4.3 Review

Sarcopenia and Muscle Aging: A Brief Overview

Journal

ENDOCRINOLOGY AND METABOLISM
Volume 35, Issue 4, Pages 716-732

Publisher

KOREAN ENDOCRINE SOC
DOI: 10.3803/EnM.2020.405

Keywords

Skeletal muscle; Sarcopenia; Aging; Mitochondria; NAD; Urolithin; Mitophagy; Gastrointestinal microbiome; Exercise

Funding

  1. Basic Science Research Program through the National Research Foundation of Korea (NRF) - Ministry of Science and ICT [NRF-2020R1A2C2010964]
  2. Canadian Institutes of Health Research [MOP 159455]
  3. Natural Sciences and Engineering Research Council of Canada [RGPIN 2018-06838, DGECR 2018-00012]
  4. uOttawa Eric Poulin Centre for Neuromuscular Disease (CNMD) Scholarship in Translational Research (STaR) Award - University of Ottawa Brain and Mind Research Institute (uOBMRI)

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The world is facing the new challenges of an aging population, and understanding the process of aging has therefore become one of the most important global concerns. Sarcopenia is a condition which is defined by the gradual loss of skeletal muscle mass and function with age. In research and clinical practice, sarcopenia is recognized as a component of geriatric disease and is a current target for drug development. In this review we define this condition and provide an overview of current therapeutic approaches. We further highlight recent findings that describe key pathophysiological phenotypes of this condition, including alterations in muscle fiber types, mitochondrial function, nicotinamide adenine dinucleotide (NAD+) metabolism, myokines, and gut microbiota, in aged muscle compared to young muscle or healthy aged muscle. The last part of this review examines new therapeutic avenues for promising treatment targets. There is still no accepted therapy for sarcopenia in humans. Here we provide a brief review of the current state of research derived from various mouse models or human samples that provide novel routes for the development of effective therapeutics to maintain muscle health during aging.

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