas in cardiomyocytes, the terminal cisternae of the SR are localised directly above the Z-line in fixed and live cardiomyocytes (Fig. 4 and Supplementary Fig. S6)29. Thus, the differences in myospryn immunolocalisation between cardiac and skeletal muscle are consistent with the differential geometry of the SR characteristic of the two types of striated muscle30, 31.
Myospryn clusters RyR2 in heterologous cells
To explore the functional significance of the association between myospryn, minispryn and RyR2, we expressed different combinations of each cDNA in COS-7 cells. In transfected cells expressing only one construct, we found that full length myospryn and minispryn were distributed throughout the cytoplasm of the cell and appeared to associate with intracellular membranes (Fig. 5a and c). We also observed that minispryn immunoreactivity was found in the nucleus whereas myospryn was apparently excluded. By contrast, RyR2 was found in the endoplasmic reticulum as expected (Fig. 5b). It is noteworthy that endogenous myospryn, minispryn and RyR2 were not detected in COS-7 cells with the antibodies used in this study. Co-expression of myospryn with RyR2 caused the dramatic relocalisation of both proteins into intensely staining punctae (Fig. 5d–f). By contrast, co-expression of minispryn with RyR2 had no apparent effect on the localisation of either protein (Fig. 5g–i). Co-expression of myospryn and minispryn in COS7 cells does not appear to cause the redistribution of either protein. We also used a range of truncated myospryn constructs to map the region of the protein that clusters RyR29, 25. MD7 (amino acids 3039–3739) that contains the BBOX’, BBC, FN3 and SPRY domains was unable to cluster RyR2. By contrast, the larger construct MD9 (amino acids 2731–3739) that contains all of the aforementioned C-terminal domains and an additional contiguous 311 amino acids efficiently clusters RyR2 in cells expressing both constructs (Fig. 5j–l). These data indicate that a conserved region encompassing amino acids 2731–3041 of mouse myospryn is likely to be required for RyR2 clustering. Interestingly, this region is not found in minispryn because the region of sequence similarity only extends from amino acids 3179 to 3736 of myospryn9. Furthermore, the RyR2-clustering region of myospryn is in an evolutionarily conserved region of the protein that is distinct from the other ligand binding sites in the TRIM-like domain15, 26.
Discussion
The cytoarchitecture of striated muscle is governed in part by the assembly of macromolecular protein complexes that form connections between the myofilaments in the sarcomere and sarcolemma of the myocyte. In order to do this, the myocyte produces a number of unusually large modular proteins that integrate mechanical and signalling processes throughout the cell7, 8. Electrical excitation of the myocyte leads, via Ca2+-signalling, to activation of the myofilament and contraction. Electrical activity is propagated throughout the myocyte by branched invaginations of the sarcolemma known as transverse tubules (t-tubules) that form a highly connected network of tubules that surround myofilaments32. T-tubules are involved in EC-coupling by concentrating voltage-gated Ca2+ channels (VGCC) such as the dihydropyridine receptor in close proximity to the RyRs in the j-SR33. The precise juxtaposition of the VGCC with Ca2+-releasing RyRs ensures tight coupling between electrical activity and Ca2+-signalling at so-called couplons; dyads in cardiac muscle and triads in skeletal muscle34–36. Myospryn, one the largest proteins in striated muscle, has been ascribed a number of structural and signalling functions mediated by interactions with different components of the myocyte15, 26. In this paper, we have used immunoaffinity purification and mass spectrometry to show that myospryn is part of a multiprotein complex in cardiac muscle that contains a novel myospryn paralog, minispryn and the cardiac ryanodine receptor, RyR2.
To gain further insight into the role of minispryn and myospryn we use a panel of antibodies to immunoaffinity purify each protein directly from cardiac and skeletal muscle. Using a combination of mass spectrometry and western blotting, we show that myospryn and minispryn co-immunoprecipitate from both tissues and are found in a complex with RyR2 in cardiac muscle (Fig. 3a). Importantly, these data were also confirmed when RyRs were immunoaffinity-purified from heart using the well-characterised pan-RyR antibody, 34C37. It is also noteworthy that the myospryn interactors, PKA, RIIα and calcineurin have all been shown to interact with RyR238, 39. Furthermore, myospryn and minispryn co-localise with RyRs in isolated adult ventricular cardiomyocytes (Fig. 4). Since myospryn and minispryn lack predicted transmembrane domains, our data suggest that the myospryn complex is concentrated at dyad couplons in cardiac muscle. Similarly, myospryn and minispryn also co-localise with skeletal muscle RyRs at the j-SR (Supplementary Fig. S6). In common with cardiac muscle, the SR of striated muscle can be divided into two sub-domains; the j-SR or triad couplon formed between the t-tubule and terminal cisternae of the SR and the l-SR30, 31, 35, 40.
To our surprise, we found that myospryn was able to cluster RyR2 in heterologous cells (Fig. 5). Conserved regions in the C-terminus of myospryn that are not present in minispryn mediated RyR2 clustering. To the best of our knowledge this is the first example of a protein that can actively cluster RyRs. However, in striated muscle it is also possible that myospryn promotes the apparent clustering of RyRs by altering the structure of the SR. It is therefore tempting to speculate that one function of the myospryn complex in cardiac muscle is in the formation and maintenance of RyR clusters. Although it is clear that RyR clustering is essential for EC coupling, little is known about the processes driving receptor aggregation and the role of components of the couplon in this process41. Expression of RyRs in heterologous cells results in distribution of the protein throughout the ER. Indeed, biophysical studies on the inositol 1,4,5-trisphosphate receptor (IP3R) and RyR1 expressed in COS7 cells show both proteins have similar diffusion rates in the endoplasmic reticulum indicative of free movement through the subcellular domain42. By contrast, RyRs extracted from skeletal muscle and heart tissue can self-associate into discrete, higher order configurations43, 44.
Weakened calcium transients mediated by RyRs are one of the major pathological features underlying heart failure. Although there are well documented differences between the SR structure in skeletal and cardiac muscle, the maintenance of RyR clusters appears to be essential for physiological EC-coupling45. Maladaptive t-tubule remodelling in heart failure and hypertrophic cardiomyopathy leads to abnormalities in Ca2+-signalling associated with orphaned RyRs46–48. Orphaned RyRs appear to be spatially distinct having lost their couplings with the DHPRs in the t-tubule system. Recently, two-photon microscopy has shown that defects in t-tubular electrical activity are responsible for the abnormalities in Ca2+-signalling observed in different animal models of heart failure and hypertrophic cardiomyopathy49, 50. It would therefore be important to determine whether the myospryn complex is involved in the uncoupling of RyRs in different models of heart failure and cardiomyopathy.
It is well established that adult ventricular cardiomyocytes dedifferentiate in culture resulting in the dramatic loss of t-tubules, effectively precluding their use for acute knockdown experiments aim at studying the function of the myospryn complex ex vivo 51, 52. However, the physiological role of the myospryn complex in striated muscle could be determined using transgenic animals with mutations in Cmya5 and Fsd2. If viable, RyR2 clustering and SR function in cardiomyocytes lacking myospryn and minispryn could be determined using state of the art imaging techniques as described recently49. Similarly, high resolution imaging and electron microscopy could be used to examine the association of the myospryn complex with other components of the cardiomyocyte using a panel of antibodies53–55. This may be particularly informative because most of the antibodies developed to date have been generated against epitopes in the extreme C-terminus of myospryn9, 21, 25. It is therefore possible that other regions of a conserved large protein like myospryn can interact with different subcellular components of the cardiomyocyte.
It is tempting to speculate that differential expression of CMYA5 in cardiomyopathies and muscular dystrophy may contribute to the disease process through physical interactions with RyRs that affect their clustering or association with other proteins in the couplon. It is noteworthy that alterations in the post-transcriptional and translational regulation of the genes encoding numerous SR components converging on RyR2 have been documented in heart failure56. Interestingly, a common polymorphism in CMYA5 (K2906N) has also been associated with left ventricular wall thickness in patients with hypertension17. This polymorphism is immediately proximal to the evolutionary conserved region in myospryn that is required for RyR2 clustering (Fig. 5). In addition, CMYA5 and RYR2 mutations have recently been found in patients with hypertrophic cardiomyopathy18. Whether these CMYA5 and RYR2 mutations are pathogenic or merely rare polymorphisms remains to be determined through replication in larger samples. Taken together, our data suggest a novel role for the myospryn complex in diseases of cardiac and skeletal muscle that is potentially mediated through interactions with protein components of the couplon. Our data provide a possible molecular basis for previous observational studies suggesting a role for myospryn in cardiomyopathy, muscle hypertrophy and muscular dystrophy13–16.
Methods
Molecular Biology
A 2.2 kb PCR product spanning the srf30 EST that encodes the BBOX’ domain of a hitherto unknown cDNA9 was produced from muscle first strand cDNAs using the primers, 5′-GACTCAGAACATCCACTGACTGAG and 5′-GGAAATACCAAAAGGGCCTAAAAG. This product was radiolabelled with 32P-dCTP and used to screen a murine adult muscle cDNA library constructed in pPC86 (Invitrogen) using standard methodology. Several positively-hybridising cDNA clones were identified and end-sequenced. The complete sequence of the longest cDNA clone, mini7E, was obtained. The entire open reading frame of minispryn was amplified by PCR with the primers 5′-GTCGACATGAGAGAGGAAGCAGAGGAG and 5′-GGATCCCTAAAAGAAAGTGACATGCTTTGG and cloned into the SalI/BamHI sites of pEGFP-C1 (Clontech) and fully sequenced to produce GFP-minispryn. Expression constructs encoding the C-terminus of myospryn (clone MD9 and MD7) and full length myospryn (clone c21B) have been described previously9. The murine RyR2 construct (mRyR2) was kindly supplied by Dr S. Wayne Chen57. Sequence alignments were performed using PILEUP (GCG version 10) and shaded with BOXSHADE (http://www.ch.embnet.org/software/BOX_form.html). Domains in myospryn and minispryn were identified using the program SMART (http://smart.embl-heidelberg.de/)58.
Antibodies
Rabbit polyclonal antisera were raised against minispryn as follows. A PCR product encoding amino acids 1 to 227 of minispryn was produced by PCR using the primers, 5′-TGAATTCATGGAGGAGGAAGCAGAG and 5′-TGTCGACTCAATTGTAATGGCACTCAAAGTTTT. This region of minispryn has no sequence similarity to myospryn minimising any potential cross-reactivity between antibodies raised against the two proteins. The resulting PCR product was cloned downstream of thioredoxin in pET32a (Novagen) to produce a chimeric fusion protein that was used to immunize New Zealand white rabbits. Anti-thioredoxin antibodies were removed by affinity purification on a Sulfolink (Pierce) thioredoxin column and the resulting anti-minispryn antibody (819) was affinity-purified against the cognate antigen coupled to Sulfolink. The des122 anti-myospryn antibody was raised against amino acids 2791 to 2913 of murine myospryn in rabbits as described previously 9. The anti-α-actinin monoclonal antibody, clone EA-53, was purchased from Sigma. The 34C (anti-ryanodine receptor) and XIIC4 (anti-sarcalumenin) monoclonal antibodies were obtained from the Developmental Studies Hybridoma Bank (Iowa)37. The anti-SERCA2 antibody (MA3-910) from was obtained from Affinity Bioreagents (Thermo Fisher Scientific).
Cell culture and transfection
COS-7 and HEK-293T cells were grown in Dulbecco’s modified Eagle’s medium (Sigma) supplemented with 10% (v/v) foetal calf serum, 100 µg/ml penicillin and 100 µg/ml streptomycin at 37 °C in a 5% CO2 atmosphere. Transfections were performed using Fugene (Roche). Cells grown in 6 cm diameter dishes were transfected with 1–2 µg of plasmid DNA for immunoprecipitation experiments. For immunocytochemistry, cells were grown on 22 mm coverslips and transfected with 0.5–1 µg of DNA. Cells were grown for 24 h after transfection. Enzymatically isolated adult guinea pig ventricular cardiomyocytes (GPVCs) were prepared as described previously59, 60. After isolation, the GPVCs were not maintained in culture but used directly for immunocytochemistry, as described below.
Immunoaffinity purification and mass spectrometry
Anti-myospryn (des122), -minispryn (819) and -RyR antibodies (34C) were covalently cross-linked to protein A/G-agarose as described previously61. Freshly dissected mouse hearts (500 mg) were homogenised in 12 ml RIPA buffer (150 mM NaCl, 50 mM Tris pH 8.0, 1% (v/v), Triton X-100, 0.5% (w/v) sodium deoxycholate) containing EDTA-free protease inhibitors (Roche) using a Polytron homogeniser operated at full speed for 20 sec. The homogenate was incubated on ice for 30 min and clarified by centrifugation at 100,000 g for 30 min in an SW41Ti rotor (Beckman). The supernatant was pre-cleared with 200 µl of protein A (Invitrogen) for 3 h at 4 °C. The pre-cleared supernatant was split into two and 50 µl of protein-A/G antibody conjugate or unconjugated protein A/G was added to each sample. IgG complexes were captured after overnight incubation at 4 °C on a blood mill by centrifugation, 1000 g for 5 min at 4 °C. The flow-through from each experiment was retained and diluted 1:1 in lithium dodecyl sulphate sample (Invitrogen) buffer containing DTT. The beads were washed twice in 1 ml of RIPA buffer containing 0.5 M NaCl and eluted in 200 µl of lithium dodecyl sulphate sample buffer containing 50 mM DTT. 30 µl samples were separated on 4–12% NuPAGE bis-TRIS gels (Invitrogen) run in MOPS/SDS running buffer (Invitrogen). Gels were fixed in 50% (v/v) methanol, 7% (v/v) acetic acid for 30 min, washed, stained with colloidal Coomassie blue stain (Gelcode Blue Stain Reagent, Pierce) for 2 h and destained in CHROMOSOLV Plus HPLC-grade water (Sigma) for 5 h. Coomassie-stained bands were manually excised and processed for mass spectrometry as described previously62. Briefly, proteins in the individual gel slices were digested with trypsin using a robotic gel handling system (Functional Genomics, Proteomics and Metabolomics Facility, University of Birmingham). Tryptic peptides were fractionated by liquid chromatography and analysed on a Orbitrap Velos ETD mass spectrometer (Thermo Fisher). Database searches were performed using the Mascot and SEQUEST algorithms in Proteome Discoverer™ Software (ThermoFisher).
Immunocytochemistry
GPVCs were allowed to adhere to flamed coverslips for 30 min at room temperature, prior to fixation in 1 ml of 4% (w/v) paraformaldehyde in PBS at 4 °C for 15 min. Cells were permeabilised in 0.1% (v/v) Triton X-100 in PBS by incubation for 15 min at 4 °C. Following permeabilisation, the coverslips were washed twice in 2 ml of PBS and blocked in 10% FCS (v/v) in PBS for 20 min at room temperature. GPVCs were incubated with the primary antibody for 1 h at room temperature, washed twice in PBS prior to incubation for a further hour with either Alexa Fluor 488-conjugated anti-mouse IgG or Alexa Fluor 568-conjugated anti-rabbit IgG (Thermo Fisher). Coverslips were washed twice more in PBS, rinsed in molecular biology grade water and mounted on glass slides using Vectashield mounting medium (Vector Laboratories). Images were captured using a Zeiss LSM 510META confocal microscope using a 63x oil immersion objective lens and a pinhole setting of 1 Airy unit. Images were assembled using Adobe Photoshop CS4, in which they were cropped and adjusted for brightness and contrast, but not otherwise manipulated.
Electronic supplementary material
Acknowledgements
The authors thank Dr Antony Jones and Lorraine Wallace for help with mass spectrometry and Prof. Derek Terrar for providing the guinea pig cardiomyocytes used in this study. We gratefully acknowledge the help of Dr Jonathan Leslie and Prof. Simon Hughes for testing expression constructs in zebrafish (Wellcome Grant 085057/Z/08/Z). This work was generously funded by grants from the Wellcome Trust (061225) and MRC (MR/L010305/1). FAC is funded by an MRC PhD studentship (1498765). EMR is funded by Heart Research UK (RG/2642/14/16). DJB was the recipient of a Wellcome Trust Senior Fellowship in Basic Biomedical Science.
Author Contributions
M.A.B., C.L.T. and D.J.B. designed the study. M.A.B., C.L.T., D.J.B. acquired data. F.A.C., E.E., F.A.L. and C.H.G. contributed vital reagents. Data were analysed by M.A.B., C.L.T., S.M.M.S., A.J.W. and D.J.B. M.A.B., C.L.T. and D.J.B. drafted the first version of the manuscript. All authors reviewed the final version of the manuscript. D.J.B. and E.M.R. acquired funding.
Competing Interests
The authors declare that they have no competing interests.
Footnotes
Electronic supplementary material
Supplementary information accompanies this paper at doi:10.1038/s41598-017-06395-6
Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Clark KA, McElhinny AS, Beckerle MC, Gregorio CC. Striated muscle cytoarchitecture: an intricate web of form and function. Annu Rev Cell Dev Biol. 2002;18:637–706. doi: 10.1146/annurev.cellbio.18.012502.105840. [DOI] [PubMed] [Google Scholar]
- 2.Frank D, Kuhn C, Katus HA, Frey N. The sarcomeric Z-disc: a nodal point in signalling and disease. J Mol Med (Berl) 2006;84:446–468. doi: 10.1007/s00109-005-0033-1. [DOI] [PubMed] [Google Scholar]
- 3.Lange S, Ehler E, Gautel M. From A to Z and back? Multicompartment proteins in the sarcomere. Trends Cell Biol. 2006;16:11–18. doi: 10.1016/j.tcb.2005.11.007. [DOI] [PubMed] [Google Scholar]
- 4.Kontrogianni-Konstantopoulos A, Bloch RJ. Obscurin: a multitasking muscle giant. J Muscle Res Cell Motil. 2005;26:419–426. doi: 10.1007/s10974-005-9024-7. [DOI] [PubMed] [Google Scholar]
- 5.McElhinny AS, Kazmierski ST, Labeit S, Gregorio CC. Nebulin: the nebulous, multifunctional giant of striated muscle. Trends Cardiovasc Med. 2003;13:195–201. doi: 10.1016/S1050-1738(03)00076-8. [DOI] [PubMed] [Google Scholar]
- 6.Granzier HL, Labeit S. Titin and its associated proteins: the third myofilament system of the sarcomere. Adv Protein Chem. 2005;71:89–119. doi: 10.1016/S0065-3233(04)71003-7. [DOI] [PubMed] [Google Scholar]
- 7.Ehler E. Cardiac cytoarchitecture - why the “hardware” is important for heart function! Biochim Biophys Acta. 2016;1863:1857–1863. doi: 10.1016/j.bbamcr.2015.11.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Gautel M, Djinovic-Carugo K. The sarcomeric cytoskeleton: from molecules to motion. The Journal of experimental biology. 2016;219:135–145. doi: 10.1242/jeb.124941. [DOI] [PubMed] [Google Scholar]
- 9.Benson MA, Tinsley CL, Blake DJ. Myospryn is a novel binding partner for dysbindin in muscle. J Biol Chem. 2004;279:10450–10458. doi: 10.1074/jbc.M312664200. [DOI] [PubMed] [Google Scholar]
- 10.Durham JT, et al. Myospryn is a direct transcriptional target for MEF2A that encodes a striated muscle, alpha-actinin-interacting, costamere-localized protein. J Biol Chem. 2006;281:6841–6849. doi: 10.1074/jbc.M510499200. [DOI] [PubMed] [Google Scholar]
- 11.Reymond A, et al. The tripartite motif family identifies cell compartments. EMBO J. 2001;20:2140–2151. doi: 10.1093/emboj/20.9.2140. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Marin I. Origin and diversification of TRIM ubiquitin ligases. PLoS One. 2012;7:e50030. doi: 10.1371/journal.pone.0050030. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Walker MG. Pharmaceutical target identification by gene expression analysis. Mini Rev Med Chem. 2001;1:197–205. doi: 10.2174/1389557013407034. [DOI] [PubMed] [Google Scholar]
- 14.Tkatchenko AV, et al. Identification of altered gene expression in skeletal muscles from Duchenne muscular dystrophy patients. Neuromuscul Disord. 2001;11:269–277. doi: 10.1016/S0960-8966(00)00198-X. [DOI] [PubMed] [Google Scholar]
- 15.Sarparanta J. Biology of myospryn: what’s known? J Muscle Res Cell Motil. 2008;29:177–180. doi: 10.1007/s10974-008-9165-6. [DOI] [PubMed] [Google Scholar]
- 16.Ghahramani Seno MM, et al. Transcriptomic analysis of dystrophin RNAi knockdown reveals a central role for dystrophin in muscle differentiation and contractile apparatus organization. BMC genomics. 2010;11:345. doi: 10.1186/1471-2164-11-345. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Nakagami H, et al. Gene polymorphism of myospryn (cardiomyopathy-associated 5) is associated with left ventricular wall thickness in patients with hypertension. Hypertension research: official journal of the Japanese Society of Hypertension. 2007;30:1239–1246. doi: 10.1291/hypres.30.1239. [DOI] [PubMed] [Google Scholar]
- 18.Xu J, et al. Investigation of Pathogenic Genes in Chinese sporadic Hypertrophic Cardiomyopathy Patients by Whole Exome Sequencing. Scientific reports. 2015;5:16609. doi: 10.1038/srep16609. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Chen X, et al. GWA study data mining and independent replication identify cardiomyopathy-associated 5 (CMYA5) as a risk gene for schizophrenia. Molecular psychiatry. 2011;16:1117–1129. doi: 10.1038/mp.2010.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Li M, et al. A common variant of the cardiomyopathy associated 5 gene (CMYA5) is associated with schizophrenia in Chinese population. Schizophrenia research. 2011;129:217–219. doi: 10.1016/j.schres.2010.12.016. [DOI] [PubMed] [Google Scholar]
- 21.Kouloumenta A, Mavroidis M, Capetanaki Y. Proper perinuclear localization of the TRIM-like protein myospryn requires its binding partner desmin. J Biol Chem. 2007;282:35211–35221. doi: 10.1074/jbc.M704733200. [DOI] [PubMed] [Google Scholar]
- 22.Reynolds JG, McCalmon SA, Donaghey JA, Naya FJ. Deregulated protein kinase A signaling and myospryn expression in muscular dystrophy. J Biol Chem. 2008;283:8070–8074. doi: 10.1074/jbc.C700221200. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Reynolds JG, McCalmon SA, Tomczyk T, Naya FJ. Identification and mapping of protein kinase A binding sites in the costameric protein myospryn. Biochim Biophys Acta. 2007;1773:891–902. doi: 10.1016/j.bbamcr.2007.04.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Kielbasa OM, et al. Myospryn is a calcineurin-interacting protein that negatively modulates slow-fiber-type transformation and skeletal muscle regeneration. Faseb J. 2011;25:2276–2286. doi: 10.1096/fj.10-169219. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Sarparanta J, et al. Interactions with M-band titin and calpain 3 link myospryn (CMYA5) to tibial and limb-girdle muscular dystrophies. J Biol Chem. 2010;285:30304–30315. doi: 10.1074/jbc.M110.108720. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Tsoupri E, Capetanaki Y. Muyospryn: a multifunctional desmin-associated protein. Histochemistry and cell biology. 2013;140:55–63. doi: 10.1007/s00418-013-1103-z. [DOI] [PubMed] [Google Scholar]
- 27.Matson SA, Pare GC, Kapiloff MS. A novel isoform of Cbl-associated protein that binds protein kinase A. Biochim Biophys Acta. 2005;1727:145–149. doi: 10.1016/j.bbaexp.2004.12.004. [DOI] [PubMed] [Google Scholar]
- 28.Consortium GT. Human genomics. The Genotype-Tissue Expression (GTEx) pilot analysis: multitissue gene regulation in humans. Science. 2015;348:648–660. doi: 10.1126/science.1262110. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Hiess F, et al. Distribution and Function of Cardiac Ryanodine Receptor Clusters in Live Ventricular Myocytes. J Biol Chem. 2015;290:20477–20487. doi: 10.1074/jbc.M115.650531. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Flucher BE, Franzini-Armstrong C. Formation of junctions involved in excitation-contraction coupling in skeletal and cardiac muscle. Proc Natl Acad Sci USA. 1996;93:8101–8106. doi: 10.1073/pnas.93.15.8101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Porter KR, Palade GE. Studies on the endoplasmic reticulum. III. Its form and distribution in striated muscle cells. J Biophys Biochem Cytol. 1957;3:269–300. doi: 10.1083/jcb.3.2.269. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Lindner E. [Submicroscopic morphology of the cardiac muscle] Z Zellforsch Mikrosk Anat. 1957;45:702–746. [PubMed] [Google Scholar]
- 33.Hong T, Shaw RM. Cardiac T-Tubule Microanatomy and Function. Physiol Rev. 2017;97:227–252. doi: 10.1152/physrev.00037.2015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Stern MD, Pizarro G, Rios E. Local control model of excitation-contraction coupling in skeletal muscle. The Journal of general physiology. 1997;110:415–440. doi: 10.1085/jgp.110.4.415. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Rebbeck RT, et al. Skeletal muscle excitation-contraction coupling: who are the dancing partners? The international journal of biochemistry & cell biology. 2014;48:28–38. doi: 10.1016/j.biocel.2013.12.001. [DOI] [PubMed] [Google Scholar]
- 36.Scriven DR, Asghari P, Moore ED. Microarchitecture of the dyad. Cardiovascular research. 2013;98:169–176. doi: 10.1093/cvr/cvt025. [DOI] [PubMed] [Google Scholar]
- 37.Airey JA, et al. Identification and localization of two triad junctional foot protein isoforms in mature avian fast twitch skeletal muscle. J Biol Chem. 1990;265:14187–14194. [PubMed] [Google Scholar]
- 38.Bandyopadhyay A, Shin DW, Ahn JO, Kim DH. Calcineurin regulates ryanodine receptor/Ca(2+)-release channels in rat heart. Biochem J. 2000;352(Pt 1):61–70. doi: 10.1042/bj3520061. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Marx SO, et al. PKA phosphorylation dissociates FKBP12.6 from the calcium release channel (ryanodine receptor): defective regulation in failing hearts. Cell. 2000;101:365–376. doi: 10.1016/S0092-8674(00)80847-8. [DOI] [PubMed] [Google Scholar]
- 40.Barone V, Randazzo D, Del Re V, Sorrentino V, Rossi D. Organization of junctional sarcoplasmic reticulum proteins in skeletal muscle fibers. J Muscle Res Cell Motil. 2015;36:501–515. doi: 10.1007/s10974-015-9421-5. [DOI] [PubMed] [Google Scholar]
- 41.Yin CC, Blayney LM, Lai FA. Physical coupling between ryanodine receptor-calcium release channels. J Mol Biol. 2005;349:538–546. doi: 10.1016/j.jmb.2005.04.002. [DOI] [PubMed] [Google Scholar]
- 42.Pantazaka E, Taylor CW. Differential distribution, clustering, and lateral diffusion of subtypes of the inositol 1,4,5-trisphosphate receptor. J Biol Chem. 2011;286:23378–23387. doi: 10.1074/jbc.M111.236372. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Yin CC, Lai FA. Intrinsic lattice formation by the ryanodine receptor calcium-release channel. Nat Cell Biol. 2000;2:669–671. doi: 10.1038/35023625. [DOI] [PubMed] [Google Scholar]
- 44.Cabra V, Murayama T, Samso M. Ultrastructural Analysis of Self-Associated RyR2s. Biophys J. 2016;110:2651–2662. doi: 10.1016/j.bpj.2016.05.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Blayney LM, Lai FA. Ryanodine receptor-mediated arrhythmias and sudden cardiac death. Pharmacol Ther. 2009;123:151–177. doi: 10.1016/j.pharmthera.2009.03.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Brette F, Orchard C. T-tubule function in mammalian cardiac myocytes. Circ Res. 2003;92:1182–1192. doi: 10.1161/01.RES.0000074908.17214.FD. [DOI] [PubMed] [Google Scholar]
- 47.Song LS, et al. Orphaned ryanodine receptors in the failing heart. Proc Natl Acad Sci USA. 2006;103:4305–4310. doi: 10.1073/pnas.0509324103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Ferrantini C, et al. The transverse-axial tubular system of cardiomyocytes. Cell Mol Life Sci. 2013;70:4695–4710. doi: 10.1007/s00018-013-1410-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Crocini C, et al. Defects in T-tubular electrical activity underlie local alterations of calcium release in heart failure. Proc Natl Acad Sci USA. 2014;111:15196–15201. doi: 10.1073/pnas.1411557111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Crocini C, et al. Novel insights on the relationship between T-tubular defects and contractile dysfunction in a mouse model of hypertrophic cardiomyopathy. J Mol Cell Cardiol. 2016;91:42–51. doi: 10.1016/j.yjmcc.2015.12.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Louch WE, Sheehan KA, Wolska BM. Methods in cardiomyocyte isolation, culture, and gene transfer. J Mol Cell Cardiol. 2011;51:288–298. doi: 10.1016/j.yjmcc.2011.06.012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Mitcheson JS, Hancox JC, Levi AJ. Cultured adult cardiac myocytes: future applications, culture methods, morphological and electrophysiological properties. Cardiovascular research. 1998;39:280–300. doi: 10.1016/S0008-6363(98)00128-X. [DOI] [PubMed] [Google Scholar]
- 53.Aston D, et al. High resolution structural evidence suggests the Sarcoplasmic Reticulum forms microdomains with Acidic Stores (lysosomes) in the heart. Scientific reports. 2017;7:40620. doi: 10.1038/srep40620. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Hou Y, Jayasinghe I, Crossman DJ, Baddeley D, Soeller C. Nanoscale analysis of ryanodine receptor clusters in dyadic couplings of rat cardiac myocytes. J Mol Cell Cardiol. 2015;80:45–55. doi: 10.1016/j.yjmcc.2014.12.013. [DOI] [PubMed] [Google Scholar]
- 55.Munro ML, et al. Junctophilin-2 in the nanoscale organisation and functional signalling of ryanodine receptor clusters in cardiomyocytes. J Cell Sci. 2016;129:4388–4398. doi: 10.1242/jcs.196873. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Ather S, Respress JL, Li N, Wehrens XH. Alterations in ryanodine receptors and related proteins in heart failure. Biochim Biophys Acta. 2013;1832:2425–2431. doi: 10.1016/j.bbadis.2013.06.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Zhao M, et al. Molecular identification of the ryanodine receptor pore-forming segment. J Biol Chem. 1999;274:25971–25974. doi: 10.1074/jbc.274.37.25971. [DOI] [PubMed] [Google Scholar]
- 58.Schultz J, Copley RR, Doerks T, Ponting CP, Bork P. SMART: a web-based tool for the study of genetically mobile domains. Nucleic Acids Res. 2000;28:231–234. doi: 10.1093/nar/28.1.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Mitchell MR, Powell T, Terrar DA, Twist VW. The effects of ryanodine, EGTA and low-sodium on action potentials in rat and guinea-pig ventricular myocytes: evidence for two inward currents during the plateau. Br J Pharmacol. 1984;81:543–550. doi: 10.1111/j.1476-5381.1984.tb10107.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Powell T, Terrar DA, Twist VW. Electrical properties of individual cells isolated from adult rat ventricular myocardium. J Physiol. 1980;302:131–153. doi: 10.1113/jphysiol.1980.sp013234. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Esapa CT, et al. SGCE missense mutations that cause myoclonus-dystonia syndrome impair epsilon-sarcoglycan trafficking to the plasma membrane: modulation by ubiquitination and torsinA. Hum Mol Genet. 2007;16:327–342. doi: 10.1093/hmg/ddl472. [DOI] [PubMed] [Google Scholar]
- 62.Waite AJ, Carlisle FA, Chan YM, Blake DJ. Myoclonus dystonia and muscular dystrophy: varepsilon-sarcoglycan is part of the dystrophin-associated protein complex in brain. Mov Disord. 2016;31:1694–1703. doi: 10.1002/mds.26738. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.