Cited by 393Nutrition and Health in AgingGut microbiota and healthMuscle Physiology and Disorders

The DOI matches its Crossref record; 107 of the 107 references it cites were found in a registry or an index; none of the 113 sources its claims cite is checked for support yet.

Gut Microbiota Contribute to Age-Related Changes in Skeletal Muscle Size, Composition, and Function: Biological Basis for a Gut-Muscle Axis

Open access
Grosicki, Gregory J., Fielding, Roger A., Lustgarten, Michael S.·2018·Calcified Tissue International

Abstract

Skeletal muscle is a highly plastic tissue that plays a central role in human health and disease. Aging is associated with a decrease in muscle mass and function (sarcopenia) that is associated with a loss of independence and reduced quality of life. Gut microbiota, the bacteria, archaea, viruses, and eukaryotic microbes residing in the gastrointestinal tract are emerging as a potential contributor to age-associated muscle decline. Specifically, advancing age is characterized by a dysbiosis of gut microbiota that is associated with increased intestinal permeability, facilitating the passage of endotoxin and other microbial products (e.g., indoxyl sulfate) into the circulation. Upon entering the circulation, LPS and other microbial factors promote inflammatory signaling and skeletal muscle changes that are hallmarks of the aging muscle phenotype. This review will summarize existing literature suggesting cross-talk between gut microbiota and skeletal muscle health, with emphasis on the significance of this axis for mediating changes in aging skeletal muscle size, composition, and function.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review proposes a gut-muscle axis in which age-related gut dysbiosis increases intestinal permeability and circulating LPS/microbial metabolites, promoting inflammation and skeletal muscle atrophy, fat infiltration, and functional decline. It synthesizes murine and human evidence suggesting probiotics, prebiotics, and exercise may help mitigate sarcopenia.

Key findings

  • Aging is associated with a less diverse gut microbiota, reduced butyrate-producing bacteria and *Bifidobacterium*/*Lactobacillus*, and increased Proteobacteria/Enterobacteriaceae; these changes accompany increased intestinal permeability and elevated circulating LPS. In older humans, circulating LPS and skeletal muscle TLR4 expression/content were higher than in younger counterparts.
  • LPS and microbial metabolites promote muscle catabolism: high-fat-fed mice showed 2- to 3-fold elevated circulating LPS; LPS infusion induced pro-inflammatory cytokines and impaired glucose tolerance in wild-type but not CD-14 mutant mice. Indoxyl sulfate increased IL-6/TNF-α and atrophy markers (myostatin, atrogin-1) in cultured myocytes and increased atrogene expression with decreased muscle mass in mice.
  • Microbiota-targeted interventions affect muscle outcomes: *Lactobacillus reuteri* and *L. gasseri* decreased IL-6/MCP-1 and MuRF1/Atrogin-1 and increased tibialis anterior mass in leukemic mice; prebiotic oligofructose decreased circulating LPS/inflammation and increased muscle mass in obese mice; prebiotic inulin plus fructooligosaccharides increased handgrip strength and endurance in frail older adults.
  • Human observational links include frail advanced agers (n = 23; ~86 years) showing ~8-fold less *Lactobacillus* and ~6-fold more Enterobacteriaceae, and a larger older cohort (n = 178; ~78 years) in which community dwellers had more butyrate-producing microbes than long-stay residents; athletes had greater microbial diversity than healthy and overweight controls.

Methods

  • Design: narrative review of existing literature; no systematic review, meta-analysis, or primary data collection methods are stated.
  • Data/sample: synthesizes animal and human studies, including germ-free and conventional mice, high-fat diet models, leukemic/cachectic mice, obese mice, and human cohorts of older adults, frail elders, and athletes.
  • Main analysis: qualitative integration of findings to propose an endocrine gut-muscle communication axis linking age-related dysbiosis, intestinal permeability, circulating LPS/metabolites, inflammation, and skeletal muscle size, composition, and function.

Limitations

  • Stated: the authors note an inability to distinguish whether changes in microbiota are a driver or a product of compromised bone and muscle integrity; probiotic rescue in mice is cited as suggesting initiation, but causality remains unresolved.
  • Evident: as a narrative review, it lacks systematic search and quality appraisal and does not quantify pooled effects; much mechanistic evidence is from murine models, and human evidence is largely cross-sectional or associational, limiting causal inference.
  • Evident: several cited human studies are small (e.g., n = 23 frail agers) or observational, and the review states it could not identify any studies showing *Bifidobacterium* supplementation increases muscle mass.

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Integrity signals

Registry

Crossref · 10.1007/s00223-017-0345-5

Cites

107 of 107 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

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Show all 46 claims

  • It may state two separate claims as one. 36
  • Probably not a substantial claim. 7
38 of 38
  • The paper relies on this without support.

    Findings from animal models (mice, rats, pigs) about gut microbiota and skeletal muscle can be generalized to humans.

    “Taken together, these studies suggest a link between Lactobacillus species and skeletal muscle size that is worthy of further investigation in humans.”
    “These findings highlight the possibility that gut microbiota can transfer muscle fiber characteristics, and open the door for studies investigating the transplant of microbiota from young to old as a means to improve skeletal muscle size and composition.”
  • The paper relies on this without support.

    Age-related changes in gut microbiota observed in cross-sectional studies reflect aging rather than cohort or environmental differences.

    “Although the underlying cause(s) (host vs environment) of this apparent age-related microbial imbalance have yet to be defined”
    “While changes in gut microbiota can be attributed to either host (genetics, age) or environmental (activity, diet) factors, we have focused on microbial dynamics with organismal aging.”
  • The paper relies on this without support.

    Microbial targets identified in murine models have ramifications for human skeletal muscle.

    “Research in murine models has begun to identify microbial targets with likely skeletal muscle ramifications.”
    “These findings lay the framework for strategic human interventions aiming to manipulate microbial ecology as a means to benefit skeletal muscle health and extend healthy life years in a rapidly expanding aging population.”
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Metadata

Authors
Grosicki, G. J., Fielding, R. A., & Lustgarten, M. S.
Affiliations
Tufts University (US)
Corresponding author
Lustgarten, Michael S.
Venue
Calcified Tissue International
Published
2017-10-20
Volume
102
Issue
4
Pages
433-442
ISSN
  • 0171-967X (ISSN-L)
  • 1432-0827
OpenAlex
W2765923427
Cited by
388
References
106
Citations by year
2026: 39 · 2025: 52 · 2024: 67 · 2023: 44 · 2022: 46 · 2021: 44 · 2020: 52 · 2019: 31 · 2018: 12 · 2017: 1
FWCI
3.22
Type
journal article
Language
en
Open access
Locations
  • Calcified Tissue International (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Agriculture (58-1950-4-003)
  • National Institute on Aging (5K01AG050700-02)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
Keywords
gut microbiota, gut-muscle axis, sarcopenia, skeletal muscle aging, muscle mass, muscle composition, muscle function, dysbiosis, intestinal permeability, lipopolysaccharide, indoxyl sulfate, inflammation, muscle plasticity
MeSH terms
Gastrointestinal Microbiome, Age Factors, Animals, Biological Products, Humans, Muscle, Skeletal, Gastrointestinal Tract, Microbiota

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