Reduction of Mitochondrial Calcium Overload via MKT077-Induced Inhibition of Glucose-Regulated Protein 75 Alleviates Skeletal Muscle Pathology in Dystrophin-Deficient mdx Mice

Duchenne muscular dystrophy is secondarily accompanied by Ca²⁺ excess in muscle fibers. Part of the Ca²⁺ accumulates in the mitochondria, contributing to the development of mitochondrial dysfunction and degeneration of muscles. In this work, we assessed the effect of intraperitoneal administration of rhodacyanine MKT077 (5 mg/kg/day), which is able to suppress glucose-regulated protein 75 (GRP75)-mediated Ca²⁺ transfer from the sarcoplasmic reticulum (SR) to mitochondria, on the Ca²⁺ overload of skeletal muscle mitochondria in dystrophin-deficient <i>mdx</i> mice and the concomitant mitochondrial dysfunction contributing to muscle pathology. MKT077 prevented Ca²⁺ overload of quadriceps mitochondria in <i>mdx</i> mice, reduced the intensity of oxidative stress, and improved mitochondrial ultrastructure, but had no effect on impaired oxidative phosphorylation. MKT077 eliminated quadriceps calcification and reduced the intensity of muscle fiber degeneration, fibrosis level, and normalized grip strength in <i>mdx</i> mice. However, we noted a negative effect of MKT077 on wild-type mice, expressed as a decrease in the efficiency of mitochondrial oxidative phosphorylation, SR stress development, ultrastructural disturbances in the quadriceps, and a reduction in animal endurance in the wire-hanging test. This paper discusses the impact of MKT077 modulation of mitochondrial dysfunction on the development of skeletal muscle pathology in <i>mdx</i> mice.