Lueck JD, Lungu C, Mankodi A, Osborne RJ, Welle SL, Dirksen RT, Thornton CA. Chloride channelopathy in myotonic dystrophy resulting from loss of posttranscriptional regulation for CLCN1. Am J Physiol Cell Physiol 292: C1291-C1297, 2007. First published November 29, 2006; doi:10.1152/ajpcell.00336.2006.-Transmembrane chloride ion conductance in skeletal muscle increases during early postnatal development. A transgenic mouse model of myotonic dystrophy type 1 (DM1) displays decreased sarcolemmal chloride conductance. Both effects result from modulation of chloride channel 1 (CLCN1) expression, but the respective contributions of transcriptional vs. posttranscriptional regulation are unknown. Here we show that alternative splicing of CLCN1 undergoes a physiological splicing transition during the first 3 wk of postnatal life in mice. During this interval, there is a switch to production of CLCN1 splice products having an intact reading frame, an upregulation of CLCN1 mRNA encoding full-length channel protein, and an increase of CLCN1 function, as determined by patch-clamp analysis of single muscle fibers. In a transgenic mouse model of DM1, however, the splicing transition does not occur, CLCN1 channel function remains low throughout the postnatal interval, and muscle fibers display myotonic discharges. Thus alternative splicing is a posttranscriptional mechanism regulating chloride conductance during muscle development, and the chloride channelopathy in a transgenic mouse model of DM1 results from a failure to execute a splicing transition for CLCN1.chloride channel 1; nonsense-mediated decay; alternative splicing; CUG repeats; developmental regulation; muscular dystrophy; ion channel SKELETAL MUSCLE UNDERGOES extensive remodeling during early postnatal development. For example, the transverse tubule system (TTS) is a rudimentary structure in neonatal rodents. The TTS develops rapidly after birth and establishes normal spatial relationships with the sarcomere and sarcoplasmic reticulum by the age of 3 wk (14,26).Development of the TTS is temporally coupled with upregulation of sarcolemmal chloride (Cl) conductance (11,40). If this upregulation does not occur, as in individuals with hereditary myotonia due to null mutations in chloride channel 1 (CLCN1), then potassium accumulation in the TTS during muscle activation leads to membrane depolarization, triggering repetitive action potentials (reviewed by Cannon, Ref. 8). CLCN1 is the main carrier of Cl current in skeletal muscle (10). Postnatal upregulation of Cl conductance is associated with an increase of CLCN1 mRNA (37, 40), but it is not known whether this increase is regulated at a transcriptional or posttranscriptional level.Myotonic dystrophy type 1 (DM1) is the most prevalent degenerative disease of skeletal muscle. DM1 is characterized by hereditary myotonia and reduced expression of CLCN1 (9, 28). However, the mutation is in a gene, DMPK, that encodes a serine/threonine protein kinase, and the effect on CLCN1 is indirect. The genetic lesion in DM1 is an exp...