The transcription factor MEF2C (Myocyte Enhancer Factor 2C) plays an established role in the early steps of myogenic differentiation. However, the involvement of MEF2C in adult myogenesis and in muscle regeneration has not yet been systematically investigated. Alternative splicing of mammalian MEF2C transcripts gives rise to two mutually exclusive protein variants: MEF2Ca2 which exerts a positive control of myogenic differentiation, and MEF2Ca1, in which the a1 domain acts as trans-repressor of the MEF2C pro-differentiation activity itself. However, MEF2Ca1 variants are persistently expressed in differentiating cultured myocytes, suggesting a role in adult myogenesis. We found that overexpression of both MEF2Ca1/a2 proteins in a mouse model of muscle injury promotes muscle regeneration and hypertrophy, with each isoform promoting different stages of myogenesis. Besides the ability of MEF2Ca2 to increase differentiation, we found that overexpressed MEF2Ca1 enhances both proliferation and differentiation of primary myoblasts, and activates the AKT/mTOR/S6K anabolic signaling pathway in newly formed myofibers. The multiple activities of MEF2Ca1 are modulated by phosphorylation of Ser98 and Ser110, two amino acid residues located in the a1 domain of MEF2Ca1. These specific phosphorylations allow the interaction of MEF2Ca1 with the peptidylprolyl isomerase PIN1, a regulator of MEF2C functions. Overall, in this study we established a novel regulatory mechanism in which the expression and the phosphorylation of MEF2Ca1 are critically required to sustain the adult myogenesis. The described molecular mechanism will represent a new potential target for the development of therapeutical strategies to treat musclewasting diseases. STEM CELLS 2017;35:725-738
SIGNIFICANCE STATEMENTA deep understanding of the mechanisms that control adult muscle mass is crucial for developing strategies to counteract muscle wasting-associated disorders. Our work demonstrate that MEF2C transcription factor promotes a balanced muscle growth by acting at two cellular levels: by stimulating muscle differentiation of stem cell-derived muscle precursors and by activating the protein synthesis pathway in differentiated myofibers. We show that the timely coordination of these activities is ensured by a molecular mechanism involving the cross-talk of alternative splicing and protein phosphorylation. Our findings supply evidence that modulating MEF2C function might be a valuable therapeutic strategy for muscle wasting therapies.