PMID- 31672317 OWN - NLM STAT- MEDLINE DCOM- 20201103 LR - 20211204 IS - 1879-0739 (Electronic) IS - 0271-5317 (Linking) VI - 72 DP - 2019 Dec TI - Protein intake and amino acid supplementation regulate exercise recovery and performance through the modulation of mTOR, AMPK, FGF21, and immunity. PG - 1-17 LID - S0271-5317(19)30135-6 [pii] LID - 10.1016/j.nutres.2019.06.006 [doi] AB - Exercise is considered to be the best approach to improve quality of life, and together with a healthy and adequate dietary pattern, exercise represents the best strategy to reduce the risk of chronic metabolic and inflammatory diseases, such as those related to obesity. The regularity and intensity of exercise is modulated at the molecular level in the skeletal muscle by two protein kinases, the mechanistic target of rapamycin (mTOR) and AMP-activated protein kinase (AMPK), which act as sensors of external stimuli, showing the energy status of muscular fibers. The mTOR pathway is activated by insulin and amino acid availability, and its metabolic actions culminate in increased protein synthesis and reduced autophagy, leading to an increase in muscle mass. In contrast, AMPK activation induces a transcriptional program aimed to increase the mitochondrial content in skeletal muscle, transforming fast-twitch glycolytic fibers to slow-twitch oxidative fibers and increasing resistance to fatigue. In addition, inadequate exercise training induces imbalance in the immune response, generating excessive inflammation and/or immunosuppression. The purpose of this review is to summarize recent studies that provide insight into dietary protein interventions and/or amino acid supplementation that may improve outcomes after exercise by modulating 1) mTOR and AMPK activation during early exercise recovery, leading to increased muscle protein synthesis or increased oxidative capacity; 2) undesirable inflammatory responses; and 3) fibroblast growth factor 21 (FGF21) levels that may have relevant implications in skeletal muscle metabolism, particularly during the exercise recovery and performance of obese subjects. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Torre-Villalvazo, Ivan AU - Torre-Villalvazo I AD - Depto. de Fisiologia de la Nutricion, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Mexico. FAU - Aleman-Escondrillas, Gabriela AU - Aleman-Escondrillas G AD - Depto. de Fisiologia de la Nutricion, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Mexico. FAU - Valle-Rios, Ricardo AU - Valle-Rios R AD - Unidad Periferica de Investigacion en Cancer e Inmunologia, Division de Investigacion, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, Mexico; Laboratorio de Investigacion en Inmunologia y Proteomica, Hospital Infantil de Mexico Federico Gomez, Ciudad de Mexico, Mexico. Electronic address: vallerios@gmail.com. FAU - Noriega, Lilia G AU - Noriega LG AD - Depto. de Fisiologia de la Nutricion, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Mexico. Electronic address: lgnoriegal@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190702 PL - United States TA - Nutr Res JT - Nutrition research (New York, N.Y.) JID - 8303331 RN - 0 (Amino Acids) RN - 0 (Dietary Proteins) RN - 0 (fibroblast growth factor 21) RN - 62031-54-3 (Fibroblast Growth Factors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/immunology/*metabolism MH - Amino Acids/immunology/*metabolism MH - Dietary Proteins/immunology/*metabolism MH - Dietary Supplements MH - Exercise/*physiology MH - Fibroblast Growth Factors/immunology/*metabolism MH - Humans MH - Immunity/*immunology MH - Muscle, Skeletal/immunology/metabolism MH - Physical Fitness/physiology MH - TOR Serine-Threonine Kinases/immunology/*metabolism OTO - NOTNLM OT - Amino acid supplementation OT - Dietary protein OT - Exercise performance OT - Exercise recovery EDAT- 2019/11/02 06:00 MHDA- 2020/11/04 06:00 CRDT- 2019/11/02 06:00 PHST- 2019/02/02 00:00 [received] PHST- 2019/05/16 00:00 [revised] PHST- 2019/06/26 00:00 [accepted] PHST- 2019/11/02 06:00 [pubmed] PHST- 2020/11/04 06:00 [medline] PHST- 2019/11/02 06:00 [entrez] AID - S0271-5317(19)30135-6 [pii] AID - 10.1016/j.nutres.2019.06.006 [doi] PST - ppublish SO - Nutr Res. 2019 Dec;72:1-17. doi: 10.1016/j.nutres.2019.06.006. Epub 2019 Jul 2.