Evidence map›Paper›PMID 36642217›Full record

ArticleMolecular metabolism2023

Loss of skeletal muscle estrogen-related receptors leads to severe exercise intolerance.

Jean-Sébastien Wattez, Elodie Eury, Bethany C Hazen, Alexa Wade, Sarah Chau, Shu-Ching Ou, Aaron P Russell, Yoshitake Cho, Anastasia Kralli

Open access · goldAbstract read
In one paragraph

Article in Molecular metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Exercise pills for cardiometabolic health cannot mimic the exercise milieu.Trends in endocrinology and metabolism: TEM · 2026
    Review
  3. Article
  4. Article
  5. Estrogen-Related Receptor Alpha Promotes Skeletal Muscle Regeneration and Mitigates Muscular Dystrophy.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  6. Review
  7. Article
  8. The AMPK Pathway: Molecular Rejuvenation of Metabolism and Mitochondria.Annual review of cell and developmental biology · 2025
    Review
  9. Review
  10. Estrogen-related receptors regulate innate and adaptive muscle mitochondrial energetics through cooperative and distinct actions.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Jean-Sébastien WattezDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Elodie EuryDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA; Department of Chemical Physiology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Bethany C HazenDepartment of Chemical Physiology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Alexa WadeDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Sarah ChauDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Shu-Ching OuDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Aaron P RussellInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.
Yoshitake ChoDepartment of Chemical Physiology, The Scripps Research Institute, La Jolla, CA 92037, USA; Division of Cardiovascular Medicine, Department of Medicine, University of California San Diego, La Jolla, CA 92093, USA.
Anastasia KralliDepartment of Physiology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. Electronic address: akralli1@jhmi.edu.
Johns Hopkins University · USScripps Research Institute · USDeakin University · AUJohns Hopkins Medicine · US

Funding

Training In Cardiovascular Physiology & PharmacologyT32HL007444 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ju Chen, Robert Scott Ross · 1985 to 2026
$11.1M
The role of obscurin and Obsl1 as key determinants for diastolic functionR01HL152251 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHO, YOSHITAKE, LANGE, STEPHAN · 2021 to 2024
$2.3M
Estrogen-Related Receptor Pathways in Skeletal MuscleR01DK105126 · NIDDK · SCRIPPS RESEARCH INSTITUTE, THE · PI KRALLI, ANASTASIA · 2015 to 2019
$1.9M
PERM in Cardiac FunctionR01HL151239 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHO, YOSHITAKE, ROSS, ROBERT SCOTT · 2020 to 2023
$1.6M
NHLBI NIH HHS R01 HL152251NHLBI NIH HHS T32 HL007444NIDDK NIH HHS R01 DK105126
6 · The paper itself

Abstract

objectiveSkeletal muscle oxidative capacity is central to physical activity, exercise capacity and whole-body metabolism. The three estrogen-related receptors (ERRs) are regulators of oxidative metabolism in many cell types, yet their roles in skeletal muscle remain unclear. The main aim of this study was to compare the relative contributions of ERRs to oxidative capacity in glycolytic and oxidative muscle, and to determine defects associated with loss of skeletal muscle ERR function.

methodsWe assessed ERR expression, generated mice lacking one or two ERRs specifically in skeletal muscle and compared the effects of ERR loss on the transcriptomes of EDL (predominantly glycolytic) and soleus (oxidative) muscles. We also determined the consequences of the loss of ERRs for exercise capacity and energy metabolism in mice with the most severe loss of ERR activity.

resultsERRs were induced in human skeletal muscle in response to an exercise bout. Mice lacking both ERRα and ERRγ (ERRα/γ dmKO) had the broadest and most dramatic disruption in skeletal muscle gene expression. The most affected pathway was "mitochondrial function", in particular Oxphos and TCA cycle genes, and transcriptional defects were more pronounced in the glycolytic EDL than the oxidative soleus. Mice lacking ERRβ and ERRγ, the two isoforms expressed highly in oxidative muscles, also exhibited defects in lipid and branch chain amino acid metabolism genes, specifically in the soleus. The pronounced disruption of oxidative metabolism in ERRα/γ dmKO mice led to pale muscles, decreased oxidative capacity, histochemical patterns reminiscent of minicore myopathies, and severe exercise intolerance, with the dmKO mice unable to switch to lipid utilization upon running. ERRα/γ dmKO mice showed no defects in whole-body glucose and energy homeostasis.

conclusionsOur findings define gene expression programs in skeletal muscle that depend on different combinations of ERRs, and establish a central role for ERRs in skeletal muscle oxidative metabolism and exercise capacity. Our data reveal a high degree of functional redundancy among muscle ERR isoforms for the protection of oxidative capacity, and show that ERR isoform-specific phenotypes are driven in part, but not exclusively, by their relative levels in different muscles.

Indexed as

Muscle, SkeletalMuscular DiseasesAnimalsEnergy MetabolismEstrogensHumansLipidsMiceProtein IsoformsEstrogensLipidsProtein IsoformsEstrogen-related receptor (ERR)Exercise capacityExercise intoleranceMitochondrial oxidative metabolismMulti-minicore myopathySkeletal muscle

Identifiers

PMID36642217
PMCPMC9938320
OpenAlexW4315853499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.