N‐WASP is required for Amphiphysin‐2/BIN1‐dependent nuclear positioning and triad organization in skeletal muscle and is involved in the pathophysiology of centronuclear myopathy

Mutations in amphiphysin‐2/BIN1, dynamin 2, and myotubularin are associated with centronuclear myopathy (CNM), a muscle disorder characterized by myofibers with atypical central nuclear positioning and abnormal triads. Mis‐splicing of amphiphysin‐2/BIN1 is also associated with myotonic dystrophy that shares histopathological hallmarks with CNM. How amphiphysin‐2 orchestrates nuclear positioning and triad organization and how CNM‐associated mutations lead to muscle dysfunction remains elusive. We find that N‐WASP interacts with amphiphysin‐2 in myofibers and that this interaction and N‐WASP distribution are disrupted by amphiphysin‐2 CNM mutations. We establish that N‐WASP functions downstream of amphiphysin‐2 to drive peripheral nuclear positioning and triad organization during myofiber formation. Peripheral nuclear positioning requires microtubule/Map7/Kif5b‐dependent distribution of nuclei along the myofiber and is driven by actin and nesprins. In adult myofibers, N‐WASP and amphiphysin‐2 are only involved in the maintenance of triad organization but not in the maintenance of peripheral nuclear positioning. Importantly, we confirmed that N‐WASP distribution is disrupted in CNM and myotonic dystrophy patients. Our results support a role for N‐WASP in amphiphysin‐2‐dependent nuclear positioning and triad organization and in CNM and myotonic dystrophy pathophysiology. Synopsis Amphiphysin‐2/BIN1 is known to associate with centronuclear myopathy (CNM) and myotonic dystrophy. N‐WASP is found downstream of Amphiphysin‐2/BIN1 and aberrantly distributed in skeletal muscle of patients. Activation of N‐WASP could provide a therapeutic option for CNM. Amphiphysin‐2/BIN1 interacts with N‐WASP in skeletal muscle. Amphiphysin‐2/BIN1 and N‐WASP are required for peripheral nuclei positioning and triad formation. Peripheral nuclear positioning requires microtubule/Map7/Kif5b‐dependent distribution of nuclei along the myofiber and is driven by actin and nesprins. Graphical Abstract Amphiphysin‐2/BIN1 is known to associate with centronuclear myopathy (CNM) and myotonic dystrophy. N‐WASP is found downstream of Amphiphysin‐2/BIN1 and aberrantly distributed in skeletal muscle of patients. Activation of N‐WASP could provide a therapeutic option for CNM.