Abstract

Movement and regular physical activity are two important factors that help the human body prevent, reduce and treat different chronic diseases such as obesity, type 2 diabetes, heart diseases, hypertension, sarcopenia, cachexia and cancer. During exercise, several tissues release molecules into the blood stream, and are able to mediate beneficial effects throughout the whole body. In particular, contracting skeletal muscle cells have the capacity to communicate with other organs through the release of humoral factors that play an important role in the mechanisms of adaptation to physical exercise. These muscle-derived factors, today recognized as myokines, act as endocrine and paracrine hormones. Moreover, exercise may stimulate the release of small membranous vesicles into circulation, whose composition is influenced by the same exercise. Combining the two hypotheses, these molecules related to exercise, named exer-kines, might be secreted from muscle cells inside small vesicles (nanovesicles). These could act as messengers in tissue cross talk during physical exercise. Thanks to their ability to deliver useful molecules (such as proteins and miRNA) in both physiological and pathological conditions, extracellular vesicles can be thought of as promising candidates for potential therapeutic and diagnostic applications for several diseases.

Highlights

  • Skeletal muscle is the largest organ of our body, responsible for our posture and our movement

  • An unbalance in one of these two processes can lead to the establishment and progression of pathological conditions (Bowen et al, 2015) such as sarcopenia and cachexia (Fearon et al, 2011)

  • A lifestyle based on a greater physical activity and a lower energy intake, helps to decrease visceral fat mass content (Miyatake et al, 2002; Shojaee-Moradie et al, 2007), inflammation (Petersen and Pedersen, 2005; Mathur and Pedersen, 2008; Nilsson et al, 2019) and the risk of several chronic diseases such as obesity (Roh and So, 2017), type 2 diabetes (Hu et al, 1999) and cancer (Hojman et al, 2011; Barone et al, 2016)

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Summary

Introduction

Skeletal muscle is the largest organ of our body, responsible for our posture and our movement. These cells are subjected to energetic (metabolic) and mechanical (contractile) stimuli that improve metabolic health of skeletal muscle and promote the release of specific molecules (called myokines), that can alter the function of other tissues (Stanford and Goodyear, 2018).

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