Tier 3 — preclinical

α-Ketoglutarate Ameliorates Sarcopenia in D-Galactose-Induced Aging Mice by Modulating Protein Homeostasis and Optimizing Mitochondrial Function

Zhang Y, Wang H, Zhang Y, Wang X, Qiao Z, Wang J, Li Y, Sun Y
Nutrients 2025 17(21):3336

Bibliography

PubMed
PMID 41228408
PubMed Central
PMC12608594
Funding
Supported by the 111 Project of the Education Ministry of China (No. B18053) and the 9th China Association for Science and Technology Youth Talent Support Program (2023–2026).
Competing interests
The authors declared no conflict of interest.

Study snapshot

DesignControlled animal intervention study
ModelD-galactose-induced aging model in 8-week-old male C57BL/6J mice
SampleNot fully specified in the extracted abstract/results; standard D-gal aging protocols in this design typically use 6–10 animals per group
InterventionAKG supplementation in D-galactose-induced aging mice, assessed against D-gal-only and untreated control groups
Duration8-week D-galactose induction and treatment protocol
EndpointsMuscle mass, exercise endurance, grip strength, cold tolerance; Myofibre protein composition and size (protein homeostasis); Muscle superoxide dismutase (SOD) activity and reactive oxygen species (ROS); SIRT1/PGC-1α/Nrf2 pathway activation and mitochondrial function

What the study showed, in plain terms

This 2025 study in Nutrients tested whether AKG could protect against sarcopenia — the age-related loss of muscle mass, strength, and function — in mice aged prematurely with D-galactose, a well-established model for studying age-related muscle decline.

AKG-treated aging mice kept more muscle mass, ran further, gripped harder, and tolerated cold better than untreated aging mice — cold tolerance is a standard proxy for muscle-driven thermogenesis in this model. Looking inside the muscle, the researchers found AKG preserved the normal balance of protein building and breakdown (protein homeostasis), kept muscle fibres larger and better organised, and activated a specific antioxidant and energy pathway (SIRT1/PGC-1α/Nrf2) that improved mitochondrial function and cut oxidative damage.

This is preclinical mouse evidence, not a human trial — it does not establish that oral Ca-AKG preserves muscle in ageing people. But it is a mechanistically coherent, quantitatively detailed account of how AKG might support muscle in an aging biological system, and it directly strengthens the case that muscle and frailty are a genuine, biologically plausible domain for Ca-AKG research to focus on.

Key findings

  • Functional muscle outcomes improved: AKG-treated aging mice showed higher body weight, a higher lean-to-fat ratio, larger tibialis anterior and gastrocnemius muscle mass ratios, better exercise endurance, stronger grip strength, and improved cold tolerance compared with untreated D-gal aging mice.
  • Protein homeostasis was restored: AKG increased activity in the anabolic p-AKT/p-mTOR signalling arm and reduced expression of the muscle-wasting ubiquitin ligases MAFbx and MuRF1, consistent with a shift away from net muscle protein breakdown.
  • Mitochondrial function and oxidative stress improved: AKG restored mitochondrial ultrastructure and cytochrome c oxidase (COX) expression, reduced reactive oxygen species and malondialdehyde (a marker of oxidative membrane damage), and raised superoxide dismutase activity, alongside reduced TNF-α and IL-6 inflammatory markers.
  • Mechanism traced to the SIRT1/PGC-1α/Nrf2 axis: AKG upregulated this pathway, which governs mitochondrial biogenesis and the cell's endogenous antioxidant response, linking the functional muscle improvements to a specific, testable molecular mechanism.

What this study can and cannot tell us

Animal model, not a human trial. D-galactose-induced aging is a widely used but imperfect proxy for natural human sarcopenia. Effect sizes and the dose used in mice do not translate directly to a human capsule dose.

Single-sex design. The study used only male mice, which limits generalisability to female physiology and sex-specific aging biology.

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