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mRNA Expression Signatures of Human Skeletal Muscle Atrophy Identify a Natural Compound that Increases Muscle Mass
Open accessAbstract
Skeletal muscle atrophy is a common and debilitating condition that lacks a pharmacologic therapy. To develop a potential therapy, we identified 63 mRNAs that were regulated by fasting in both human and mouse muscle, and 29 mRNAs that were regulated by both fasting and spinal cord injury in human muscle. We used these two unbiased mRNA expression signatures of muscle atrophy to query the Connectivity Map, which singled out ursolic acid as a compound whose signature was opposite to those of atrophy-inducing stresses. A natural compound enriched in apples, ursolic acid reduced muscle atrophy and stimulated muscle hypertrophy in mice. It did so by enhancing skeletal muscle insulin/IGF-I signaling and inhibiting atrophy-associated skeletal muscle mRNA expression. Importantly, ursolic acid's effects on muscle were accompanied by reductions in adiposity, fasting blood glucose, and plasma cholesterol and triglycerides. These findings identify a potential therapy for muscle atrophy and perhaps other metabolic diseases.
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“UA appeared to mediate its effects through enhancement of insulin/IGF-I signaling and a reduction in the expression of the atrophy-associated genes MuRF1 and MAFbx [187]”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [187]
In the citing paper
“Therefore, it is presently unclear whether UA supplementation in humans can reproduce the anti-atrophy or pro-hypertrophic data reported previously [187].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [187]
In the citing paper
“whilst 5 weeks of supplemented diet (0.27% UA) induced hypertrophy [187].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [187]
In the citing paper
“UA supplementation in mice (200 mg / kg via i.p. injection twice daily for 7 days) reduced muscle atrophy following denervation”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [187]
In the citing paper
“Ursolic acid, a pentacyclic triterpenoid abundant in apples, reduces fasting- and denervation-induced muscle atrophy by inhibiting the mRNA expression of MAFbx and MuRF1 and induces skeletal muscle hypertrophy in SD rats [145].”
From Nutraceuticals in the Prevention and Treatment of the Muscle Atrophy (2021) · cites this paper as [145]
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Cites
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“The connectivity score, represented on the y axis, is a measure of the strength of the correlation (Lamb et al., 2006). p < 0.004 for all compounds shown.”
InfluentialIdentification of ubiquitin ligases required for skeletal muscle atrophy.
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“Previous studies demonstrated that skeletal muscle atrophy is driven by conserved changes in skeletal muscle gene expression (Bodine et al., 2001a; Sandri et al., 2004).”
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“Previous studies demonstrated that skeletal muscle atrophy is driven by conserved changes in skeletal muscle gene expression (Bodine et al., 2001a; Sandri et al., 2004).”
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“Previous studies demonstrated that skeletal muscle atrophy is driven by conserved changes in skeletal muscle gene expression (Bodine et al., 2001a; Sandri et al., 2004).”
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“We next examined whether ursolic acid might increase Akt activation in C2C12 skeletal myotubes, awell-established in vitro model of skeletal muscle (Sandri et al., 2004; Stitt et al., 2004).”
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“Interestingly, because it exerts beneficial effects in animal models of diabetes and hyperlipidemia (Liu, 1995; Wang et al., 2009), ursolic acid is thought to be the active component in a variety of folkloric antidiabetic herbal medicines (Liu, 1995, 2005).”
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“However, neither global nor muscle-specific PTP1B knockout mice were found to possess increased muscle mass (Delibegovic et al., 2007; Klaman et al., 2000).”
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“, 2005) and stimulatesmuscle hypertrophy (Barton-Davis et al., 1998; Musaro et al., 2001).”
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“Of these, PGC-1a mRNA encodes a protein that inhibits atrophy-associated gene expression and skeletal muscle atrophy in mice (Sandri et al., 2006).”
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Sorted by citations
Items 101–200 of 344
Alsolmei, F. A., Li, H., Pereira, S. L., Krishnan, P., Johns, P. W., & Siddiqui, R. A. (2019) · Nutrients · doi:10.3390/nu11051077 · Cited by 36
“As discussed earlier, ursolic acid has been shown to increase muscle mass in mice exhibiting fasting-induced muscle atrophy [22] or diet-induced obesity [23].”
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“in the skeletal muscle, leading to Akt activation, muscle hypertrophy, and reduced adiposity and blood glucose normalization.(16) Another study has found that ursolic acid increases the Akt activity in the muscle of high-fat fed mice.”
The transcription regulator ATF4 is a mediator of skeletal muscle aging
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“…muscle atrophy and weakness [90–92], and ursolic acid and tomatidine, two small molecules that reduce age-related skeletal muscle atrophy and weakness in mouse models, also reduce ATF4-medi-ated gene expression in aged skeletal muscle, consistent with the phenotype of ATF4 mKO mice [11, 14, 15].”
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“Acute administration of ursolic acid has been shown to cause a robust increase in myotubes [6] and attenuate the decrease in rats [9] of mTORC1 signaling.”
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“reported that ursolic acid, another pentacyclic triterpenoid rich in the wax of apple peel, also reduced fat weight and prevented high fat diet- induced obesity in mice [6,7].”
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“Recently, Kunkel et al (19) reported that UA enhanced skeletal muscle insulin/insulin-like growth factor-I signaling and inhibited atrophy-associated skeletal muscle mRNA expression, thus suppressing muscle atrophy and stimulating muscle hypertrophy in mice.”
Red Bean Extract Inhibits Immobilization-Induced Muscle Atrophy in C57BL/6N Mice
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“Among these, the signature match-Received D 973 ing approach, also called the connectivity approach, has been proven particularly effective in discovering new drug repur-posing candidates across a wide spectrum of therapeutic domains, even at the level of single-cell resolution ( 4–10 ).”
BackgroundEffects of ursolic acid on sub-lesional muscle pathology in a contusion model of spinal cord injury
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“Ursolic acid was recently identified as a modulator of phosphoinositide 3-kinase/Akt/FoxO signaling, and therefore, an inhibitor of muscle atrophy and the expression of MuRF1 (8).”
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Ursolic Acid Alleviates Cancer Cachexia and Prevents Muscle Wasting via Activating SIRT1
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BackgroundgCMAP: user-friendly connectivity mapping with R
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“This strategy for establishing links between perturbations can then be used, for example, to identify bioactive compounds (Kunkel et al. , 2011; Stumpel et al. , 2012), elucidate their mode of action (Coombs et al. , 2012) or reposition approved pharmaceuticals for use in new indications (Dudley et…”
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“The effects of two small molecules on cellular messenger RNA (mRNA) expression negatively correlate with mRNA expression signatures of human muscle atrophy: ursolic acid (from the peels of apples and other fruit) and tomatidine (from unripe tomatoes).(8,9) These compounds can increase muscle mass and strength in anima…”
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“CMap analysis has been used to identify potential therapeutics for a range of different conditions, such as skeletal muscle atrophy (56), osteoarthritic pain”
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“from fasting muscle tissue to identify urosolic acid as an inhibitor of skeletal muscle atrophy [30].”
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“This is supported by our findings that ursolic acid increases skeletal muscle Akt activity in vivo [4,19], and direct addition of ursolic acid to cultured skeletal myotubes rapidly stimulates Akt and one of its key downstream effectors, mTOR complex 1 (mTORC1) [4].”
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“The treatment with ursolic acid, one of the main components of aronia, increases muscle mass in mice through enhancing muscle insulin/IGFI signaling and inhibiting atrophy-associated muscle mRNA expression (52).”
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“…that regulates energy metabolism and cellular respiration, has been shown to be upregulated by activating the PI3K/Akt signaling pathway, further to alleviate sarcopenia through regulating skeletal muscle mitochondrial biogenesis and protein synthesis (Kunkel et al., 2011; Liu et al., 2019).”
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“For example, ursolic acid was identified as an inhibitor of fasting-induced muscle atrophy by gene-signature comparison(17).”
BackgroundGonzález-Garibay, A. S., López-Vázquez, A., Garcia-Bañuelos, J. J., Sánchez‐Enríquez, S., Sandoval-Rodriguez, A. S., del Toro‐Arreola, S., Bueno‐Topete, M. R., Muñóz-Valle, J. F., González-Hita, M. E., Domı́nguez-Rosales, J. A., et al. (2019) · Journal of Medicinal Food · doi:10.1089/jmf.2019.0154 · Cited by 20
“44,51,52 However, further studies could help to better understand UA participation in adipocytes maturation or hypertrophic processes.”
Gillbro, J. M., Merinville, E., Olsson, M., Al‐Bader, T., Klack, A., Visdal‐Johnsen, L., & Mavon, A. (2015) · International Journal of Cosmetic Science · doi:10.1111/ics.12251 · Cited by 18
“Recently, agents have also been identified for drug development within Gaucher’s disease [3], pain management [10], muscle atrophy [11], inflammatory bowel disease [12], smoking cessation [13] and Alzheimer’s disease [14].”
BackgroundNatural constituents from food sources: potential therapeutic agents against muscle wasting
Shen, S., Yu, H., Gan, L., Yang, Y., & Lin, L. (2019) · Food & Function · doi:10.1039/c9fo00912d · Cited by 20
Singh, M., George, A. K., Eyob, W., Homme, R. P., Stanišić, D., & Tyagi, S. C. (2020) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2020-0093 · Cited by 20
Grootswagers, P., Smeets, E. T. H. C., Oteng, A., & de Groot, C. P. G. M. (2021) · Aging · doi:10.18632/aging.202912 · Cited by 19
“vitamin D that previously was found to provide additional benefits [19, 20] and reinforced with UA that may affect muscle metabolism [17].”
BackgroundInfluentialUrsolic acid plays a protective role in obesity-induced cardiovascular diseases
Lin, Y.-T., Yu, Y.-M., Chang, W.-C., Chiang, S.-Y., Chan, H.-C., & Lee, M.-F. (2016) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2015-0407 · Cited by 17
“In addition, ursolic acid may increase energy reserves in muscles by enhancing glycogen storage and lean muscle mass through increased sensitivity to insulin and insulin-like growth factor 1 (Kunkel et al. 2011).”
BackgroundMaslinic acid activates mTORC1 and human TGR5 and induces skeletal muscle hypertrophy
Murata, S., Sasaki, T., Yamauchi, Y., Shimizu, M., & Sato, R. (2021) · Bioscience Biotechnology and Biochemistry · doi:10.1093/bbb/zbab151 · Cited by 22
Liang, X., Liu, X., Li, S., Wen, M., Chen, Y.-R., Luo, D., Xu, B., Li, N., & Li, G. (2023) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-022-03381-1 · Cited by 17
“This strategy had successfully been applied for different types of diseases, such as cancer [20], muscle atrophy [21], acute myelogenous leukemia [22] and Parkinson’s disease [23].”
MethodDeveloping models for cachexia and their implications in drug discovery
Konishi, M., Ebner, N., von Haehling, S., Anker, S. D., & Springer, J. (2015) · Expert Opinion on Drug Discovery · doi:10.1517/17460441.2015.1041914 · Cited by 17
Gene expression profile-based drug screen identifies SAHA as a novel treatment for NAFLD
Cheng, Z., Wen, Y., Liang, B., Chen, S., Liu, Y., Wang, Z., Cheng, J., Tang, X., Xin, H., & Deng, L. (2019) · Molecular Omics · doi:10.1039/c8mo00214b · Cited by 17
Promotion of epithelial hyperplasia by interleukin‐8—CXCR axis in human prostate
Smith, D. K., Hasanali, S. L., Wang, J., Kallifatidis, G., Morera, D. S., Jordan, A. R., Terris, M. K., Klaassen, Z. W. A., Bollag, R. J., Lokeshwar, V. B., et al. (2020) · The Prostate · doi:10.1002/pros.24026 · Cited by 17
Ficus carica L. Attenuates Denervated Skeletal Muscle Atrophy via PPARα/NF-κB Pathway
Dai, J., Xiang, Y., Fu, D., Xu, L., Jiang, J., & Xu, J. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.580223 · Cited by 17
Rathor, R., Agrawal, A., Kumar, R. S., Suryakumar, G., & Singh, S. N. (2020) · IUBMB Life · doi:10.1002/iub.2435 · Cited by 17
“To consider the severity of the above phenomenon, Kunkel et al.42 identified two mRNA regions, 63 mRNA and 29 mRNA, which were regulated by fasting in both human and mouse muscle and by both fasting and spinal cord injury in human muscle, respectively.”
BackgroundKim, M., 김영기, 김현순, Cheong, C., Jang, K., & 강순아 (2014) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2014.15.6.3766 · Cited by 17
“3769 이로 인한 항염증을 예방한다는 것이 보고되었고[6], 이 외에도 사과 껍질에 다량 존재하는 성분인 ursolic acid가 노화시에 나타나는 근위축증을 근육량을 증가시켜 주므 로써 완화시킨다는 연구보고[21]가 있어, 사과 껍질이 관 심의 대상이 되고 있다.”
Sun, J., Zhou, H., Chen, Z., Zhang, H., Cao, Y., Yao, X., Chen, X., Liu, B., Gao, Z., Shen, Y., et al. (2023) · Journal of Translational Medicine · doi:10.1186/s12967-023-04694-3 · Cited by 16
LINCS dataset-based repositioning of rosiglitazone as a potential anti-human adenovirus drug
Wang, X., He, S., Zhou, Z., Bo, X., Qi, D., Fu, X., Wang, Z., Yang, J., & Wang, S. (2020) · Antiviral Research · doi:10.1016/j.antiviral.2020.104789 · Cited by 16
Natural Antioxidant Application on Fat Accumulation: Preclinical Evidence
Roy, P., Tomassoni, D., Traini, E., Martinelli, I., Bonaventura, M. V. M. D., Cifani, C., Amenta, F., & Tayebati, S. K. (2021) · Antioxidants · doi:10.3390/antiox10060858 · Cited by 18
“Furthermore, ursolic acid may increase energy reserves in muscles by enhancing glycogen storage and lean muscle mass through increased sensitivity to insulin and insulin-like growth factor 1 (IGF-1) [204].”
BackgroundRole for Plant-Derived Antioxidants in Attenuating Cancer Cachexia
Li, W., Swiderski, K., Murphy, K. T., & Lynch, G. S. (2022) · Antioxidants · doi:10.3390/antiox11020183 · Cited by 16
The vagal ganglia transcriptome identifies candidate therapeutics for airway hyperreactivity
Reznikov, L. R., Meyerholz, D. K., Alaiwa, M. H. A., Kuan, S., Liao, Y.-S. J., Bormann, N. L., Bair, T., Price, M. P., Stoltz, D. A., & Welsh, M. J. (2018) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.00557.2017 · Cited by 16
van den Hoek, A. M., Zondag, G. C. M., Verschuren, L., de Ruiter, C., Attema, J., de Wit, E. C., Schwerk, A. M. K., Guigas, B., Lek, S., Rietman, A., et al. (2019) · Metabolism · doi:10.1016/j.metabol.2019.05.012 · Cited by 16
The Role of Nutrition in Attenuating Age-Related Skeletal Muscle Atrophy
Abiri, B., & Vafa, M. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-42667-5_12 · Cited by 14
Lobo, P. C. B., Vieira, I. P., Pichard, C., Marques, B. S., Gentil, P., da Silva, E. L., & Pimentel, G. D. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.06.004 · Cited by 16
Molecular targets of exercise mimetics and their natural activators
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Feng, Z., Wu, C., Zhou, J., Wu, F., Li, J., Li, T., & Yin, Y. (2015) · Journal of Functional Foods · doi:10.1016/j.jff.2015.02.015 · Cited by 15
Yoon, Y., Lim, J. W., Kim, J., Kim, Y., & Chun, K. H. (2016) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2016.10.008 · Cited by 15
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“Discussion Previous reports regarding muscle atrophy and hypertrophy have shown that muscle atrophy induced by various kinds of mechanisms—such as fasting, illness (cancer and diabetes), and muscle disuse—all result in similar specific increases of mRNA expression [30, 31].”
BackgroundKang, Y. S., Noh, E. B., & Kim, S. H. (2019) · Physical Activity and Nutrition · doi:10.20463/jenb.2019.0022 · Cited by 15
Genome-wide association study identifies 12 new genetic loci associated with growth traits in pigs
Zeng, M., Wang, B., Liu, L., Yang, Y., & Tang, Z. (2023) · Journal of Integrative Agriculture · doi:10.1016/j.jia.2023.02.040 · Cited by 14
Systematic computational strategies for identifying protein targets and lead discovery
Kataria, A., Srivastava, A., Singh, D. D., Haque, S., Han, I., & Yadav, D. K. (2024) · RSC Medicinal Chemistry · doi:10.1039/d4md00223g · Cited by 15
Vilar, S., & Hripcsak, G. M. (2016) · Journal of Cheminformatics · doi:10.1186/s13321-016-0147-1 · Cited by 14
Namba, S., Iwata, M., & Yamanishi, Y. (2022) · Bioinformatics · doi:10.1093/bioinformatics/btac240 · Cited by 14
Manipulation of Cell Physiology Enables Gene Silencing in Well-differentiated Airway Epithelia
Krishnamurthy, S., Behlke, M. A., Ramachandran, S. S., Salem, A. K., McCray, P. B., & Davidson, B. L. (2012) · Molecular Therapy — Nucleic Acids · doi:10.1038/mtna.2012.36 · Cited by 14
Computational Drug Repurposing for Neurodegenerative Diseases
Savva, K., Zachariou, M., Oulas, A., Minadakis, G., Sokratous, K., Dietis, N., & Spyrou, G. M. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816125-8.00004-3 · Cited by 15
Comparing gene expression similarity metrics for connectivity map
Cheng, J., & Yang, L. (2013) · IEEE International Conference on Bioinformatics and Biomedicine (BIBM) · doi:10.1109/bibm.2013.6732481 · Cited by 13
“Although several hypotheses generated from CMAP have been validated experimentally [4-8], it is challenging to systematically evaluate the performance of drug-indication association of this technique due to lack of high quality gold standard data set and high quality disease gene expression signatures.”
BackgroundLimb-girdle Muscular Dystrophy and Therapy: Insights into Cell and Gene-based Approaches
Taheri, F., Taghizadeh, E., Pour, M. J. R., Rostami, D., Renani, P. G., Rastgar‐Moghadam, A., & Hayat, S. M. G. (2020) · Current Gene Therapy · doi:10.2174/1566523220666200218113526 · Cited by 13
Effects of Maca on Muscle Hypertrophy in C2C12 Skeletal Muscle Cells
Yi, D., Yoshikawa, M., Sugimoto, T., Tomoo, K., Okada, Y., & Hashimoto, T. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23126825 · Cited by 13
Figueiredo, V. C., & Nader, G. A. (2012) · Cell Biochemistry and Function · doi:10.1002/cbf.2821 · Cited by 13
“In whole animals, UA has been shown to prevent muscle atrophy and increase muscle mass and strength.(2) These observations make UA an interesting candidate for the treatment of muscle wasting conditions in humans.”
BackgroundResultInfluentialCui, W., Liu, C., Zhang, Y., Shen, Q., Feng, Z., Wang, J., Lu, S.-F., Wu, J., & Li, J. (2019) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2019.114625 · Cited by 13
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Zhong, C.-L., Song, N., Huang, P., Han, L., Zhang, J., Lu, Z., & Wang, L. (2025) · Biomaterials Research · doi:10.34133/bmr.0249 · Cited by 12
“This database can enable rapid comparisons of gene expression profiles to identify drugs closely associated with diseases while also enabling researchers to draw inferences regarding the mechanisms through which a given drug may function [ 27 ].”
Barsi, S., Papp, H., Valdeolivas, A., Tóth, D. J., Kuczmog, A., Madai, M., Hunyady, L., Várnai, P., Sáez-Rodríguez, J., Jakab, F., et al. (2022) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1010021 · Cited by 12
“Despite its simplicity, it has been used successfully to identify repurposable drugs for different diseases from cancer [48,49] through inflammatory [50] to metabolic [51] diseases.”
Method
Metadata
- Authors
- Kunkel, S. D., Suneja, M., Ebert, S. M., Bongers, K. S., Fox, D. K., Malmberg, S. E., Alipour, F., Shields, R. K., & Adams, C. M.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Adams, Christopher M.
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2011-06
- Volume
- 13
- Issue
- 6
- Pages
- 627-638
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC3120768
- OpenAlex
- W2099582158
- Cited by
- 345
- References
- 35
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 18 · 2023: 22 · 2022: 23 · 2021: 36 · 2020: 24 · 2019: 35 · 2018: 26 · 2017: 24 · 2016: 25 · 2015: 27 · 2014: 16 · 2013: 19 · 2012: 16
- FWCI
- 6.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 777 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Diabetes Association (1R01AR059115-01)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
- U.S. Department of Veterans Affairs
- Doris Duke Charitable Foundation
- Institute of Clinical and Translational Sciences
- National Institutes of Health (HL007121, T32 GM073610)
- University of Georgia Research Foundation
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Keywords
- skeletal muscle atrophy, ursolic acid, muscle hypertrophy, fasting, spinal cord injury, mRNA expression signature, adiposity, metabolic disorders, natural compounds, apple
- MeSH terms
- Ursolic Acid, Animals, Cell Line, Fasting, Gene Expression Regulation, Hindlimb, Humans, Insulin, Insulin-Like Growth Factor I, Mice, Inbred C57BL, Muscle Denervation, Muscular Atrophy, Triterpenes, Signal Transduction, Gene Expression, Muscle, Skeletal, Muscle Fibers, Skeletal, Oligonucleotide Array Sequence Analysis, Gene Expression Profiling, Mice, Muscle Strength
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