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Peer-reviewedCC BY 4.0JCI Insight

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

  1. 1Department of Molecular & Integrative Physiology and
  2. 2Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.

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.

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BibTeX
@article{hsu2026histopathology,
  title = {{Histopathology and spatial transcriptomics jointly map myofiber-specific pathological programs in mTORC1-driven myopathy}},
  author = {Jer-En Hsu and Qingyang Zhao and Weiqiu Cheng and Hyun Min Kang and Susan V. Brooks and Myungjin Kim and Jun Hee Lee},
  journal = {JCI Insight},
  year = {2026},
  month = aug,
  doi = {10.1172/jci.insight.203167},
  url = {https://doi.org/10.1172/jci.insight.203167},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Histopathology and spatial transcriptomics jointly map myofiber-specific pathological programs in mTORC1-driven myopathy
AU  - Jer-En Hsu
AU  - Qingyang Zhao
AU  - Weiqiu Cheng
AU  - Hyun Min Kang
AU  - Susan V. Brooks
AU  - Myungjin Kim
AU  - Jun Hee Lee
PY  - 2026
DA  - 2026/08/20
JO  - JCI Insight
DO  - 10.1172/jci.insight.203167
UR  - https://doi.org/10.1172/jci.insight.203167
AB  - 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.
SN  - 2379-3708
ER  -