Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion

Abstract Biallelic pathogenic variants in the nebulin (NEB) gene lead to the congenital muscle disease nemaline myopathy. In-frame deletion of exon 55 (ΔExon55) is the most common disease-causing variant in NEB. Previously, a mouse model of Neb ΔExon55 was developed; however, it presented an unchara...

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Main Authors: Zachary Coulson, Justin Kolb, Nesrin Sabha, Esmat Karimi, Zaynab Hourani, Coen Ottenheijm, Henk Granzier, James J. Dowling
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Skeletal Muscle
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Online Access:https://doi.org/10.1186/s13395-025-00378-2
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author Zachary Coulson
Justin Kolb
Nesrin Sabha
Esmat Karimi
Zaynab Hourani
Coen Ottenheijm
Henk Granzier
James J. Dowling
author_facet Zachary Coulson
Justin Kolb
Nesrin Sabha
Esmat Karimi
Zaynab Hourani
Coen Ottenheijm
Henk Granzier
James J. Dowling
author_sort Zachary Coulson
collection DOAJ
description Abstract Biallelic pathogenic variants in the nebulin (NEB) gene lead to the congenital muscle disease nemaline myopathy. In-frame deletion of exon 55 (ΔExon55) is the most common disease-causing variant in NEB. Previously, a mouse model of Neb ΔExon55 was developed; however, it presented an uncharacteristically severe phenotype with a near complete reduction in Neb transcript expression that is not observed in NEB exon 55 patients. We identified by RNA sequencing that the cause of this unexpectedly severe presentation in mice is the generation of a pseudoexon containing two premature termination codons (and promoting nonsense mediated decay) at the Neb exon 55 deletion site. To prove that this is the cause of the loss of Neb transcript, and to generate a more faithful model of the human disease, we used CRISPR gene editing to remove the pseudoexon sequence and replace it with human intron 54 sequence containing a validated cas9 gRNA protospacer. The resulting “hmz” mice have a significant reduction in pseudoexon formation (93.6% reduction), and a re-introduction of stable Neb transcript expression. This new model has the characteristic features of nemaline myopathy at the physiological, histological, and molecular levels. Importantly, unlike the existing exon 55 deletion mice (which die by age 7 days), it survives beyond the first months and exhibits obvious signs of neuromuscular dysfunction. It thus provides a new, robust model for studying pathomechanisms and developing therapies for NEB related nemaline myopathy.
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spelling doaj-art-40b76c50702f47218efc30a9a1810d1f2025-08-20T03:40:53ZengBMCSkeletal Muscle2044-50402025-03-0115111810.1186/s13395-025-00378-2Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletionZachary Coulson0Justin Kolb1Nesrin Sabha2Esmat Karimi3Zaynab Hourani4Coen Ottenheijm5Henk Granzier6James J. Dowling7Program for Genetics and Genome Biology, Hospital for Sick ChildrenDepartment of Physiology, University of ArizonaProgram for Genetics and Genome Biology, Hospital for Sick ChildrenDepartment of Physiology, University of ArizonaDepartment of Physiology, University of ArizonaDepartment of Physiology, Amsterdam UMCDepartment of Physiology, University of ArizonaProgram for Genetics and Genome Biology, Hospital for Sick ChildrenAbstract Biallelic pathogenic variants in the nebulin (NEB) gene lead to the congenital muscle disease nemaline myopathy. In-frame deletion of exon 55 (ΔExon55) is the most common disease-causing variant in NEB. Previously, a mouse model of Neb ΔExon55 was developed; however, it presented an uncharacteristically severe phenotype with a near complete reduction in Neb transcript expression that is not observed in NEB exon 55 patients. We identified by RNA sequencing that the cause of this unexpectedly severe presentation in mice is the generation of a pseudoexon containing two premature termination codons (and promoting nonsense mediated decay) at the Neb exon 55 deletion site. To prove that this is the cause of the loss of Neb transcript, and to generate a more faithful model of the human disease, we used CRISPR gene editing to remove the pseudoexon sequence and replace it with human intron 54 sequence containing a validated cas9 gRNA protospacer. The resulting “hmz” mice have a significant reduction in pseudoexon formation (93.6% reduction), and a re-introduction of stable Neb transcript expression. This new model has the characteristic features of nemaline myopathy at the physiological, histological, and molecular levels. Importantly, unlike the existing exon 55 deletion mice (which die by age 7 days), it survives beyond the first months and exhibits obvious signs of neuromuscular dysfunction. It thus provides a new, robust model for studying pathomechanisms and developing therapies for NEB related nemaline myopathy.https://doi.org/10.1186/s13395-025-00378-2NebulinNemaline myopathyPseudoexonTranscript stabilizationCRISPRPhenotyping
spellingShingle Zachary Coulson
Justin Kolb
Nesrin Sabha
Esmat Karimi
Zaynab Hourani
Coen Ottenheijm
Henk Granzier
James J. Dowling
Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
Skeletal Muscle
Nebulin
Nemaline myopathy
Pseudoexon
Transcript stabilization
CRISPR
Phenotyping
title Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
title_full Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
title_fullStr Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
title_full_unstemmed Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
title_short Generation of a novel mouse model of nemaline myopathy due to recurrent NEB exon 55 deletion
title_sort generation of a novel mouse model of nemaline myopathy due to recurrent neb exon 55 deletion
topic Nebulin
Nemaline myopathy
Pseudoexon
Transcript stabilization
CRISPR
Phenotyping
url https://doi.org/10.1186/s13395-025-00378-2
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