The Influence of Aging on the Unfolded Protein Response in Human Skeletal Muscle at Rest and Following Acute Exercise

ABSTRACT Background The unfolded protein response (UPR) is a proteostatic process that is activated in response to endoplasmic reticulum stress. It is currently unclear how aging influences the chronic and adaptive UPR in human skeletal muscle. Here we determined the effect of aging on UPR activation at rest, in response to exercise, and the associations with muscle function. Methods Thirty young (20-35 yrs) and 50 older (65-85 yrs) individuals were enrolled. Vastus lateralis biopsies were performed at rest and 3 hrs and 48 hrs after a single bout of resistance exercise. The abundance of UPR-related transcripts and proteins were measured by RNA sequencing and Western blotting, respectively. Fractional synthetic rates (FSR) of muscle protein were determined by mass spectrometry following intravenous infusion of 13 C 6 phenylalanine. Results Older adults demonstrated elevated transcriptional and proteomic markers of UPR activation in resting muscle. Resting UPR gene expression was negatively associated with muscle strength and power in older adults. The UPR is similarly activated by acute resistance exercise in young and older adults and positively associated with muscle function but not the anabolic response to exercise. Conclusions Skeletal muscle from older adults exhibits chronically activated UPR, which accompanies functional decline. The adaptive UPR is a proteostatic mechanism that is upregulated in response to exercise in young and older adults and positively associated with muscle function.