PMID- 31722440 OWN - NLM STAT- MEDLINE DCOM- 20210202 LR - 20211204 IS - 1615-9861 (Electronic) IS - 1615-9853 (Linking) VI - 20 IP - 5-6 DP - 2020 Mar TI - Sarcopenia: Tilting the Balance of Protein Homeostasis. PG - e1800411 LID - 10.1002/pmic.201800411 [doi] AB - Sarcopenia, defined as age-associated decline of muscle mass and function, is a risk factor for mortality and disability, and comorbid with several chronic diseases such as type II diabetes and cardiovascular diseases. Clinical trials showed that nutritional supplements had positive effects on muscle mass, but not on muscle function and strength, demonstrating our limited understanding of the molecular events involved in the ageing muscle. Protein homeostasis, the equilibrium between protein synthesis and degradation, is proposed as the major mechanism underlying the development of sarcopenia. As the key central regulator of protein homeostasis, the mammalian target of rapamycin (mTOR) is proposed to be essential for muscle hypertrophy. Paradoxically, sustained activation of mTOR complex 1 (mTORC1) is associated with a loss of sensitivity to extracellular signaling in the elderly. It is not understood why sustained mTORC1 activity, which should induce muscle hypertrophy, instead results in muscle atrophy. Here, recent findings on the implications of disrupting protein homeostasis on muscle physiology and sarcopenia development in the context of mTOR/protein kinase B (AKT) signaling are reviewed. Understanding the role of these molecular mechanisms during the ageing process will contribute towards the development of targeted therapies that will improve protein metabolism and reduce sarcopenia. CI - (c) 2019 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim. FAU - Tan, Kuan Ting AU - Tan KT AD - Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, 2 Medical Drive, MD9 Admin Office, Singapore, 117597, Singapore. FAU - Ang, Seok-Ting Jamie AU - Ang SJ AD - Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, 2 Medical Drive, MD9 Admin Office, Singapore, 117597, Singapore. FAU - Tsai, Shih-Yin AU - Tsai SY AUID- ORCID: 0000-0002-2834-6383 AD - Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, 2 Medical Drive, MD9 Admin Office, Singapore, 117597, Singapore. LA - eng PT - Journal Article PT - Review DEP - 20191204 PL - Germany TA - Proteomics JT - Proteomics JID - 101092707 RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - *Aging MH - Animals MH - Humans MH - Mechanistic Target of Rapamycin Complex 1/metabolism MH - Muscle, Skeletal/metabolism/physiopathology MH - *Proteostasis MH - Proto-Oncogene Proteins c-akt/metabolism MH - Sarcopenia/*etiology/metabolism/physiopathology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - AKT OT - ageing OT - mTOR OT - muscle atrophy OT - protein homeostasis EDAT- 2019/11/14 06:00 MHDA- 2021/02/03 06:00 CRDT- 2019/11/14 06:00 PHST- 2019/04/17 00:00 [received] PHST- 2019/11/04 00:00 [revised] PHST- 2019/11/14 06:00 [pubmed] PHST- 2021/02/03 06:00 [medline] PHST- 2019/11/14 06:00 [entrez] AID - 10.1002/pmic.201800411 [doi] PST - ppublish SO - Proteomics. 2020 Mar;20(5-6):e1800411. doi: 10.1002/pmic.201800411. Epub 2019 Dec 4.