Workshop report: Can an understanding of the mechanisms underlying age-related loss of muscle mass and function guide exercise and other intervention strategies?

An international workshop was hosted by the University of Liverpool on 15-16 July 2011 to address at a basic level what is known about the fundamental mechanisms by which skeletal muscle mass and function are lost during aging and to examine the nature of interventions that might prevent these mechanistic changes. Of particular importance was to attempt to evaluate how different forms of exercise (or muscle contractile activity) influence these processes and how these effects can be best optimized to prevent or delay age-related loss of muscle function. The program took the form of a two-day meeting, comprising a series of invited talks and breakout sessions designed to identify key gaps in current knowledge and potential future research questions. The aims of this Workshop were two-fold: 1. To identify the current state-of-the-art in the understanding of the mechanisms that contribute to loss of skeletal muscle mass and function that occurs with aging and to address at a mechanistic level how, and to what extent, exercise and/or other interventions might prevent these changes. 2. To identify specific areas of research where information is sparse but which are likely to yield data that will impact on future strategies to manipulate age-related loss of muscle mass and function in older people. The areas discussed in detail were loss of functional motor units, reduced muscle stem cell activity, age-related changes in transcriptional responses of muscle to exercise and nutrition, age-related changes in protein homeostasis, mitochondrial function, altered cross-talk between muscle with immune cells and how the developments in basic science to understand mechanisms underlying age-related loss of muscle mass and function can be translated. Following each session three key areas where further studies are needed were identified.