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Lack of myotubularin phosphatase activity is the main cause of X-linked myotubular myopathy
Foteini Moschovaki-Filippidou, … , Bernard Payrastre, Jocelyn Laporte
Foteini Moschovaki-Filippidou, … , Bernard Payrastre, Jocelyn Laporte
Published October 14, 2025
Citation Information: JCI Insight. 2025;10(22):e189286. https://doi.org/10.1172/jci.insight.189286.
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Research Article Genetics Muscle biology

Lack of myotubularin phosphatase activity is the main cause of X-linked myotubular myopathy

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Abstract

The MTM1 gene encodes myotubularin (MTM1), a phosphatidylinositol 3-phosphate [PI(3)P] lipid phosphatase. Loss-of-function mutations in MTM1 cause X-linked myotubular myopathy (XLMTM), a severe congenital myopathy with no available cure and a poorly understood pathomechanism. The importance of MTM1 enzymatic activity and its PI(3)P substrate in physiology under normal conditions and in XLMTM is unclear. We generated the Mtm1-KI C375S mice in which the endogenous MTM1 was converted to a phosphatase-dead protein. Mutant mice survived a median of 12 weeks and demonstrated progressively impaired motor skills. Observed muscle hypotrophy and reduced force production compared with their WT littermates (~3.9-fold reduction in absolute maximal force) were responsible for these severe phenotypes. A significantly higher level of PI(3)P was found in the muscle of Mtm1-KI C375S mice. Muscle histology and molecular characterization revealed XLMTM hallmarks, with (a) alteration of the mTOR and autophagy pathways correlating with muscle hypotrophy and (b) abnormal myofiber intracellular organization correlating with impaired muscle force. Overall, this study reveals the importance of MTM1 phosphatase activity and related PI(3)P substrate for postnatal muscle maintenance, and it highlights the significance of MTM1 phosphatase activity in the development of X-linked myotubular myopathy.

Authors

Foteini Moschovaki-Filippidou, Christine Kretz, David Reiss, Gaëtan Chicanne, Bernard Payrastre, Jocelyn Laporte

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Figure 1

Generation and validation of the Mtm1-KI C375S mouse.

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Generation and validation of the Mtm1-KI C375S mouse.
(A) Representation...
(A) Representation of the MTM1 protein with its domains, the position of the C375S mutation, and the amino acid sequence around this position. Highlighted in red the catalytic cysteine, replaced by a serine in the mutant. (B) Chromatograms of WT and Mtm1-KI C375S mice. The red boxed indicate the mutation sites and the red arrows the silent mutation introduced for genotyping purposes. (C) Example of genotyping after PCR products were digested with the XhoI enzyme. WT band at 631 bp and Mtm1-KI C375S band at 461 and 170 bp. (D) Mtm1 mRNA levels in the tibialis anterior (TA) muscle of 8-week-old WT and Mtm1-KI C375S mice (n = 6). (E) MTM1 protein levels in the TA muscle of 8-week-old WT and Mtm1-KI C375S mice. WT, n = 8; Mtm1-KI C375S, n = 6. (F) PI(3)P levels in the TA muscle of Mtm1-KI C375S mice and their WT littermates at 8 weeks of age as measured by mass spectrometry. WT, n = 4; Mtm1-KI C375S, n = 3. (G) PI(3)P levels measured by a commercial ELISA kit in the gastrocnemius muscle of 8-week-old WT and Mtm1-KI C375S mice. WT, n = 8; Mtm1-KI C375S, n = 7. Mann-Whitney 2-tailed test for MTM1 protein and PI(3)P levels measured by ELISA; unpaired 2-tailed t test for Mtm1 mRNA levels and PI(3)P levels measured by mass spectrometry; **P ≤ 0.01, ***P ≤ 0.001. Data are shown as mean ± SEM.

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