Mitogen-Activated Protein Kinase (MAPK) pathway is a signal transduction pathway that functions in a wide range of physiological and pathophysiological cellular events including cell proliferation, differentiation, apoptosis, migration, inflammation, metabolic disorders and diseases. In skeletal muscle, it plays an essential role in muscle fiber specialization, muscle mass maintenance, damage induced muscle regeneration and muscle diseases. This review provides an overview of MAPK pathway and its pathophysiological role in skeletal muscle diseases with a primary focus on muscular dystrophy and atrophy.MAPK pathway consists of at least 4 subfamilies that include extracellular signal-regulated kinase 1 and 2 (ERK 1/2), p38α/β/γ/δ MAPK, c-Jun NH2-terminal kinases 1, 2, and 3 (JNK 1/2/3), and ERK5 [1][2][3][4]. MAPKs are a family of protein phosphorylating enzymes [5] that regulate diverse aspects of cellular responses in physiology, immunology, neurobiology, and energy metabolism [6]. Cellular activities regulated by MAPKs include proliferation, differentiation, apoptosis, motility [7,8], stress responses, inflammation, and innate immunity [9][10][11]. MAPK functions through transcriptional activation and posttranslational modification on the downstream substrates. Specifically, MAPKs are involved in the production of antimicrobial factors, cytokines, chemokines, and other inflammatory mediatory factors [12]. In the central nervous system, MAPKs are required for proper neuronal axonal development [13]. MAPKs also play a critical part in energy metabolism through modulating lipid metabolism [14][15][16] and skeletal muscle growth and fiber type [6]. Given the fact that MAPKs play such a fundamental and integral role in a broad range of biological processes, interference of this pathway and their downstream effector proteins may have detrimental consequences leading to either metabolic disorder or diseases. This review mainly focuses on the functional role of MAPK pathway in skeletal muscle diseases. [18,19]. Given the fact that each tier of phosphorylation consists of multiple kinases, one may question how an extracellular signal is decoded and transduced into a specific cellular response in a temporal and spatial manner. The complexity of regulation of the MAPKs provides a platform on which diverse signals converge and are precisely deciphered to generate a specific signal that fine-tunes the signaling network within a cell. On the other hand, an activated MAPK signal has to be curtailed in a timely manner so that cell will not overreact to a stimulus so to maintain metabolic homeostasis. One mechanism involves the dephosphorylation and thus inactivation of MAPKs by the MAPK phosphatases (MKPs) [5]. MKPs, also known as dual-specificity protein phosphatases (DUSPs), are a group of 10 catalytically active protein tyrosine phosphatases [9,20,21]. MKPs inactivate MAPKs through dephosphorylation of MAPKs on regulatory threonine and tyrosine residues. Though the substrates of the MKPs are to some extent overlapp...