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Costly immunometabolic remodelling in disused muscle buildup through physical exercise

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Author(s):
Padilha, Camila S. ; Figueiredo, Caique ; Deminice, Rafael ; Kruger, Karsten ; Seelaender, Marilia ; Rosa-Neto, Jose Cesar ; Lira, Fabio S.
Total Authors: 7
Document type: Journal article
Source: ACTA PHYSIOLOGICA; v. 234, n. 3, p. 12-pg., 2022-01-18.
Abstract

The mechanisms underlying the immunometabolic disturbances during skeletal muscle atrophy caused by a plethora of circumstances ranging from hospitalization to spaceflight missions remain unknown. Here, we outline the possible pathways that might be dysregulated in such conditions and assess the potential of physical exercise to mitigate and promote the recovery of muscle morphology, metabolism and function after intervals of disuse. Studies applying exercise to attenuate disuse-induced muscle atrophy have shown a pivotal role of circulating myokines in the activation of anabolic signalling pathways. These muscle-derived factors induce accretion of contractile proteins in the myofibers, and at the same time decrease protein breakdown and loss. Regular exercise plays a crucial role in re-establishing adequate immunometabolism and increasing the migration and presence in the muscle of macrophages with an anti-inflammatory phenotype (M2) and T regulatory cells (Tregs) after disease-induced muscle loss. Additionally, the switch in metabolic pathways (glycolysis to oxidative phosphorylation [OXPHOS]) is important for achieving rapid metabolic homeostasis during muscle regeneration. In this review, we discuss the molecular aspects of the immunometabolic response elicited by exercise during skeletal muscle regeneration. There is not, nevertheless, consensus on a single optimal intensity of exercise required to improve muscle strength, mass and functional capacity owing to the wide range of exercise protocols studied so far. Despite the absence of agreement on the specific strategy, physical exercise appears as a powerful complementary strategy to attenuate the harmful effects of muscle disuse in different scenarios. (AU)

FAPESP's process: 18/23402-0 - T lymphocytes responses and cardiorespiratory fitness in adults: Role of adipose tissue and mTORC1 and mTORC2 pathway
Grantee:Camila de Souza Padilha
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 19/26378-6 - M1 and M2 macrophage polarization in individuals with low and high cardiorespiratory fitness: potential role of adipose tissue, aging and leptin
Grantee:Caíque de Figueiredo
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
FAPESP's process: 18/19678-0 - Energetic sensors and polarization of monocytes / macrophages M1 and M2: potential influence of visceral adipose tissue and aerobic fitness
Grantee:Fábio Santos de Lira
Support Opportunities: Regular Research Grants