The complex array of biochemical and mechanical stimuli collectively initiates and sustains the cellular processes of muscle protein synthesis, ultimately leading to an increase in muscle mass, known as hypertrophy. These signals include the mechanical tension from resistance exercise, the availability of amino acids, and the systemic presence of key anabolic hormones such as testosterone, insulin, and growth hormone. The clarity and strength of these signals are essential for effective physiological adaptation and the maintenance of lean body mass.
Origin
This concept originates from exercise physiology and molecular biology, particularly with the discovery of the mechanistic target of rapamycin (mTOR) pathway in the late 20th century, which elucidated the primary cellular signaling cascade for muscle growth. The term ‘Accretion Signals’ is a clinical synthesis that groups together the various inputs required to trigger this anabolic state. It reflects the clinical shift from focusing solely on muscle contraction to understanding the comprehensive biochemical environment.
Mechanism
The signals function by activating specific intracellular pathways within muscle fibers, primarily the Akt/mTOR signaling cascade, which acts as the master regulator of protein synthesis. Anabolic hormones bind to their receptors, amplifying this cascade and simultaneously inhibiting catabolic pathways like the ubiquitin-proteasome system. This dual action mechanism ensures that the rate of protein synthesis significantly exceeds the rate of protein degradation, resulting in net muscle tissue gain.
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