RT Journal Article SR Electronic T1 P38α Regulates Expression of DUX4 in Facioscapulohumeral Muscular Dystrophy JF bioRxiv FD Cold Spring Harbor Laboratory SP 700195 DO 10.1101/700195 A1 L. Alejandro Rojas A1 Erin Valentine A1 Anthony Accorsi A1 Joseph Maglio A1 Ning Shen A1 Alan Robertson A1 Steven Kazmirski A1 Peter Rahl A1 Rabi Tawil A1 Diego Cadavid A1 Lorin A. Thompson A1 Lucienne Ronco A1 Aaron N. Chang A1 Angela M. Cacace A1 Owen Wallace YR 2019 UL http://biorxiv.org/content/early/2019/07/12/700195.abstract AB FSHD is caused by the loss of repression at the D4Z4 locus leading to DUX4 expression in skeletal muscle, activation of its early embryonic transcriptional program and muscle fiber death. While progress toward understanding the signals driving DUX4 expression has been made, the factors and pathways involved in the transcriptional activation of this gene remain largely unknown. Here, we describe the identification and characterization of p38α as a novel regulator of DUX4 expression in FSHD myotubes. By using multiple highly characterized, potent and specific inhibitors of p38α/β, we show a robust reduction of DUX4 expression, activity and cell death across FSHD1 and FSHD2 patient-derived lines. RNA-seq profiling reveals that a small number of genes are differentially expressed upon p38α/β inhibition, the vast majority of which are DUX4 target genes. Our results reveal a novel and apparently critical role for p38a in the aberrant activation of DUX4 in FSHD and support the potential of p38α/β inhibitors as effective therapeutics to treat FSHD at its root cause.