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Related Experiment Video

Updated: Jan 21, 2026

Minimally Invasive Muscle Embedding MIME - A Novel Experimental Technique to Facilitate Donor-Cell-Mediated Myogenesis
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Metabolic Reprogramming Promotes Myogenesis During Aging.

Roberta Belli1, Agnese Bonato2, Luciana De Angelis3

  • 1Department of Translational and Precision Medicine (Formerly Department of Clinical Medicine), Sapienza University of Rome, Rome, Italy.

Frontiers in Physiology
|July 30, 2019
PubMed
Summary

Metabolic modulators like trimetazidine (TMZ) can stimulate muscle regeneration and mitochondrial function in aging mice. This research suggests a potential non-invasive therapy to combat age-related muscle loss (sarcopenia).

Keywords:
agingmetabolic reprogrammingmetabolismmitochondriamyogenesisneuromuscular activitysarcopeniatrimetazidine

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Area of Science:

  • Gerontology
  • Muscle Biology
  • Metabolic Research

Background:

  • Sarcopenia, the age-related loss of muscle mass and strength, is linked to impaired myogenesis and mitochondrial dysfunction.
  • Understanding the interplay between myogenesis and metabolism is crucial for addressing age-related muscle decline.

Purpose of the Study:

  • To investigate the effect of the metabolic modulator trimetazidine (TMZ) on myogenesis in aging skeletal muscle.
  • To explore the potential of metabolic reprogramming as a therapeutic strategy for sarcopenia.

Main Methods:

  • Treatment of aged mice (22 months old) with trimetazidine (TMZ) for 12 consecutive days.
  • Analysis of myogenic gene expression, mitochondrial protein levels, and oxidative metabolism in skeletal muscle.
  • In vitro assessment of metabolic modulators, including 5-Aminoimidazole-4-Carboxamide Ribofuranoside (AICAR), on skeletal muscle progenitor differentiation.

Main Results:

  • TMZ treatment stimulated myogenic gene expression in aged mouse skeletal muscle.
  • TMZ increased mitochondrial protein levels and enhanced oxidative metabolism in aged muscles.
  • Metabolic modulators, including AICAR, promoted skeletal muscle progenitor differentiation in vitro.

Conclusions:

  • Reprogramming cellular metabolism stimulates myogenesis and mitochondrial protein synthesis in aging skeletal muscle.
  • Metabolic modulation represents a promising non-invasive therapeutic approach to improve muscle quality and counteract sarcopenia in the elderly.