Obestatin Treatment Counteracts Muscle Wasting by Reactivation of Autophagy in Duchenne Muscular Dystrophy

Icía Santos-Zas1, Silvia Costas-Abalde1,2, Andrea C Lodeiro1,2

  • 1Grupo De Endocrinología Celular Instituto De Investigación Sanitaria De Santiago (IDIS) Complejo Hospitalario Universitario De Santiago (CHUS), Servicio Gallego De Salud (SERGAS), Trav Santiago de Compostela Spain.

Medcomm
|January 16, 2026
PubMed

Insights

Obestatin signaling restores autophagy in Duchenne muscular dystrophy (DMD) by activating AMPK and mTORC1 pathways. This process involves NEDD4-L modifications, reactivating the autophagy-lysosome system and improving muscle function.

Area of Science:

  • Muscle physiology
  • Cellular signaling
  • Autophagy research

Background:

  • Mechanisms linking muscular dystrophy-related stress to autophagy are unclear.
  • Disrupted signaling pathways contribute to Duchenne muscular dystrophy (DMD) pathology.
  • The obestatin/GPR39 system has anabolic effects on skeletal muscle.

Purpose of the Study:

  • Investigate how the obestatin/GPR39 system restores autophagy in DMD.
  • Elucidate the molecular mechanisms involved in obestatin-mediated autophagy.
  • Determine the role of signaling pathways in Duchenne muscular dystrophy recovery.

Main Methods:

  • Studied the obestatin/GPR39 system in a Duchenne muscular dystrophy context.
  • Analyzed the integration of 5' AMP-activated protein kinase (AMPK) and mammalian target of rapamycin complex 1 (mTORC1) signaling.
  • Investigated posttranslational modifications of the E3 ligase NEDD4-L and its role in autophagy activation.

Main Results:

  • Obestatin integrates AMPK and mTORC1 signaling to regulate ubiquitin proteasome system (UPS), autophagy-lysosome system, and protein synthesis in dystrophic muscle.
  • NEDD4-L tyrosine phosphorylation and autoubiquitination activate autophagy by recruiting deubiquitinating enzymes.
  • Obestatin signaling reactivates autophagy, promoting recovery of skeletal muscle function in DMD.

Conclusions:

  • Obestatin signaling restores autophagy in DMD by modulating AMPK and mTORC1 pathways.
  • NEDD4-L acts as a key regulator in obestatin-induced autophagy.
  • Reactivation of autophagy via obestatin signaling improves skeletal muscle physiology in Duchenne muscular dystrophy.

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