Exercise Metabolism and the Molecular Regulation of Skeletal Muscle Adaptation
Open accessAbstract
Preservation of aerobic fitness and skeletal muscle strength through exercise training can ameliorate metabolic dysfunction and prevent chronic disease. These benefits are mediated in part by extensive metabolic and molecular remodeling of skeletal muscle by exercise. Aerobic and resistance exercise represent extremes on the exercise continuum and elicit markedly different training responses that are mediated by a complex interplay between a myriad of signaling pathways coupled to downstream regulators of transcription and translation. Here, we review the metabolic responses and molecular mechanisms that underpin the adaptatation of skeletal muscle to acute exercise and exercise training.
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This shift is principally achieved by an augmentation in mitochondrial volume, FA transport and enzymatic adaptations to use fat, and a reduction of cell signals such as ADP and AMP during exercise at submaximal work rates thus reducing the activation of key enzymes of carbohydrate metabolism.
“This is principally achieved by an augmentation in mitochondrial volume, FA transport and enzymatic adaptations (e.g., increase hydroacyl-CoA-dehydrogenase) to use fat, and a reduction of cell signals such as ADP and AMP during exercise at submaximal work rates thus reducing the activation of key enzymes (e.g., glycogen phosphorylase and pyruvate dehydrogenase) of carbohydrate metabolism [92,160].”
From Regulation of Energy Substrate Metabolism in Endurance Exercise (2021) · cites this paper as [160]
Exercise promotes glucose uptake and glycogen synthesis and increases insulin sensitivity, and this persists long after the cessation of exercise.
“Exercise promotes glucose uptake and glycogen synthesis and increases insulin sensitivity, and this persists long after the cessation of exercise (1, 2).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
PGC1α after exercise can promote mitochondrial biogenesis by driving the expression of nuclear- and mitochondrial-encoded genes.
“The induction of PGC1α (peroxisome proliferator–activated receptor gamma coactivator 1α) after exercise can promote mitochondrial biogenesis by driving the expression of nuclear- and mitochondrial-encoded genes.”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
The enhanced skeletal muscle insulin sensitivity after exercise affords metabolic flexibility and a means for replenishing glycogen to deal with subsequent bouts of intense physical activity.
“The enhanced skeletal muscle insulin sensitivity after exercise affords metabolic flexibility and a means for replenishing glycogen to deal with subsequent bouts of intense physical activity (1, 2).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
Exercise results in skeletal muscle exposure to acute stresses that stimulate compensatory and adaptive physiological responses.
“Exercise results in skeletal muscle exposure to acute stresses that stimulate compensatory and adaptive physiological responses (1, 2).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
These adaptive responses increase tolerance and protect against subsequent stressors and are considered important for the health-promoting effects of exercise.
“These adaptive responses increase tolerance and protect against subsequent stressors and are considered important for the health-promoting effects of exercise (1, 2).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
PGC1α promotes the expression of NRF-1 and NRF-2, which induce the expression of nuclear-encoded genes, as well as TFAM, which facilitates mitochondrial DNA transcription and replication.
“In particular, PGC1α promotes the expression of NRF (nuclear respiratory factor)–1 and NRF-2, which induce the expression of nuclear-encoded genes, as well as TFAM (mitochondrial transcription factor A), which facilitates mitochondrial DNA transcription and replication (2, 3).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
A fundamental hormetic response to exercise is the induction of mitochondrial biogenesis, which serves to enhance respiratory capacity and endurance.
“A fundamental hormetic response to exercise is the induction of mitochondrial biogenesis, which serves to enhance respiratory capacity and endurance (2, 3).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
Contracting muscle generates ROS and this is accompanied by increased antioxidant defense orchestrated by NFE2L2.
“It is well established that contracting muscle generates ROS and that this is accompanied by increased antioxidant defense orchestrated by NFE2L2 (2, 7, 36).”
From Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance (2021) · cites this paper as [2]
Endurance exercise training may affect a specific set of functions (e.g., oxidative metabolism and mitochondrial biogenesis) and overall muscle metabolism.
“These observations confirm the hypothesis that endurance exercise training may affect a specific set of functions (e.g., oxidative metabolism and mitochondrial biogenesis) and overall muscle metabolism [93].”
From Role of Age-Related Mitochondrial Dysfunction in Sarcopenia (2020) · cites this paper as [93]
Multiple molecular pathways activated by exercise contribute to the adaptive remodelling of skeletal muscle.
“Multiple molecular pathways are activated by exercise and these pathways have been shown to contribute to the adaptive remodelling of skeletal muscle [1,2].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [2]
The adaptive processes of endurance training are driven by transcriptional changes in response to each bout of exercise.
“These adaptive processes are driven by transcriptional changes in response to each bout of exercise [2,8].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [2]
Transcriptional changes accumulate over time such that the protein expression profile of muscle is changed, resulting in an altered phenotype.
“The transcriptional changes accumulate over time such that the protein expression profile of muscle is changed resulting in an altered phenotype [2,8].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [2]
Endurance exercise adaptations are believed to be driven primarily by transcriptional responses, whereas the muscle growth adaptation to resistance exercise is driven primarily by changes in translation, in particular by increases in mRNA activity.
“Whilst endurance exercise adaptations are believed to be driven primarily by transcriptional responses [2,8], the muscle growth adaptation to resistance exercise is driven primarily by changes in translation, in particular by increases in mRNA activity (protein produced per unit of mRNA) [85][86][87].”
From New strategies in sport nutrition to increase exercise performance (2016) · cites this paper as [2]
NAD+ is a key factor in metabolism of all major biomolecules and in ATP synthesis by the electron transport chain.
“It is a key factor in metabolism of all major biomolecules (lipids, carbohydrates, amino acids) as well as ATP synthesis by the electron transport chain [164, 165]”
From Targeting Intramyocellular Lipids to Improve Aging Muscle Function (2025) · cites this paper as [165]
Chronic activation of AMPK and expression induction of PGC1α, MEF2, NRF-1, NRF-2, and nuclear expulsion of histone deacetylase 4 and 5 can lead to higher mitochondrial volume density and improved mitochondrial quality.
“A higher mitochondrial volume density and improved mitochondrial quality can be seen as consequences of chronic activation of AMPK and expression induction of PGC1α, myocyte-specific enhancer factor 2 (MEF2), NRF-1 and NRF-2, and nuclear expulsion of histone deacetylase 4 and 5 (41, 222, 224).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [222]
PGC1α is expressed upon muscle contraction-induced activation of p38 MAPK.
“Additionally, PGC1α is expressed upon muscle contraction-induced activation of p38 MAPK (222).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [222]
Both aerobic and anaerobic/glycolytic exercise promote considerable health benefits such as increased mitochondrial content and improvements in glycemic control.
“Both promote considerable health benefits such as increased mitochondrial content and improvements in glycemic control (222).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [222]
Acute AMPK activation reduces glycogen and protein synthesis while promoting glucose transport and FAO.
“Acute AMPK activation reduces glycogen and protein synthesis while promoting glucose transport and FAO (222).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [222]
Exercise and ApN share similar signaling pathways.
“Because exercise and ApN share similar signaling pathways [75,76] and the potential of counteracting several facets of this metabolic syndrome, numerous studies attempted to establish relationships between exercise and ApN parameters.”
From Adiponectin and Its Mimics on Skeletal Muscle: Insulin Sensitizers, Fat Burners, Exercise Mimickers, Muscling Pills … or Everything Together? (2020) · cites this paper as [76]
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BackgroundMuscle specific microRNAs are regulated by endurance exercise in human skeletal muscle
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“New Vistas in Molecular Exercise Physiology Skeletal Muscle as a Secretory Organ Over half a century ago, a humoral factor associated with exercise but whose source was unknown was speculated to act in an endocrine manner to regulate glycemia independent of insulin (Goldstein, 1961).”
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- Authors
- Egan, B., & Zierath, J. R.
- Affiliations
- University College Dublin (IE)
- University of Copenhagen (DK)
- Corresponding author
- Zierath, Juleen R.
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 17
- Issue
- 2
- Pages
- 162-184
- ISSN
- 1550-4131 (ISSN-L)
- OpenAlex
- W1995381409
- Semantic Scholar
- 735dcdabdb4efc5dec9569db8f5a316859b70bd6
- Cited by
- 2,084
- References
- 210
- Citations by year
- 2026: 157 · 2025: 168 · 2024: 162 · 2023: 190 · 2022: 209 · 2021: 204 · 2020: 198 · 2019: 189 · 2018: 151 · 2017: 145 · 2016: 122 · 2015: 103 · 2014: 63 · 2013: 21
- FWCI
- 9.69
- 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, 369 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)
- Funders
- Vetenskapsrådet
- University College Dublin
- Novo Nordisk Fonden
- Karolinska Institutet
- European Research Council
- Knut och Alice Wallenbergs Stiftelse
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- exercise metabolism, skeletal muscle adaptation, exercise training, aerobic exercise, resistance training, acute exercise, metabolic remodeling, signaling pathways, transcriptional regulation, translational regulation, muscle strength, cardiorespiratory fitness, chronic disease prevention
- MeSH terms
- Adaptation, Physiological, Humans, Hypertrophy, Muscle Contraction, Signal Transduction, Exercise, Muscle, Skeletal
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