Phosphatidylinositol 3-kinase inhibition restores Ca 2+ release defects and prolongs survival in myotubularin-deficient mice

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Kutchukian, Candice | Lo Scrudato, Mirella | Tourneur, Yves | Poulard, Karine | Vignaud, Alban | Berthier, Christine | Allard, Bruno | Lawlor, Michael | Buj-Bello, Ana | Jacquemond, Vincent

Edité par CCSD ; National Academy of Sciences -

International audience. Significance Myotubular myopathy is a fatal muscle disease due to deficiency in a phosphoinositide 3-phosphatase called myotubularin. We identify critical alterations involved in the pathophysiology of the disease, and we reveal the beneficial effect of a pharmacological treatment. Specifically, we demonstrate that the disease-associated dysfunction of Ca 2+ signaling is strongly heterogeneous at the subcellular level, affects the amplitude and activation kinetics of sarcoplasmic reticulum Ca 2+ release, and promotes a Ca 2+ -gated opening mode of the calcium release channels. Pharmacological inhibition of phosphoinositide 3-kinase activity substantially alleviates these functional defects and prolongs survival of myotubularin-deficient mice, suggesting a crucial role of this kinase activity in the dysfunction of Ca 2+ homeostasis and a potential benefit of this therapeutic approach for the disease.

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