Differential response trajectories to acute exercise in blood and muscle

A physically active lifestyle is essential for maintaining health, and is a powerful way to prevent chronic disease. However, the molecular mechanisms that drive exercise adaptation and transduce its beneficial effects, are incompletely understood. Here, we combined data from 49 studies that measured the whole transcriptome in humans before and after exercise to provide the power to draw novel observations not seen in any individual study alone. The resulting curated and standardized resource includes samples from skeletal muscle (n=1,260) and blood (n=726) in response to endurance or resistance exercise and training. Using a linear mixed effects meta-regression model selection strategy, we detected specific time patterns and novel regulatory modulators of the acute exercise response. Acute and long term responses to exercise were transcriptionally distinct. Exercise induced a more pronounced inflammatory response in skeletal muscle of older individuals. We identified multiple sex-specific response genes, where MTMR3 is a novel exercise-regulated gene. These results deepen our understanding of the transcriptional responses to exercise and provide a powerful resource for future research efforts in exercise physiology and medicine.