Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, United States
Litao Xie
Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, United States
Chau My Ta
Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, United States
Antentor O Hinton
Fraternal Order of Eagles Diabetes Research Center, Iowa City, United States; Division of Endocrinology and Metabolism, Iowa City, United States
Susheel K Gunasekar
Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, United States
Rachel A Minerath
Fraternal Order of Eagles Diabetes Research Center, Iowa City, United States; Division of Cardiology, University of Iowa, Iowa City, United States
Karen Shen
Program in Physical Therapy and Departments of Neurology, Biomedical Engineering and Orthopedic Surgery, Washington University in St. Louis, St. Louis, United States
Joshua M Maurer
Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, United States
Chad E Grueter
Fraternal Order of Eagles Diabetes Research Center, Iowa City, United States; Division of Cardiology, University of Iowa, Iowa City, United States
Fraternal Order of Eagles Diabetes Research Center, Iowa City, United States; Division of Endocrinology and Metabolism, Iowa City, United States
Gretchen Meyer
Program in Physical Therapy and Departments of Neurology, Biomedical Engineering and Orthopedic Surgery, Washington University in St. Louis, St. Louis, United States
Maintenance of skeletal muscle is beneficial in obesity and Type 2 diabetes. Mechanical stimulation can regulate skeletal muscle differentiation, growth and metabolism; however, the molecular mechanosensor remains unknown. Here, we show that SWELL1 (Lrrc8a) functionally encodes a swell-activated anion channel that regulates PI3K-AKT, ERK1/2, mTOR signaling, muscle differentiation, myoblast fusion, cellular oxygen consumption, and glycolysis in skeletal muscle cells. LRRC8A over-expression in Lrrc8a KO myotubes boosts PI3K-AKT-mTOR signaling to supra-normal levels and fully rescues myotube formation. Skeletal muscle-targeted Lrrc8a KO mice have smaller myofibers, generate less force ex vivo, and exhibit reduced exercise endurance, associated with increased adiposity under basal conditions, and glucose intolerance and insulin resistance when raised on a high-fat diet, compared to wild-type (WT) mice. These results reveal that the LRRC8 complex regulates insulin-PI3K-AKT-mTOR signaling in skeletal muscle to influence skeletal muscle differentiation in vitro and skeletal myofiber size, muscle function, adiposity and systemic metabolism in vivo.