Molecular Bases of Equine Polysaccharide Storage Myopathies a Dissertation SUBMITTED to the FACULTY of UNIVERSITY of MINNESOTA
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Molecular bases of equine polysaccharide storage myopathies A Dissertation SUBMITTED TO THE FACULTY OF UNIVERSITY OF MINNESOTA BY Raffaella Bertoni Cavalcanti Teixeira IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY Molly McCue, James Mickelson April, 2015 © {Raffaella Bertoni Cavalcanti Teixeira, 2015} Acknowledgements First of all I am thankful to Drs McCue and Mickelson for their essential support. Without their superior knowledge and experience I would not have been able to accomplish this work. The author would also like to thank Drs Reed, Rendahl and Valberg for being part of my committee and for their support and help. I would also like to acknowledge Rob Schaefer for all his help with scripts and commands. I have learned a lot from him. I would like to thank my lab mates Sam Beeson, Elaine Norton, Annette McCoy, Felipe Avila, Nichol Schultz and Ann Kemper for their help and friendship. And last, I want to thank my dog Stella for showing me her love during good and bad times. I have met incredible people during this journey and I’m very thankful to each one of them. You have all left a mark on my life forever. i Dedication This thesis is dedicated to my adviser Dr McCue for helping me achieve my goal of completing a PhD. Dr McCue has taught me so many important lessons. I’m a better scientist, clinician and most of all, a better person because of her. Her lessons will stay with me for the rest of my life. I also dedicate this work to my co-adviser, Dr Mickelson, for being supportive, helpful, wise and very patient. I dedicate this thesis to my family (Mom, Dad, brother and sister-in-law). You are the most important thing I have in my life. Your unconditional support gives me strength to fight for my dreams. And last, I would like to dedicate this thesis to my friends, especially Fernanda Shoyama, Marina Figueiredo and Alex Draper for always being there for me. ii Table of Contents Chapter 1 ............................................................................................................................ 1 Introduction and Literature Review ..................................................................................... 1 Polysaccharide Storage Myopathy .............................................................................. 2 Clinical Signs ........................................................................................................... 2 Muscle Histopathology ............................................................................................ 2 Prevalence ............................................................................................................... 3 Biochemistry and metabolic findings related to the energy deficit ......................... 4 Discovery of the GYS1 mutation – Type 1 PSSM ....................................................... 4 Variable phenotypic expression in type 1 PSSM horses ......................................... 7 Prevalence of the GYS1 mutation ............................................................................ 9 Hypothesized link between GYS1, glycogen accumulation and rhabdomyolysis .. 12 Research questions to be addressed for PSSM1 .................................................... 14 Hypothesis and Specific Aims: PSSM1 .................................................................... 14 Type 2 PSSM ............................................................................................................. 16 Clinical signs ......................................................................................................... 16 Prevalence ............................................................................................................. 16 Biopsy findings ...................................................................................................... 16 Preliminary GWAS analysis .................................................................................. 17 Limitations to the initial GWAS ............................................................................. 20 Hypothesis and Specific Aims PSSM2 ..................................................................... 20 Genotype Imputation and GWAS ............................................................................... 22 Chapter 2 .......................................................................................................................... 23 Normal equine skeletal muscle gene expression profiles prior to and after a standardized submaximal exercise trial .................................................................................................. 23 Summary ........................................................................................................................ 24 Introduction ................................................................................................................... 26 Material and Methods .................................................................................................... 27 Results ........................................................................................................................... 34 Discussion ...................................................................................................................... 36 Chapter 3 .......................................................................................................................... 75 Gene Expression Profile in Type 1 Polysaccharide Storage Myopathy ............................ 75 Summary ........................................................................................................................ 76 Introduction ................................................................................................................... 77 Material and Methods .................................................................................................... 81 Results ........................................................................................................................... 89 Discussion ...................................................................................................................... 92 Chapter 4 ........................................................................................................................ 148 iii Evaluation of a potential PSSM 2 locus on equine chromosome 18 ............................... 148 Summary ...................................................................................................................... 149 Introduction ................................................................................................................. 150 Material and Methods .................................................................................................. 151 Results ......................................................................................................................... 155 Discussion .................................................................................................................... 159 Chapter 5 ........................................................................................................................ 169 Enhancing the PSSM2 GWAS by Genotype Imputation ................................................ 169 Summary ...................................................................................................................... 170 Introduction ................................................................................................................. 172 Material and Methods .................................................................................................. 173 Results ......................................................................................................................... 177 Discussion .................................................................................................................... 179 Chapter 6 ........................................................................................................................ 185 Final Considerations and Future Directions .................................................................... 185 Type 1 Polysaccharide Storage Myopathy .................................................................. 186 Type 2 Polysaccharide Storage Myopathy .................................................................. 188 Reference List ................................................................................................................ 192 iv List of Tables Table 1. Output from Cufflinks. ............................................................................................................................................ 43 Table 2. Output from Cufflinks. ............................................................................................................................................. 45 Table 3. Output from Cufflinks. ............................................................................................................................................. 48 Table 4. Comparisons performed between time point t1 and t2. Training effect within group. ....................... 51 Table 5. Comparisons performed between time point t2 and t3. Exercise effect within group. ....................... 53 Table 6. DAVID clusters based on biological function for all of the comparisons. ............................................. 56 Table 7. Summary of pathways used by GSEA and their keywords ........................................................................