The DOI matches its Crossref record; 208 of the 210 references it cites were found in a registry or an index.
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
2 retracted
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RetractedReduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
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“In fact, regular exercise combined with dietary intervention is more successful than pharmacological intervention in the treatment and prevention of T2DM (Knowler et al., 2002) and sarcopenia (Borst, 2004).”
BackgroundInfluentialThe functions of animal microRNAs
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IL-6 Activity is Required for Maximal Catecholamine Release During High-Intensity Exercise in Men
Ziegler, A. K., Schauer, T., Myrup, S. F., van Hall, G., Pedersen, B. K., Christensen, J. F., & Ellingsgaard, H. (2026) · Molecular Metabolism · doi:10.1016/j.molmet.2026.102395 · Cited by 1
Muñoz López, M., López-Gil, J. F., Ramírez de la piscina Viúdez, X., Baz-Valle, E., & Tornero Aguilera, J. F. (2026) · Cells · doi:10.3390/cells15111041 · Cited by 1
“Skeletal muscle constitutes the primary amino acid reservoir of the human body, accounting for approximately 40% of body mass and operating not only as the fundamental engine for locomotion and force generation but also as an indispensable metabolic sink for glycemic and lipid homeostasis [1–4].”
Metadata
- 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 › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Nursing › Nutrition and Dietetics › 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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