West · The international journal of biochemistry & cell biology 2010 · narrative review · n=?

Human exercise-mediated skeletal muscle hypertrophy is an intrinsic process.

Cited 113 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and mechanistic theoretical perspective without original trial data

PubMed 20541030 · doi:10.1016/j.biocel.2010.05.012 · record verified 2026-08-26

What was done

This paper provides a mechanistic review evaluating the determinants of resistance exercise-induced skeletal muscle hypertrophy in humans. It examines the physiological role of transient post-exercise elevations in systemic hormones (growth hormone, testosterone, IGF-1) versus local, muscle-intrinsic mechanical and intracellular signaling pathways (such as p70S6K, tension-sensing proteins, and membrane-derived factors).

What was found

The abstract reports no numerical data or statistical measures. Conceptually, it states that transient systemic hormone elevations following exercise do not determine acute muscle protein synthesis or hypertrophic outcomes. Instead, locally activated tension-sensing mechanisms and intrinsic signaling pathways directly stimulate muscle protein synthesis and myofibre protein accretion following mechanical loading.

Why it matters

This work challenges the widespread concept that post-exercise systemic hormonal spikes serve as proxy markers or primary drivers for muscle growth, highlighting local mechanical tension as the primary stimulus.

Limits

The abstract contains only narrative mechanism-based reasoning and presents no original empirical data, quantitative meta-analyses, or sample details. Direct interactions between baseline hormonal status and intrinsic mechanical pathways cannot be quantified from the text.

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