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Mol Cell Biol. 2007 December; 27(23): 8143–8151.
Published online 2007 September 17. doi:  10.1128/MCB.01187-07
PMCID: PMC2169182

Regulation of Skeletal Muscle Sarcomere Integrity and Postnatal Muscle Function by Mef2c[down-pointing small open triangle]


Myocyte enhancer factor 2 (MEF2) transcription factors cooperate with the MyoD family of basic helix-loop-helix (bHLH) transcription factors to drive skeletal muscle development during embryogenesis, but little is known about the potential functions of MEF2 factors in postnatal skeletal muscle. Here we show that skeletal muscle-specific deletion of Mef2c in mice results in disorganized myofibers and perinatal lethality. In contrast, neither Mef2a nor Mef2d is required for normal skeletal muscle development in vivo. Skeletal muscle deficient in Mef2c differentiates and forms normal myofibers during embryogenesis, but myofibers rapidly deteriorate after birth due to disorganized sarcomeres and a loss of integrity of the M line. Microarray analysis of Mef2c null muscles identified several muscle structural genes that depend on MEF2C, including those encoding the M-line-specific proteins myomesin and M protein. We show that MEF2C directly regulates myomesin gene transcription and that loss of Mef2c in skeletal muscle results in improper sarcomere organization. These results reveal a key role for Mef2c in maintenance of sarcomere integrity and postnatal maturation of skeletal muscle.

The formation of skeletal muscle involves the specification of myogenic progenitor cells within the somites followed by the activation of a large array of muscle-specific genes through the synergistic activities of the MyoD and myocyte enhancer factor 2 (MEF2) families of transcription factors (9, 32). Members of the MyoD family of basic helix-loop-helix (bHLH) transcription factors, i.e., Myf5, MyoD, myogenin, and MRF4, are expressed specifically in skeletal muscle and are each capable of activating the muscle gene program when expressed in nonmuscle cells (reviewed in references 5, 41, 49, and 54). Loss-of-function studies have shown that that MyoD−/−; Myf5−/− double-knockout mice fail to develop skeletal muscle (50), reflecting redundant roles of these genes in the establishment of the skeletal muscle lineage. Mrf4 has also been implicated in specification of muscle cell fate (25), whereas myogenin is required for skeletal muscle terminal differentiation (23, 36).

The myogenic bHLH factors interact with MEF2 factors to cooperatively activate muscle-specific genes (32). MEF2 factors alone do not possess myogenic activity, but potentiate the activity of bHLH factors (32). The MEF2 proteins, MEF2A, -B, -C, and -D contain a conserved N-terminal MADS (MCM1, agamous, deficiens, SRF) domain and an adjacent MEF2-specific domain which, together, are necessary and sufficient for dimerization, cofactor interactions, and binding to the DNA consensus sequence CTA(A/T)4TAG (4, 33, 45, 46, 61).

Based on their expression patterns in vivo and activities in vitro, MEF2 factors are believed to function downstream of the bHLH transcription factors in the pathway for skeletal muscle development (18, 31, 34, 57). However, the promoters of the myogenin (12, 16, 19, 60) and Mrf4 (8, 37) genes contain MEF2 binding sites that provide a mechanism for amplifying and maintaining their expression and stabilizing the muscle phenotype (34). The Mef2c gene also serves as a direct target of myogenic bHLH and MEF2 factors, which serve to further reinforce the decision of myoblasts to differentiate (57). Thus, the expression and activities of these two classes of myogenic transcription factors are intimately integrated through multiple regulatory mechanisms (34, 46, 57).

During mouse embryogenesis, MEF2 proteins display distinct but overlapping expression patterns in the skeletal muscle lineage, but unlike the myogenic bHLH transcription factors, MEF2 proteins are also expressed in other cell types, including neurons, cardiomyocytes, neural crest cells, chondrocytes, smooth muscle cells, and endothelial cells (6, 15, 20). Mef2c is the first member of the MEF2 family to be expressed in the myotome (at ca. embryonic day 9.0 [E9.0]), and its appearance lags approximately 18 h behind that of Myf5, the first bHLH myogenic regulator to be expressed (20). Mef2a and Mef2d are expressed after Mef2c (20).

Because of their overlapping expression patterns and common functions, it has been difficult to discern the functions of individual Mef2 genes during different stages of mammalian development. However, loss of function of the single Drosophila Mef2 gene has been shown to result in a block to differentiation of all muscle cell types (10, 27, 48), demonstrating the central role of MEF2 as a regulator of multiple muscle differentiation programs. Mice that lack Mef2a display an array of cardiovascular defects which cause most mice to die suddenly (38). Mice with homozygous mutations in Mef2d are viable (6), whereas mice lacking Mef2c die at E9.5 from cardiovascular defects (28, 29). The early lethality caused by the Mef2c loss-of-function mutation has therefore precluded analysis of its role in skeletal muscle at later developmental stages.

In addition to its role in muscle development, MEF2 has been implicated in establishing the slow myofiber phenotype by serving as a target for calcium-dependent signaling to drive oxidative and slow-fiber-specific genes (17, 59). Recently, we showed that skeletal muscle-specific deletion of Mef2c in a mixed mouse genetic background results in a substantial reduction of slow skeletal muscle fibers, while overexpression of a superactive form of MEF2C (MEF2C-VP16) promotes the slow-fiber phenotype and enhances endurance exercise (47).

To further explore the functions of Mef2c in developing skeletal muscle, we conditionally deleted a floxed Mef2c allele using two Cre recombinase transgenes that allow early versus late deletion of Mef2c in skeletal muscle. Here we show that early deletion of Mef2c results in neonatal lethality at postnatal day 1 (P1), while mice with a later deletion of Mef2c are viable. In mice with early deletion of Mef2c, skeletal muscle differentiates to form myofibers with abnormally assembled sarcomeres and weakened M lines. Microarray analysis revealed misregulation of genes encoding components of the sarcomere, including the M-line-specific proteins myomesin and M protein. Accordingly, we show that Mef2c directly regulates myomesin transcription in vivo. These results reveal an essential role for Mef2c in myofiber maturation and function and demonstrate an important role for MEF2 proteins in terminal differentiation through maintenance of muscle integrity.


Plasmid constructs, tissue culture, and cell transfection.

Wild-type myomesin 1 (bp −1035 to +88) and myomesin 2 (M protein) (bp −1058 to +6) (base pair numbering refers to the location of the DNA fragment relative to the transcriptional start site of the indicated gene) promoters were cloned into TOPO TA (Invitrogen). MEF2 and E-box sites were mutated by two-step PCR directed mutagenesis (myomesin 1 MEF2, CTATATTTAT to CTGGGTTTAT; myomesin 1 E box, CATGTG to TCTGTG; myomesin 2 MEF2, CTAAATATAG to CTAGGGATAG). Primer sequences for promoter cloning and mutagenesis are as follows: myomesin 1, 5′-CTGGCCCTGACCGAATACCACCACCAAGG-3′ (forward) and 5′-CGAGGAGCAGGAGAGAATGAGGGCCCACC-3′ (reverse); myomesin 2, 5′-GCTGGCCTGCAGGTCAACCTCACGGAGGC-3′ (forward) and 5′-CTCCCTGCAGAGCTCTGTGCTTCCCCC-3′ (reverse); myomesin 1 ΔMEF2, 5′-CCCCTCCCCATGTGCTGCTGGGTTTATCTGCCTTCCTGGCC-3′ and complement sequence; myomesin 1 ΔE box, 5′-GGTTTGGGACTCCCCTCCCTCTGTGCTGCTATATTTATCTGC-3′ and complement sequence; myomesin 2 ΔMEF2, 5′-GGAGAGGCAGTCCCTTGCCTGGGTATAGCACCTCCTCTGGCCATAA-3′ and complement sequence.

Wild-type and mutant promoters were then cloned into pGL3 and pGHlacZ vectors for luciferase reporter and in vivo expression, respectively.

COS cells and C2C12 myoblasts were grown in Dulbecco's modified Eagle's medium supplemented with fetal bovine serum and antibiotics as described previously (47). For transient-transfection assays, cells were plated and transfected 12 h later using Fugene (Roche) according to the manufacturer's instructions.

Generation of mutant and transgenic mice.

Mice with a Mef2c allele flanked by loxP sites have been described (6). Skeletal muscle-specific transgenic mice expressing Cre recombinase under control of the myogenin promoter (26) or MCK promoter (11) have been described previously. Transgenic mice were generated as previously described (16). Staining of embryos for β-galactosidase was performed as previously described (16).

RNA in situ hybridization, histology, and electron microscopy.

Embryos and tissue for histology were isolated in phosphate-buffered saline (PBS), fixed in 4% paraformaldehyde overnight, processed, and sectioned for hematoxylin and eosin (H&E) staining using standard procedures (52). In situ hybridization samples were processed in 0.1% diethylpyrocarbonate-PBS. 35S-labeled RNA probes for Myf5, MyoD (30), and myogenin were generated using a Maxiscript kit (Amersham).

Electron microscopy was performed as previously described (26). Briefly, skeletal muscle from P1 pups was fixed overnight in 2% glutaraldehyde in PBS at 4°C and then postfixed in 1% OsO4 and dehydrated in an ethanol series. Samples were then embedded in Spurr resin (Ted Pella, Inc., Redding, CA), stained with uranyl acetate and lead citrate, and sectioned at 80 nm.

RT-PCR, quantitative real-time PCR, and microarray analysis.

Total RNA was extracted from wild-type and mutant skeletal muscle with Trizol reagent (Invitrogen). Four micrograms of RNA from each sample was used to generate cDNA using SuperScript II first-strand synthesis kit (Invitrogen). Reverse transcription-PCR (RT-PCR) for the deleted region of Mef2c was performed using the primer pair 5′-GATGAAGAAGGCTTATGAGCTGAGCGTGCTGTGCGACTGTGAG-3′ (forward) and 5′-CTGTTATGGCTGGACACTGGGATGGTAACTGGCATCTCAAAG-3′ (reverse).

Quantitative real-time PCR was performed using TaqMan one-step chemistry or SYBR green on an ABI PRISM 7000 sequence detection system (Applied Biosystems). Predesigned intron-spanning primers were purchased from Applied Biosystems for TaqMan (myogenin, MyoD, Acta1, Myh7, myozenin 2, Myl4, Myl7, MEF2A, MEF2D, TnnI1, TnnI2, TnnT3, and GAPDH [glyceraldehyde-3-phosphate dehydrogenase]). Primer sequences for SYBR green are available upon request.

For microarray analysis, total RNA was extracted from wild-type or Mef2c SKM KO (skeletal muscle-specific deletion of Mef2c) E18.5 hindlimbs using Trizol reagent (Invitrogen). Microarray analysis was performed using the Mouse Genome 430 2.0 array (Affymetrix), and results were analyzed using PANTHER as previously described (35).

Reporter assays.

The myomesin 1- and 2-luciferase constructs contain a DNA fragment extending from bp −1035 bp to +88 and −706 to +6 from the myomesin and M-protein genes, respectively. The Myc-tagged MEF2C expression vector was described previously (44). COS cells in 24-well plates were transfected with 100 ng of reporter plasmids in the presence or absence of MEF2C (5 to 100 ng). The reporter assays were performed as previously described (14).

Gel mobility shift assays.

Oligonucleotides corresponding to the conserved MEF2 binding site in the myomesin 1 and 2 promoters, a mutated site, and a bona fide MEF2 site from the MCK enhancer were synthesized (Integrated DNA Technologies), annealed, labeled with [32P]CTP using Klenow fragment, and purified with G25 columns (Roche). The following sequences were used: wild-type myomesin 1, 5′-GGGATGTGCTGCTATATTTATCTGCCTT-3′; myomesin 1 ΔMEF2, 5′-GGGATGTGCTGCTACCGGTATCTGCCTT-3′; muscle creatine kinase (MCK), ′-GGGGATCGCTCTAAAAATAACCCTGTCG-3′; wild-type myomesin 2, 5′-GGGCCCTTGCCTAAATATAGCACCTCCT-3′; myomesin 2 ΔMEF2, 5′-GGGCCCTTGCCTACCGGTAGCACCTCCT-3′.

Cell extracts were isolated from COS cells transfected with a myc-tagged MEF2C expression plasmid or empty vector. Reaction conditions were as previously described (13, 44). DNA-protein complexes were resolved on 5% polyacrylamide native gels.


Early embryonic deletion of Mef2c causes perinatal lethality.

Mice with a homozygous null mutation of Mef2c exhibit early lethality at E9.5 due to cardiovascular defects (28, 29). To determine the function of Mef2c in skeletal muscle at later developmental stages, we deleted a floxed Mef2c allele (6) specifically in skeletal muscle by using the myogenin-Cre (Myo-Cre) transgene, which consists of a Cre recombinase expression cassette controlled by the myogenin promoter and the skeletal muscle-specific enhancer of the Mef2c gene. This transgene is expressed specifically in skeletal muscle beginning at E8.5 (26).

Skeletal muscle-specific deletion of Mef2c (Mef2c SKM KO) resulted in lethality at P1. This postnatal lethality was affected by genetic background. In a C57BL/6 mixed genetic background, 100% lethality was observed. However, other backgrounds (e.g., 129/SvEv) produced some viable Mef2c SKM KO mice, which display a fiber-type switching phenotype described previously (47). Mef2c SKM KO pups in the C57BL/6 mixed genetic background were slightly smaller than wild-type littermates (Fig. (Fig.1A)1A) and died several hours after birth, always before P2. At P1, Mef2c SKM KO pups were mobile but lethargic compared to wild-type littermates and did not feed (Fig. (Fig.1A).1A). In contrast to the early perinatal lethality resulting from Mef2c deletion with Myo-Cre, mice with a later deletion of Mef2c beginning at ~E18.5 using a Cre transgene controlled by the muscle creatine kinase promoter (MCK-Cre) (11) were viable.

FIG. 1.
Skeletal muscle deletion of Mef2c. (A) Mef2c SKM KO mice (Mef2cfl/−; Myo-Cre) are smaller than wild-type (WT) littermates and do not feed (note the absence of milk in the stomach). (B and C) Analysis of efficiency of gene deletion in Mef2c SKM ...

To verify the efficiency of Mef2c gene deletion by Myo-Cre, we performed RT-PCR and in situ hybridization for the deleted region of Mef2c in wild-type and Mef2c SKM KO skeletal muscles. As shown in Fig. 1B and C, Mef2c transcripts were efficiently deleted in muscles from neonates and embryos, respectively.

Notably, Mef2a or Mef2d homozygous mutant mice did not display skeletal muscle developmental defects (reference 47 and data not shown). We conclude that embryonic expression of Mef2c is specifically required for skeletal muscle development.

Loss of Mef2c results in myofiber disarray.

Histological analysis showed that the hind limb muscles from Mef2c SKM KO pups at P1 were severely disorganized and fragmented (Fig. (Fig.2A).2A). The diaphragms of Mef2c SKM KO mice were especially thin and lacking in well-developed myofibers, which is likely to be the cause of death (Fig. (Fig.2B).2B). Notably, mutant myocytes were able to differentiate and fuse into myofibers (Fig. (Fig.2A),2A), unlike muscles from myogenin knockout mice, which fail to fully differentiate and form very few myofibers in vivo (23). Skeletal muscle deletion of Mef2c with MCK-Cre did not disrupt myofiber organization (data not shown).

FIG. 2.
Myofiber disarray in Mef2c-deficient muscles. Hind limb muscles and diaphragms of wild-type (WT) and Mef2c SKM KO (Mef2cfl/−; Myo-Cre) mice are shown. (A) H&E staining of histological sections of representative hind limb muscle from P1 ...

To define the time of onset of muscle defects in Mef2c SKM KO animals, we analyzed muscle at sequential developmental stages. Muscles appeared to be normal at E12.5, E14.5, and E16.5 (data not shown), whereas disorganization was apparent by E18.5 and became more severe by P1 (Fig. 2C and D).

Ultrastructural analysis showed that sarcomeres of skeletal muscle from Mef2c SKM KO mice at P1 were disorganized and fragmented compared to those from wild-type littermates (Fig. (Fig.3A).3A). Fragmented myofibers along the M-line regions were especially apparent in the mutant (Fig. (Fig.3B),3B), suggesting a weakening of the M-line structure, which is essential for maintenance of sarcomere integrity.

FIG. 3.
Disorganized sarcomeres in Mef2c SKM KO muscles. (A) Hind limb muscle from P1 wild-type (WT) and Mef2c SKM KO (Mef2cfl/−; Myo-Cre) mice were analyzed by electron microscopy. The sarcomeres in Mef2c mutant mice are disorganized and fragmented compared ...

Abnormalities of muscle gene expression in Mef2c mutants.

To determine whether the absence of Mef2c resulted in downregulation of myogenic bHLH transcription factors, which might cause the skeletal muscle abnormalities in SKM KO mice, we performed in situ hybridization for myogenin, Myf-5, and MyoD. Myogenic bHLH transcription factor expression patterns appeared to be unaltered in Mef2c SKM KO muscles at E9.5 and E12.5 (Fig. (Fig.4A)4A) and E16.5 (data not shown). To provide a more quantitative analysis of bHLH expression in Mef2c mutant muscles, we analyzed the expression of myogenin, Myf-5, and MyoD in E12.5 wild-type and Mef2c SKM KO embryos by quantitative real-time PCR (Fig. (Fig.4B).4B). Expression of myogenin and MyoD was slightly downregulated in Mef2c-deficient muscles.

FIG. 4.
Analysis of muscle gene expression in Mef2c mutants. (A and B) Expression of myogenin, MyoD, and Myf5 in wild-type (WT) and Mef2c SKM KO (Mef2cfl/−; Myo-Cre) embryos by in situ hybridization at E9.5 (sagital sections) and E12.5 (transverse sections) ...

To identify MEF2 target genes responsible for the Mef2c SKM KO phenotype, we performed expression profiling of skeletal muscle from wild-type and Mef2c SKM KO E18.5 hindlimbs. Using gene ontology analysis (55) of dysregulated transcripts, we analyzed whether certain pathways or biological processes were more sensitive to loss of Mef2c in skeletal muscle. This analysis revealed that the most significantly enriched biological processes, of downregulated genes, participate in muscle contraction (Fig. (Fig.4C).4C). Down-regulated genes in this category were further analyzed by their annotated molecular function, demonstrating that the majority of these genes encode cytoskeletal proteins (Fig. (Fig.4D).4D). Among the most dramatically downregulated genes were myomesin 1 and myomesin 2 (also referred to as M protein), which encode muscle-specific structural proteins that stabilize the sarcomere along the M line by forming an elastic (7), lattice structure that interacts with titin and myosin (2, 39, 40). This “elastic web” stabilizes muscles by diminishing thick filament displacement and by returning the sarcomere to its original state after contraction (1, 2). Myomesin proteins are expressed in all types of vertebrate striated muscle, and their importance is supported by their observed fixed expression ratio with myosin (2, 3). Moreover, myomesin proteins and the M line are crucial for sarcomere stability, since loss of M-line protein interaction with titin results in progressive sarcomere damage and lethality (43).

In addition to the myomesin genes, several additional structural, sarcomere, and sarcomere-associated gene products were misregulated in Mef2c SKM KO muscles including myozenin 1 and 2 (also termed calsarcin 2 and 1, respectively), actin, myosin, myotilin, and muscle creatine kinase (MCK) (Fig. (Fig.4E).4E). MEF2 proteins were previously shown to be important for expression of thick filament proteins in vivo (24) but were only slightly downregulated in Mef2c SKM KO muscles. Myozenin 1 and 2 are Z-line-interacting proteins that are important stress sensors that link calcineurin with the sarcomere (21). Additionally, myotilin, which encodes an actin cross-linking protein necessary for sarcomere assembly (51), was downregulated in Mef2c SKM KO muscles.

Transcripts encoding the bHLH transcription factors MyoD and myogenin were slightly downregulated at E18.5, as detected by quantitative real-time PCR, while Myf5 transcript levels were unchanged (Fig. (Fig.4E).4E). Known MEF2 target genes (e.g., Bop, Srpk3 [MSSK], and desmin) were also slightly downregulated in Mef2c-deficient muscles (Fig. (Fig.4B4B and data not shown).

The myomesin 1 and 2 genes are direct targets of MEF2C.

Myomesin 1 and 2 play a crucial role in maintaining sarcomere organization (1), suggesting that their downregulation could be causal in the Mef2c SKM KO phenotype. We therefore searched the myomesin promoters for conserved MEF2 sites that might control their expression in skeletal muscle. As shown in Fig. Fig.5A,5A, ClustalW analysis revealed conserved consensus MEF2 sites located immediately upstream of both genes. In addition, the myomesin 1 promoter contains a conserved MEF2 site directly adjacent to an E box, and this region confers transcriptional regulation to the myomesin 1 gene (53).

FIG. 5.
myomesin 1 and 2 are direct targets of MEF2C. (A) Alignment of mouse and human myomesin 1 and 2 promoters using ClustalW identifies conserved MEF2 binding sites in close proximity to previously identified transcription start sites (arrows) (the MEF2 site ...

The first ~1,000 bp and 700 bp of the myomesin 1 and 2 promoters, respectively, were cloned into a luciferase reporter and found to be responsive to MEF2 when cotransfected into COS cells (Fig. (Fig.5B).5B). Mutation of the MEF2 sites in both promoters abolished responsiveness to MEF2 (Fig. (Fig.5B).5B). In addition, when C2C12 cells were transfected with these luciferase constructs and allowed to differentiate, luciferase activity was observed with the wild-type myomesin promoter but was significantly reduced with the promoters containing a mutated MEF2 site (data not shown). Mutagenesis of the E box in the myomesin 1 promoter reduced but did not eliminate luciferase activity (Fig. (Fig.5B5B).

DNA binding assays using extracts from COS cells transfected with a Myc-MEF2C expression plasmid confirmed that the MEF2 sites in the myomesin 1 and 2 promoters were bona fide MEF2 sites (Fig. (Fig.5C).5C). The MEF2 consensus sequences from the myomesin 1 and 2 promoters bound MEF2C comparably to the canonical MEF2 site from the MCK enhancer (22) (Fig. (Fig.5C).5C). This DNA-protein complex was abolished in the presence of excess competitor (unlabeled cognate DNA sequence) and was supershifted by an anti-Myc antibody, whereas a sequence containing a mutated MEF2 site was unable to compete for MEF2C binding (Fig. (Fig.5C5C).

To analyze the importance of the MEF2 site in the myomesin 1 promoter in vivo, we generated transgenic mice with a lacZ reporter gene linked to the myomesin 1 promoter. As seen in Fig. Fig.5D,5D, the wild-type myomesin 1 promoter directed expression in the somites, limb muscles, and heart (Fig. (Fig.5D)5D) at E11.5. Expression in all of these cell types was abolished by a mutation in the MEF2 site (Fig. (Fig.5D).5D). These findings support the conclusion that MEF2C directly activates myomesin gene transcription in vitro and in vivo.


The results of this study show that skeletal muscle-specific deletion of Mef2c results in hypoplastic myofibers, disorganized sarcomeres, and defects of the M line that cause perinatal death. Mef2c-deficient muscles showed reduced expression of genes encoding important structural proteins, including myomesin and M protein, which are localized to the M line and maintain sarcomere integrity. Moreover, our results demonstrate that MEF2C directly regulates myomesin gene transcription. We conclude that Mef2c plays an essential role in the perinatal regulation of genes necessary for proper sarcomere assembly and maintenance of myofiber integrity.

Distinct functions of MEF2 factors in skeletal muscle.

Given the early and specific expression of Mef2c in the skeletal muscle lineage and the ability of MEF2C to synergistically activate myofiber genes with members of the MyoD family, it is surprising that Mef2c-deficient myocytes undergo early steps of differentiation, including myofiber formation. It seems likely that other MEF2 proteins compensate for the loss of Mef2c during early stages of embryonic and fetal myogenesis. However, we should point out that we have also found that skeletal muscle deletion of both Mef2c and Mef2d does not exacerbate the Mef2c SKM KO phenotype (data not shown), raising the possibility that residual levels of Mef2a or Mef2b are adequate to support initial steps in muscle development.

Mef2c-deficient muscles display minor defects late in embryonic development but rapidly degenerate immediately after birth. The relatively late onset of the Mef2c mutant muscle phenotype, in which Mef2c was deleted with the Myo-Cre, is surprising considering that this transgene causes gene deletion at E8.5 in muscle. However, this timing may reflect the relative lack of contractility or weight-bearing stress on skeletal muscle before birth. Consistent with this, expression profiling of Mef2c SKM KO muscles revealed misregulated genes associated with muscle contraction and stress responsiveness. Therefore, although MEF2C is removed early in skeletal muscle development, the genes which it regulates (e.g., myomesin) function later to maintain sarcomere integrity and muscle function, possibly explaining why severe defects are not observed until birth. In addition, the lack of muscle defects in mice in which Mef2c is deleted later (~E18.5) demonstrates the importance of activation of these MEF2 targets early in development and their integration and association with the sarcomere. Moreover, this importance of MEF2C early in skeletal muscle development may be similar to the case for cardiac muscle, in which MEF2C is important early (29) but is dispensable later in development (56).

It is intriguing that the absence of MEF2C results in such a specific diminution of myomesin expression, despite the continued expression of Mef2a and Mef2d. We suggest two potential explanations for this finding. (i) The myomesin genes might be exquisitely sensitive to the level of MEF2 expression, irrespective of the isoform, such that residual Mef2a and -d cannot drive expression of these genes in the absence of Mef2c. (ii) MEF2C may be specifically required for myomesin expression because of a function not shared with the other MEF2 isoforms, perhaps mediated by a unique structural domain.

Recently, knockdown of mef2c and mef2d in zebrafish was reported to disrupt muscle function and sarcomere assembly as a result of diminished expression of thick filament proteins (24). In contrast, our results demonstrate that loss of Mef2c alone is sufficient to disrupt sarcomere assembly. The differences between the zebrafish and mouse phenotypes may reflect species-specific differences in MEF2C function or the lack of complete takeout of mef2c protein by morpholino knockdown in zebrafish. Consistent with the zebrafish study, muscles lacking Mef2c undergo early steps of muscle differentiation but do not mature properly. Interestingly, Hinits and Hughes reported that muscles from mef2c/d double knockdown zebrafish display a phenotype similar to that of mice lacking titin's M-line region (24). We show that Mef2c SKM KO muscles display M-line defects and that MEF2C directly regulates myomesin expression, which could explain the zebrafish phenotype.

Influence of genetic modifiers on the functions of Mef2c in skeletal muscle.

Recently, we reported that mice with a skeletal muscle deletion of Mef2c in a 129/SvEv mixed genetic background were viable and showed a reduction in slow fibers (47). In contrast, the skeletal muscle deletion of Mef2c in a C57BL/6 mixed background shown here results in perinatal lethality with complete penetrance. These findings suggest that the activity of Mef2c in skeletal muscle development is sensitive to genetic modifiers, which are capable of modulating sarcomere structure and function. Notably, the cyto-architectural and mitochondrial defects observed in cardiac muscle of Mef2a-deficient mice are also highly sensitive to genetic modifiers (38).

MEF2 factors as multifunctional regulators of muscle gene expression.

Considered together with other studies, it is now apparent that MEF2 factors play important roles in numerous steps of muscle development, including the control of myoblast differentiation and fusion (34, 42), maintenance of myofiber integrity as shown in the present study, and regulation of mitochondrial biogenesis and fiber type specification (47, 58). In each of these settings, MEF2 regulates distinct sets of downstream target genes, which likely reflects its ability to associate combinatorially with other coactivators and corepressors and to respond to upstream signaling pathways that vary in response to developmental, physiological and pathological cues. Understanding the molecular basis of target gene recognition and activation by different MEF2 isoforms in these various processes represents a fascinating and important problem for the future.


We thank Jennifer Brown for editorial assistance and Alisha Tizenor for graphics. We are grateful to John Shelton for histological sections, to Laurie Mueller for electron microscopy, and to Lillian Sutherland for technical assistance. We thank C. R. Kahn for MCK-Cre transgenic mice.

This work was supported by grants from the NIH, the Donald W. Reynolds Clinical Cardiovascular Research Center, and the Robert A. Welch Foundation to E.N.O.


[down-pointing small open triangle]Published ahead of print on 17 September 2007.


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