mTor signaling in skeletal muscle during sepsis and inflammation: where does it all go wrong?

Robert A Frost1, Charles H Lang

  • 1Department of Cellular and Molecular Physiology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.

Insights

Sepsis causes muscle atrophy by disrupting mammalian target of rapamycin (mTOR) signaling, which normally regulates muscle protein balance. This review details normal mTOR function and its dysregulation during sepsis and inflammation.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Physiology

Background:

  • Mammalian target of rapamycin (mTOR) is a key protein kinase regulating skeletal muscle protein metabolism.
  • mTOR integrates signals from nutrients, growth factors, and cellular cues to control muscle protein synthesis and degradation.
  • mTOR influences muscle protein balance by regulating translation and inhibiting proteasomal and autophagic degradation pathways.

Purpose of the Study:

  • To review the normal signaling pathways of mTOR in skeletal muscle.
  • To examine the aberrant regulation of mTOR signaling in the context of sepsis and inflammation.
  • To elucidate the mechanisms by which sepsis-induced muscle atrophy occurs via mTOR dysregulation.

Main Methods:

  • Literature review of mTOR signaling in skeletal muscle.
  • Analysis of studies investigating sepsis and inflammation models.
  • Examination of molecular mechanisms underlying mTOR pathway alterations.

Main Results:

  • Normal mTOR signaling promotes muscle protein synthesis and inhibits degradation.
  • Sepsis disrupts mTOR signaling, leading to impaired protein synthesis and increased degradation.
  • Aberrant mTOR regulation contributes significantly to sepsis-induced muscle atrophy.

Conclusions:

  • Understanding mTOR's role in sepsis-induced muscle atrophy is crucial for developing therapeutic strategies.
  • Targeting mTOR signaling pathways may offer potential treatments for muscle wasting conditions associated with sepsis.
  • Further research is needed to fully elucidate the complex interplay between mTOR, sepsis, and muscle metabolism.

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