bims-ensmum Biomed News
on Exercise and nutrition in skeletal muscle metabolism
Issue of 2026–10–04
eight papers selected by
Rachel M. Handy, University of Guelph and Universiteit Mastricht



  1. Med Sci Sports Exerc. 2026 Sep 28.
       PURPOSE: This study investigated whether skeletal muscle mitochondrial responses to a single session of high-intensity interval exercise (HIIE) in men with overweight or obesity were influenced by hypoxia or absolute power output. The HIIE performed in hypoxia (HY; inspired oxygen fraction [FiO2] = 14.0%) was matched with HIIE performed in normoxia (FiO₂ = 20.9%) for either absolute power output (NA) or relative intensity (NR). Our primary hypothesis was that both HY and NR would elicit greater acute increases in skeletal muscle mitochondrial respiratory capacity than NA. Our secondary hypothesis was that HY and NR would produce comparable skeletal muscle oxygen desaturation and responses in mitochondrial-related gene expression and protein content.
    METHODS: Twelve men with overweight or obesity (mean±standard deviation [SD]: age, 32.3±7.3 years; body mass index [BMI], 29.0±1.9 kg·m⁻²) completed HIIE under three experimental conditions (HY, NR, and NA) in a randomized crossover design, with each trial separated by a one-week washout period. Exercise intensities were prescribed using lactate threshold (LT) and peak power output (PPO) obtained during graded exercise tests (GXT). HY and NA were matched for absolute power output (185±57 W) using the LT and PPO obtained from the hypoxic GXTs. NR was matched to HY for relative intensity using the LT and PPO obtained from the normoxic GXTs, resulting in a higher power output (210±65 W) than in HY and NA. Each HIIE consisted of six 4-min cycling intervals interspersed with 2-min recovery periods. Venous blood samples and vastus lateralis muscle biopsies were obtained at baseline and 0, 3, and 24 h post-exercise.
    RESULTS: Arterial oxygen saturation and muscle tissue saturation index were lower during HY compared with NA (p<0.05). Twenty-four hours after HIIE, electron transfer flavoprotein- and complex I+II-linked oxidative phosphorylation and electron transport system capacities [(ETF+CI+II)P and (ETF+CI+II)E] were greater following NR than NA (p<0.05). Mitochondrial DNA copy number and citrate synthase activity were unchanged. PGC-1α and PGC-1α4 mRNA expression levels significantly increased 3 h after HIIE relative to baseline in all conditions (p<0.05), with no significant differences between conditions (p>0.05). HIF-1α and VEGF mRNA increased following NR and HY, respectively (p<0.05). Protein expression of PGC-1α and phosphorylated p38 increased immediately after NA and NR, while phosphorylated mTOR increased after NR (p<0.05). HIF-1α protein increased 3 and 24 h post-HIIE in NR (p<0.05).
    CONCLUSIONS: Despite greater systemic and muscle oxygen desaturation, hypoxic HIIE did not enhance mitochondrial respiratory capacity or markers of mitochondrial content and biogenesis. Conversely, mitochondrial respiration increased following normoxic HIIE performed at a higher power output, suggesting that exercise workload, rather than hypoxia, may be an important determinant of the acute mitochondrial respiratory response to HIIE in men with overweight or obesity.
    Keywords:  HIGH-INTENSITY INTERVAL EXERCISE; HYPOXIA; MITOCHONDRIA; OBESITY; SKELETAL MUSCLE
    DOI:  https://doi.org/10.1249/MSS.0000000000004158
  2. bioRxiv. 2026 Sep 10. pii: 2026.09.06.749722. [Epub ahead of print]
       Background: Skeletal muscle is vital for mobility and metabolic regulation, impacting independence and overall health. Increases in skeletal muscle mass and contractile function during development, and their maintenance during adulthood and aging, rely on an intricate coordination between protein synthesis and degradation processes that remains incompletely understood. Here, we investigated a potential role for the autophagy-initiating kinases ULK1 and ULK2 in broadly modulating protein metabolism in skeletal muscle.
    Methods: Studies were conducted in young (4-6 wk-old) and adult (7-10 mo.-old) mice with skeletal muscle-specific knockout of Ulk1 and Ulk2 (i.e., Ulk1/2 skmDKO ) and wild-type littermates (WT). Short-term deficiency of these proteins was achieved via electroporation of plasmids (encoding specific microRNAs targeting Ulk1 and Ulk2 ) into muscles of 4 mo.-old wild-type mice. Protein metabolism was assessed via deuterium oxide (D 2 O) labeling, whereas anabolic signaling was investigated under insulin and leucine administration.
    Results: Lifelong Ulk1/2 deficiency markedly impaired autophagy flux (i.e., LC3-II accumulated with colchicine treatment only in wild-type mice, P<0.001), compromised muscle quality, as evidenced by an increase in centrally nucleated fibers (from 0.1% to 4.5% in females, and from 0.8% to 22.7% in males (P<0.001), primarily involving MyHC type 2b fibers) and impaired force of dorsiflexors and plantar flexors in males (20%, P<0.01), and plantar flexors in females (24%, P<0.01). Despite these deficits, Ulk1/2 deficiency promoted robust muscle hypertrophy, evidenced by increased diameters of all major MyHC fiber types in the tibialis anterior and soleus muscles (i.e., by 10-15% in males, and 14-20% in females, P<0.05). Short-term deficiency (up to 4 weeks) of Ulk1/2 in adult skeletal muscle, however, led to myofiber hypertrophy (13%, P<0.05) without impairments in force or changes in central nucleation of fibers, pointing to an initial period of muscle quality preservation. Mechanistically, Ulk1/2 deficiency led to elevated myofibrillar protein synthesis (23% higher Ksyn, P<0.05) and decreased mitochondrial and sarcoplasmic protein degradation (16% and 14% lower Kdeg, P=0.09 and P<0.05, respectively). Further mechanistic studies revealed that hypertrophy was accompanied by enhanced mTORC1 activity independent of AKT in Ulk1/2 -deficient muscle.
    Conclusions: These results indicate that ULK1 and ULK2 jointly sustain autophagy and limit mTORC1-driven protein synthesis to govern skeletal muscle protein metabolism, with lifelong deficiency increasing muscle size at the expense of quality and function, while short-term deficiency permits hypertrophy without impairment. These findings identify ULK1/2 as a novel node coordinating protein turnover in skeletal muscle, warranting investigation as a therapeutic strategy for atrophy and weakness.
    DOI:  https://doi.org/10.64898/2026.09.06.749722
  3. J Physiol. 2026 Sep 27.
      Whole-body fat oxidation correlates with mitochondrial oxidative capacity, emphasizing the role of mitochondrial function in systemic and skeletal muscle substrate utilization during exercise - a relationship that may be modulated by the prevailing fuel availability. Muscle glycogen is an important fuel during exercise due to its effects on substrate metabolism, but its influence on peak fat oxidation (PFO) and mitochondrial coupling control and efficiency (MCCE) remains unclear. The aim of the study was to investigate the influence of muscle glycogen content on PFO, the intensity eliciting PFO (Fatmax) and MCCE. Ten trained men participated in a randomized crossover study comprising two interventions conducted over two consecutive days. Day 1 included anthropometric assessments, blood sampling, a muscle biopsy and a graded exercise test followed by a glycogen depletion protocol. The following day blood sampling, muscle biopsy and the graded exercise test were repeated. A diet high or low in carbohydrate was consumed between the days to manipulate glycogen levels. The experiment was repeated after 7-14 days. Muscle samples were analysed for glycogen and triacylglycerol content and MCCE. PFO increased after both interventions and was further enhanced by the combined exercise and low-carbohydrate intervention, where muscle glycogen was low. Fatmax increased only following the combined exercise and low-carbohydrate intervention. MCCE was unaffected by the interventions. The study concludes that exercise-induced glycogen depletion together with a low-carbohydrate diet increases PFO and Fatmax but does not influence MCCE. These findings have implications towards understanding and optimizing fat oxidation and as a potential read out of metabolic flexibility. KEY POINTS: Whole-body fat oxidation is linked to mitochondrial capacity, yet the role of endogenous fuel availability in this relationship has not been studied. Muscle glycogen is a primary exercise fuel, but its specific influence on peak fat oxidation (PFO), the exercise intensity that elicits PFO (Fatmax) and mitochondrial coupling control and efficiency (MCCE) is unclear. Ten trained men completed a randomized crossover study using glycogen depletion and dietary intervention to alter glycogen levels, with exercise tests and muscle biopsies performed at baseline and postintervention. Exercise-induced glycogen depletion combined with a low-carbohydrate diet increased both PFO and Fatmax, whereas there was no effect on MCCE. These findings clarify the regulation of PFO and the combined effect of exercise-induced glycogen depletion and low carbohydrate diet, and that this is not regulated through changes in mitochondrial function.
    Keywords:  glycogen depletion; high‐ and low‐carbohydrate diet; mitochondria; skeletal muscle; substrate metabolism
    DOI:  https://doi.org/10.1113/JP291697
  4. Nat Commun. 2026 09 02. pii: 10445. [Epub ahead of print]17(1):
      Skeletal muscle hypertrophy is a hallmark of resistance training that improves health and longevity. However, despite physiological differences between sexes and fiber types, the underlying proteome changes with resistance training have not been studied in a sex- and fiber type-specific manner. Herein, we show sex- and fiber type-specific remodeling of the human skeletal muscle proteome following 8 weeks of resistance training. Type II fibers exhibited much greater adaptations across both sexes, whereas the main sex difference was a greater remodeling of intermediate filaments in females. Of proteins that were specifically upregulated in type II fibers, overexpression of CSRP3 increased muscle mass in mice, indicating a role of fiber type-specific upregulation of CSRP3 in muscle hypertrophy. In addition, abundance of proteins involved in translation correlated with fiber hypertrophy and differed between sexes and fiber types. These findings demonstrate sex- and fiber type differences in muscle physiology and their contributions to resistance training-induced adaptions and implicate involvement of CSRP3 in resistance training-induced muscle hypertrophy.
    DOI:  https://doi.org/10.1038/s41467-026-77275-9
  5. Am J Physiol Cell Physiol. 2026 Oct 01.
      We recently demonstrated that the microbial-derived exerkines (MDEs) pipecolic acid and succinate (PAS) prevent disuse-induced skeletal muscle atrophy and preserve muscle function during hindlimb immobilization in mice. Here, we investigated whether PAS also enhances exercise performance and adaptation and compared its effects with creatine monohydrate (CRE), the current gold-standard ergogenic aid for strength and power performance. Mice received vehicle (VEH), CRE, or PAS during a 7-week progressive weighted-wheel-running training protocol. Exercise performance, body composition, and skeletal muscle size and function were assessed at the conclusion of training. Both CRE and PAS enhanced high-intensity exercise performance relative to VEH, increasing running distance and time spent running during the course of the training protocol. Neither CRE nor PAS enhanced lean mass, muscle mass, or soleus myofiber cross-sectional area relative to VEH. However, PAS-treated mice exhibited greater grip strength and ex vivo soleus force production and rate of force development than both VEH and CRE. These findings demonstrate that PAS enhances strength and power adaptations to exercise beyond those achieved with CRE, identifying PAS as a promising exercise supplement and establishing MDEs as a novel class of ergogenic aids.
    Keywords:  ergogenic aids; exercise performance; muscle strength; pipecolic acid; succinate
    DOI:  https://doi.org/10.1152/ajpcell.00431.2026
  6. Nat Commun. 2026 08 31. pii: 10359. [Epub ahead of print]17(1):
      The nutrient-sensing mechanistic target of rapamycin complex 1 (mTORC1) signaling pathway controls cellular and organismal growth and metabolism, and aberrant activation is linked to human disease, including metabolic disease. Cellular studies have established regulatory mechanisms influencing mTORC1 activation, but the physiological signals that control mTORC1 at the organismal and tissue levels are less well-defined. mTORC1 is dynamically regulated by fasting and feeding in metabolic tissues, with both nutrients and insulin proposed to activate mTORC1 in response to feeding. Here, studies employing a liver-specific genetic mouse model demonstrate that AKT-mediated TSC2 phosphorylation is the predominant mechanism of hepatic mTORC1 induction by insulin but is dispensable for activation by feeding. Furthermore, postprandial activation of hepatic mTORC1 requires dietary protein, which dictates the insulin-responsiveness of the pathway. Contrary to dogma, hepatic mTORC1 signaling was not elevated in response to diet-induced obesity, despite overt impairments in insulin and glucose homeostasis, and blocking hepatic AKT-TSC-mTORC1 signaling did not affect these metabolic phenotypes. Evidence is also provided supporting a role for glucagon in hepatic mTORC1 suppression during fasting. This study reveals a hierarchy of physiological signals regulating hepatic mTORC1.
    DOI:  https://doi.org/10.1038/s41467-026-77216-6
  7. Nat Aging. 2026 Sep 29.
      Aging paradoxically leads to both a decline in skeletal muscle mitochondrial function and a shift in muscle composition that favors fibers rich in mitochondria. Yet the biological rationale and mechanism underlying this phenomenon remain largely unknown. Here we show that synthesis of the mitochondrial membrane lipid, cardiolipin, causally links mitochondrial dysfunction to fiber-type adaptations in aging mouse and human skeletal muscle. By mimicking the aging decline of skeletal muscle cardiolipin levels in young mice using inducible tissue-specific cardiolipin synthase 1 (Crls1) deletion, we could reproduce key aging hallmarks, including the shift from glycolytic to oxidative fibers. This shift is mediated by mitochondria-to-nucleus signaling through the nuclear receptor, estrogen-related receptor γ, which promotes reactive oxygen species-sensitive glucose uptake and enhanced glycolytic rerouting to sustain antioxidant defenses. Restoring Crls1 expression in adult Crls1 knockout mice reestablishes cardiolipin levels, initiates reversal of muscle atrophy and fully rescues premature mortality. These findings reveal how changes in a mitochondrial membrane lipid cell autonomously orchestrate fiber-type adaptations in aging and myopathies.
    DOI:  https://doi.org/10.1038/s43587-026-01227-7
  8. Prog Rehabil Med. 2026 ;11 20260054
       Objectives: To investigate the effects of branched-chain amino acid (BCAA)-enriched nutritional supplementation after exercise on skeletal muscle and walking ability in patients undergoing gastrointestinal cancer surgery.
    Methods: Fifty patients with gastric or colorectal cancer scheduled for surgery were enrolled in this single-center, single-blind, randomized controlled study. Patients were randomly assigned to a BCAA-enriched jelly group (test group) or an amino acid-free jelly group (control group). Both groups received perioperative exercise therapy and jelly supplementation immediately after exercise. The primary endpoints were percentage changes in thigh skeletal muscle area from pre-intervention to 9 weeks after discharge and from 2 weeks after surgery to 9 weeks after discharge. Secondary endpoints were changes in isometric knee extension and flexion strength and 6-minute walk distance.
    Results: One patient withdrew consent; therefore, the full analysis set consisted of 24 patients in the test group and 25 patients in the control group. The percentage changes in quadriceps area from pre-intervention to 9 weeks after discharge were 3.24 ± 6.63% and 2.34 ± 16.59% in the test and control groups, respectively, with no significant difference. From 2 weeks after surgery to 9 weeks after discharge, the changes were 8.40 ± 7.57% and 4.44 ± 12.93%, respectively, with no significant difference. No significant differences were observed in hamstring area, lower-limb strength, or 6-minute walk distance between the two groups.
    Conclusions: Perioperative exercise therapy combined with BCAA-enriched supplementation did not significantly improve thigh skeletal muscle area, muscle strength, or walking ability after surgery in patients undergoing gastrointestinal cancer surgery compared with amino acid-free supplementation. Further studies with adequate sample sizes and higher BCAA intake are warranted.
    Keywords:  branched-chain amino acid; gastrointestinal cancer surgery; muscle mass; nutrition; rehabilitation
    DOI:  https://doi.org/10.2490/prm.20260054