Cited by 225Muscle Physiology and DisordersAutophagy in Disease and TherapyMetabolism, Diabetes, and Cancer

AMPK Activation Stimulates Autophagy and Ameliorates Muscular Dystrophy in the mdx Mouse Diaphragm

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Pauly, Marion, Daussin, Frederic, Burelle, Yan, Li, Tong, Godin, Richard, Fauconnier, Jeremy, Koechlin-Ramonatxo, Christelle, Hugon, Gerald +6 more·2012·The American Journal of Pathology

Abstract

Duchenne muscular dystrophy (DMD) is characterized by myofiber death from apoptosis or necrosis, leading in many patients to fatal respiratory muscle weakness. Among other pathological features, DMD muscles show severely deranged metabolic gene regulation and mitochondrial dysfunction. Defective mitochondria not only cause energetic deficiency, but also play roles in promoting myofiber atrophy and injury via opening of the mitochondrial permeability transition pore. Autophagy is a bulk degradative mechanism that serves to augment energy production and eliminate defective mitochondria (mitophagy). We hypothesized that pharmacological activation of AMP-activated protein kinase (AMPK), a master metabolic sensor in cells and on-switch for the autophagy-mitophagy pathway, would be beneficial in the mdx mouse model of DMD. Treatment of mdx mice for 4 weeks with an established AMPK agonist, AICAR (5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside), potently triggered autophagy in the mdx diaphragm without inducing muscle fiber atrophy. In AICAR-treated mdx mice, the exaggerated sensitivity of mdx diaphragm mitochondria to calcium-induced permeability transition pore opening was restored to normal levels. There were associated improvements in mdx diaphragm histopathology and in maximal force-generating capacity, which were not linked to increased mitochondrial biogenesis or up-regulated utrophin expression. These findings suggest that agonists of AMPK and other inducers of the autophagy-mitophagy pathway can help to promote the elimination of defective mitochondria and may thus serve as useful therapeutic agents in DMD.

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Crossref · 10.1016/j.ajpath.2012.04.004

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  • Autophagy flux reactivation by dietary or pharmacological tools, like rapamycin, cyclosporine A, or AICAR, rescues the dystrophic phenotype by clearing the abnormal mitochondria.

    “Importantly, autophagy flux reactivation by dietary or pharmacological tools, like rapamycin, cyclosporine A, or AICAR, rescues the dystrophic phenotype by clearing the abnormal mitochondria [243–246].”
  • Enhancing autophagy in mouse models of Duchenne muscular dystrophy pharmacologically with rapamycin or AICAR improves muscle strength and contractility.

    “In contrast, enhancing autophagy in mouse models of Duchenne muscular dystrophy (DMD) pharmacologically with rapamycin or 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR, an AMP analog which stimulates AMPK) improves muscle strength and contractility [480,481].”

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Research works printed but not linked: 3

  1. Egan DF, Shackelford DB, Mihaylova MM, Gelino S, Kohnz RA, Mair W, Vasquez DS, Joshi A, Gwinn DM, Taylor R, Asara JM, Fitzpatrick J, Dillin A, Viollet B, Kundu M, Hansen M, Shaw RJ: Phosphorylation AMPK Activation in mdx Mouse Diaphragm 591 AJP August 2012, Vol. 181, No. 2
  2. Gunter TE, Sheu SS: Characteristics and possible functions of mito- chondrial Ca(2ϩ) transport mechanisms. Biochim Biophys Acta 2009, 1787:1291-1308
  3. Wenz T, Rossi SG, Rotundo RL, Spiegelman BM, Moraes CT: In- creased muscle PGC-1alpha expression protects from sarcopenia and metabolic disease during aging. Proc Natl Acad Sci USA 2009, 106:20405-20410

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Authors
Pauly, M., Daussin, F., Burelle, Y., Li, T., Godin, R., Fauconnier, J., Koechlin-Ramonatxo, C., Hugon, G., Lacampagne, A., Coisy-Quivy, M., Liang, F., Hussain, S., Matecki, S., & Petrof, B. J.
Affiliations
  • Inserm (FR)
  • Université de Montréal (CA)
  • McGill University Health Centre (CA)
Corresponding author
Petrof, Basil J.
Venue
The American Journal of Pathology
Publisher
Elsevier BV
Published
2012-08
Volume
181
Issue
2
Pages
583-592
ISSN
0002-9440 (ISSN-L)
OpenAlex
W2169836157
Cited by
225
References
50
Citations by year
2026: 6 · 2025: 9 · 2024: 10 · 2023: 19 · 2022: 9 · 2021: 19 · 2020: 16 · 2019: 9 · 2018: 28 · 2017: 20 · 2016: 18 · 2015: 15 · 2014: 22 · 2013: 23 · 2012: 2
FWCI
7.94
Type
journal article
Language
en
Open access
Locations
  • American Journal Of Pathology (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, other-oa)
Funders
  • Canadian Institutes of Health Research
  • Association Française contre les Myopathies
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
Keywords
Duchenne muscular dystrophy, AMPK, AICAR, autophagy, mitophagy, mdx mice, diaphragm, mitochondrial permeability transition pore, mitochondrial dysfunction, respiratory muscle weakness, muscle fiber atrophy, utrophin
MeSH terms
Mechanistic Target of Rapamycin Complex 1, Mitochondrial Permeability Transition Pore, Aminoimidazole Carboxamide, Animals, Autophagy, Diaphragm, Energy Metabolism, Enzyme Activation, Male, Mice, Inbred C57BL, Mitochondria, Muscle Contraction, Muscular Dystrophy, Animal, Oxidation-Reduction, Proteins, Ribonucleotides, Signal Transduction, Mice, Inbred mdx, Mitochondrial Membrane Transport Proteins, Multiprotein Complexes, Mice, AMP-Activated Protein Kinases, TOR Serine-Threonine Kinases, In Vitro Techniques

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