Journal of Eexercise & Organ Cross Talk

Skeletal muscle stretching as a mechanotransductive trigger for myokine release: A narrative review

Document Type : Review Articles

Authors

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

2 Assistant Professor, Department of Sports Science, Faculty of Literature and Humanities, Ilam University, Ilam, Iran.

Abstract
Skeletal muscle functions as an endocrine organ by releasing myokines—cytokines and peptides that mediate systemic physiological adaptations. This review synthesizes evidence establishing mechanical stretching (active/passive) as a potent mechanotransductive stimulus for myokine secretion. Key pathways include integrin-mediated signaling, stretch-activated ion channels (Piezo/TRP), and mechanosensitive transcriptional regulators (YAP/TAZ), which activate MAPK, calcium-dependent kinases, and other cascades to modulate myokine gene expression. We highlight stretch-responsive myokines (IL-6, irisin, myostatin, BDNF, SPARC) and their roles in metabolism, tissue repair, and inflammation. Clinical implications for aging, metabolic disease, and rehabilitation are discussed, emphasizing how targeted stretching protocols may harness myokine-mediated benefits in mobility-limited populations. Future research directions include optimizing stretch "dosing" and elucidating tissue-specific myokine actions.

What is already known on this subject?

Skeletal muscle functions not only as a force generator but also as an endocrine organ that secretes myokines – signaling cytokines and peptides released by muscle fibers.

 

What this study adds?

skeletal muscle stretching – whether active or passive – is a potent mechanotransductive trigger that can lead to the expression and secretion of key myokines.

Keywords

Subjects


Acknowledgements

None.

Funding

No sources of funding were sought or awarded for this study.

Data availability

Review article.

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: H.Sh.,; Methodology: S.E.H.; Software: None.; Validation: M.N., ;Formal analysis: None.; Investigation: S.E.H.; Resources: H.Sh.; Data curation: None.; Writing - original draft: M.N.,; Writing–review & editing: H.Sh.; Visualization: M.N.; Supervision: S.H.E.; Project administration: H.Sh.; Funding acquisition: S.H.E.

Aoi, W., Naito, Y., Takagi, T., Tanimura, Y., Takanami, Y., Kawai, Y., ... & Yoshikawa, T. (2012). A novel myokine, secreted protein acidic and rich in cysteine (SPARC), suppresses colon tumorigenesis via regular exercise. Gut, 62(6), 882–889. https://doi.org/10.1136/gutjnl-2011-300776
Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. https://doi.org/10.1002/cphy.c110025
Chambers, M. A., Moylan, J. S., Smith, J. D., Goodyear, L. J., & Reid, M. B. (2009). Stretch-stimulated glucose uptake in skeletal muscle is mediated by reactive oxygen species and p38 MAPK. Journal of Applied Physiology, 106(5), 1748–1755. https://doi.org/10.1152/japplphysiol.91289.2008
Eliasson, P., Andersson, T., & Kjaer, M. (2025). Mechanical loading of skeletal muscle cells modulates their paracrine effects on tendon cell migration. ACS Omega, 8(12), 11245–11254. https://doi.org/10.1021/acsomega.2c08019
Fischer, M., Rikeit, P., Knaus, P., & Coirault, C. (2016). YAP-mediated mechanotransduction in skeletal muscle. Frontiers in Physiology, 7, Article 41. https://doi.org/10.3389/fphys.2016.00041
Harburger, D. S., & Calderwood, D. A. (2009). Integrin signalling at a glance. Journal of Cell Science, 122(2), 159–163. https://doi.org/10.1242/jcs.018093
Ingber, D. E. (2006). Cellular mechanotransduction: Putting all the pieces together again. The FASEB Journal, 20(7), 811–827. https://doi.org/10.1096/fj.05-5424rev
Kanzleiter, T., Rath, M., Görgens, S. W., Jensen, J., Tangen, D. S., Kolnes, A. J., ... & Eckardt, K. (2014). The myokine decorin is regulated by contraction and involved in muscle hypertrophy. Biochemical and Biophysical Research Communications, 450(2), 1089–1094. https://doi.org/10.1016/j.bbrc.2014.06.123
Koutsilieris, M., Mastri, M., & Almokadem, S. (2020). Stretch-induced IGF-1 secretion by muscle cells is mediated by the integrin pathway. International Journal of Cancer Research, 16(1), 1–8. https://doi.org/10.3923/ijcr.2020.1.8
Matthews, V. B., Åström, M. B., Chan, M. H. S., Bruce, C. R., Krabbe, K. S., Prelovsek, O., ... & Pedersen, B. K. (2009). Brain-derived neurotrophic factor is produced by skeletal muscle cells in response to contraction and enhances fat oxidation via activation of AMP-activated protein kinase. Diabetologia, 52(7), 1409–1418. https://doi.org/10.1007/s00125-009-1364-1
Mitra, S. K., Hanson, D. A., & Schlaepfer, D. D. (2005). Focal adhesion kinase: In command and control of cell motility. Nature Reviews Molecular Cell Biology, 6(1), 56–68. https://doi.org/10.1038/nrm1549
Pedersen, B. K. (2011). Muscles and their myokines. Journal of Experimental Biology, 214(2), 337–346. https://doi.org/10.1242/jeb.048074
Pedersen, B. K., Steensberg, A., Fischer, C., Keller, C., Keller, P., Plomgaard, P., ... & Febbraio, M. A. (2003). Searching for the exercise factor: Is the IL-6 a candidate? Journal of Muscle Research & Cell Motility, 24(2–3), 113–119. https://doi.org/10.1023/A:1026070911202
Pedersen, B. K., & Febbraio, M. A. (2012). Muscles, exercise and obesity: Skeletal muscle as a secretory organ. Nature Reviews Endocrinology, 8(8), 457–465. https://doi.org/10.1038/nrendo.2012.49
Vogel, V., & Sheetz, M. (2006). Local force and geometry sensing regulate cell functions. Nature Reviews Molecular Cell Biology, 7(4), 265–275. https://doi.org/10.1038/nrm1890
Ye, F., Kim, C., & Ginsberg, M. H. (2010). Reconstruction of integrin activation. Blood, 119(1), 26–33. https://doi.org/10.1182/blood-2011-04-292128
Yoon, J. H., Youn, H. J., & Kim, S. H. (2020). Differential effects of stretching parameters on myokine expression in C2C12 myotubes. International Journal of Molecular Sciences, 21(22), Article 8751. https://doi.org/10.3390/ijms21228751
Zhang, L., Tang, Y., Jiang, S., Wang, Z., Yan, J., & Qin, K. (2022). Cyclic mechanical strain promotes irisin secretion in C2C12 myotubes through the FNDC5/PGC-1α pathway. iScience, 25(5), Article 104212. https://doi.org/10.1016/j.isci.2022.104212
Volume 5, Issue 1
Winter 2025
Pages 40-45

  • Receive Date 04 January 2025
  • Revise Date 07 March 2025
  • Accept Date 07 March 2025