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METTL21C is a potential pleiotropic gene for osteoporosis and sarcopenia acting through the modulation of the NF-κB signaling pathway.
[inclusion body myositis]
Sarcopenia
and
osteoporosis
are
important
public
health
problems
that
occur
concurrently
.
A
bivariate
genome-
wide
association
study
(
GWAS
)
identified
METTL
21
c
as
a
suggestive
pleiotropic
gene
for
both
bone
and
muscle
.
The
METTL
21
family
of
proteins
methylates
chaperones
involved
in
the
etiology
of
both
myopathy
and
inclusion
body
myositis
with
Paget
's
disease
.
To
validate
these
GWAS
results
,
Mettl
21
c
mRNA
expression
was
reduced
with
siRNA
in
a
mouse
myogenic
C
2
C
12
cell
line
and
the
mouse
osteocyte-like
cell
line
MLO-Y
4
.
At
day
3
,
as
C
2
C
12
myoblasts
start
to
differentiate
into
myotubes
,
a
significant
reduction
in
the
number
of
myocytes
aligning
/
organizing
for
fusion
was
observed
in
the
siRNA-treated
cells
.
At
day
5
,
both
fewer
and
smaller
myotubes
were
observed
in
the
siRNA-treated
cells
as
confirmed
by
histomorphometric
analyses
and
immunostaining
with
myosin
heavy
chain
(
MHC
)
antibody
,
which
only
stains
myocytes
/
myotubes
but
not
myoblasts
.
Intracellular
calcium
(
Ca
(
2
+
)
)
measurements
of
the
siRNA-treated
myotubes
showed
a
decrease
in
maximal
amplitude
peak
response
to
caffeine
,
suggesting
that
less
Ca
(
2
+
)
is
available
for
release
due
to
the
partial
silencing
of
Mettl
21
c
,
correlating
with
impaired
myogenesis
.
In
siRNA-treated
MLO-Y
4
cells
,
48
hours
after
treatment
with
dexamethasone
there
was
a
significant
increase
in
cell
death
,
suggesting
a
role
of
Mettl
21
c
in
osteocyte
survival
.
To
investigate
the
molecular
signaling
machinery
induced
by
the
partial
silencing
of
Mettl
21
c
,
we
used
a
real-time
PCR
gene
array
to
monitor
the
activity
of
10
signaling
pathways
.
We
discovered
that
Mettl
21
c
knockdown
modulated
only
the
NF-κB
signaling
pathway
(
ie
,
Birc
3
,
Ccl
5
,
and
Tnf
)
.
These
results
suggest
that
Mettl
21
c
might
exert
its
bone
-
muscle
pleiotropic
function
via
the
regulation
of
the
NF-κB
signaling
pathway
,
which
is
critical
for
bone
and
muscle
homeostasis
.
These
studies
also
provide
rationale
for
cellular
and
molecular
validation
of
GWAS
,
and
warrant
additional
in
vitro
and
in
vivo
studies
to
advance
our
understanding
of
role
of
METTL
21
C
in
musculoskeletal
biology
.
Diseases
Validation
Diseases presenting
"bone-muscle pleiotropic function via the regulation of the nf-κb"
symptom
inclusion body myositis
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