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Exercise-induced adaptations in the kynurenine pathway

Implications for health and disease management

Bibliographic Data

ID16969045
AuthorsMarcus Vinicius dos Santos Rangel (0000-0001-7663-0875, Universidade do Estado do Rio de Janeiro), Karynne Grutter Lopes (0000-0002-3005-3889, Universidade do Estado do Rio de Janeiro), Xuebin Qin (0000-0001-9875-983X, Tulane University), Juliana Pereira Borges (0000-0002-3581-7251, Universidade do Estado do Rio de Janeiro, corresponding author)
Year2025
Volume7
Pages1535152-1535152
Publication date2025-03-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fspor.2025.1535152
PMID40115437
OpenAlexW4408208995
LanguageEN
References cited107

Background: Tryptophan (TRP) metabolism through the kynurenine (KYN) pathway is influenced by inflammatory mediators, generating metabolites that regulate immune and inflammatory responses. Exercise has been proposed as a modulator of this pathway, but its role in health benefits and chronic disease management remains unclear. Objective: This systematic review examines exercise-induced adaptations in the KYN pathway and their potential implications for health and disease management. Additionally, we identify key methodological considerations for future research. Methods: A structured search of PubMed/Medline, Web of Science, and Scopus was conducted up to October 2024 to identify clinical trials investigating the effects of exercise training on the KYN pathway. Results: Of 2,795 articles initially found, 13 clinical trials involving 592 participants met the inclusion criteria. Most studies reported exercise-induced adaptations in the KYN pathway, particularly in cancer survivors. These adaptations appeared to be influenced by exercise intensity and duration. However, several methodological limitations were noted, and no trials included patients with metabolic or cardiovascular diseases. Conclusions: Here, we show that exercise training modulates the KYN pathway in both healthy and diseased populations, highlighting its potential for disease prevention and management. However, further randomized-controlled trials are needed to clarify its mechanisms and clinical applications, particularly in metabolic and cardiovascular diseases. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42022351481, PROSPERO (CRD42022351481)

Bioinformatics · Biology · Clinical trial · Disease · Disease management · Kynurenine · Kynurenine pathway · MEDLINE · Parkinson's disease · Physical therapy · Cardiac Health and Mental Health · Exercise and Physiological Responses · Medicine · Tryptophan and brain disorders · Internal Medicine

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    Open Access•Julian P T Higgins, D G Altman et al.•BMJ•2011

  • The PRISMA 2020 statement

    Open Access•Matthew J Page, Joanne E McKenzie et al.•BMJ•2021

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