Submitted:
19 December 2025
Posted:
22 December 2025
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Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Aim and Review Type
2.2. Conceptual Framework
2.3. Literature Identification
2.4. Eligibility Criteria
2.5. Qualitative Appraisal of Evidence
2.6. Synthesis Strategy
3. Mechanistic Synthesis
3.1. Nutritional Signaling and the AMPK–mTOR Axis

3.2. Molecular Parallels Between Performance Enhancement and Tumorigenesis
3.3. Epigenetic Modulation Under Metabolic Stress
3.4. Case Contexts: Elite Sport and Doping Paradigms
3.5. The Metabolic Overdrive Model
3.6. Testable Predictions and Biomarkers
| Mechanistic axis |
Primary human readouts (assay & specimen) |
Predicted direction in overdrive | Evidence base (cell/animal/human) |
Reversibility signal (periodic AMPK) |
Preferred sampling window |
| AMPK–mTOR balance | AMPK Thr172-P (WB/ELISA; muscle or PBMCs), p-S6K1 (Thr389) / p-4E-BP1 (Ser65) (WB), LC3-II/p62 (autophagic flux with lysosomal inhibition) | ↓ AMPK Thr172-P; ↑ p-S6K1/4E-BP1; ↓ autophagic flux | Strong (cells/rodents) + human acute & training blocks |
↑ AMPK Thr172-P; normalization of p-S6K1; ↑ LC3-II | 24–48 h post-stimulus, spanning feeding |
| NAD+ economy (SIRT1–PARP) | NAD+/NADH (enzymatic cycling; muscle/PBMCs), PARylation (WB), SIRT1 activity (fluor./ELISA) | ↓ NAD+; ↑ PARylation; ↓ SIRT1 activity | Moderate–strong (cells/rodents) + human acute (exercise/irradiation) |
↑ NAD+; ↓ PARylation; ↑ SIRT1 | 0–6 h and 24 h post-stimulus |
| Redox status | 8-oxo-dG (DNA damage), GSH/GSSG, TBARS/MDA, SOD2/Catalase (WB/activity) | ↑ oxidative adducts; ↑ inflammatory redox tone | Strong across models; robust human acute | ↓ adducts; normalization of GSH/GSSG | Immediately post + 24–48 h |
| Epigenetic layer | H3K9ac (ChIP-WB), 5mC/5hmC (LC-MS/MS; targeted bisulfite), TET activity, DNMT1; target loci: PGC-1α, TFAM, PDK4 | ↑ H3K9ac; ↓ TET/5hmC at oxidative loci; ↑ DNMT1; methylation drift | Moderate (cells/rodents) + human acute/longitudinal |
↓ H3K9ac; ↑ 5hmC/TET upon AMPK restoration | 24–72 h (miRNAs earlier) |
| miRNA remodeling | Plasma/serum miR-181a/494 (oxidative), miR-378/486 (hypertrophic), miR-21/34a (fibro-oncogenic) | ↑ miR-21/34a; rigidified profile | Human: acute + training periods |
Shift back toward oxidative profile (miR-181a/494) | 0–24 h |
| Mitochondrial quality | PGC-1α, MFN2, DRP1, mtDNA damage, LC3-II | ↓ mitophagy; ↑ DRP1; ↑ mtROS | Robust experimental; emerging human data | ↑ mitophagy; ↑ PGC-1α; reduced mtROS | 24–72 h |

4. Discussion
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of interest
References
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| Pathway / Component | Nutritional or Energetic Trigger | Upstream Regulator(s) | Primary Molecular Effect | Downstream Target(s) | Adaptive Role (Physiological Context) | Potential Dysregulation (Overdrive State) |
| AMPK | Energy deficit, exercise, fasting | AMP/ATP ratio, LKB1 | Activates catabolic fluxes; inhibits mTORC1 | ACC, ULK1, PGC-1α | Enhances mitochondrial biogenesis, endurance, autophagy | Chronic suppression → anabolic dominance, insulin resistance |
| mTORC1 | Amino acids (leucine), insulin, IGF-1 | PI3K–AKT, Rheb, Rag GTPases | Stimulates protein synthesis via p70S6K and 4E-BP1 | Ribosomal proteins, eIF4E | Promotes muscle growth and recovery | Persistent activation → oxidative stress, epigenetic drift |
| SIRT1 | NAD+ levels, caloric restriction | AMPK, NAMPT | Deacetylates transcriptional regulators (PGC-1α, FOXO) | PGC-1α, p53, NF-κB | Increases oxidative metabolism and stress resistance | NAD+ depletion → loss of redox control and mitochondrial decline |
| IGF-1/AKT axis | Protein intake, GH, insulin | GH/IGF-1 signaling | Activates mTORC1, inhibits AMPK | FOXO, TSC2, GSK3β | Supports hypertrophy and tissue regeneration | Chronic activation → reduced autophagy, oncogenic signaling |
| Leucine–AMPK–mTOR crosstalk | Branched-chain amino acids | Ragulator complex | Coordinates anabolism–catabolism balance | mTORC1, AMPK | Fine-tunes training–fuel coupling, metabolic flexibility | Excess BCAA intake → insulin desensitization, ROS accumulation |
| NAD+/PARP balance | Oxidative load, DNA repair demand | PARP1, SIRT1 | Competes for NAD+ substrate | SIRT1, PGC-1α | Links redox balance to mitochondrial maintenance | PARP hyperactivation → NAD+ depletion, energy collapse |
| FOXO transcription factors | Energy deficit, oxidative stress | AMPK, SIRT1, AKT | Regulate autophagy, antioxidant enzymes | Catalase, MnSOD, LC3 | Antioxidant defense and longevity | AKT-mediated inhibition → reduced oxidative protection |
| Mechanistic domain | Representative trigger or intervention |
Physiological driver (Elite sport) |
Oncogenic analogue (Cancer biology) |
Key molecular mediator(s) | Adaptive outcome | Pathological counterpart (Overdrive state) |
| Anabolic signaling (mTOR/AKT) | Resistance training, growth hormone, anabolic steroids | Transient anabolic activation for muscle hypertrophy and recovery | PI3K–AKT–mTOR hyperactivation promoting uncontrolled cell proliferation | mTORC1, AKT, S6K1, 4E-BP1, TSC2 | Enhanced protein synthesis and tissue remodeling | Persistent anabolic signaling, autophagy suppression, tumor-like growth |
| Hypoxia and angiogenesis | Altitude exposure, EPO doping, hypoxic training | HIF-1α activation and VEGF upregulation for capillary and mitochondrial biogenesis | Tumor hypoxia, neovascularization | HIF-1α, VEGF, EPO, PGC-1α | Improved oxygen transport and energy efficiency | Pathological angiogenesis, oxidative stress, DNA instability |
| Oxidative stress and redox signaling | Intense endurance training, overreaching, nutrient excess | ROS-mediated activation of antioxidant defense and mitochondrial adaptation | Chronic ROS accumulation and oxidative DNA damage | NRF2, NF-κB, SIRT1, p53 | Adaptive hormesis, redox-dependent signaling plasticity | Genomic instability, lipid peroxidation, mitochondrial dysfunction |
| Autophagy–UPR balance | Caloric restriction, intermittent fasting, recovery phases | Controlled proteostasis and organelle turnover | Autophagy dysregulation and ER stress adaptation | AMPK, LC3, ATF4, GRP78 | Protein quality control and metabolic recycling | Proteotoxic stress, ER overload, resistance to apoptosis |
| Epigenetic reprogramming | Nutrient timing, methyl donor availability, supplementation | Transient changes in DNA methylation and histone acetylation for gene regulation | Stable oncogenic methylation, miRNA dysregulation | DNMT1, HDACs, TETs, miR-21 | Flexible gene expression, adaptive remodeling | Epigenetic drift, transcriptional instability, dedifferentiation |
| Hormonal and growth factor signaling | GH/IGF-1 therapy, insulin use, anabolic stacking | Enhanced recovery, anabolic sensitivity | Endocrine-driven tumor growth, hyperinsulinemia | IGF-1R, STAT5, ERK1/2 | Accelerated regeneration, anabolic drive | Endocrine disruption, persistent proliferative signaling |
| Metabolic reprogramming (Warburg-like effect) | High-intensity training, glucose or amino acid loading | Glycolytic shift for ATP and biosynthetic precursor supply | Aerobic glycolysis in tumors (Warburg effect) | HK2, PKM2, LDHA, MYC | Efficient energy flux for adaptation | Persistent glycolysis, one-carbon imbalance, redox exhaustion |
| Epigenetic layer | Primary metabolic cofactor or pathway |
Key enzymes/ regulators |
Physiological role (adaptive) | Pathological outcome (overdrive state) | Representative molecular targets | Evidence from elite sport |
Potential interventions/ modulators |
| DNA methylation | SAM / one-carbon metabolism |
DNMT1, TET1–3, MTHFR, MTR | Hypermethylation of antioxidant genes; hypomethylation of anabolic/proliferative loci; methylation drift |
PGC-1α, PDK4, TFAM, FOXO3, MYC |
Endurance athletes show promoter hypomethylation of PGC-1α and TFAM after repeated training cycles | Folate and methionine balance, caloric restriction, AMPK activation |
|
| Histone acetylation | Acetyl-CoA, NAD+ / AMPK–SIRT1 axis | SIRT1, p300/CBP, GCN5, HDACs | Chromatin compaction under energy deficit; regulation of repair and mitochondrial genes | Hyperacetylation and persistent transcription of anabolic programs |
H3K9ac, H4K16ac, PGC-1α, p53 |
Training fasted or under caloric restriction enhances SIRT1 activity and deacetylation | Resveratrol, curcumin, exercise–fasting cycles |
| Histone and DNA demethylation | α-KG / TCA flux | TETs, Jumonji demethylases | Removal of repressive marks; mitochondrial-nuclear communication | α-KG depletion, succinate/fumarate inhibition of demethylases | H3K27me3, H3K9me3, IDH2, SDH | Overreaching phases show transient TET up-regulation linked to oxidative flux | Endurance exercise, antioxidant restoration |
| NAD+-dependent regulation | NAD+ salvage, PARP vs. sirtuins | PARP1, SIRT1, NAMPT | Balanced DNA repair and mitochondrial biogenesis | PARP overactivation → NAD+ depletion, SIRT1 silencing, redox collapse |
PGC-1α, FOXO, PARP1, SIRT1 |
Overtraining decreases muscle NAD+ and SIRT1, paralleling redox fatigue | Caloric restriction, AMPK activators, NAD+ precursors |
| MicroRNA regulation | Energy/redox-dependent transcription | miR-1, miR-21, miR-34a, miR-486, miR-494 | Fine-tuning of hypertrophy, oxidative capacity, stress defense | Aberrant miRNA expression driving fibrosis and oncogenic signaling |
miR-21, miR-34a, miR-133a, miR-206 |
Endurance ↑ miR-181a, miR-494; resistance ↑ miR-378, miR-486; overtraining ↑ miR-21 | Training modulation, antioxidant support |
| One-carbon and methyl donor flux | Methionine–folate cycle | MAT2A, BHMT, SHMT1/2 | Maintenance of methyl balance for DNA/histone regulation | SAM/SAH imbalance, global hypermethylation, redox-linked drift | DNMT3A, HMTs, MTHFD1L | High-protein diets alter plasma methionine and SAM/SAH ratios in athletes | Controlled protein intake, B-vitamin support |
| System component | Primary molecular driver | Key sensors or enzymes |
Physiological feedback (adaptive) |
Pathological feedback (overdrive state) | Representative molecular signature | Potential modulators / countermeasures |
| Mitochondrial ROS generation | Electron transport flux, NADH/NAD+ ratio | Complex I–III, NOX, SOD2 | ROS act as signaling molecules activating AMPK and antioxidant genes | Chronic ROS accumulation leads to mtDNA damage, lipid peroxidation, and nuclear stress signaling | ↑ ROS, ↑ SOD2, ↑ NRF2 | Endurance training, antioxidant periodization, redox-adaptive nutrition |
| NAD+ metabolism | NAMPT salvage pathway, PARP activity | NAMPT, PARP1, SIRT1 | Balanced NAD+ use supports DNA repair and mitochondrial biogenesis | PARP overactivation depletes NAD+, silencing SIRT1 and impairing repair | ↓ NAD+, ↓ SIRT1, ↑ PARylation | Caloric restriction, resveratrol, niacinamide, AMPK activation |
| AMPK–SIRT1–PGC-1α axis | Energy sensing, NAD+/AMP ratio | AMPK, SIRT1, PGC-1α | Enhances oxidative metabolism, mitophagy, and chromatin integrity | Collapse of AMPK–SIRT1 feedback causes autophagy failure and metabolic rigidity | ↑ PGC-1α, ↑ LC3-II, ↓ FOXO | Exercise-induced AMPK activation, fasting cycles |
| DNA and histone modifications | SAM/SAH ratio, α-KG availability | DNMTs, TETs, HDACs, HATs | Dynamic methylation/acetylation maintains gene expression flexibility | Methylation drift and histone hyperacetylation stabilize maladaptive transcription | ↑ H3K9ac, ↓ TET activity, ↑ DNMT1 | Balanced methyl donor intake, one-carbon flux restoration |
| Inflammatory redox signaling | NF-κB, NLRP3, cytokine ROS loops | NF-κB, IL-6, TNF-α | Transient activation supports repair and immune remodeling | Chronic activation sustains oxidative stress and metabolic block | ↑ NF-κB, ↑ IL-6, ↑ TNF-α | Polyphenols, omega-3s, anti-inflammatory recovery |
| Epigenetic memory and drift | ROS/NAD+-dependent enzyme regulation | SIRT1, PARP1, DNMT1, miRNAs | Transient chromatin remodeling encodes adaptive responses | Persistent oxidative stress leads to irreversible epigenetic drift | Hypomethylated oncogenes, hyperacetylated histones | Controlled recovery, antioxidant therapy, NAD+ support |
| System-level outcome | Redox–epigenetic coupling | Integrated signaling through AMPK–mTOR–SIRT1 | Self-limiting oscillation ensures resilience | Feedback saturation locks system in pathological anabolism | ↓ AMPK, ↑ mTOR, ↑ ROS | Nutritional periodization, training load modulation |
| Regulatory axis | Adaptive (oscillatory) state |
Overdrive (lock-in) state |
Representative molecular indicators |
Functional outcome (physiological/ clinical) |
Evidence or relevance in elite sport | Reversibility potential |
| Nutritional signaling (AMPK–mTOR) | Alternating activation maintains energy balance and anabolic–catabolic cycling; mTOR activity transient and self-limiting. | Chronic nutrient or hormonal stimulation suppresses AMPK; mTORC1 locked in constitutive activation. | Adaptive: ↑ AMPK (Thr172-P), oscillatory ↑ mTOR (Ser2448-P); Overdrive: ↑ S6K1, ↓ AMPK. | Efficient recovery, balanced hypertrophy, metabolic flexibility. | Observed in endurance vs. bulking athletes; chronic protein or insulin use suppresses AMPK signaling. | High — restored through fasting, caloric periodization, AMPK activators. |
| Redox homeostasis (ROS–NAD+ balance) | Controlled ROS pulses activate NRF2–SIRT1 defense; NAD+ recycling sustains redox tone. | ROS accumulation exceeds detox capacity; PARP activation depletes NAD+, silencing SIRT1. | Adaptive: ↑ NRF2, ↑ SIRT1, stable NAD+/NADH; Overdrive: ↑ PARP1, ↓ NAD+, ↑ oxidative adducts. | Enhanced mitochondrial efficiency and repair capacity. | Seen in overtraining and altitude exposure; redox imbalance linked to delayed recovery and fatigue. | Moderate — restored with NAD+ boosters, antioxidant periodization. |
| Epigenetic regulation (chromatin remodeling) | Reversible histone deacetylation and DNA demethylation maintain transcriptional flexibility; stress memory remains functional. | Hyperacetylation and aberrant methylation fix anabolic programs; transcriptional noise accumulates. | Adaptive: ↑ TET1–3, ↑ HDACs; Overdrive: ↑ DNMT1, ↑ HATs, ↑ H3K9ac. | Improved adaptation memory, genomic stability. | Exercise-induced hypomethylation of PGC-1α and TFAM vs. hypermethylation under chronic overload. | Variable — reversible early, lost under prolonged overload. |
| Mitochondrial dynamics | Balanced fusion–fission and autophagic recycling sustain bioenergetic quality. | Hyperpolarization, impaired mitophagy, ROS leakage disrupt energy homeostasis. | Adaptive: ↑ PGC-1α, ↑ MFN2, ↑ LC3-II; Overdrive: ↑ DRP1, ↑ ROS. | Optimal endurance and energy turnover. | Endurance training enhances mitophagy; chronic supplementation or doping impairs mitochondrial turnover. | Moderate — restored through recovery and redox normalization. |
| System-level behavior | Oscillatory negative feedback ensures renewal after stress; system remains dynamically stable. | Positive feedback loops reinforce anabolic and oxidative stress; system enters chaotic saturation. | Adaptive: oscillatory AMPK/mTOR ratio; Overdrive: flattened rhythm, ↑ entropy. | Resilient adaptation, sustained performance. | Elite athletes under chronic load exhibit reduced HRV and hormonal adaptability—biomarkers of systemic lock-in. | Low — requires full metabolic reset through deloading and restoration cycles. |
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