Impact of Alpha-Ketoglutarate on Skeletal Muscle Health and Exercise Performance: A Narrative Review.

IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS
Nutrients Pub Date : 2024-11-20 DOI:10.3390/nu16223968
Miaomiao Xu, Qiao Zhang, Xiaoguang Liu, Liming Lu, Zhaowei Li
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Abstract

AKG, a central metabolite in the Krebs cycle, plays a vital role in cellular energy production and nitrogen metabolism. This review explores AKG's potential therapeutic applications in skeletal muscle health and exercise performance, focusing on its mechanisms for promoting muscle regeneration and counteracting muscle atrophy. A literature search was conducted using the PubMed, Web of Science, and Scopus databases, yielding 945 articles published up to 31 October 2024. Of these, 112 peer-reviewed articles met the inclusion criteria and formed the basis of this review. AKG supports muscle recovery by stimulating muscle satellite cells (MuSCs) and macrophage polarization, aiding muscle repair and reducing fibrosis. Additionally, AKG shows promise in preventing muscle atrophy by enhancing protein synthesis, inhibiting degradation pathways, and modulating inflammatory responses, making it relevant in conditions like sarcopenia, cachexia, and injury recovery. For athletes and active individuals, AKG supplementation has enhanced endurance, reduced fatigue, and supported faster post-exercise recovery. Despite promising preliminary findings, research gaps remain in understanding AKG's long-term effects, optimal dosage, and specific pathways, particularly across diverse populations. Further research, including large-scale clinical trials, is essential to clarify AKG's role in muscle health and to optimize its application as a therapeutic agent for skeletal muscle diseases and an enhancer of physical performance. This review aims to provide a comprehensive overview of AKG's benefits and identify future directions for research in both clinical and sports settings.

α-酮戊二酸对骨骼肌健康和运动表现的影响:叙述性综述。
AKG 是克雷布斯循环的核心代谢物,在细胞能量生产和氮代谢中发挥着重要作用。本综述探讨了 AKG 在骨骼肌健康和运动表现方面的潜在治疗应用,重点关注其促进肌肉再生和对抗肌肉萎缩的机制。我们使用 PubMed、Web of Science 和 Scopus 数据库进行了文献检索,共检索到截至 2024 年 10 月 31 日发表的 945 篇文章。其中,112 篇经同行评审的文章符合纳入标准,构成了本综述的基础。AKG 通过刺激肌肉卫星细胞(MuSCs)和巨噬细胞极化来支持肌肉恢复,帮助肌肉修复并减少纤维化。此外,AKG 还能通过增强蛋白质合成、抑制降解途径和调节炎症反应来防止肌肉萎缩,因此与肌肉疏松症、恶病质和损伤恢复等情况息息相关。对于运动员和活跃人士来说,补充 AKG 可以增强耐力、减少疲劳,并有助于加快运动后的恢复。尽管初步研究结果令人鼓舞,但在了解 AKG 的长期效果、最佳剂量和特定途径方面,特别是在不同人群中,研究仍存在差距。进一步的研究,包括大规模的临床试验,对于明确 AKG 在肌肉健康中的作用,优化其作为骨骼肌疾病治疗剂和体能提升剂的应用至关重要。本综述旨在全面概述 AKG 的益处,并确定未来在临床和运动领域的研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nutrients
Nutrients NUTRITION & DIETETICS-
CiteScore
9.20
自引率
15.30%
发文量
4599
审稿时长
16.74 days
期刊介绍: Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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