RT Journal Article SR Electronic T1 AAV-mediated gene transfer restores a normal muscle transcriptome in a canine model of X-linked myotubular myopathy JF bioRxiv FD Cold Spring Harbor Laboratory SP 499384 DO 10.1101/499384 A1 Jean-Baptiste Dupont A1 Jianjun Guo A1 Michael W. Lawlor A1 Robert W. Grange A1 John T. Gray A1 Ana Buj-Bello A1 Martin K. Childers A1 David L. Mack YR 2018 UL http://biorxiv.org/content/early/2018/12/17/499384.abstract AB Multiple clinical trials employing recombinant adeno-associated viral (rAAV) vectors have been initiated for neuromuscular disorders, including Duchenne and limb-girdle muscular dystrophies, spinal muscular atrophy, and recently X-linked myotubular myopathy (XLMTM). Previous work from our laboratory on a canine model of XLMTM showed that a single rAAV8-cMTM1 systemic infusion corrects structural abnormalities within the muscle and restores contractile function, with affected dogs surviving more than four years post injection. This exceptional therapeutic efficacy presents a unique opportunity to identify the downstream molecular drivers of XLMTM pathology, and to what extent the whole muscle transcriptome is restored to normal after gene transfer. Herein, RNA-sequencing was used to examine the transcriptomes of the Biceps femoris and Vastus lateralis in a previously-described canine cohort showing dose-dependent clinical improvements after rAAV8-cMTM1 gene transfer. Our analysis confirmed several dysregulated genes previously observed in XLMTM mice, but also identified new transcripts linked to XLMTM pathology. We demonstrated XLMTM transcriptome remodeling and dose-dependent normalization of gene expression after gene transfer and created new metrics to pinpoint potential biomarkers of disease progression and correction.