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1 FSHD has recently been hypothesized to involve abnormal
2 FSHD is a gain-of-function disease characterized by the
3 FSHD is also a chronic disease that progresses slowly ov
4 FSHD is an autosomal dominant disease linked to chromoso
5 FSHD patient myoblasts have defective myogenic different
6 FSHD patients have too few copies of a tandem 3.3-kb rep
7 FSHD region gene 1 (FRG1) is a dynamic nuclear and cytop
8 FSHD results from a unique combination of genetic and ep
9 FSHD typically results from contraction of a critical nu
11 ncluding several genetically diagnosed adult FSHD subjects yet to show clinical manifestations of the
22 d experiments and validates the fidelity and FSHD relevance of multiple distinct models of DUX4 expre
24 d that in muscle of FRG1 transgenic mice and FSHD patients, specific pre-mRNAs undergo aberrant alter
27 additional 26 subjects and predicted them as FSHD or control with 90% accuracy based on biceps and 80
29 criptions of phenotypic similarities between FSHD and an FSHD-like condition caused by FAT1 mutations
30 FSHD Lymphoblast score is unaltered between FSHD myoblasts/myotubes and their controls however, impl
32 n between DME2 and the DUX4 promoter in both FSHD and unaffected primary myocytes was greatly reduced
35 have been examined as candidates for causing FSHD, including the DUX4 homeobox gene in the D4Z4 repea
36 hat 54.5% of index cases display a classical FSHD phenotype with typical facial and scapular muscle w
38 throughput morphological analysis describing FSHD and control myogenesis, revealing altered myogenic
39 gene repression can efficiently discriminate FSHD cells, even when no DUX4 target genes are detectabl
41 re, we choose facioscapulohumeral dystrophy (FSHD) as a model to determine whether or not targeting k
42 physiology of facioscapulohumeral dystrophy (FSHD) have led to the discovery of candidate therapeutic
48 utations in Facio-Scapulo-Humeral Dystrophy (FSHD) and in an unrelated developmental disorder, Bosma
68 ases facioscapulohumeral muscular dystrophy (FSHD) is caused by contraction of the D4Z4 repeat in the
77 ying facioscapulohumeral muscular dystrophy (FSHD) much closer to the telomere in human 4q than in th
78 e in facioscapulohumeral muscular dystrophy (FSHD) pathogenesis, although the molecular mechanisms re
81 uses facioscapulohumeral muscular dystrophy (FSHD) when occurring on a specific haplotype of 4qter (4
82 d in facioscapulohumeral muscular dystrophy (FSHD), a dominant disease thought to involve local patho
84 tudy facioscapulohumeral muscular dystrophy (FSHD), simultaneously recording the haplotype, copy numb
86 for facioscapulohumeral muscular dystrophy (FSHD), whereby de-repression of the D4Z4 macrosatellite
94 ray (facioscapulohumeral muscular dystrophy, FSHD) despite sequence conservation in repeat units thro
96 t mice with disrupted Fat1 functions exhibit FSHD-like phenotypes, we have investigated the expressio
97 estions as to what is the true aetiology for FSHD, the epigenetic events associated with the disease
99 expression is an inconsistent biomarker for FSHD skeletal muscle biopsies, displaying efficacy only
108 4-fl expression per se is not sufficient for FSHD muscle pathology and indicate that quantitative mod
109 ral other mechanisms have been suggested for FSHD pathophysiology and it remains unknown whether DUX4
113 ogenic cells and muscle tissues derived from FSHD affected subjects, including several genetically di
114 arker of 237 up-regulated genes derived from FSHD lymphoblastoid cell lines is elevated in FSHD muscl
115 re, we have utilized myoblasts isolated from FSHD patients (FSHD myoblasts) to investigate the effect
117 DUX4 in myoblasts, and differentiated human FSHD myocytes expressing endogenous DUX4-and show that t
122 low-level, sporadic DUX4 expression of human FSHD muscle as well the myopathology seen in human FSHD
124 e results support the use of MRI to identify FSHD muscles most likely to have active disease and high
125 facilitate pairwise comparisons to identify FSHD-specific differences and are expected to create new
131 e majority of the gene expression changes in FSHD skeletal muscle together with an immune cell infilt
134 scription when epigenetically derepressed in FSHD, resulting in the pathological misexpression of DUX
135 However, DUX4 is difficult to detect in FSHD muscle biopsies and it is debatable how robust chan
136 , DUX4 is notoriously difficult to detect in FSHD muscle cells, while DUX4 target gene expression is
137 ith short telomeres, while not detectable in FSHD myoblasts with long telomeres or in healthy myoblas
138 s regulated by DUX4 are reliably detected in FSHD muscle but not in controls, providing direct suppor
139 protein, DUX4-FL, which has been detected in FSHD, but not in unaffected control myogenic cells and m
140 ier that underlie sex-related differences in FSHD by protecting against myoblast differentiation impa
141 ly based on endogenous expression of DUX4 in FSHD cells or by mis-expression of DUX4 in control human
144 This myogenesis biomarker was elevated in FSHD and control healthy myotubes compared to their myob
146 previous studies showed DUX4 was elevated in FSHD patient muscles, our data support the hypothesis th
149 R-133b, and miR-206 were highly expressed in FSHD myoblasts, which nonetheless did not prematurely en
150 enes or pathways differentially expressed in FSHD patients, or associated with disease severity.
153 nsistent with 'bursts' of DUX4 expression in FSHD muscle, and has implications for FSHD pathogenesis.
154 s in mitochondrial structure and function in FSHD muscle, and sensitivity of FSHD cells to oxidative
160 However, DUX4 expression is extremely low in FSHD muscle, and there is no DUX4 animal model that mirr
162 mice for modeling pathological mechanisms in FSHD and highlighting the importance FAPs in this diseas
164 h resolution that occur during myogenesis in FSHD ex vivo, identifying suppression of the PGC1alpha-E
169 entified in this region are overexpressed in FSHD myoblasts, including the double homeobox genes DUX4
170 ion leads to inappropriate overexpression in FSHD skeletal muscle of 4q35 genes located upstream of D
172 that up-regulation of both DUX4 and PITX1 in FSHD muscles may play critical roles in the molecular me
173 As targeted therapies are now possible in FSHD, a better understanding of the relationship between
176 In summary, PAX7 target gene repression in FSHD correlates with disease severity, independently of
178 In summary, the regenerative response in FSHD muscle biopsies correlates with the severity of pat
179 the discovery of DUX4 and its causal role in FSHD, most trials were untargeted with limited results.
181 some of the structures at the sarcolemma in FSHD samples were misaligned with respect to the underly
183 The relative chromatin DNaseI sensitivity in FSHD and control myoblasts and lymphoblasts was as follo
184 pression is the major molecular signature in FSHD muscle together with a gene expression signature co
187 s could be accounted for by the fact that in FSHD myoblasts, functionally important target genes, inc
189 ted in muscle biopsies from most independent FSHD, DM2 or Duchenne muscular dystrophy (DMD) studies c
191 n, one unaffected individual without a known FSHD-causing mutation showed the expression of DUX4 targ
192 a sibling with FSHD and also without a known FSHD-causing mutation, suggesting the presence of an uni
196 evelopment over time is noted for GHD and LH/FSHD with possible associations between nontreatment of
197 t prevalence was 46.5% for GHD, 10.8% for LH/FSHD, 7.5% for TSHD, and 4% for ACTHD, and the cumulativ
198 le mass and exercise tolerance; untreated LH/FSHD was associated with hypertension, dyslipidemia, low
200 GHD; doses >/= 22 Gy were associated with LH/FSHD; and doses >/= 30 Gy were associated with TSHD and
201 besity were significantly associated with LH/FSHD; white race was significant associated with LH/FSHD
202 e sequencing analysis indicated that in most FSHD myocytes, both enhancers are associated with nucleo
204 data permitted identification of many novel FSHD pathomechanisms undetectable by previous approaches
205 icism for D4Z4 repeat contraction in de novo FSHD, we have established a clonal myogenic cell model f
206 one or more regenerating myofibres in 76% of FSHD muscle biopsies from quadriceps and 91% from tibial
209 ression is a uniquely sensitive biomarker of FSHD progression and pathology, valid over a 1 year time
210 t gene repression is a superior biomarker of FSHD status compared with DUX4 target gene expression.
215 ssion associates with clinical correlates of FSHD disease activity, measured by MRI and histopatholog
217 possible to perform conclusive diagnosis of FSHD, but all these cases need further studies for a pro
221 combined advances across multiple facets of FSHD research, the field is now poised to accelerate the
223 PAX7 target gene repression is a hallmark of FSHD that should be considered in the investigation of F
224 ession of PAX7 target genes is a hallmark of FSHD, and that it is as major a signature of FSHD muscle
226 on, dystrophic muscle presented hallmarks of FSHD histopathology, including muscle degeneration, capi
227 counteract the differentiation impairment of FSHD myoblasts without affecting cell proliferation or s
230 s a significant biomarker in the majority of FSHD cells that are DUX4 target gene negative, and on wh
233 hese findings suggest specific mechanisms of FSHD pathology and identify candidate biomarkers for dis
235 ata generated from three different models of FSHD-lentiviral-based DUX4 expression in myoblasts, doxy
236 s derived from biceps and deltoid muscles of FSHD affected subjects and their unaffected first-degree
237 inct muscles obtained from a large number of FSHD subjects and their unaffected first-degree relative
238 ng early development results in the onset of FSHD-like phenotypes in adulthood, even when DUX4 is no
239 of DUX4 misexpression in the pathogenesis of FSHD and should be factored into the design of future th
241 To better understand the pathophysiology of FSHD and develop mRNA-based biomarkers of affected muscl
242 Our results show that the pathophysiology of FSHD includes novel changes in the organization of the s
244 en developed to study the pathophysiology of FSHD, frequently based on endogenous expression of DUX4
250 es not account for the tissue specificity of FSHD pathology, which requires stable expression of an a
251 muscles that are affected at early stages of FSHD progression than in muscles that are affected later
253 DUX4 protein is present in a small subset of FSHD muscle cells, making its detection and analysis of
257 modeling thus holds valuable information on FSHD disease etiology and progression that can potential
260 et gene repression increases in these paired FSHD samples from year 1 to year 2 and is thus a marker
261 lized myoblasts isolated from FSHD patients (FSHD myoblasts) to investigate the effect of estrogens o
263 ear follow-up evaluations identified several FSHD subgroups based on gene expression, as well as a se
265 his is shown using meta-analysis of over six FSHD muscle biopsy gene expression studies, and validate
267 ith pseudotime trajectory modeling, to study FSHD disease etiology and cellular progression in human
272 cis; however which candidate gene causes the FSHD phenotype, and through what mechanism, is unknown.
278 However, there lacks an assessment of the FSHD immune cell transcriptome, and its contribution to
279 expression recapitulates key features of the FSHD molecular phenotype, including repression of MyoD a
281 from genetically unaffected relatives of the FSHD subjects, although at a significantly lower frequen
286 enic differentiation and could contribute to FSHD pathology by preventing satellite cell-mediated rep
288 unraveling the cascade of events leading to FSHD development may therefore provide important insight
290 ough no gene has been conclusively linked to FSHD development, recent evidence supports a role for th
293 well as the downstream activation of various FSHD-associated pathways, which allowed us to correlate
295 muscles of iDUX4pA-HSA mice and humans with FSHD, solidifying the value of chronic rare DUX4 express
296 the lower extremities in 36 individuals with FSHD, followed by needle muscle biopsies in safely acces
297 n data from muscle biopsies of patients with FSHD to those of 11 other neuromuscular disorders, paire