Journal of Eexercise & Organ Cross Talk

Artificial intelligence in decoding muscle–organ crosstalk: Unveiling myokine networks and therapeutic frontiers

Document Type : Review Articles

Authors

1 Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

2 Master of Science, Physical Education and Sport Sciences, Tehran, Iran.

3 Department of Physical Education and Sport Sciences, K.C., Islamic Azad University, Alborz, Iran.

Abstract
Skeletal muscle functions as an endocrine organ, secreting myokines that mediate crosstalk with organs like the brain, liver, adipose tissue, and vascular system, influencing metabolism, inflammation, and disease progression. Advances in artificial intelligence (AI) are revolutionizing our ability to decode these complex interactions by predicting novel myokines, modeling signaling networks, and identifying therapeutic targets. Exercise training plays a pivotal role in modulating myokine expression, with both aerobic and resistance exercise inducing small to large increases in circulating myokines immediately to 60 minutes post-exercise, though levels typically return to baseline within hours. Different exercise modalities (resistance, aerobic, concurrent, high intensity interval training) stimulate distinct myokine profiles. These exercise-induced myokines contribute to improved metabolic regulation, muscle regeneration, and systemic health benefits, underscoring the therapeutic potential of tailored exercise interventions mediated through myokine signaling networks. This review explores how machine learning and network analysis tools bridge gaps in understanding myokine dynamics, particularly in exercise-induced contexts and pathologies such as obesity, cancer, and neurodegeneration. By integrating multi-omics data, AI-driven approaches offer unprecedented insights into myokine-mediated organ communication and their potential as biomarkers or treatments.

What is already known on this subject?

Skeletal muscle functions as an endocrine organ, secreting myokines that mediate crosstalk with organs like the brain, liver, adipose tissue, and vascular system, influencing metabolism, inflammation, and disease progression.

 

What this study adds?

The integration of artificial intelligence with myokine research is transforming our understanding of muscle–organ crosstalk by enabling the prediction of novel myokines, modeling complex signaling networks, and identifying therapeutic targets.

Keywords

Subjects


Acknowledgements

None.

Funding

No funding.

Compliance with ethical standards

Conflict of interest The authors declare that they have no conflict of interest.

Ethical approval Not applicable.

Informed consent Not applicable

Author contributions

Conceptualization: A.K.; Methodology: E.A.; Software: None.; Validation: F.Kh., Formal analysis: none.; Investigation: A.K.; Resources: F.Kh.; Data curation: None.; Writing - original draft: E.A.; Writing – review & editing: E.A.; Visualization: A.K.; Supervision: A.K. Project administration: F.Kh.; Funding acquisition: A.K.

Al Moussawy, M., Lakkis, Z. S., Ansari, Z. A., Cherukuri, A. R., & Abou-Daya, K. I. (2024). The transformative potential of artificial intelligence in solid organ transplantation. Frontiers in Transplantation, 3, 1361491. doi: https://doi.org/10.3389/frtra.2024.1361491
Bay, M. L., & Pedersen, B. K. (2020). Muscle-organ crosstalk: focus on immunometabolism. Frontiers in physiology, 11, 567881. doi: https://doi.org/10.3389/fphys.2020.567881
Bondi, D., Bevere, M., Piccirillo, R., Sorci, G., Di Felice, V., Cecconi, A. D. R., . . . Fulle, S. (2023). Integrated procedures for accelerating, deepening, and leading genetic inquiry: A first application on human muscle secretome. Molecular Genetics and Metabolism, 140(3), 107705. doi: https://doi.org/10.1016/j.ymgme.2023.107705
Chen, Y., Yang, M., & Hua, Q. (2025). Artificial intelligence in central-peripheral interaction organ crosstalk: the future of drug discovery and clinical trials. Pharmacological Research, 107734. doi: https://doi.org/10.1016/j.phrs.2025.107734
Cipolletta, E., Fiorentino, M. C., Vreju, F. A., Moccia, S., & Filippucci, E. (2024). Artificial intelligence in rheumatology and musculoskeletal diseases. In (Vol. 11, pp. 1402871): Frontiers Media SA. doi: https://doi.org/10.3389/fmed.2024.1402871
Diaz-Canestro, C., Chen, J., Liu, Y., Han, H., Wang, Y., Honore, E., . . . Xu, A. (2023). A machine-learning algorithm integrating baseline serum proteomic signatures predicts exercise responsiveness in overweight males with prediabetes. Cell Reports Medicine, 4(2). URL: https://www.cell.com/cell-reports-medicine/fulltext/S2666 3791(23)00036-8
Förster, P. M., Hogenkamp, J., Pottgießer, M. F., Binsch, C., Humpert, A. D., Brügge, C. L., . . . Thoresen, G. H. (2025). High-resolution analyses of the secretomes from murine C2C12 cells and primary human skeletal muscle cells reveal distinct differences in contraction-regulated myokine secretion. Frontiers in physiology, 16, 1549316. doi: https://doi.org/10.3389/fphys.2025.1549316
Gao, X., Chen, Y., & Cheng, P. (2024). Unlocking the potential of exercise: harnessing myokines to delay musculoskeletal aging and improve cognitive health. Frontiers in physiology, 15, 1338875. doi: https://doi.org/10.3389/fphys.2024.1338875
Jia, J., Wang, L., Zhou, Y., Zhang, P., & Chen, X. (2025). Muscle-derived extracellular vesicles mediate crosstalk between skeletal muscle and other organs. Frontiers in physiology, 15, 1501957. doi: https://doi.org/10.3389/fphys.2024.1501957
Kostka, M., Morys, J., Małecki, A., & Nowacka-Chmielewska, M. (2024). Muscle–brain crosstalk mediated by exercise-induced myokines-insights from experimental studies. Frontiers in physiology, 15, 1488375. doi: https://doi.org/10.3389/fphys.2024.1488375
Letukienė, A., Hendrixson, V., & Ginevičienė, V. (2024). Current knowledge and scientific trends in myokines and exercise research in the context of obesity. Frontiers in Medicine, 11, 1421962. doi: https://doi.org/10.3389/fmed.2024.1421962
Li, B., Shaikh, F., Zamzam, A., Syed, M. H., Abdin, R., & Qadura, M. (2024). The Identification and Evaluation of Interleukin-7 as a Myokine Biomarker for Peripheral Artery Disease Prognosis. Journal of Clinical Medicine, 13(12), 3583. doi: https://doi.org/10.3390/jcm13123583
Nuriya, K., Farida, M., Sharma, R., Liliya, S., Xeniya, M., Bibigul, C., . . . Anna, E. (2024). Role of Myokines and prospects for their role in Diabetes Mellitus Therapy. Research Journal of Pharmacy and Technology, 17(10), 5119-5131. doi: https://doi.org/10.52711/0974-360X.2024.00786
Orioli, L., & Thissen, J.-P. (2025). Myokines as potential mediators of changes in glucose homeostasis and muscle mass after bariatric surgery. Frontiers in Endocrinology, 16, 1554617. doi: https://doi.org/10.3389/fendo.2025.1554617
Peng, H., Wang, Q., Lou, T., Qin, J., Jung, S., Shetty, V., . . . Mitch, W. E. (2017). Myokine mediated muscle-kidney crosstalk suppresses metabolic reprogramming and fibrosis in damaged kidneys. Nature communications, 8(1), 1493. doi: https://doi.org/10.1038/s41467-017-01646-6
Severinsen, M. C. K., & Pedersen, B. K. (2020). Muscle–organ crosstalk: the emerging roles of myokines. Endocrine reviews, 41(4), 594-609.  doi: https://doi.org/10.1210/endrev/bnaa016
Shao, M., Wang, Q., Lv, Q., Zhang, Y., Gao, G., & Lu, S. (2024). Advances in the research on myokine-driven regulation of bone metabolism. Heliyon, 10(1). URL: https://www.cell.com/heliyon/fulltext/S2405-8440(23)09755-4
Wang, H., Li, X., You, X., & Zhao, G. (2024). Harnessing the power of artificial intelligence for human living organoid research. Bioactive Materials, 42, 140-164. doi: https://doi.org/10.1016/j.bioactmat.2024.08.027
Zhang, L., Li, C., Xiong, J., Chang, C., & Sun, Y. (2022). Dysregulated myokines and signaling pathways in skeletal muscle dysfunction in a cigarette smoke–induced model of chronic obstructive pulmonary disease. Frontiers in physiology, 13, 929926. doi: https://doi.org/10.3389/fphys.2022.929926
Zhang, L., & Sun, Y. (2021). Muscle-bone crosstalk in chronic obstructive pulmonary disease. Frontiers in Endocrinology, 12, 724911. doi: https://doi.org/10.3389/fendo.2021.724911
Volume 4, Issue 4
Autumn 2024
Pages 292-297

  • Receive Date 09 September 2024
  • Revise Date 09 December 2024
  • Accept Date 19 December 2024