PMID- 34779138 OWN - NLM STAT- MEDLINE DCOM- 20220314 LR - 20231105 IS - 1757-4684 (Electronic) IS - 1757-4676 (Print) IS - 1757-4676 (Linking) VI - 14 IP - 1 DP - 2022 Jan 11 TI - The ups and downs of caloric restriction and fasting: from molecular effects to clinical application. PG - e14418 LID - 10.15252/emmm.202114418 [doi] LID - e14418 AB - Age-associated diseases are rising to pandemic proportions, exposing the need for efficient and low-cost methods to tackle these maladies at symptomatic, behavioral, metabolic, and physiological levels. While nutrition and health are closely intertwined, our limited understanding of how diet precisely influences disease often precludes the medical use of specific dietary interventions. Caloric restriction (CR) has approached clinical application as a powerful, yet simple, dietary modulation that extends both life- and healthspan in model organisms and ameliorates various diseases. However, due to psychological and social-behavioral limitations, CR may be challenging to implement into real life. Thus, CR-mimicking interventions have been developed, including intermittent fasting, time-restricted eating, and macronutrient modulation. Nonetheless, possible side effects of CR and alternatives thereof must be carefully considered. We summarize key concepts and differences in these dietary interventions in humans, discuss their molecular effects, and shed light on advantages and disadvantages. CI - (c) 2021 The Authors. Published under the terms of the CC BY 4.0 license. FAU - Hofer, Sebastian J AU - Hofer SJ AUID- ORCID: 0000-0002-0756-0014 AD - Institute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria. AD - BioHealth Graz, Graz, Austria. AD - BioTechMed Graz, Graz, Austria. FAU - Carmona-Gutierrez, Didac AU - Carmona-Gutierrez D AUID- ORCID: 0000-0001-7548-7771 AD - Institute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria. FAU - Mueller, Melanie I AU - Mueller MI AUID- ORCID: 0000-0002-7472-2677 AD - Institute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria. FAU - Madeo, Frank AU - Madeo F AUID- ORCID: 0000-0002-5070-1329 AD - Institute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria. AD - BioHealth Graz, Graz, Austria. AD - BioTechMed Graz, Graz, Austria. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20211115 PL - England TA - EMBO Mol Med JT - EMBO molecular medicine JID - 101487380 SB - IM MH - *Caloric Restriction MH - Diet MH - *Fasting/physiology MH - Humans PMC - PMC8749464 OTO - NOTNLM OT - caloric restriction OT - fasting OT - healthspan OT - intermittent fasting OT - lifespan OT - time-restricted eating COIS- F.M. and D.C.-G. are scientific cofounders of Samsara Therapeutics, a company that develops novel pharmacological autophagy inducers. F.M. has equity interests in and is advisor of TLL, The Longevity Labs GmbH. D.C.-G. has equity interests in TLL, The Longevity Labs GmbH. S.J.H and M.I.M. declare that they have no conflict of interest. EDAT- 2021/11/16 06:00 MHDA- 2022/03/15 06:00 PMCR- 2022/01/11 CRDT- 2021/11/15 07:34 PHST- 2021/10/05 00:00 [revised] PHST- 2021/04/11 00:00 [received] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/11/16 06:00 [pubmed] PHST- 2022/03/15 06:00 [medline] PHST- 2021/11/15 07:34 [entrez] PHST- 2022/01/11 00:00 [pmc-release] AID - EMMM202114418 [pii] AID - 10.15252/emmm.202114418 [doi] PST - ppublish SO - EMBO Mol Med. 2022 Jan 11;14(1):e14418. doi: 10.15252/emmm.202114418. Epub 2021 Nov 15.