Abstract

Skeletal muscle comprises 30–40% of the total body mass and plays a central role in energy homeostasis in the body. The deregulation of energy homeostasis is a common underlying characteristic of metabolic syndrome. Over the past decades, peroxisome proliferator-activated receptors (PPARs) have been shown to play critical regulatory roles in skeletal muscle. The three family members of PPAR have overlapping roles that contribute to the myriad of processes in skeletal muscle. This review aims to provide an overview of the functions of different PPAR members in energy homeostasis as well as during skeletal muscle metabolic disorders, with a particular focus on human and relevant mouse model studies.

Highlights

  • Skeletal muscle is the largest metabolic organ in the human body, and it contributes ~40% of the total human body mass in healthy non-obese adults

  • The deregulation of skeletal muscle energy homeostasis plays a major role in the pathogenesis of peripheral insulin resistance and type 2 diabetes mellitus (T2DM)

  • peroxisome proliferator-activated receptors (PPARs) are ligand-activated transcription factors that belong to the nuclear hormone receptor superfamily, and they are activated by a variety of synthetic ligands and endogenous ligands, such as the naturally occurring free fatty acid (FFA) and their metabolites, arachidonic acid and eicosanoids

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Summary

Skeletal Muscle

Skeletal muscle is the largest metabolic organ in the human body, and it contributes ~40% of the total human body mass in healthy non-obese adults. The type I fibers are rich in myoglobin, surrounded by many capillaries, and contain relatively abundant intracellular lipid levels for oxidative metabolism. These characteristics support long-duration contractile activities, such as walking and postural stabilization. The deregulation of skeletal muscle energy homeostasis plays a major role in the pathogenesis of peripheral insulin resistance and type 2 diabetes mellitus (T2DM). The deregulation of the metabolic homeostasis in skeletal muscle causes muscle fiber type switching, from the slow-twitch to fast-twitch, as the disease worsens over time [7]. The peroxisome proliferator-activated receptors (PPARs) have emerged as the master regulators of both lipid and glucose homeostasis, and are considered as valuable pharmaceutical targets for treating metabolic dysfunctions and T2DM. We will focus on the metabolic regulatory roles of PPARs in the skeletal muscle during healthy and diseased states, primarily with studies that have used human and mouse models

Transcription Regulation by PPARs
Nutrient Sensing by PPARs
Regulation of Lipid Metabolism in Skeletal Muscle by PPARs
Regulation of Lipid Transport in Skeletal Muscle by PPARs
Regulation of Muscle Lipolysis by PPARs
Regulation of Muscle Lipid Storage by PPARs
Regulation of Mitochondrial Biogenesis and Function by PPARs
Dysregulation of Lipid Metabolism and PPAR during Insulin Resistance and T2DM
PPARγ Agonists and Insulin Resistance and T2DM Treatment
PPARα Agonists and Insulin Resistance and T2DM Treatment
Regulation of PPARs during Physical Exercise
Regulation of Skeletal Muscle Regeneration by PPARs
PPAR-Regulated Paracrine Networks between Muscle and Other Cell Types
Regulation of PPARs during Aging
Findings
10. Concluding Remarks and Perspectives
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