RT Journal Article T1 Calorie Restriction Rescues Mitochondrial Dysfunction in Adck2-Deficient Skeletal Muscle A1 Hernández Camacho, Juan Diego A1 Moreno Fernández-Ayala, Daniel José A1 Vicente-García, Cristina A1 Navas-Enamorado, Ignacio A1 López-Lluch, Guillermo A1 Oliva, Clara A1 Artuch, Rafael A1 Garcia-Villoria, Judith A1 Ribes, Antonia A1 de Cabo, Rafael A1 Carvajal, Jaime A1 Navas, Plácido K1 Mitochondria K1 Coenzyme Q K1 Food deprivation K1 Metabolism K1 Fatty acids AB ADCK2 haploinsufficiency-mediated mitochondrial coenzyme Q deficiency in skeletal muscle causes mitochondrial myopathy associated with defects in beta-oxidation of fatty acids, aged-matched metabolic reprogramming, and defective physical performance. Calorie restriction has proven to increase lifespan and delay the onset of chronic diseases associated to aging. To study the possible treatment by food deprivation, heterozygous Adck2 knockout mice were fed under 40% calorie restriction (CR) and the phenotype was followed for 7 months. The overall glucose and fatty acids metabolism in muscle was restored in mutant mice to WT levels after CR. CR modulated the skeletal muscle metabolic profile of mutant mice, partially rescuing the profile of WT animals. The analysis of mitochondria isolated from skeletal muscle demonstrated that CR increased both CoQ levels and oxygen consumption rate (OCR) based on both glucose and fatty acids substrates, along with mitochondrial mass. The elevated aerobic metabolism fits with an increase of type IIa fibers, and a reduction of type IIx in mutant muscles, reaching WT levels. To further explore the effect of CR over muscle stem cells, satellite cells were isolated and induced to differentiate in culture media containing serum from animals in either ad libitum or CR diets for 72 h. Mutant cells showed slower differentiation alongside with decreased oxygen consumption. In vitro differentiation of mutant cells was increased under CR serum reaching levels of WT isolated cells, recovering respiration measured by OCR and partially beta-oxidation of fatty acids. The overall increase of skeletal muscle bioenergetics following CR intervention is paralleled with a physical activity improvement, with some increases in two and four limbs strength tests, and weights strength test. Running wheel activity was also partially improved in mutant mice under CR. These results demonstrate that CR intervention, which has been shown to improve age-associated physical and metabolic decline in WT mice, also recovers the defective aerobic metabolism and differentiation of skeletal muscle in mice caused by ADCK2 haploinsufficiency. PB Frontiers Media YR 2022 FD 2022 LK https://hdl.handle.net/10433/19960 UL https://hdl.handle.net/10433/19960 LA en NO Frontiers in Physiology, 13:898792. NO Centro Andaluz de Biología del Desarrollo, Universidad Pablo de Olavide-CSIC-JA, Sevilla, Spain NO CIBERER, Instituto de Salud Carlos III, Madrid, Spain NO Departamento de Fisiología, Anatomía y Biología Celular DS RIO RD May 9, 2026