Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia

Sarcopenia is characterised by the presence of diminished skeletal muscle mass and strength. It is relatively common in older adults as ageing is associated with anabolic resistance (a blunted muscle protein synthesis response to dietary protein consumption and resistance exercise). Therefore, inter...

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Main Authors: Elena de Marco Castro, Caoileann H. Murphy, Helen M. Roche
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2021.656730/full
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author Elena de Marco Castro
Caoileann H. Murphy
Caoileann H. Murphy
Helen M. Roche
Helen M. Roche
author_facet Elena de Marco Castro
Caoileann H. Murphy
Caoileann H. Murphy
Helen M. Roche
Helen M. Roche
author_sort Elena de Marco Castro
collection DOAJ
description Sarcopenia is characterised by the presence of diminished skeletal muscle mass and strength. It is relatively common in older adults as ageing is associated with anabolic resistance (a blunted muscle protein synthesis response to dietary protein consumption and resistance exercise). Therefore, interventions to counteract anabolic resistance may benefit sarcopenia prevention and are of utmost importance in the present ageing population. There is growing speculation that the gut microbiota may contribute to sarcopenia, as ageing is also associated with [1) dysbiosis, whereby the gut microbiota becomes less diverse, lacking in healthy butyrate-producing microorganisms and higher in pathogenic bacteria, and [2) loss of epithelial tight junction integrity in the lining of the gut, leading to increased gut permeability and higher metabolic endotoxemia. Animal data suggest that both elements may impact muscle physiology, but human data corroborating the causality of the association between gut microbiota and muscle mass and strength are lacking. Mechanisms wherein the gut microbiota may alter anabolic resistance include an attenuation of gut-derived low-grade inflammation and/or the increased digestibility of protein-containing foods and consequent higher aminoacidemia, both in favour of muscle protein synthesis. This review focuses on the putative links between the gut microbiota and skeletal muscle in the context of sarcopenia. We also address the issue of plant protein digestibility because plant proteins are increasingly important from an environmental sustainability perspective, yet they are less efficient at stimulating muscle protein synthesis than animal proteins.
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spelling doaj.art-af700790b32941e299d45662e72210002022-12-21T18:57:07ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2021-06-01810.3389/fnut.2021.656730656730Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate SarcopeniaElena de Marco Castro0Caoileann H. Murphy1Caoileann H. Murphy2Helen M. Roche3Helen M. Roche4Nutrigenomics Research Group, School of Public Health, Physiotherapy, and Sports Science, UCD Conway Institute, UCD Institute of Food and Health, University College Dublin, Dublin, IrelandNutrigenomics Research Group, School of Public Health, Physiotherapy, and Sports Science, UCD Conway Institute, UCD Institute of Food and Health, University College Dublin, Dublin, IrelandTeagasc Food Research Centre, Ashtown, Dublin, IrelandNutrigenomics Research Group, School of Public Health, Physiotherapy, and Sports Science, UCD Conway Institute, UCD Institute of Food and Health, University College Dublin, Dublin, IrelandInstitute for Global Food Security, Queen's University Belfast, Belfast, United KingdomSarcopenia is characterised by the presence of diminished skeletal muscle mass and strength. It is relatively common in older adults as ageing is associated with anabolic resistance (a blunted muscle protein synthesis response to dietary protein consumption and resistance exercise). Therefore, interventions to counteract anabolic resistance may benefit sarcopenia prevention and are of utmost importance in the present ageing population. There is growing speculation that the gut microbiota may contribute to sarcopenia, as ageing is also associated with [1) dysbiosis, whereby the gut microbiota becomes less diverse, lacking in healthy butyrate-producing microorganisms and higher in pathogenic bacteria, and [2) loss of epithelial tight junction integrity in the lining of the gut, leading to increased gut permeability and higher metabolic endotoxemia. Animal data suggest that both elements may impact muscle physiology, but human data corroborating the causality of the association between gut microbiota and muscle mass and strength are lacking. Mechanisms wherein the gut microbiota may alter anabolic resistance include an attenuation of gut-derived low-grade inflammation and/or the increased digestibility of protein-containing foods and consequent higher aminoacidemia, both in favour of muscle protein synthesis. This review focuses on the putative links between the gut microbiota and skeletal muscle in the context of sarcopenia. We also address the issue of plant protein digestibility because plant proteins are increasingly important from an environmental sustainability perspective, yet they are less efficient at stimulating muscle protein synthesis than animal proteins.https://www.frontiersin.org/articles/10.3389/fnut.2021.656730/fullprotein digestibilitygut microbiotasarcopeniaanabolic resistanceskeletal muscleageing
spellingShingle Elena de Marco Castro
Caoileann H. Murphy
Caoileann H. Murphy
Helen M. Roche
Helen M. Roche
Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
Frontiers in Nutrition
protein digestibility
gut microbiota
sarcopenia
anabolic resistance
skeletal muscle
ageing
title Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
title_full Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
title_fullStr Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
title_full_unstemmed Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
title_short Targeting the Gut Microbiota to Improve Dietary Protein Efficacy to Mitigate Sarcopenia
title_sort targeting the gut microbiota to improve dietary protein efficacy to mitigate sarcopenia
topic protein digestibility
gut microbiota
sarcopenia
anabolic resistance
skeletal muscle
ageing
url https://www.frontiersin.org/articles/10.3389/fnut.2021.656730/full
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