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1 Centre of Inflammation and Metabolism, Rigshospitalet, Copenhagen, Denmark
2 The Centre of Inflammation and Metabolism, Dept. of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark
3 Centre of Inflammation and Metabolism, Rigshospitalet, Copenhagen, Denmark; Dept. of Infectious Diseases, Rigshospitalet, Blegdamsvej 9, section M7641, Copenhagen, 2200, Denmark
* To whom correspondence should be addressed. E-mail: bkp{at}rh.dk.
During the past 20 years it has been well documented that exercise has a profound effect on the immune system. With the discovery that exercise provokes an increase in a number of cytokines a possible link between skeletal muscle contractile activity and immune changes was established. For most of the last century, researchers sought a link between muscle contraction and humoral changes in the form of an exercise factor, which could mediate some of the exercise-induced metabolic changes in other organs such as the liver and the adipose tissue. We suggest that cytokines and other peptides that are produced, expressed and released by muscle fibers and exert either paracrine or endocrine effects should be classified as myokines. Since the discovery of interleukin-6 (IL-6) release from contracting skeletal muscle evidence has accumulated that supports an effect of IL-6 on metabolism. We suggested that muscle-derived IL-6 fulfils the criteria of an exercise factor and that such classes of cytokines should be named myokines. Interestingly, recent research demonstrates that skeletal muscles can produce and express cytokines belonging to distinctly different families. Thus, skeletal muscle has the capacity to express several myokines. To date the list includes interleukin IL-6, IL-8, and IL-15, and contractile activity plays a role in regulating the expression of these cytokines in skeletal muscle. The present review focuses on muscle-derived cytokines, also called myokines, their regulation by exercise and their possible roles in metabolism and skeletal muscle function and discusses which cytokines should be classified as true myokines.
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