Duchenne muscular dystrophy (DMD) is characterized by a severe and progressive destruction of muscle fibers associated with altered Ca
2+ homeostasis. We have previously shown that the IP
3 receptor (IP
3R) plays a role in elevating basal cytoplasmic Ca
2+ and that pharmacological blockade of IP
3R restores muscle function. Moreover, we have shown that the IP
3R pathway negatively regulates autophagy by controlling mitochondrial Ca
2+ levels. Nevertheless, it remains unclear whether IP
3R is involved in abnormal mitochondrial Ca
2+ levels, mitochondrial dynamics, or autophagy and mitophagy observed in adult DMD skeletal muscle. Here, we show that the elevated basal autophagy and autophagic flux levels were normalized when IP
3R was downregulated in mdx fibers. Pharmacological blockade of IP
3R in mdx fibers restored both increased mitochondrial Ca
2+ levels and mitochondrial membrane potential under resting conditions. Interestingly, mdx mitochondria changed from a fission to an elongated state after IP
3R knockdown, and the elevated mitophagy levels in mdx fibers were normalized. To our knowledge, this is the first study associating IP
3R1 activity with changes in autophagy, mitochondrial Ca
2+ levels, mitochondrial membrane potential, mitochondrial dynamics, and mitophagy in adult mouse skeletal muscle. Moreover, these results suggest that increased IP
3R activity in mdx fibers plays an important role in the pathophysiology of DMD. Overall, these results lead us to propose the use of specific IP
3R blockers as a new pharmacological treatment for DMD, given their ability to restore both autophagy/mitophagy and mitochondrial function.
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