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Am J Physiol Heart Circ Physiol 294: H1550-H1561, 2008. First published February 8, 2008; doi:10.1152/ajpheart.01253.2007
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Functional resolution of fibrosis in mdx mouse dystrophic heart and skeletal muscle by halofuginone

Kyla D. Huebner,1 Davinder S. Jassal,3 Orna Halevy,4 Mark Pines,5 and Judy E. Anderson1,2

1Department of Human Anatomy and Cell Science, Faculty of Medicine, and 2Department of Biological Sciences, Faculty of Science, and 3Division of Cardiology, Cardiac Sciences Department, Saint Boniface General Hospital and the Institute of Cardiovascular Sciences, Saint Boniface General Hospital Research Centre, University of Manitoba, Manitoba, Canada; 4Department of Animal Sciences, The Faculty of Agriculture, The Hebrew University of Jerusalem, Rehovot, Israel; and 5Institute of Animal Sciences, Volcani Center, Bet-Dagan, Israel

Submitted 29 October 2007 ; accepted in final form 5 February 2008

The effect of halofuginone (Halo) on established fibrosis in older mdx dystrophic muscle was investigated. Mice (8 to 9 mo) treated with Halo (or saline in controls) for 5, 10, or 12 wk were assessed weekly for grip strength and voluntary running. Echocardiography was performed at 0, 5, and 10 wk. Respiratory function and exercise-induced muscle damage were tested. Heart, quadriceps, diaphragm, and tibialis anterior muscles were collected to study fibrosis, collagen I and III expression, collagen content using a novel collagenase-digestion method, and cell proliferation. Hepatocyte growth factor and {alpha}-smooth muscle actin proteins were assayed in quadriceps. Halo decreased fibrosis (diaphragm and quadriceps), collagen I and III expression, collagen protein, and smooth muscle actin content after 10 wk treatment. Muscle-cell proliferation increased at 5 wk, and hepatocyte growth factor increased by 10 wk treatment. Halo markedly improved both cardiac and respiratory function and reduced damage and improved recovery from exercise. The overall impact of established dystrophy and dysfunction in cardiac and skeletal muscles was reduced by Halo treatment. Marked improvements in vital-organ functions implicate Halo as a strong candidate drug to reduce morbidity and mortality in Duchenne muscular dystrophy.

collagen I/III; echocardiography; Ki67; hepatocyte growth factor; {alpha}-smooth muscle actin



Address for reprint requests and other correspondence: J. E. Anderson, Dept. of Biological Sciences, Faculty of Science, Univ. of Manitoba, Z320 Duff Roblin Bldg., Dysart Rd., Winnipeg, Manitoba, R3T 2N2, Canada (e-mail: janders{at}ms.umanitoba.ca)







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