Cited by 153Muscle Physiology and DisordersNutrition and Health in AgingMitochondrial Function and Pathology

The DOI matches its Crossref record; 150 of the 151 references it cites were found in a registry or an index; 2 of the 170 sources its claims cite were checked for support.

Mitochondria Initiate and Regulate Sarcopenia

Open access
Alway, Stephen E., Mohamed, Junaith S., Myers, Matthew J.·2017·Exercise and Sport Sciences Reviews

Abstract

We present the hypothesis that an accumulation of dysfunctional mitochondria initiates a signaling cascade leading to motor neuron and muscle fiber death and culminating in sarcopenia. Interactions between neural and muscle cells that contain dysfunctional mitochondria exacerbate sarcopenia. Preventing sarcopenia will require identifying mitochondrial sources of dysfunction that are reversible.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review proposes that age-related accumulation of dysfunctional mitochondria in muscle cells and motor neurons initiates apoptotic signaling and cell death, leading to sarcopenia, with neural–muscle cross talk exacerbating the process. It argues that preventing sarcopenia requires identifying reversible mitochondrial sources of dysfunction, especially through mitophagy, exercise, and nutrition.

Key findings

  • The central hypothesis is that mitochondrial deterioration in muscles and motor neurons is the primary initiator of sarcopenia; increased mPTP opening releases mitochondrial contents to the cytosol, initiating apoptosis and nuclear DNA fragmentation, leading to fiber and motor neuron death.
  • Sarcopenia in aged humans and rodents is associated with motor neuronal death, impaired innervation, and a ~27% reduction in the motor unit pool; loss of innervation induces profound muscle atrophy.
  • Proposed mitochondrial sources of damage include ROS, mtDNA deletions/mutations, and denervation; aging also attenuates mitophagy, allowing dysfunctional mitochondria to persist, with Mfn2 decline implicated as a possible bridge, though conflicting data exist.
  • Exercise and nutritional interventions are proposed to improve mitochondrial health by increasing mitophagy and mitochondrial biogenesis, but the paper notes uncertainty about whether new mitochondria in aged hosts are healthy and whether antioxidants should be used when elderly begin exercise.

Methods

  • Design: conceptual/hypothesis review; no primary experimental study is reported.
  • Data or sample: Not stated in the paper; the paper cites published studies in aged humans, rodents, and cell/mouse models rather than presenting its own sample.
  • Main analysis: narrative synthesis and development of hypothetical models (Figures 1 and 2); no formal statistical or systematic analysis is reported.

Limitations

  • The paper states the hypothesis is based on speculation and requires additional work; it specifically notes lack of data for aging-associated localized motor neuron disassembly outside neural degenerative disease.
  • The paper acknowledges conflicting evidence, including whether Mfn2 declines or mitophagy is reduced in aged muscle, and inconsistent UPS/atrogene findings across studies.
  • Evident from the text: as a narrative review, it provides no primary data, systematic search, or causal test of the mitochondrial-initiation hypothesis.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1249/jes.0000000000000101

Cites

150 of 150 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

80 Not checked yet · 26 Own interpretation · 1 Partly supported · accuracy not yet measured

Verify all 168 references — free account

Show all 60 claims

  • Probably not a substantial claim. 12
  • It may state two separate claims as one. 38
47 of 47
  • The authors state this as an assumption.

    Local mitochondrial damage causes increased mPTP opening.

    “This model assumes that local mitochondrial damage (potentially via ROS, high calcium loads, mtDNA damage etc.) causes increased mPTP opening”
  • The authors state this as an assumption.

    mPTP opening triggers mitochondrial contents to leak into the cytosol.

    “which triggers the contents of the mitochondria to leak to the cytosol.”
  • The authors state this as an assumption.

    Leaked mitochondrial contents initiate intrinsic apoptotic signaling leading to DNA fragmentation and nuclear apoptosis in a localized fiber region.

    “This initiates the intrinsic apoptotic signaling pathway leading to DNA fragmentation and nuclear apoptosis in a localized region of the fiber.”
  • The paper relies on this without support.

    Aging suppression of autophagy activators such as SIRT1 and Mfn2 prevents removal of dysfunctional mitochondria via mitophagy and proteasome digestion.

    “An aging-suppression of autophagy activators like Sirtuin 1 (SIRT1) and Mfn2 or other proteins involved in mitophagy, prevents removal of dysfunctional mitochondria via mitophagy and proteasome digestion.”
  • The paper relies on this without support.

    Fragmented mitochondria have lower respiratory capacity and greater ROS production, increasing susceptibility to release contents and activate the intrinsic caspase apoptotic pathway.

    “Fragmented mitochondria tend to have a lower respiratory capacity, and a greater production of ROS, which increases the susceptibility of mitochondria to release its contents and activate the intrinsic caspase apoptotic pathway.”
  • The paper relies on this without support.

    Aging is associated with high cellular ROS levels, and ROS accumulation induces mPTP opening.

    “aging is associated with high cell levels of ROS and ROS accumulation is an inductor for mPTP opening.”
  • The paper relies on this without support.

    Aging leads to systemic mitochondrial dysfunction throughout the body, possibly caused by high ROS or mtDNA damage accumulation.

    “Although aging induces wide spread systemic mitochondrial dysfunction, perhaps as a result of high ROS or accumulation of mtDNA damage”
7 of 7

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Citations

Cites

Show all 151 references

Research works printed but not linked: 1

  1. 2009, Mechanisms of exercise-induced mitochondrial biogenesis in skeletal muscle, Appl. Physiol. Nutr. Metab, 34, 465

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Metadata

Authors
Alway, S. E., Mohamed, J. S., & Myers, M. J.
Affiliations
West Virginia University (US)
Corresponding author
Alway, Stephen E.
Venue
Exercise and Sport Sciences Reviews
Published
2017-04
Volume
45
Issue
2
Pages
58-69
ISSN
  • 0091-6331 (ISSN-L)
  • 1538-3008
OpenAlex
W2576104985
Cited by
153
References
151
Citations by year
2026: 10 · 2025: 24 · 2024: 24 · 2023: 22 · 2022: 17 · 2021: 17 · 2020: 16 · 2019: 13 · 2018: 8 · 2017: 2
FWCI
1.00
Type
journal article
Language
en
Open access
Locations
  • Exercise and Sport Sciences Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • The Research Repository @ WVU (West Virginia University) (submittedVersion)
Funders
  • West Virginia University
  • National Institutes of Health (2p20rr016477-09, 1p30rr032138-01)
  • National Institute of General Medical Sciences (P30GM103488, P20GM103434, U54GM104942)
  • National Center for Research Resources (P30-RR-032138, P20-RR016477, P20RR016440)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
Keywords
sarcopenia, mitochondrial dysfunction, motor neuron degeneration, signaling pathways, sarcopenia prevention
MeSH terms
Forkhead Box Protein O1, Aging, Animals, Humans, Mitochondria, Muscle, Motor Neurons, Muscular Atrophy, Signal Transduction, Cell Death, Apoptosis, Muscle, Skeletal, Ubiquitin, Sarcopenia, Mitophagy

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