Protein intake and amino acid supplementation regulate exercise recovery and performance through the modulation of mTOR, AMPK, FGF21, and immunity

Nutr Res. 2019 Dec:72:1-17. doi: 10.1016/j.nutres.2019.06.006. Epub 2019 Jul 2.

Abstract

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.

Keywords: Amino acid supplementation; Dietary protein; Exercise performance; Exercise recovery.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • AMP-Activated Protein Kinases / immunology
  • AMP-Activated Protein Kinases / metabolism*
  • Amino Acids / immunology
  • Amino Acids / metabolism*
  • Dietary Proteins / immunology
  • Dietary Proteins / metabolism*
  • Dietary Supplements
  • Exercise / physiology*
  • Fibroblast Growth Factors / immunology
  • Fibroblast Growth Factors / metabolism*
  • Humans
  • Immunity / immunology*
  • Muscle, Skeletal / immunology
  • Muscle, Skeletal / metabolism
  • Physical Fitness / physiology
  • TOR Serine-Threonine Kinases / immunology
  • TOR Serine-Threonine Kinases / metabolism*

Substances

  • Amino Acids
  • Dietary Proteins
  • fibroblast growth factor 21
  • Fibroblast Growth Factors
  • MTOR protein, human
  • TOR Serine-Threonine Kinases
  • AMP-Activated Protein Kinases