ERK1/2 inhibition promotes robust myotube growth via CaMKII activation resulting in myoblast-to-myotube fusion

Tamar Eigler, Giulia Zarfati, Emmanuel Amzallag, Sansrity Sinha, Nadav Segev, Yishaia Zabary, Assaf Zaritsky, Avraham Shakked, Kfir-Baruch Umansky, Eyal D Schejter, Douglas P Millay, Eldad Tzahor*, Ori Avinoam*

*Corresponding author for this work

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37 Citations (Scopus)
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Abstract

Myoblast fusion is essential for muscle development and regeneration. Yet, it remains poorly understood how mononucleated myoblasts fuse with preexisting fibers. We demonstrate that ERK1/2 inhibition (ERKi) induces robust differentiation and fusion of primary mouse myoblasts through a linear pathway involving RXR, ryanodine receptors, and calcium-dependent activation of CaMKII in nascent myotubes. CaMKII activation results in myotube growth via fusion with mononucleated myoblasts at a fusogenic synapse. Mechanistically, CaMKII interacts with and regulates MYMK and Rac1, and CaMKIIδ/γ knockout mice exhibit smaller regenerated myofibers following injury. In addition, the expression of a dominant negative CaMKII inhibits the formation of large multinucleated myotubes. Finally, we demonstrate the evolutionary conservation of the pathway in chicken myoblasts. We conclude that ERK1/2 represses a signaling cascade leading to CaMKII-mediated fusion of myoblasts to myotubes, providing an attractive target for the cultivated meat industry and regenerative medicine.
Original languageEnglish
Pages (from-to)3349-3363.e6
Number of pages22
JournalDevelopmental Cell
Volume56
Issue number24
DOIs
Publication statusPublished - 20 Dec 2021

Bibliographical note

CaMK2δ fl/fl /γ fl/fl mice were kindly provided by Eric Olson and Johannes Backs. Histology sections were prepared by Calanit Raanan. This study was supported by grants to E.T. from the AFM ( #21655 ), the Weizmann Institute Hellen and Martin Kimmel Stem Cell grant, the European Research Council ( ERC StG #281289 , ERC AdG #788194 ), the Israel Science Foundation (ISF), and Minerva Foundation with funding from the Federal German Ministry for Education and Research (to E.T. and O.A.). This project also received funding from the European Research Council (ERC StG # 851080 to O.A.). O.A. also acknowledges funding from the David Barton Center for Research on the Chemistry of Life and the Ruth and Herman Albert Scholarship Program for New Scientists as well as the Estate of Fannie Sherr. O.A. is an incumbent of the Miriam Berman Presidential Development Chair.

CaMK2?fl/fl/?fl/fl mice were kindly provided by Eric Olson and Johannes Backs. Histology sections were prepared by Calanit Raanan. This study was supported by grants to E.T. from the AFM (#21655), the Weizmann Institute Hellen and Martin Kimmel Stem Cell grant, the European Research Council (ERC StG #281289, ERC AdG #788194), the Israel Science Foundation (ISF), and Minerva Foundation with funding from the Federal German Ministry for Education and Research (to E.T. and O.A.). This project also received funding from the European Research Council (ERC StG # 851080 to O.A.). O.A. also acknowledges funding from the David Barton Center for Research on the Chemistry of Life and the Ruth and Herman Albert Scholarship Program for New Scientists as well as the Estate of Fannie Sherr. O.A. is an incumbent of the Miriam Berman Presidential Development Chair. T.E. E.T. and O.A. conceived and designed the experiments. T.E. with help from G.Z. E.A. and S.S. carried out most of the experiments and analyzed the data. Specifically, G.Z. performed and analyzed the live-cell imaging data with assistance from N.S. and S.S. T.E. S.S. and E.A. performed qRT-PCR experiments. T.E. G.Z. and S.S. performed and analyzed the experiments comparing ERKi in PM and DM. T.E. and G.Z. performed immunohistochemistry. Y.Z. and A.Z. performed the simulations. T.E. and K.U. performed CTX injuries, and T.E. carried out all follow-up studies. E.S. contributed to experimental design and critical review of the manuscript. D.M. contributed to the design of the in vivo model and associated experiments. E.T. and O.A. supervised the project. T.E, E.T. and O.A. wrote the manuscript with editing contributions from all the authors. T.E, E.T. and O.A. hold a patent related to the scientific findings presented in this manuscript and are the founders of ProFuse Technology. T.E. is the CTO and E.T. and O.A. are the scientific advisors of ProFuse Technology.
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