First published online 9 November 2005
doi: 10.1242/dev.02155
Development 132, 5565-5575 (2005)
Published by The Company of Biologists 2005
Normal myoblast fusion requires myoferlin
Katherine R. Doherty1,
Andrew Cave2,
Dawn Belt Davis2,
Anthony J. Delmonte2,
Avery Posey2,
Judy U. Earley2,
Michele Hadhazy2 and
Elizabeth M. McNally2,3,*
1 Department of Molecular Genetics and Cell Biology, The University of Chicago,
Chicago, IL 60637, USA
2 Department of Medicine, The University of Chicago, Chicago, IL 60637,
USA
3 Department of Human Genetics, The University of Chicago, Chicago, IL 60637,
USA

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Fig. 1. Ferlin protein expression during muscle development. (A) Myoferlin and
dysferlin are 230 kDa transmembrane proteins in the ferlin family. Their amino
acid sequences are 74% similar and contain six cytoplasmic C2 domains.
Myoferlin and dysferlin are expressed in skeletal muscle and in the muscle
cell line C2C12. (B) During C2C12 cell differentiation, immunoblotting showed
that myoferlin was expressed earlier in differentiation than was dysferlin.
The asterisk indicates the switch from growth to differentiation media. These
timepoints represent cultures containing a mixture of myoblasts and myotubes.
(C) Images taken during C2C12 differentiation, corresponding to the timepoints
shown in B. Scale bar: 50 µm. The same cell cultures were co-stained for
myoferlin (red) and dysferlin (green). Myoferlin was expressed earlier and was
expressed highly in singly nucleated myoblasts. Dysferlin expression was
detected only in multinucleated myotubes.
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Fig. 2. Myoferlin is concentrated at sites of membrane fusion. (A) Confocal images
of differentiating myoblasts, where myoferlin (red) appeared at the membrane,
concentrated at sites of cell-cell contact (arrow and boxed area). (B) Regions
of enhanced myoferlin immunoreactivity (red; and arrowhead) corresponded with
membrane, as they were also positive for caveolin 3 immunoreactivity (green;
arrowhead). Scale bar: 20 µm. (C) The C2A domain of myoferlin was generated
as a GST-fusion protein and tested for calcium-sensitive lipid binding to
3H-labeled vesicles containing 50% phosphotidylcholine and 50%
phosphotidylserine. Binding to C2A required the presence of calcium. Myoferlin
C2A engineered with the mutation I67D showed no phospholipid binding in the
presence of calcium. This mutation is predicted to disrupt the hydrophobic
packing of the ß-strands of the myoferlin C2A domain.
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Fig. 3. Targeted homologous disruption of the murine myoferlin (fer1L3)
locus. (A) Gene structure of the first six exons of myoferlin, showing the
start codon (ATG). Those regions that encode the C2A domain are shown in
black. (B) A neomycin-containing cassette was used to replace the
transcriptional and translational start site of myoferlin. The thick black
bars represent the homology arms present in the targeting construct. (C) PCR
confirmed the replacement of exon 1 with neomycin. (D) Immunofluorescence
microscopy using the MYOF3 antibody reveals that myoferlin null myoblasts do
not express myoferlin protein. Scale bar: 20 µm. (E) Partially
differentiated cultures of primary myoblasts from myoferlin null mice
expressed no myoferlin protein, as detected by immunoblotting with an
anti-myoferlin antibody whose epitope does not reside in the deleted region.
An increased level of dysferlin expression was noted, while levels of other
membrane associated proteins, dystrophin and annexin II, were unchanged.
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Fig. 4. Myoferlin null myoblasts show impaired fusion in vitro. (A) Myoblasts
isolated from littermate control and myoferlin null neonatal mice were plated
at equal densities and induced to differentiate. After 4 days of
differentiation, cells were fixed and stained with anti-desmin antibodies
(red) and Sytox nuclear dye (green). Scale bar: 50 µm. (B) Desmin is
expressed only in myogenic cells, so the efficiency of fusion was determined
by quantifying the number of singly nucleated desmin-positive cells (white
squares), those containing two to three (green squares) nuclei, and those
containing four or more nuclei (blue squares). The percentage of nuclei not
associated with desmin staining was equivalent in wild-type and myoferlin null
cultures, and these nuclei were not included when determining fusion
efficiency. Myoferlin null cultures displayed significantly more
desmin-positive single nuclei than did littermate control cultures. Myotubes
containing four or more nuclei were reduced in myoferlin null cultures. Eight
10x fields from each genotype were used for quantification, comprising
2390 wild-type and 2485 myoferlin null nuclei.
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Fig. 5. Myoferlin null mice have a decreased body mass and muscle mass, and the
muscle fibers of myoferlin null animals are decreased in area and size.
Individual muscles were dissected, weighed and preserved for histology. (A)
Body mass was significantly less in myoferlin null mice than in littermate
control mice. (B) Individual muscle mass was also reduced in myoferlin null
mice compared with in littermate controls. (C) Representative cross-sections
of myoferlin null and wild-type quadriceps muscle. Scale bar: 50 µm.
Multiple images of cross-sections through the belly of the quadriceps were
used to quantify fiber size, revealing that the average area of myoferlin null
fibers is reduced. (D) The mean wild-type fiber size was 2301
µm2 whereas the myoferlin null mean was 1740 µm2.
(E) The distribution of fiber sizes was also examined and showed that
myoferlin null muscle is composed of smaller fibers, and specifically lacks
the largest fibers. 1740 wildtype and 2240 myoferlin null fibers were measured
from 21 images of each genotype.
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Fig. 6. Myoferlin is highly upregulated after muscle injury. (A) Immunoblot of
muscle extracts 5 days after cardiotoxin injection showing marked upregulation
of myoferlin after injury. Dysferlin was not upregulated after
cardiotoxin-induced injury in either myoferlin null or wild-type mice. (B)
Myoferlin null muscle does not regain its normal architecture after
cardiotoxin injection. At low magnification (scale bar: 100 µm), dystrophin
staining (green) shows smaller, more irregular fibers in myoferlin null muscle
than in wild-type muscle. Embryonic myosin heavy chain (red) indicates
regenerating myofibers. Higher magnification images (scale bar: 50 µm) show
an increase in the number of centrally placed nuclei, which is indicative of
recent fusion, in wild type compared with in myoferlin null muscle. Nuclei are
stained with DAPI (blue).
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Fig. 7. Myoferlin null muscle regenerates less effectively and shows more
fibrofatty infiltrate than does littermate control muscle after cardiotoxin
injection. (A) In Mason Trichrome-stained sections of gastrocnemius muscles 9
days after cardiotoxin injection, fatty infiltrates appear white (arrowheads)
and fibrotic tissue appears blue (arrows). Scale bar: 100 µm. (B) In
sections stained with Oil Red O and Hematoxylin counterstain 13 days after
injection, areas of fatty infiltrate appear as round white cells with orange
droplets in the myoferlin null tissue. Scale bar: 50 µm. (C) ImageJ was
used to quantify the area covered by fatty infiltrates and fibrotic tissue in
four images of Trichrome-stained tissue, such as those shown in A, at each of
three time points, days 9, 11 and 13 post-injection. Significantly more muscle
was replaced with fibrofatty tissue in myoferlin null mice than in wild
type.
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© The Company of Biologists Ltd 2005