5 Minutes
Cutting calories in older animals does more than shrink waistlines: it reshapes the molecular wiring of skeletal muscle and sharpens insulin responsiveness — but males and females get there by distinct biochemical routes. New research from the University of Michigan and the University of Sydney maps those sex-specific changes and points to protein targets that could inform future therapies for age-related insulin resistance.

Calorie restriction improves muscle insulin sensitivity in aging rats, but males and females achieve this through different molecular pathways.
Big picture: Why reducing calories matters for blood sugar control
As people age, muscle becomes a critical battleground for controlling blood sugar. Skeletal muscle is the largest tissue that takes up glucose in response to insulin, so preserving its responsiveness helps prevent type 2 diabetes and metabolic decline. Calorie restriction (CR) — eating fewer calories without malnutrition — has long been shown to improve metabolic health and insulin sensitivity. What this new study adds is a high-resolution look at how those improvements are achieved inside the muscle, and how the biochemical strategies differ between sexes.
Design of the experiment: aging rats, targeted calorie cut
Researchers studied 24-month-old rats — a rodent age equivalent to advanced middle age in humans — and reduced their daily caloric intake by 35% for eight weeks. The team then measured insulin-stimulated glucose uptake in skeletal muscle and performed proteomic analyses to find changes in phosphorylation, the chemical modification that acts like a switch on protein activity.
What is phosphorylation?
Phosphorylation adds or removes a phosphate group to a protein, altering its shape and function. It’s one of the fastest ways cells change protein behavior in response to signals like hormones, nutrients, or stress.
Key findings: same benefit, different molecular routes
Both male and female rats showed improved insulin-stimulated glucose uptake after calorie restriction. Females, however, exhibited higher glucose uptake overall regardless of diet. When the team looked at phosphorylation patterns, the sexes diverged dramatically: insulin altered phosphorylation at more than twice as many protein sites in females than in males. But paradoxically, calorie restriction itself changed phosphorylation at roughly 30% more sites in males than in females.
Put simply, males and females use different molecular adaptations to reach the same beneficial outcome: healthier muscle glucose metabolism. As lead investigator Greg Cartee of the University of Michigan put it, the sexes may travel the same highway toward improved insulin action but take different lanes and speeds along the way.
Proteins of interest: Lmod1 and Ehbp1l1
The study highlighted two proteins whose insulin-responsive phosphorylation correlated closely with increased glucose uptake across animals: Lmod1 and Ehbp1l1. Importantly, both proteins also have genetic links to glycemic traits in humans, suggesting that the rodent findings could translate to human biology and offer potential therapeutic angles for improving muscle glucose handling.
These proteins aren’t yet drug targets, but identifying them narrows the search for molecules that could mimic the beneficial effects of calorie restriction without requiring extreme dietary changes.
Metabolites tell a similar sex-specific story
In a complementary experiment, the researchers measured roughly 1,000 metabolites — small molecules that reflect cellular processes. About 40% of those metabolites changed with calorie restriction within each sex, and while many changes were shared, a substantial subset was sex-specific. That matches the phosphorylation data and strengthens the conclusion that male and female muscles adapt via different biochemical programs.
Implications for treatment and research
The study, funded by the National Institutes of Health and the Australian Research Council and published in the Journal of Gerontology: Biological Sciences, underscores the need for sex-specific research when designing interventions for age-related metabolic disease. A one-size-fits-all approach may miss important molecular differences that influence treatment efficacy or safety.
For clinicians and drug developers, the takeaways are concrete: consider sex as a biological variable in preclinical work, validate candidate targets like Lmod1 and Ehbp1l1 in human tissues, and explore whether partial mimetics of calorie restriction can reproduce muscle-specific benefits without dietary extremes.
Expert Insight
"This study elegantly shows that similar physiological outcomes can be achieved through different biochemical routes, depending on sex," says Dr. Maya Hernandez, a metabolic physiologist not involved in the study. "For translational work, that means biomarkers and therapeutic targets need validation in both males and females early in development. Otherwise we risk developing interventions that work well for one sex but underperform or even backfire in the other."
Going forward, researchers will need to test whether manipulating the identified proteins or the phosphorylation pathways they participate in can safely and reliably boost muscle insulin sensitivity in aged humans. Long-term, such strategies could become part of personalized approaches to preventing or treating type 2 diabetes in older adults.
Source: scitechdaily
Comments
coinpilot
So calorie restriction helps aged rats, sure. but can drugs realistically mimic sex-specific phosphorylation changes? sounds promising, yet risky if not validated in humans?
bioNix
Whoa, wild that males and females hit insulin sensitivity via different molecular routes. Lmod1 and Ehbp1l1 could be big, hope they test in humans soon… but 35% calorie cut for 8 weeks? kinda extreme, no?
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