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Update on mitochondria and muscle aging: all wrong roads lead to sarcopenia
Open accessAbstract
Sarcopenia is a well-known geriatric syndrome that has been endorsed over the years as a biomarker allowing for the discrimination, at a clinical level, of biological from chronological age. Multiple candidate mechanisms have been linked to muscle degeneration during sarcopenia. Among them, there is wide consensus on the central role played by the loss of mitochondrial integrity in myocytes, secondary to dysfunctional quality control mechanisms. Indeed, mitochondria establish direct or indirect contacts with other cellular components (e.g. endoplasmic reticulum, peroxisomes, lysosomes/vacuoles) as well as the extracellular environment through the release of several biomolecules. The functional implications of these interactions in the context of muscle physiology and sarcopenia are not yet fully appreciated and represent a promising area of investigation. Here, we present an overview of recent findings concerning the interrelation between mitochondrial quality control processes, inflammation and the metabolic regulation of muscle mass in the pathogenesis of sarcopenia highlighting those pathways that may be exploited for developing preventive and therapeutic interventions against muscle aging.
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Self-citationMolecular mechanism of skeletal muscle loss and its prevention by natural resources
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“AMPK was reported to enhance the translocation of PGC-1α from the cytoplasm to the nucleus and mitochondria and promote mitochondrial biogenesis in skeletal muscle (Chen et al., 2017; Jiao et al., 2020; Picca et al., 2018).”
Muscle metabolism in older adults
Иванникова, Е. В., Dudinskaya, Е. N., & Onuchina, Y. S. (2022) · Russian Journal of Geriatric Medicine · doi:10.37586/2686-8636-2-2022-96-102 · Cited by 10
Lin, S.-W., Tsai, Y., Chen, Y., Wang, M.-F., Chen, C., Lin, W., & Fang, T. J. (2021) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2021/6692363 · Cited by 11
Guo, F., Fu, L., & Lu, Z. (2024) · PubMed · doi:10.22038/ijbms.2024.71345.15509 · Cited by 8
“Mitochondria are the main site of energy synthesis in skeletal muscles cells and their number is critical to skeletal muscles function (4).”
BackgroundLC/MS-Based Untargeted Lipidomics Reveals Lipid Signatures of Sarcopenia
Yang, Q.-W., Zhang, Z.-W., He, P.-P., Mao, X.-Q., Jing, X., Hu, Y., & Jing, L.-P. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25168793 · Cited by 8
“…leads to a decrease in mitochondrial numbers and increased production of reactive oxygen species, potentially compromising muscle function [7]; Specific fatty acids trigger the release of signaling molecules such as prostaglandins and leukotrienes, which induce skeletal muscle…”
BackgroundSarcopenia and sarcopenic obesity in cardiovascular disease: a comprehensive review
Tan, L. F., Sia, C., & Merchant, R. A. (2025) · Singapore Medical Journal · doi:10.4103/singaporemedj.smj-2024-233 · Cited by 10
A bibliometric analysis of inflammation in sarcopenia from 2007 to 2022
Zhang, Y., Zhao, Y., Rong, J., Liu, K., Zhan, Y., Chai, Y., Ning, J., & Yuan, W.-A. (2023) · Experimental Gerontology · doi:10.1016/j.exger.2023.112316 · Cited by 10
“They work together to research the biomarkers associated with the development of sarcopenia (Picca et al., 2020), and discuss the main pathogenetic pathways of sarcopenia (Picca et al., 2018).”
da Silva, E. M., Mesquita‐Ferrari, R. A., Rodrigues, M. F. S. D., Magalhães, E. M. R., Bussadori, S. K., Brito, A., Messias, F. D. M., Souza, N. H. C., Alves, A. N., & Fernandes, K. P. S. (2019) · The Journals of Gerontology Series A · doi:10.1093/gerona/glz076 · Cited by 10
Guimarães, D. S. P. S. F., Barrios, N. M. F., de Oliveira, A. G., Rizo‐Roca, D., Jollet, M., Smith, J. A. B., Araújo, T. R., da Cruz, M. V., Marconato-Júnior, E., Hirabara, S. M., et al. (2024) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.13480 · Cited by 8
Kirk, B., Phu, S., Debruin, D. A., Hayes, A., & Duque, G. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.11430-8 · Cited by 7
Yang, J., Jiang, T., Xu, G., Wang, S., & Liu, W. (2023) · Osteoporosis and Sarcopenia · doi:10.1016/j.afos.2023.08.005 · Cited by 6
“Among the TFs, ATF3, NRF1 and EGR1 have already been shown to be involved in KOA and sarcopenia [91 – 94].”
BackgroundZhu, J., Gao, Y., Zhang, C., Wu, Y., Wang, Q., Chen, W., Lyu, X., Zhang, X., Liu, Z., & Pan, S. (2025) · BMC Cancer · doi:10.1186/s12885-025-13664-5 · Cited by 6
Jeong, Y., Seo, K., Hwang, S.-B., Park, Y., & Kim, H. (2025) · Journal of Dairy Science · doi:10.3168/jds.2024-26229 · Cited by 6
Li, W., Fang, W. J., Zhang, Y., Chen, Q., Shentu, W., Lai, Q., Cheng, L., Yan, S., Kong, Q., & Qiao, S. (2025) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2025.1552905 · Cited by 5
What role do extracellular vesicles play in developing physical frailty and sarcopenia?
Wang, L.-X., Zhang, X., Guan, L.-J., & Pen, Y. (2022) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-022-02150-3 · Cited by 5
Rocha, J. N. D. S., Vasconcelos, A. B. S., Aragão-Santos, J. C., de Resende–Neto, A. G., Monteiro, M. R. P., Nogueira, A. C., Pantoja-Cardoso, A., Corrêa, C. B., de Moura, T. R., & Silva‐Grigoletto, M. E. D. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1054424 · Cited by 5
“Although aging is a natural process, it can be accompanied by some deleterious effects on functional fitness, with a reduction in physical capacities such as muscle power and cardiorespiratory capacity (Picca et al., 2018; Fragala et al., 2019).”
BackgroundShi, F., & Chen, J. (2025) · Aging and Disease · doi:10.14336/ad.2025.0670 · Cited by 5
“However, in individuals with T2DM, the PGC-1α– nuclear respiratory factor 1 (NRF1) – mitochondrial transcription factor A (TFAM) signaling pathway becomes impaired, leading to reduced mitochondrial function and quantity, which in turn promotes the onset and progression of sarcopenia [131].”
Postoperative Stress, Metabolism, and Catabolism
Calvani, R., Picca, A., Coelho‐Júnior, H. J., Tosato, M., & Marzetti, E. (2024) · Practical issues in geriatrics · doi:10.1007/978-3-031-77707-3_21 · Cited by 3
Self-citationWang, Z., Fang, L., Wang, L., & Zhang, J. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1673736 · Cited by 3
Healthy ageing and the science of longevity in dogs. Part II: a life course perspective
Adams, V. J., Morgan, D. M., & Watson, P. (2018) · Companion animal · doi:10.12968/coan.2018.23.9.514 · Cited by 5
Protein Acetylation and NAD+ Homeostasis in Aging Muscle
Ji, L. L. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-031-88361-3_17 · Cited by 3
Cordeiro, L. D. S., Linhares, D. G., de Castro, J. B. P., dos Santos, A. O. B., dos Santos, L. L., da Silva, G. C. P. S. M., & Vale, R. G. D. S. (2025) · Journal of Physical Activity and Health · doi:10.1123/jpah.2024-0281 · Cited by 2
Ji, R., Zhang, L., Shen, Y., et al. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-05288-8 · Cited by 2
“[25] found that increased levels of oxidative stress and damage of mitochondria induced the decrease of muscle mass, this may also be an important mechanism for muscular mass reduction without a decrease in muscle perfusion.”
BackgroundMarzetti, E., Picca, A., Tummolo, A. M., & Calvani, R. (2022) · Wiley eBooks · doi:10.1002/9781119484288.ch99 · Cited by 2
Self-citationCefis, M., Marcangeli, V., Hammad, R., Granet, J., Leduc‐Gaudet, J., Gaudreau, P., Trumpff, C., Huang, H., Picard, M. A., Aubertin‐Leheudre, M., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.07.09.602758 · Cited by 2
Yang, X., Tian, M., Jia, Z., & Lyu, W. (2025) · Biotechnology and Applied Biochemistry · doi:10.1002/bab.70084 · Cited by 1
Clinical, laboratory and instrumental aspects of sarcopenia diagnostics
Станиславовна, Ж. А., Belaya, Z. E., Omelchenko, K. A., & Airapetov, G. A. (2026) · Osteoporosis and Bone Diseases · doi:10.14341/osteo13206 · Cited by 1
“Митохондриальная дисфункция с развитием оксидативного стресса, увеличения соотношения АМФ-АТФ через активацию катаболизма приводит к атрофии мышечной ткани и развитию саркопении [24].”
Prevalência de sarcopenia na Doença Pulmonar Obstrutiva Crônica: revisão sistemática
Caria, K. R. S. A., Camelier, F. W. R., Cordeiro, N., Moreira, A., dos Santos, B. S., & Camelier, A. A. (2018) · Revista Pesquisa em Fisioterapia · doi:10.17267/2238-2704rpf.v8i4.2105
Dietary Protein and Muscle in Aging People
Cesari, M., & Marzetti, E. (2018) · MDPI eBooks · doi:10.3390/books978-3-03897-458-1
Self-citationПОСТМЕНОПАУЗАЛЬНАЯ ОСТЕОСАРКОПЕНИЯ
Іgnatiev, О. М., Turchin, M. I., & Yermolenko, T. О. (2021) · Актуальні питання педіатрії акушерства та гінекології · doi:10.11603/24116-4944.2020.2.11845
Metadata
- Authors
- Picca, A., Calvani, R., Bossola, M., Allocca, E., Menghi, A., Pesce, V., Lezza, A. M. S., Bernabei, R., Landi, F., & Marzetti, E.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- University of Bari Aldo Moro (IT)
- Corresponding author
- Calvani, Riccardo
- ORCID
- Venue
- Biological Chemistry
- Publisher
- Walter de Gruyter GmbH
- Published
- 2018-01-31
- Volume
- 399
- Issue
- 5
- Pages
- 421-436
- ISSN
- 1431-6730 (ISSN-L)
- 1437-4315
- OpenAlex
- W2896096385
- Cited by
- 116
- References
- 158
- Citations by year
- 2026: 3 · 2025: 14 · 2024: 17 · 2023: 21 · 2022: 15 · 2021: 10 · 2020: 15 · 2019: 10 · 2018: 11
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Biological Chemistry (publishedVersion)
- PubMed (publishedVersion)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion, cc-by-nc-nd)
- 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, muscle aging, mitochondrial quality control, mitochondrial dysfunction, muscle cells, inflammation, muscle mass regulation, geriatric syndromes
- MeSH terms
- Aging, Animals, Humans, Mitochondria, Muscles, Sarcopenia
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