Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy.
Aging Clin Exp Res. 2019 Jun;31(6):783-792. doi: 10.1007/s40520-019-01188-5. Epub 2019 Apr 11.
Recent years have demonstrated clear evidence that skeletal muscle is an active endocrine organ. During contraction of muscle fibers, the skeletal muscle produces and releases, into the blood stream, cytokines and other peptides, called myokines, thanks to which it can both communicate with cells locally within the muscle, in an autocrine and paracrine fashion, or with other distant tissues, exerting its endocrine effects. With the progress of sophisticated technologies, the interest towards the skeletal muscle secretome is rapidly grown and the discovery of new myokines represents a prolific field for the identification of new pharmacological approaches for the management and treatment of many clinical diseases. Considering the importance of the muscle proteome and the cross-talk with other organs, the preservation of a skeletal muscle in good health represents a fundamental aspect in life, especially in ageing. Sarcopenia is the age-dependent loss of skeletal muscle mass and strength, bringing to increases of the risk of adverse outcomes, such as physical disability and poor quality of life, as well as alteration of several hormonal networks. For that reasons, the scientific community has risen its interest to find new interventions to prevent and manage the sarcopenia. Adequate nutrition during ages plays a fundamental role in the health and function of the skeletal muscle and it can represents, alone or in combination with physical exercise, a possible preventive measure against sarcopenia. This review will overview the endocrinology of the skeletal muscle, making a focus on food intake as a strategy for preventing skeletal muscle decay.
近年来,有明确证据表明骨骼肌是一种活跃的内分泌器官。在肌纤维收缩过程中,骨骼肌会产生并释放细胞因子和其他肽类物质(称为肌因子)进入血液,通过这种方式,骨骼肌可以在自分泌和旁分泌方式上与肌肉内的细胞进行交流,或与其他远处的组织进行交流,发挥其内分泌作用。随着先进技术的进步,人们对骨骼肌分泌组的兴趣迅速增长,新肌因子的发现代表了确定许多临床疾病管理和治疗新的药理学方法的多产领域。考虑到肌肉蛋白质组的重要性以及与其他器官的相互作用,保持骨骼肌的健康是生命中至关重要的方面,尤其是在衰老过程中。肌肉减少症是与年龄相关的骨骼肌质量和力量的丧失,会增加不良后果的风险,如身体残疾和生活质量下降,以及改变几个激素网络。出于这些原因,科学界对寻找新的干预措施来预防和管理肌肉减少症产生了浓厚兴趣。在不同年龄段摄入适当的营养对骨骼肌的健康和功能起着至关重要的作用,它可以单独或与体育锻炼结合,成为预防肌肉减少症的一种可能措施。这篇综述将概述骨骼肌的内分泌学,重点关注饮食摄入作为预防骨骼肌衰退的策略。