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Histopathology and spatial transcriptomics jointly map myofiber-specific pathological programs in mTORC1-driven myopathy
Jer-En Hsu, Qingyang Zhao, Weiqiu Cheng, Hyun Min Kang, Susan V. Brooks, Myungjin Kim, Jun Hee Lee
Jer-En Hsu, Qingyang Zhao, Weiqiu Cheng, Hyun Min Kang, Susan V. Brooks, Myungjin Kim, Jun Hee Lee
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Research Article Cell biology Muscle biology

Histopathology and spatial transcriptomics jointly map myofiber-specific pathological programs in mTORC1-driven myopathy

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Abstract

Skeletal muscle is composed of heterogeneous myofiber types and non-myocyte populations. Myopathies occur in many diseases, but the mechanisms driving these pathologies remain largely unknown, partly because conventional approaches cannot link histopathological features to molecular states at single-fiber resolution. To address this challenge, we brought histopathology and spatial transcriptomics together by applying high-resolution Seq-Scope technology to a mouse model of mTORC1 hyperactivation. Cross-sections from the extensor digitorum longus (EDL) and soleus (SOL), two muscles with distinct fiber-type compositions, were profiled to determine how transcriptome changes are linked to histopathological outcomes. mTORC1 hyperactivation elicited distinct, fiber type–dependent pathological programs. Type I and IIa fibers were largely resistant to mTORC1-induced pathology, exhibiting relatively limited morphological alterations. In contrast, type IIx fibers diverged into opposing fates: in SOL, they underwent abnormal enlargement associated with sustained growth signaling, cytoskeletal remodeling, and impaired proteostasis; in EDL, they developed basophilia associated with increased RNA content and lipid-, oxidative-, and nucleotide metabolism–related signatures. Within EDL, type IIb fibers displayed heterogeneity with discrete transcriptional states. Non-myocytic populations, including macrophages and fibroblasts, accumulated preferentially in SOL, forming a fibrotic microenvironment associated with inflammation, remodeling, and hypertrophy. These findings provide a link between histopathological phenotypes and molecular states at single-fiber resolution.

Authors

Jer-En Hsu, Qingyang Zhao, Weiqiu Cheng, Hyun Min Kang, Susan V. Brooks, Myungjin Kim, Jun Hee Lee

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Figure 6

Type IIb fibers in EDL exhibit 3 distinct transcriptional states without gross morphological alterations.

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Type IIb fibers in EDL exhibit 3 distinct transcriptional states without...
Myofibers from EDL muscles were subset and analyzed to reveal MF2B heterogeneity. (A) UMAP manifold showed MF2B clusters in selected control and mutant EDL sections (n = 2). Control MF2B cluster and non-MF2B clusters are labeled in dark gray and light gray, respectively. For full analysis, see Supplemental Figures 7 and 8. (B) Spatial images of selected mutant EDL sections. Left: H&E histology. Middle: MF2B fiber subtype map, according to the clustering presented in A. Right: Spatial map of a cumulative score created with the expression level of mitochondrial genome-encoded genes. Boxed areas in H&E images are magnified in F and G. Scale bar: 500 μm. (C) Expression of genes upregulated in each KO-MF2B subtype. (D) Mitochondrial gene cumulative score compared between control and mutant MF2B subtypes. (E) Frequency of basophilic fibers in control and mutant MF2B subtypes. (F) Representative views of MF2B subtype-2 with histology (H&E), fiber-subtype map, and mitochondrial gene cumulative score map. Crosses indicate representative subtype-2 myofibers. Scale bar: 50 μm. (G) Representative views of MF2B subtype-3 with histology (H&E), fiber-subtype map, and raw transcript plots of indicated genes. Crosses and dotted borders highlight representative subtype-3 myofibers. Scale bar: 50 μm.(H) Immunostaining of indicated proteins in control and mutant EDL muscles. WGA staining (green) delineates myofiber membranes. Boxed areas are magnified at the bottom. Representative images are shown from a single staining experiment. Scale bars: 20 μm and 50 μm. (I) Schematic diagram illustrating differential transcriptional states of MF2B fibers under sustained mTORC1 hyperactivation.

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