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Published on: June 14, 2024
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.
Abstract:
The mammalian target of rapamycin (mTOR) is an evolutionarily conserved protein kinase that exquisitely regulates protein metabolism in skeletal muscle. mTOR integrates input from amino acids, growth factors, and intracellular cues to make or break muscle protein. mTOR accomplishes this task by stimulating the phosphorylation of substrates that control protein translation while simultaneously inhibiting proteasomal and autophagic protein degradation. In a metabolic twist of fate, sepsis induces muscle atrophy in part by the aberrant regulation of mTOR. In this review, we track the steps of normal mTOR signaling in muscle and examine where they go astray in sepsis and inflammation.
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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