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The miR-128-1 locus resides within a positively selected haplotype on chromosome 2q21.3 associated with variation in grip strength, pulmonary function, and cardiometabolic traits in humans. Here, we show that antisense oligonucleotide-mediated inhibition of miR-128-3p restores muscle mass and function in aged mice, improves cardiac function while limiting adverse remodeling following myocardial infarction, and ameliorates skeletal and cardiac muscle pathology in mouse and pig models of Duchenne muscular dystrophy. Across these contexts, miR-128-3p inhibition induces a conserved transcriptional response characterized by activation of mitochondrial programs and suppression of inflammatory and fibrotic signaling, resembling the effects of established longevity interventions. These findings identify miR-128-3p as a regulator of a conserved aging-associated program and establish its inhibition as a strategy to restore tissue function across aging-related muscle pathologies.<\/jats:p>\n                <jats:sec>\n                  <jats:title>Graphical Abstract<\/jats:title>\n                  <jats:fig id=\"ufig1\" position=\"float\" orientation=\"portrait\" fig-type=\"figure\">\n                    <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"749250v1_ufig1\" position=\"float\" orientation=\"portrait\"\/>\n                  <\/jats:fig>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Highlights<\/jats:title>\n                  <jats:list list-type=\"bullet\">\n                    <jats:list-item>\n                      <jats:p>miR-128 loci associate with reduced grip strength; miR-128-1 also with lung function.<\/jats:p>\n                    <\/jats:list-item>\n                    <jats:list-item>\n                      <jats:p>miR-128-3p drives mitochondrial dysfunction and inflammation in striated muscle.<\/jats:p>\n                    <\/jats:list-item>\n                    <jats:list-item>\n                      <jats:p>Anti-miR-128 ASO rescues function in aged, infarcted, and dystrophic muscle.<\/jats:p>\n                    <\/jats:list-item>\n                    <jats:list-item>\n                      <jats:p>Inhibition recapitulates transcriptional effects of longevity interventions.<\/jats:p>\n                    <\/jats:list-item>\n                  <\/jats:list>\n                <\/jats:sec>","DOI":"10.64898\/2026.09.03.749250","type":"posted-content","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:40:13Z","timestamp":1788817213000},"source":"Crossref","is-referenced-by-count":0,"title":["A positively selected microRNA controls a reversible aging program in striated muscle"],"prefix":"10.64898","author":[{"given":"Melissa A.","family":"Boldridge","sequence":"first","affiliation":[{"name":"Department of Metabolic Biology and Nutrition, University of California, Berkeley, California, USA"},{"name":"Innovative Genomics Institute, University of California, Berkeley, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Metabolic Biology and Nutrition, University of California, Berkeley, California, USA"},{"name":"Innovative Genomics Institute, University of California, Berkeley, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyin","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of California, San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Stirm","sequence":"additional","affiliation":[{"name":"Chair for Molecular Animal Breeding and 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