RT Journal Article SR Electronic T1 TMBIM5 loss of function alters mitochondrial matrix ion homeostasis and causes a skeletal myopathy JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201478 DO 10.26508/lsa.202201478 VO 5 IS 10 A1 Li Zhang A1 Felicia Dietsche A1 Bruno Seitaj A1 Liliana Rojas-Charry A1 Nadina Latchman A1 Dhanendra Tomar A1 Rob CI Wüst A1 Alexander Nickel A1 Katrin BM Frauenknecht A1 Benedikt Schoser A1 Sven Schumann A1 Michael J Schmeisser A1 Johannes vom Berg A1 Thorsten Buch A1 Stefanie Finger A1 Philip Wenzel A1 Christoph Maack A1 John W Elrod A1 Jan B Parys A1 Geert Bultynck A1 Axel Methner YR 2022 UL https://www.life-science-alliance.org/content/5/10/e202201478.abstract AB Ion fluxes across the inner mitochondrial membrane control mitochondrial volume, energy production, and apoptosis. TMBIM5, a highly conserved protein with homology to putative pH-dependent ion channels, is involved in the maintenance of mitochondrial cristae architecture, ATP production, and apoptosis. Here, we demonstrate that overexpressed TMBIM5 can mediate mitochondrial calcium uptake. Under steady-state conditions, loss of TMBIM5 results in increased potassium and reduced proton levels in the mitochondrial matrix caused by attenuated exchange of these ions. To identify the in vivo consequences of TMBIM5 dysfunction, we generated mice carrying a mutation in the channel pore. These mutant mice display increased embryonic or perinatal lethality and a skeletal myopathy which strongly correlates with tissue-specific disruption of cristae architecture, early opening of the mitochondrial permeability transition pore, reduced calcium uptake capability, and mitochondrial swelling. Our results demonstrate that TMBIM5 is an essential and important part of the mitochondrial ion transport system machinery with particular importance for embryonic development and muscle function.