Key result
Thyroid hormone reduces Pik3ip1 levels to restore Akt/mTOR signaling and prevent muscle wasting.
Why the study?
Skeletal muscle atrophy involves suppression of the PI3K/Akt/mTOR axis, and thyroid hormones exert context-dependent effects promoting either muscle atrophy or hypertrophy through mechanisms that remain to be defined.
Pik3ip1 is a key negative regulator of PI3K/Akt/mTOR signaling in skeletal muscle, establishing the TH-Pik3ip1 axis as an important mechanism controlling muscle mass during atrophy.
Does not alter practice; leaves open Pik3ip1 as atrophy target pending human studies.
Skeletal muscle atrophy is driven by an imbalance between anabolic and catabolic signaling pathways, often involving suppression of the PI3K/Akt/mTOR axis. Thyroid Hormones (THs) are key endocrine regulators of skeletal muscle metabolism and adaptation, exerting context-dependent effects that promote either muscle atrophy or hypertrophy. Here, we identify Phosphoinositide-3-kinase interacting protein 1, Pik3ip1, as a critical regulator of TH-dependent muscle homeostasis. Transcriptomic profiling of skeletal muscle from muscle-specific D2 knockout (mD2KO) and TH Receptor knockout (TRKO) mice revealed a catabolic transcriptional program associated with increased Pik3ip1 expression. Consistently, Pik3ip1 expression negatively correlated with TH signaling in vivo and in vitro. Functional studies in C2C12 myotubes showed that Pik3ip1 overexpression suppresses Akt/mTOR signaling, indicating that its induction is sufficient to impair anabolic pathway activation. In vivo, Pik3ip1 expression was rapidly induced during denervation-induced muscle atrophy and remained persistently elevated in mD2KO and TRKO muscles, characterized by altered TH signaling. Sustained Pik3ip1 expression was associated with impaired activation of the Akt/mTOR pathway and enhanced muscle wasting. Conversely, TH treatment reduced Pik3ip1 levels, restored Akt/mTOR signaling, and promoted anabolic responses. Forced Pik3ip1 expression attenuated TH-induced Akt/mTOR phosphorylation, confirming its role as a mediator of TH-dependent anabolic regulation. Collectively, these findings identify Pik3ip1 as a key negative regulator of PI3K/Akt/mTOR signaling in skeletal muscle and establish the TH-Pik3ip1 axis as an important mechanism controlling muscle mass maintenance during atrophic conditions.
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Nappi et al. (2026) studied Skeletal muscle atrophy. Thyroid hormone treatment and Pik3ip1 overexpression vs. Control (untreated or knockout models) was evaluated on PI3K/Akt/mTOR signaling and muscle mass maintenance. Pik3ip1 overexpression suppressed Akt/mTOR signaling and enhanced muscle wasting, while thyroid hormone treatment reduced Pik3ip1 levels and restored anabolic responses.
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