Enhanced Protein Translation Underlies Improved Metabolic and Physical Adaptations to Different Exercise Training Modes in Young and Old Humans
Open accessAbstract
The molecular transducers of benefits from different exercise modalities remain incompletely defined. Here we report that 12 weeks of high-intensity aerobic interval (HIIT), resistance (RT), and combined exercise training enhanced insulin sensitivity and lean mass, but only HIIT and combined training improved aerobic capacity and skeletal muscle mitochondrial respiration. HIIT revealed a more robust increase in gene transcripts than other exercise modalities, particularly in older adults, although little overlap with corresponding individual protein abundance was noted. HIIT reversed many age-related differences in the proteome, particularly of mitochondrial proteins in concert with increased mitochondrial protein synthesis. Both RT and HIIT enhanced proteins involved in translational machinery irrespective of age. Only small changes of methylation of DNA promoter regions were observed. We provide evidence for predominant exercise regulation at the translational level, enhancing translational capacity and proteome abundance to explain phenotypic gains in muscle mitochondrial function and hypertrophy in all ages.
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High-intensity interval training (HIIT) produces the most significant improvements in aerobic capacity.
“The greatest improvements in aerobic capacity are elicited by moderate-to-vigorous-intensity aerobic exercise (MICT), with the most significant effects observed with high-intensity interval training (HIIT, 85–95% peak heart rate for 1–4 min intervals [119,120]).”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [119]
PRT increases mitochondrial protein fractional synthesis rates and improves mitochondrial function.
“strong evidence shows that PRT increases mitochondrial protein fractional synthesis rates [119,371] and improves mitochondrial function [119,372].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [119]
The greatest improvements in aerobic capacity are elicited by moderate-to-vigorous-intensity aerobic exercise (MICT), with the most significant effects observed with high-intensity interval training (HIIT, 85-95% peak heart rate for 1-4 min intervals).
“The greatest improvements in aerobic capacity are elicited by moderate-to-vigorous-intensity aerobic exercise (MICT), with the most significant effects observed with high-intensity interval training (HIIT, 85–95% peak heart rate for 1–4 min intervals [119,120]).”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [119]
Strong evidence shows that PRT increases mitochondrial protein fractional synthesis rates and improves mitochondrial function.
“More recently, strong evidence shows that PRT increases mitochondrial protein fractional synthesis rates [119,371] and improves mitochondrial function [119,372].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [119]
High-intensity interval training, rather than moderate aerobic exercise, has the greatest impact on increasing mitochondrial oxidative capacity and mitochondrial protein synthesis and content while concurrently improving insulin sensitivity in older adults.
“Recent findings indicate that highintensity interval training, rather than moderate aerobic exercise, has the greatest impact toward increasing mitochondrial oxidative capacity and mitochondrial protein synthesis and content while concurrently improving insulin sensitivity in older adults (141).”
From Altered mitochondrial function in insulin-deficient and insulin-resistant states (2018) · cites this paper as [141]
Insulin sensitivity can be improved irrespective of age by either aerobic or resistance exercise.
“Furthermore, insulin sensitivity can be improved, irrespective of age, by either AE or resistance exercise (RE).111”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [111]
Despite improvements in mitochondria in older trained individuals, exercise cannot completely maintain VO2max at levels observed in young subjects.
“However, despite the improvements in mitochondria in older trained individuals, the beneficial effect of exercise cannot completely maintain VO2max at levels observed in young subjects.111”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [111]
Much of the decline in mitochondria, especially mitochondrial content and respiration, can be reversed by 3 months of high-intensity interval training.
“In fact, much of the decline in mitochondria, especially mitochondrial content and respiration, can be reversed by 3 months of high-intensity interval training (HIIT).111”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [111]
HIIT is much less effective than resistance exercise training for improving muscle strength.
“Although HIIT modestly increases muscle mass, it is not nearly as effective at improving muscle strength as RET.111”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [111]
The stress imposed by exercise training is recognized as the most effective stimulus for mitochondrial biogenesis as part of redox-sensitive adaptation, resulting in enhanced mitochondrial function across the life course.
“Indeed, the stress imposed by exercise training is recognized as the most effective stimulus for mitochondrial biogenesis as part of redox-sensitive adaptation [96,97,98], resulting in enhanced mitochondrial function across the life course [99,100].”
From Role of Age-Related Mitochondrial Dysfunction in Sarcopenia (2020) · cites this paper as [100]
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References 34 · Cited by 539
- Authors
- Robinson, M. M., Dasari, S., Konopka, A. R., Johnson, M. L., Manjunatha, S., Esponda, R. R., Carter, R. E., Lanza, I. R., & Nair, K. S.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Nair, K. Sreekumaran
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 25
- Issue
- 3
- Pages
- 581-592
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC5423095
- OpenAlex
- W2593179916
- Cited by
- 539
- References
- 34
- Citations by year
- 2026: 44 · 2025: 65 · 2024: 58 · 2023: 66 · 2022: 65 · 2021: 57 · 2020: 58 · 2019: 51 · 2018: 48 · 2017: 25 · 2016: 1
- FWCI
- 26.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Mayo Foundation
- Kogod Aging Center
- the Murdock-Dole Professorship (U24DK100469)
- National Institute of Diabetes and Digestive and Kidney Diseases (UL1TR000135)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- high-intensity interval training, resistance training, concurrent training, mRNA translation, skeletal muscle proteome, mitochondrial respiration, muscle hypertrophy, insulin sensitivity, aging, DNA methylation, cardiorespiratory fitness, lean body mass
- MeSH terms
- Adaptation, Physiological, Adolescent, Aged, Aged, 80 and over, Aging, Female, Gene Expression Regulation, Humans, Male, Metabolism, Methylation, Middle Aged, Mitochondria, Muscle Proteins, Physical Fitness, Protein Biosynthesis, Exercise, Down-Regulation, Muscle, Skeletal, Proteome, Young Adult
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