<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="review-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1772541</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2026.1772541</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Mini Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Regulatory roles of the circRNA&#x2013;RBP axis in exercise-induced skeletal muscle remodeling: mechanistic controversies and translational illusions</article-title>
<alt-title alt-title-type="left-running-head">Liu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fgene.2026.1772541">10.3389/fgene.2026.1772541</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Liu</surname>
<given-names>Junjie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2933719"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Project administration" vocab-term-identifier="https://credit.niso.org/contributor-roles/project-administration/">Project administration</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Resources" vocab-term-identifier="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Software" vocab-term-identifier="https://credit.niso.org/contributor-roles/software/">Software</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Yang</surname>
<given-names>Yupeng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3269119"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Software" vocab-term-identifier="https://credit.niso.org/contributor-roles/software/">Software</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Heming</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3225048"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Mingming</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Mao</surname>
<given-names>Zhujun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3294941"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zheng</surname>
<given-names>Mi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3228561"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Resources" vocab-term-identifier="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Visualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing &#x2013; review and editing</role>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<institution>Graduate School, Harbin Sport University</institution>, <city>Harbin</city>, <state>Heilongjiang</state>, <country country="CN">China</country>
</aff>
<aff id="aff2">
<label>2</label>
<institution>College of Science and Technology, China Three Gorges University</institution>, <city>Yichang</city>, <country country="CN">China</country>
</aff>
<aff id="aff3">
<label>3</label>
<institution>School of Basic Medical Sciences, China Three Gorges University</institution>, <city>Yichang</city>, <country country="CN">China</country>
</aff>
<author-notes>
<corresp id="c001">
<label>&#x2a;</label>Correspondence: Zhujun Mao, <email xlink:href="mailto:17762754593@163.com">17762754593@163.com</email>; Mi Zheng, <email xlink:href="mailto:zhengmi0207@163.com">zhengmi0207@163.com</email>
</corresp>
<fn fn-type="equal" id="fn001">
<label>&#x2020;</label>
<p>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-20">
<day>20</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>17</volume>
<elocation-id>1772541</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>24</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>02</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Liu, Yang, Chen, Liu, Mao and Zheng.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Liu, Yang, Chen, Liu, Mao and Zheng</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-20">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Metabolic health and physical performance rely upon skeletal muscle adaptation that is a result of exercise. Recent advancements in high-throughput sequencing and functional genomics have successfully identified a vast landscape of exercise-responsive circRNAs, providing critical insights into the molecular complexity of muscle adaptation. While these studies have established a foundational framework for understanding the circRNA&#x2013;RBP axis, there are serious issues related to current research. There are serious issues related to current research: an insufficient level of endogenous circRNA to produce substantial ceRNA effects, unconfirmed circRNA scaffolding due to overactivity of RBPs, poor conservation of so-called exercise-related circRNAs evolutionarily, and the over-interpretation of specific effects. The article focuses on basic concerns of the ceRNA model quantitative limitations, and specificity debate of the scaffolding model, current model and technical gaps, etc. and suggests an experimental framework transitioning from &#x201c;narrative models&#x201d; to &#x201c;physiologically credible mechanisms,&#x201d; offering references for future rigorous research and elucidating the authentic role of the circRNA&#x2013;RBP axis.</p>
</abstract>
<kwd-group>
<kwd>circRNA</kwd>
<kwd>competing endogenous RNA</kwd>
<kwd>exercise adaptation</kwd>
<kwd>exosomes</kwd>
<kwd>experimental rigor</kwd>
<kwd>muscle plasticity</kwd>
<kwd>RNA-binding proteins</kwd>
<kwd>skeletal muscle remodeling</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. Natural Science Foundation of Heilongjiang Province (Project No. LH2021C054) Harbin Institute of Physical Education Experimental Platform project (Project No. LAB2021-04) Harbin Institute of Physical Education Talent Introduction Research Start-up Fund Project (RC20-201906).</funding-statement>
</funding-group>
<counts>
<fig-count count="1"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="53"/>
<page-count count="9"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>RNA</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>The most important organ concerned with the process of exercise adaptation is skeletal muscle, which is required for locomotion and posture stability, sustain whole-body glucose and lipid homeostasis, and maintain cardio-metabolic health (<xref ref-type="bibr" rid="B10">Hargreaves and Spriet, 2020</xref>; <xref ref-type="bibr" rid="B7">Egan and Sharples, 2023</xref>). Serial events of coordinated remodeling, including fiber-type changes, mitochondrial biogenesis, neuromuscular junction remodeling, extracellular matrix turnover, and injury-induced regenerative repair, are activated by repeated contractile stress (<xref ref-type="bibr" rid="B15">Kritikaki et al., 2021</xref>). These are highly complex systems of regulatory networks that include transcriptional, post-transcriptional, and epigenetic networks, and are collectively controlled through an intricate system of regulatory pathways.</p>
<p>Amongst this regulatory web, non-coding RNAs have received an increased level of attention, especially on circular RNAs (circRNAs) (<xref ref-type="bibr" rid="B19">Liu and Chen, 2022</xref>). CircRNAs have been synthesized by back-splicing and obtain covalently closed circular structures that lack 5&#x2032;caps or 3&#x2032;poly(A) tails&#x201d; at their ends (<xref ref-type="bibr" rid="B18">Liang et al., 2021</xref>). They are very stable and often show unique expression, which is either tissue type or developmental-stage-specific. CircRNAs (circRNAs) in skeletal muscle have been described as &#x201c;hubs regulators&#x201d; and generally achieve two functions: (i) they serve as competing endogenous RNAs (ceRNAs) to sequester microRNAs (miRNAs) and derepress target mRNAs (<xref ref-type="bibr" rid="B37">Sun et al., 2022</xref>); (ii) they are scaffolds to immobilize RNA-binding proteins (RBPs) and regulate RNA processing, translation, or chromatin regulation (<xref ref-type="bibr" rid="B49">Yang et al., 2023</xref>).</p>
<p>Various articles suggest that the nature of the interactions between the regulated circRNAs and biological processes is most likely to include recruitment of miRNAs around the muscle (myomiRs) (<xref ref-type="bibr" rid="B34">Shen et al., 2023</xref>), enzymes such as METTL3 (<xref ref-type="bibr" rid="B44">Wang et al., 2025</xref>), or transmission by exosomes (<xref ref-type="bibr" rid="B43">Wang Z. et al., 2023</xref>). Significant progress has been made in characterizing the essential roles of specific circRNAs in skeletal muscle biology. For instance, the discovery of circMEF2A has demonstrated how evolutionarily conserved circRNAs can precisely regulate myogenic differentiation and muscle development (<xref ref-type="bibr" rid="B34">Shen et al., 2023</xref>). Furthermore, research on circSIK2 has revealed sophisticated m6A-dependent translational regulation during myogenesis mediated by METTL3, showcasing the functional diversity of the circRNA&#x2013;RBP interaction (<xref ref-type="bibr" rid="B44">Wang et al., 2025</xref>). In the context of exercise, the identification of molecules like circUtrn highlights the potential of circRNAs in orchestrating physiological adaptation to contractile stress (<xref ref-type="bibr" rid="B42">Wang L. et al., 2023</xref>). These pioneering works have provided a valuable repository of candidate molecules and preliminary mechanistic insights, laying the groundwork for exploring the complex regulatory landscape of muscle remodeling. However, these models are often found to be lacking in credibility or sufficient evidence that supports the models when evaluated using the methods of quantitative biochemistry, systems physiology, and comparative biology (<xref ref-type="bibr" rid="B19">Liu and Chen, 2022</xref>). It is not that circRNAs exist that remains the key question: are they the primary regulators of exercise, secondary modulators, or simply byproducts of the RNA metabolism? The paper will analyze the key problems of the relevant studies, evaluate the shortcomings of recent studies, and suggest new approaches that could help in clarifying the exact role of the circRNA-RBP axis in the context of classical exercise signal and muscle remodeling. <xref ref-type="fig" rid="F1">Figure 1</xref> shows how circRNA-RBP axes participate in exercise-induced skeletal muscle remodeling putatively.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Putative Mechanisms and Core Constraints of the circRNA-RBP Axis in Exercise-Induced Skeletal Muscle Remodeling. Note: Exercise inputs such as contractile stress activate classical signaling pathways (Ca<sup>2&#x2b;</sup>/CaMK, AMPK, etc.). The circRNA-RBP axis potentially regulates muscle remodeling via ceRNA/miRNA sponging, RBP scaffolding/decoy, and exosome-mediated paracrine signaling. Key quantitative and methodological constraints (stoichiometric mismatch, localization discrepancy, RBP promiscuity, etc.) are indicated on the right, which affect the credibility of the models. </p>
</caption>
<graphic xlink:href="fgene-17-1772541-g001.tif">
<alt-text content-type="machine-generated">Infographic illustrating how exercise inputs affect muscle signaling through established pathways such as Ca2+/CaMK, AMPK, mTORC1, and p38 MAPK, and their downstream narratives involving circular RNA (circRNA) interactions with miRNA and RNA-binding proteins (RBP). Three central panels depict ceRNA/miRNA sponge narrative with low stoichiometry, circRNA&#x2013;RBP scaffold/decoy narrative with RBP promiscuity, and exosomal circRNA&#x2013;RBP axis showing muscle cell secretion and uptake by target cells, emphasizing quantitative and methodological constraints like stoichiometric mismatch, RNA binding, model gaps, and tool limits.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2">
<label>2</label>
<title>Quantitative limitations of the ceRNA model in muscle</title>
<p>The ceRNA theory argues that a single &#x201c;hub&#x201d; circRNA has the potential to adjust transcriptional networks via miRs sequestration (<xref ref-type="bibr" rid="B37">Sun et al., 2022</xref>; <xref ref-type="bibr" rid="B47">Xiao et al., 2022</xref>). As an interesting hypothesis, there are serious quantitative challenges that face this hypothesis, and they make it less likely to be the most common circRNA action in skeletal muscle. A consensus from diverse studies indicates that most endogenous circRNAs exist at only a few copies per cell across tissues, while many potential mRNA targets are far more abundant (<xref ref-type="bibr" rid="B8">Gao et al., 2022</xref>). Computational studies of thermodynamics and perturbation studies on alternative systems confirm that a ceRNA molecule requires a concentration of tens and even hundreds of times higher than the target mRNAs in order to efficiently compete with miRNA binding. To make this worse, the majority of published exercise-responsive circRNAs have a change in expression of less than 2-fold even with a near-perfect binding efficiency, these variations have an insignificant effect on miRNA availability (<xref ref-type="bibr" rid="B52">Zhang et al., 2022</xref>). Moreover, it has not been sufficiently delimited on which subcellular locations most exercise-associated circRNAs are located; the available statistics indicate that a large share of circRNAs is mainly concentrated within the nucleus and thus silencing their direct participation in miRNA-mediated translational repression, which occurs in the cytoplasm (<xref ref-type="bibr" rid="B32">Sadhukhan et al., 2024</xref>). This is a further falsification of simplistic theories of sponging.</p>
<p>The experimental tools that were used to support the findings of ceRNA rely mainly on supraphysiological overexpression leading to a break with real physiological environments (<xref ref-type="bibr" rid="B33">Schreiner et al., 2020</xref>). The majority of functional studies employ plasmids or viral vectors to enhance circRNA expression artificially by 50&#x2013;1,000 folds (<xref ref-type="bibr" rid="B2">Choe et al., 2025</xref>). Under severe environments, changes in miRNA concentrations and changes in target mRNA expression can be predicted; however, the tests would merely reflect the behavior of the system under extreme stimuli as opposed to the exercises that are relevant to cellular adaptation to exercise. Studies that can control the expression of circRNA sufficiently to match endogenous levels or recapitulate the intermediate expression enhancements due to exercise, such as a 1.5-fold increase, are scarce. Furthermore, no knock-in models are designed to precisely recreate a condition useful for concluding the relevance of current findings to practice, such as a 1.5-fold circRNA elevation induced by exercise.</p>
<p>The major insufficiency of ceRNA studies is that in many cases, the necessary controls needed to confirm miRNA-dependent mechanisms were lacking. The main functions, including site-directed mutagenesis of expected miRNA binding sites on circRNAs, rescue studies with miRNA mimics or inhibitors, and parallel measurement of the changes in the linear transcripts of host genes are poorly performed in most studies (<xref ref-type="bibr" rid="B4">Diener et al., 2024</xref>). Otherwise, without these rigorous controls, distinguishing between genuine ceRNA effects and non-specific consequences of arbitrary RNA overexpression, such as saturation of RNA degradation pathways, a broad range of sequestration of RNA-binding proteins (RBPs), or widespread host gene transcript changes, is impossible. To make the conclusions on ceRNA reliable, the studies should contain absolute copy numbers of circRNAs, miRNAs and target mRNAs, undergo systematic site-directed mutagenesis validation, and prove that their observed phenotypes depend on intact miRNA-binding sites, which is currently not always met (<xref ref-type="bibr" rid="B25">Masante et al., 2024</xref>).</p>
<p>In summary, current evidence is insufficient to prove that circular RNAs play a dominant causal role in exercise-induced muscle remodeling through miRNA sponging. The quantitative difference between circRNA and target mRNA, the geographic segregation of circRNAs in relation to the cytoplasmic action of miRNAs, the supraphysiological overexpression as well as the lack of vital validation controls all undermine the plausibility of the ceRNA theory. Today, the concept of ceRNA can only be regarded as a heuristic hypothesis instead of one of the strict and universal mechanisms of circRNA functionality in skeletal muscle remodeling under the influence of exercise.</p>
</sec>
<sec id="s3">
<label>3</label>
<title>Specificity controversies of the circRNA&#x2013;RBP &#x201c;scaffolding&#x201d; model</title>
<p>CircRNAs are hypothetically referred to as scaffold molecules of RNA-binding proteins (RBPs), RNA metabolism regulation, signalling, or chromatin status, and thus, contributing to skeletal muscle remodeling processes (<xref ref-type="bibr" rid="B11">Huang et al., 2020</xref>). The research on exercise is commonly reported to have a connection between circRNAs and m6A methyltransferases (METTL3) or splicing factors and RNA-binding proteins, related to NF-KB or Wnt signatures (<xref ref-type="bibr" rid="B31">Roy et al., 2022</xref>; <xref ref-type="bibr" rid="B44">Wang et al., 2025</xref>). The essential problems of this model, according to biochemical and systems biology views, refer to the definition of specificity and relative contribution. Many RNA-binding proteins (RBPs) have hundreds to thousands of RNA species which they interact with via short and degenerate sequence motifs (<xref ref-type="bibr" rid="B39">Van Nostrand et al., 2020</xref>); in skeletal muscle, proteins including METTL3 simulatively interact with a large number of linear mRNAs and long non-coding RNAs, with an extraordinarily low fraction of any single circRNA in its binding profile (<xref ref-type="bibr" rid="B51">Zaccara and Jaffrey, 2020</xref>). Unless it is demonstrated that a specific circRNA modulates the global choice of genome-wide binding of its target RBP (with circRNA knockout models in combination with RBP-based techniques such as CLIP-seq) to a significant degree, the contextual statement of the so-called circRNA-specific scaffolding is more speculative in nature (<xref ref-type="bibr" rid="B9">Hafner et al., 2021</xref>).</p>
<p>The issue of functional redundancy questions the way the scaffolding model should be interpreted. Linear convoluted RNA fragments bearing the same RBP-binding motifs may somewhat or entirely re-enact the biological functions of specific circRNAs in some biological systems. This signifies that the key determinant of the regulatory activity is the sequence motif as such, as opposed to the circular oval shape of the RNA (<xref ref-type="bibr" rid="B13">Jiang et al., 2021</xref>). In order to prove that circRNAs play specific, non-redundant functions that cannot be performed by linear transcripts, it is imperative to ensure that the unsatisfactory changes that occur in the wake of the loss of a particular circRNA can be reversed by overexpressing linear counterparts. Validation step is rarely done in modern exercise-related muscular studies, which makes the peculiar worth of circular form unproven (<xref ref-type="bibr" rid="B11">Huang et al., 2020</xref>).</p>
<p>The complexity of both the temporal and spatial dimension increases the aforementioned problems with skeletal muscle reorganization. Already, RNA-binding proteins (RBPs) that are involved in processes like stress granule formation, localized translation at the neuromuscular junction, or mitochondrial RNA processing are taken into a web of other input signals, including calcium signaling, reactive oxygen species and metabolic stress (<xref ref-type="bibr" rid="B7">Egan and Sharples, 2023</xref>). To qualify as a meaningful mechanism, a circRNA-mediated scaffolding phenomenon must have an effect that can be seen causing physiologically relevant changes in this complex regulatory circuit. At present, no direct <italic>in vivo</italic> data supports the fact that the basing of a given circRNA-RBP interaction systematically modifies traditional muscle remodeling, such as mitochondrial biogenesis, fiber-type transition or muscular force production (<xref ref-type="bibr" rid="B38">Urzi et al., 2025</xref>). Interspecies and exercise-independent conservation of circRNA RBP interaction interfaces have not been sufficiently studied: several predicted binding motifs have very little conservation between mice and humans, and circRNA expression patterns vary significantly between endurance and resistance training, healthy muscle versus diseased muscle, and between different development stages-related factors which inhibit the translation potential of the circRNA RBP axis to be used in both muscle disease treatment and anti-sarcopenia interventions (<xref ref-type="bibr" rid="B48">Yan et al., 2023</xref>).</p>
<p>The circRNA-RBP scaffolding model faces a severe challenge in terms of specificity, functional uniqueness, <italic>in vivo</italic> validation and cross speciation conservation. The general undefined interactions between RNA-binding proteins (RBPs) with diverse RNAs, the redundancy of linear RNA motifs, the lack of preservation by the models, and the lack of direct evidence on the connection between circRNA-RBP interactions and essential skeletal muscle remodeling phenotypes undermine its suitability as a primary mechanism in exercise-induced skeletal muscle remodeling. Current claims on the scaffolding model are largely based on secondary observations or <italic>in vitro</italic> studies and therefore, further rigorous in vivo-programming particularly with specificity and physiological applicability should be done to determine its true regulatory role.</p>
</sec>
<sec id="s4">
<label>4</label>
<title>Confusion between correlation and causation in exercise intervention and exosomal circRNA studies</title>
<p>Much of the literature has reported circRNA expression in muscle biopsy, blood cells or circulating exosomes particularly during the intervention trials of exercise and aging, obesity or neuromuscular diseases. These datasets are characterized as atlases of non-coding transcriptome responses of various training paradigms (<xref ref-type="bibr" rid="B22">Liu et al., 2025</xref>), but mistakenly used as evidence that circRNAs are critical mediators of skeletal muscle remodeling or systemic exercise benefits (<xref ref-type="bibr" rid="B38">Urzi et al., 2025</xref>). On a tissue level, circRNA expression changes may be hard to distinguish between changes in global outcomes, such as downregulation of a host gene or reduction in the number of a certain fiber type (like fast-twitch fibers), and proactively suppressing mitochondrial biogenesis or other remodeling activities (<xref ref-type="bibr" rid="B53">Zheng et al., 2025</xref>). Without circRNA-specific deficiency models, in which impaired skeletal muscle remodeling has been directly linked to the loss of a particular circRNA, the paradigm of circRNA expression changes leading to remodeling should be hastily registered as drivers of remodeling, since they could be mere by products of other more global physiological adjustments (<xref ref-type="bibr" rid="B50">Yuan et al., 2024</xref>).</p>
<p>The claims that exosomal circRNAs can be considered as endocrine mediators of exercise effect are faced with great challenges to prove the causation. Exosomes are complex vesicles, loaded with different proteins, lipids, and dozens of different RNAs; exercise intervention simultaneously alters a number of different contents in these types of vesicles, which makes it impossible to attribute the identified systemic effects solely to circRNAs (<xref ref-type="bibr" rid="B20">Liu and Wang, 2023</xref>; <xref ref-type="bibr" rid="B23">Luo et al., 2024</xref>). In order to establish a given exosomal circRNA as an otherwise meaningful endocrine mediator, four required steps need to be performed, including firstly, ensuring that the circRNA is present in exosomes at an appropriate copy number to induce a functional effect, secondly, it must be shown to be actively incorporated by a certain target tissue (liver, adipose tissue, distant muscle), thirdly, to have been translated or bound functionally in that target tissue (miRNA sponging, RBP scaffolding, etc.), and finally, to demonstrate it is not only needed (Most exosomal circRNA studies are currently at the stage of analyzing the expression change profiles, and the overall causal association between exosomal circRNAs and the overall exercise benefits is largely a matter of speculation).</p>
<p>The biggest inconsistency of the exercise programs aggravates the mix up of correlation and causation which makes research findings less credible. The moderate or modifiable changes in exercise modality (endurance or resistance training), intensity (low or high), exercise duration (acute bouts and chronic training), nutritional state (fasted or fed), and recovery protocols have a substantial impact on the conventional physiological exercise outcomes, including maximal oxygen uptake (VO 2max) insulin sensitivity, and muscle hypertrophy (<xref ref-type="bibr" rid="B36">Smith et al., 2023</xref>). The expressions of CircRNA identified in different studies are highly inconsistent, where these factors can change the general condition of cells in the muscle (<xref ref-type="bibr" rid="B42">Wang L. et al., 2023</xref>). The lack of standardized training protocols, time-series analysis of acute exercise response to chronic adaptations, and their combined analyses including proteomics and metabolomics (to localize the circRNA changes within the wider context of cellular activity) makes it hard to determine whether the expression pattern of this or that circRNA can be considered a key remodeling process or merely a response to the changes in overall cellular activity (<xref ref-type="bibr" rid="B1">Ashcroft et al., 2024</xref>). CircRNAs regulated by exercise could be an option as a biomarker, especially in the creation of the personalized training or rehabilitation intervention; however, the role of a biomarker should not be confused with the central mechanistic effect, so the two concepts must be separated.</p>
<p>The confusion of correlation and causation in current research on circRNAs in exercise intervention and exosomal environments is a hindrance to resolving the identified issue. On the tissue level, changes in circRNA expression are frequently mischaracterized as drivers without supporting evidence from circRNA-specific deficiency models. Similarly, the causal mechanisms linking exosomal circRNAs to systemic consequences remain unsupported by robust evidence. Instead, the observed fluctuations in circRNA expression often reflect the broader variation in cellular physiological responses to exercise, making it difficult to discern whether these interactions are causal or merely coincidental. Even though circRNAs can be useful as indicators, they require much stricter validation; specifically, they require necessarily more serious investigations as direct conclusions of causality, as opposed to the studies that outline the correlations only.</p>
</sec>
<sec id="s5">
<label>5</label>
<title>Model and methodological limitations of circRNA&#x2013;RBP research</title>
<p>The existing researches of the circRNA-RBP axis in skeletal muscle remodeling are limited in terms of model systems, methodological setup, and lack of interpretability and reliability of outcomes (<xref ref-type="bibr" rid="B6">Dong et al., 2025</xref>). The field still heavily relies on rodent models including mice and rats), which, necessary in early mechanistic research, are highly dissimilar to humans in important areas related to exercise adaptation (<xref ref-type="bibr" rid="B26">Mayakrishnan et al., 2024</xref>). Rodents show some other specific muscle fiber makeup (such as a higher proportion of fast-twitch fibers in some strains), predictable activity patterns, and diverse performance to training; forced treadmill diet or ladder-climbing exercises will only partially mimic voluntary endurance or resistance training in humans. In addition, many circRNAs and their non-canonical back-splice junctions are not much conserved between species; not many of the candidate circRNAs identified in rodent may have been well validated in human biopsies of muscle (<xref ref-type="bibr" rid="B38">Urzi et al., 2025</xref>). Lack of cross-species validation limits the translational importance of any findings, since mechanisms discovered in rodents may not be relevant to the physiology of human skeletal muscle.</p>
<p>The technical challenges associated with the detection and quantification of circRNAs add extra uncertainty to the results of the research. The phenomenon of back-splice junctions: this is a property inherent to circRNAs, and its detection is prone to interference by alignment artifacts or reverse transcription template flip-flops, or poor elimination of linear RNA contaminants. Occupation of liberal screening thresholds and the lack of filtering processes in transcriptome analysis often predetermine the artificially inflated number of so-called exercise-responsive circRNAs, which leads to the wrong diagnosis of non-specific or low-abundance transcripts as functionally important ones (<xref ref-type="bibr" rid="B5">Digby et al., 2024</xref>). The current state of quantitative validation on qPCR is fraught with serious weaknesses: when primers are not able to overlap back-splice junctions, then the primers can accidentally amplify linear transcript of the host gene, thereby making it hard to obtain specific circRNA quantities. Further, many articles fail to demonstrate crucial steps to help confirm the circularity and stability of candidate molecules, including digestion using RNase R (exonuclease that removes linear RNA) or actinomycin D chase analyses (to determine turnover rates) (<xref ref-type="bibr" rid="B21">Liu et al., 2022</xref>). These technical defects directly negate the accuracy of circRNA expression data.</p>
<p>Two further methodological issues of insufficient functional perturbation procedures and poor skeletal muscle heterogeneity lead to increased interpretative challenges. Similarly, the majority of approaches to regulate circRNA production, including CRISPR editing promoters or coding exons or shRNAs targeting common exons, also inhibit the circRNAs and host gene transcript along with it (<xref ref-type="bibr" rid="B28">Nielsen et al., 2022</xref>; <xref ref-type="bibr" rid="B30">Pisignano et al., 2023</xref>; <xref ref-type="bibr" rid="B45">Wu and Chen, 2024</xref>). As a result, the positive results on the phenotypes that have been identified in such situations are not correctly attributable to the loss of circRNA, and instead, the results might be due to the change of the protein-coding product of the host gene. Even though there has been the introduction of more highly specific tools, such as guide RNAs designed to target back-splice junctions, splice-switching oligonucleotides (SSOs), and Cas13-guided RNA targeting, the application of these in skeletal muscle studies remains limited. At the same time, the bulk muscle samples, the primary substance of most research, are, by definition, a heterogeneous mixture of cell types, such as different types of myofibers, satellite cells, immunological foci, vascular cells, and fibro-adipogenic progenitors (<xref ref-type="bibr" rid="B3">Dhara et al., 2024</xref>). All cells have distinct transcriptional and circRNA expression profiles so that bulk sequencing data on average cells obscures cell-type-specific regulatory relationships, such as circRNA changes in satellite cells during muscular regeneration or the motor neuron during neuromuscular junction remodeling. This heterogeneity masks the true cell-specific roles of the circRNA -RBP axis in remodeling.</p>
<p>There are four main challenges that encapsulate the circRNA-RBP domain in skeletal muscle remodeling: over-reliance on rodent models (which have limited translatability), methodology (in circRNA detection and quantification), non-specific perturbation reagent (which blurs the circRNA effect and the host gene effect), and the role of cellular heterogeneity of skeletal muscle. These problems hinder any conclusive results on the role of axis in exercise-based remodeling, which highlights the need to employ consistent models, high-technical methods and cell-type-specific research.</p>
</sec>
<sec id="s6">
<label>6</label>
<title>More rigorous and physiologically relevant research directions and strategies</title>
<p>Regarding both the perspectives of exercise physiology and muscle biochemistry, the valuable designs of experiments and analytical systems are essential in improving the quality and translational value of the circRNA-RBP research. In order to overcome the above discussed challenges, we present a critical framework to reconsider regulatory models and have rigor (<xref ref-type="table" rid="T1">Table 1</xref>). Mechanistic assertions must be based on causal perturbation. Physiologically relevant models (such as primary muscle cells or animal training paradigms) should be used to test ceRNA-related hypotheses through the use of integrated methodologies, such as circRNA deficiency models, miRNA mimics/inhibitors, and target gene reporter systems, which will allow for a comprehensive determination of whether the proposed miRNA-sponging mechanism is compatible with <italic>in vivo</italic> results (<xref ref-type="bibr" rid="B24">Ma et al., 2024</xref>). CircRNA-specific perturbation (with the use of back-splice junction-targeting gRNAs) needs to be used to test circRNA-related hypotheses: the loss of the circRNAs should alter the genome-wide-binding patterns of a RBP and, consequently, its downstream signaling pathways (<xref ref-type="bibr" rid="B24">Ma et al., 2024</xref>). This approach will ensure that the phenotypes captured are always linked to the circRNA-RBP interaction, rather than non-selective ones.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Critical Re-evaluation of circRNA regulatory models in exercise adaptation.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Regulatory model</th>
<th align="left">Physiological &#x26; mechanistic deficits</th>
<th align="left">Recommended criteria for rigor</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">ceRNA/miRNA sponging</td>
<td align="left">Low abundance; compartmentalization mismatch; functional ambiguity</td>
<td align="left">Single-cell quantification<break/>FISH colocalization; Coding-dead circRNA mutants; ceRNA stoichiometry and thermodynamic modeling</td>
<td align="center">
<xref ref-type="bibr" rid="B8">Gao et al. (2022),</xref> <xref ref-type="bibr" rid="B17">Li et al. (2021),</xref> <xref ref-type="bibr" rid="B52">Zhang et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">RBP scaffolding/decoy</td>
<td align="left">No proof; Ambiguity</td>
<td align="left">CLIP-seq and circRNA-KO<break/>SPR<break/>RBP-site circRNA mutants</td>
<td align="center">
<xref ref-type="bibr" rid="B12">Jarlstad Olesen and Kristensen (2021)</xref>, <xref ref-type="bibr" rid="B30">Pisignano et al. (2023),</xref> <xref ref-type="bibr" rid="B36">Smith et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">Exosomal/endocrine signaling</td>
<td align="left">Correlation only; uptake unproven; Confounders ignored</td>
<td align="left">Fluorescent exosome tracking; Exosome KO/overexpression; Proteomics</td>
<td align="center">
<xref ref-type="bibr" rid="B8">Gao et al. (2022),</xref> <xref ref-type="bibr" rid="B6">Dong et al. (2025),</xref> <xref ref-type="bibr" rid="B14">Kristensen et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Translational relevance (cross-model commonality)</td>
<td align="left">Non-clinical; modalities overlooked; genetics ignored</td>
<td align="left">Human trials absent<break/>Modalities uncontrolled<break/>Genotype ignored</td>
<td align="center">
<xref ref-type="bibr" rid="B7">Egan and Sharples (2023),</xref> <xref ref-type="bibr" rid="B43">Wang et al. (2023c)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The table compiles the main circRNA, functional models (ceRNA, RBP, scaffold, exosomal signaling, etc.) and highlights critical evidence deficits and methodological disputes at both physiological and mechanistic levels, serving as a risk-checklist for future experimental design.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The approach to quantitative reasoning should be systematically incorporated in the research design and analysis. Simple descriptions of circRNAs upregulation or downregulation are insufficient and instead the data has to be analyzed with absolute copy numbers of circRNAs alongside miRNAs, mRNAs and RBPs, along with the stoichiometric relationship among them (<xref ref-type="bibr" rid="B17">Li et al., 2021</xref>). Single-molecule imaging or single-cell transcriptomics must be used to map the subcellular location and abundances of circRNAs in select groups of cells, such as different types of myofibers or satellite cells (<xref ref-type="bibr" rid="B16">Lai et al., 2024</xref>), when technical conditions permit. This finer grained information provides critical background to mechanistic analysis, which can help determine whether a circRNA is present in sufficient amounts, and whether it is in the correct cellular compartment to interact with its putative targets.</p>
<p>To address the aforementioned limitations, a systematic validation framework is essential to enhance the rigor and translatability of circRNA-RBP research (<xref ref-type="table" rid="T2">Table 2</xref>). For quantitative credibility, absolute copy numbers of circRNAs, miRNAs, and RBPs must be quantified using droplet digital PCR (<xref ref-type="bibr" rid="B25">Masante et al., 2024</xref>), combined with RNase R digestion to exclude linear RNA contaminants (<xref ref-type="bibr" rid="B21">Liu et al., 2022</xref>), ensuring that observed expression changes (such as a 1.5-fold induction by exercise) are within physiological ranges (<xref ref-type="bibr" rid="B52">Zhang et al., 2022</xref>). Regarding mechanistic specificity, ceRNA hypotheses require site-directed mutagenesis of miRNA-binding sites (<xref ref-type="bibr" rid="B4">Diener et al., 2024</xref>), while scaffolding models demand CRISPR-BSJ-mediated circRNA knockout coupled with CLIP-seq to verify alterations in RBP genome-wide binding profiles (<xref ref-type="bibr" rid="B9">Hafner et al., 2021</xref>; <xref ref-type="bibr" rid="B45">Wu and Chen, 2024</xref>). For causality confirmation, splice-switching oligonucleotides (SSOs) or Cas13-guided tools should be used to specifically perturb circRNAs without affecting host gene transcripts (<xref ref-type="bibr" rid="B28">Nielsen et al., 2022</xref>; <xref ref-type="bibr" rid="B3">Dhara et al., 2024</xref>), and rescue experiments with linear RNA counterparts are necessary to rule out functional redundancy (<xref ref-type="bibr" rid="B30">Pisignano et al., 2023</xref>). In terms of expression specificity, single-cell transcriptome sequencing (<xref ref-type="bibr" rid="B16">Lai et al., 2024</xref>) and FISH localization (<xref ref-type="bibr" rid="B32">Sadhukhan et al., 2024</xref>) should be employed to characterize circRNA expression in distinct myofiber subtypes or satellite cells, with cross-species validation in human muscle biopsies to avoid rodent-specific artifacts (<xref ref-type="bibr" rid="B38">Urzi et al., 2025</xref>). For exosomal mediation validation, rigorous isolation and purification of exosomes (<xref ref-type="bibr" rid="B23">Luo et al., 2024</xref>) must be paired with fluorescent tracing to confirm target tissue uptake (<xref ref-type="bibr" rid="B20">Liu and Wang, 2023</xref>) and functional assays to demonstrate circRNA-dependent signaling (<xref ref-type="bibr" rid="B43">Wang Z. et al., 2023</xref>). Ensuring technical rigor requires the design of back-splice junction-specific primers and actinomycin D chase analyses to confirm circRNA stability (<xref ref-type="bibr" rid="B33">Schreiner et al., 2020</xref>; <xref ref-type="bibr" rid="B5">Digby et al., 2024</xref>). Finally, to improve translational value, human exercise intervention trials (<xref ref-type="bibr" rid="B1">Ashcroft et al., 2024</xref>) and multi-omics integration (<xref ref-type="bibr" rid="B27">MoTrPAC Study Group, Lead Analysts, 2024</xref>) should be conducted to identify circRNAs with consistent responses across exercise modalities, while accounting for individual variability in training adaptation (<xref ref-type="bibr" rid="B29">Noone et al., 2024</xref>). This hierarchical validation strategy, as summarized in <xref ref-type="table" rid="T2">Table 2</xref>, provides actionable criteria to transition from correlational observations to physiologically credible mechanisms, addressing the core deficits in current circRNA-RBP research.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Exercise-CircRNA-RBP research validation checklist.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Validation dimension</th>
<th align="left">Core assessment items</th>
<th align="left">Required experimental methods</th>
<th align="left">Priority level</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Expression specificity</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Differential expression of circRNAs in myofiber/satellite cell subtypes after exercise</p>
</list-item>
<list-item>
<p>2. Expression conservation between humans and rodents</p>
</list-item>
</list>
</td>
<td align="left">Single-cell transcriptome sequencing; Cross-species muscle biopsy validation; FISH localization</td>
<td align="left">High</td>
<td align="left">
<xref ref-type="bibr" rid="B16">Lai et al. (2024),</xref> <xref ref-type="bibr" rid="B32">Sadhukhan et al. (2024),</xref> <xref ref-type="bibr" rid="B38">Urzi et al. (2025)</xref>
</td>
</tr>
<tr>
<td align="left">Quantitative credibility</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Absolute copy numbers of circRNAs, miRNAs, and RBPs</p>
</list-item>
<list-item>
<p>2. Exercise-induced expression change fold (within physiological range)</p>
</list-item>
</list>
</td>
<td align="left">Droplet digital PCR; RNase R digestion validation; Absolute quantitative standard curve</td>
<td align="left">High</td>
<td align="left">
<xref ref-type="bibr" rid="B21">Liu et al. (2022),</xref> <xref ref-type="bibr" rid="B52">Zhang et al. (2022),</xref> <xref ref-type="bibr" rid="B25">Masante et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Mechanistic specificity</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. ceRNA model: Whether function is abolished after miRNA-binding site mutation</p>
</list-item>
<list-item>
<p>2. Scaffolding model: Changes in RBP genome-wide binding profiles after circRNA knockout</p>
</list-item>
</list>
</td>
<td align="left">Site-directed mutagenesis; CRISPR-BSJ-mediated circRNA knockout; CLIP-seq (RBP binding analysis)</td>
<td align="left">High</td>
<td align="left">
<xref ref-type="bibr" rid="B9">Hafner et al. (2021),</xref> <xref ref-type="bibr" rid="B4">Diener et al. (2024),</xref> <xref ref-type="bibr" rid="B45">Wu and Chen (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Causality confirmation</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Exclusion of host gene interference</p>
</list-item>
<list-item>
<p>2. Changes in skeletal muscle remodeling phenotypes in circRNA-deficient models</p>
</list-item>
</list>
</td>
<td align="left">Back-splice junction-specific perturbation (SSOs/Cas13); Host gene parallel control experiments</td>
<td align="left">High</td>
<td align="left">
<xref ref-type="bibr" rid="B28">Nielsen et al. (2022),</xref> <xref ref-type="bibr" rid="B30">Pisignano et al. (2023),</xref> <xref ref-type="bibr" rid="B3">Dhara et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Physiological relevance</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Association with core phenotypes such as myofiber type switching/mitochondrial biogenesis</p>
</list-item>
<list-item>
<p>2. Functional validation at non-supraphysiological concentrations</p>
</list-item>
</list>
</td>
<td align="left">
<italic>In vivo</italic> exercise training models; Primary myocyte functional experiments; circRNA overexpression at physiological concentrations</td>
<td align="left">Medium</td>
<td align="left">
<xref ref-type="bibr" rid="B7">Egan and Sharples (2023),</xref> <xref ref-type="bibr" rid="B36">Smith et al. (2023),</xref> <xref ref-type="bibr" rid="B24">Ma et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Exosomal mediation</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Functional copy number of circRNAs in exosomes</p>
</list-item>
<list-item>
<p>2. Evidence of target tissue uptake and functional activation</p>
</list-item>
</list>
</td>
<td align="left">Exosome isolation and purification; Fluorescently labeled exosome tracking; Target tissue-specific knockdown</td>
<td align="left">Medium</td>
<td align="left">
<xref ref-type="bibr" rid="B20">Liu and Wang (2023),</xref> <xref ref-type="bibr" rid="B43">Wang et al. (2023c),</xref> <xref ref-type="bibr" rid="B23">Luo et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Technical rigor</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Primer specificity (spanning back-splice junctions)</p>
</list-item>
<list-item>
<p>2. Exclusion of linear RNA contamination</p>
</list-item>
</list>
</td>
<td align="left">Back-splice junction-specific primer design; Actinomycin D stability analysis</td>
<td align="left">Medium</td>
<td align="left">
<xref ref-type="bibr" rid="B33">Schreiner et al. (2020),</xref> <xref ref-type="bibr" rid="B19">Liu and Chen (2022),</xref> <xref ref-type="bibr" rid="B5">Digby et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Translational value</td>
<td align="left">
<list list-type="simple">
<list-item>
<p>1. Consistent expression across different exercise modalities (endurance/resistance)</p>
</list-item>
<list-item>
<p>2. Association with human exercise performance/muscular diseases</p>
</list-item>
</list>
</td>
<td align="left">Human exercise intervention clinical trials; Multi-omics (transcriptomics &#x2b; proteomics) integrated analysis</td>
<td align="left">Low</td>
<td align="left">
<xref ref-type="bibr" rid="B1">Ashcroft et al. (2024),</xref> <xref ref-type="bibr" rid="B27">MoTrPAC Study Group, Lead Analysts (2024)</xref>, <xref ref-type="bibr" rid="B29">Noone et al. (2024)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>This table focuses on the whole-process key nodes from mechanism validation to clinical translation. All references are from the original citation list, which can be directly used as a practical checklist for experimental design to make up for the deficiencies of current research in &#x201c;quantitative rigor&#x201d; and &#x201c;causality confirmation.&#x201d;</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The effectiveness and trustworthiness of the research are to be enhanced through a hierarchical screening process and objective anticipations. First, systematically regulated multi-omics experiments must be used to identify circRNAs with consistent and significant changes in response to both rodent and human exercise protocols, so as to avoid species and condition-specific transcripts. They will then be filtered on the basis of three criteria: sequence and interaction-motif conservation, sufficient endogenous abundance to cause functional effects, and mechanistic plausibility (or alignment with known muscle remodeling pathways) (<xref ref-type="bibr" rid="B27">MoTrPAC Study Group, Lead Analysts, 2024</xref>; <xref ref-type="bibr" rid="B29">Noone et al., 2024</xref>). The candidates meeting such criteria only must proceed to comprehensive mechanistic testing, including precise genetic perturbation and RBP interaction validation. Moreover, investigators should maintain clear and unbiased expectations: several muscle circRNAs can only have small or situation-specific regulatory impacts, and not be considered a universal controller. By focusing on a few candidates who meet strict scientific standards, possible resource wastage on transcripts of low biological value is avoided (<xref ref-type="bibr" rid="B46">Wu et al., 2022</xref>).</p>
<p>To conclude, future studies in circRNA--RBP research in skeletal muscle remodeling need three essential measures, namely, focusing on causal perturbation to validate mechanisms, utilizing quantitative analysis to ensure physiological significance, and using a hierarchical screening approach to narrow the high-priority candidates. Through grounding research on these principles and avoiding excessive interpretation of the regulatory actions of circRNAs, it is possible to produce more solid research on the true significance of the circRNA-RBP axis. This approach explains the importance of circRNAs in exercise stress and informs the scientific activity of the most promising biological candidates to improve exercise performance and treat muscle-related disorders.</p>
</sec>
<sec id="s7">
<label>7</label>
<title>Conclusion and perspectives</title>
<p>The case of CircRNAs and RBPs offers an interesting account framework that relates non-coding RNA biology and skeletal muscle remodeling with exercise. Consequently, the current body of evidence is insufficient to firmly establish the circRNA-RBP axis as a primary driver of exercise-induced skeletal muscle remodeling (<xref ref-type="bibr" rid="B40">Walzik et al., 2024</xref>). This conclusion is underpinned by several key limitations: the quantitative deficiencies that challenge the physiological relevance of the ceRNA model (<xref ref-type="bibr" rid="B35">Singh et al., 2024</xref>), the specificity controversies surrounding the RBP scaffolding mechanism, and the predominantly correlative nature of most studies, including those on exosomal circRNAs. The field is currently characterized by an abundance of descriptive data but a scarcity of validated mechanisms and a scramble of sufficiently validated mechanisms, mediated by rodent-based model systems and incompatible technical criteria (<xref ref-type="bibr" rid="B41">Wang D. et al., 2023</xref>).</p>
<p>To guarantee that circRNA-RBP studies make a strong contribution to the related fields, future studies should emphasize causal perturbation, quantitative studies, and human relevance. It is crucial to define whether circRNAs are the main controllers, the supportive moduler in certain circumstances, or are mainly the byproducts of the RNA-processing system to understand how skeletal muscle perceives and recollects the stimuli of exercise. The knowledge will also aid in the wise investment of scientific research in the most promising molecular targets to improve exercise performance and explore the diseases related to the same.</p>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s8">
<title>Author contributions</title>
<p>JL: Conceptualization, Investigation, Methodology, Project administration, Resources, Software, Supervision, Writing &#x2013; original draft, Writing &#x2013; review and editing. YY: Conceptualization, Investigation, Methodology, Software, Writing &#x2013; original draft, Writing &#x2013; review and editing. HC: Writing &#x2013; original draft, Writing &#x2013; review and editing. ML: Writing &#x2013; original draft, Writing &#x2013; review and editing. ZM: Writing &#x2013; original draft, Writing &#x2013; review and editing. MZ: Funding acquisition, Resources, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>We extend our gratitude to all authors for their dedication and contributions.</p>
</ack>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s11">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ashcroft</surname>
<given-names>S. P.</given-names>
</name>
<name>
<surname>Stocks</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Egan</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Zierath</surname>
<given-names>J. R.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Exercise induces tissue-specific adaptations to enhance cardiometabolic health</article-title>. <source>Cell Metab.</source> <volume>36</volume>, <fpage>278</fpage>&#x2013;<lpage>300</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmet.2023.12.008</pub-id>
<pub-id pub-id-type="pmid">38183980</pub-id>
</mixed-citation>
</ref>
<ref id="B2">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choe</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Jeong</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Joung</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Jeong</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y.-K.</given-names>
</name>
<name>
<surname>Kook</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>Circular RNA circAtxn10 regulates skeletal muscle cell differentiation by targeting miR-143-3p and Chrna1</article-title>. <source>Korean J. Physiol. Pharmacol. Off. J. Korean Physiol. Soc. Korean Soc. Pharmacol.</source> <volume>29</volume>, <fpage>637</fpage>&#x2013;<lpage>648</lpage>. <pub-id pub-id-type="doi">10.4196/kjpp.25.046</pub-id>
<pub-id pub-id-type="pmid">40701844</pub-id>
</mixed-citation>
</ref>
<ref id="B3">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dhara</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Hill</surname>
<given-names>A. C.</given-names>
</name>
<name>
<surname>Ramesh</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Wood</surname>
<given-names>M. J. A.</given-names>
</name>
<name>
<surname>El-Sagheer</surname>
<given-names>A. H.</given-names>
</name>
<name>
<surname>Brown</surname>
<given-names>T.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Synthesis, biophysical and biological evaluation of splice-switching oligonucleotides with multiple LNA-phosphothiotriester backbones</article-title>. <source>J. Am. Chem. Soc.</source> <volume>146</volume>, <fpage>29773</fpage>&#x2013;<lpage>29781</lpage>. <pub-id pub-id-type="doi">10.1021/jacs.4c11402</pub-id>
<pub-id pub-id-type="pmid">39401255</pub-id>
</mixed-citation>
</ref>
<ref id="B4">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Diener</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Keller</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Meese</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>The miRNA&#x2013;target interactions: an underestimated intricacy</article-title>. <source>Nucleic Acids Res.</source> <volume>52</volume>, <fpage>1544</fpage>&#x2013;<lpage>1557</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkad1142</pub-id>
<pub-id pub-id-type="pmid">38033323</pub-id>
</mixed-citation>
</ref>
<ref id="B5">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Digby</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Finn</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>&#xd3; Broin</surname>
<given-names>P.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Computational approaches and challenges in the analysis of circRNA data</article-title>. <source>BMC Genomics</source> <volume>25</volume>, <fpage>527</fpage>. <pub-id pub-id-type="doi">10.1186/s12864-024-10420-0</pub-id>
<pub-id pub-id-type="pmid">38807085</pub-id>
</mixed-citation>
</ref>
<ref id="B6">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dong</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Ryan</surname>
<given-names>T. E.</given-names>
</name>
<name>
<surname>Esser</surname>
<given-names>K. A.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Animal models of exercise and cardiometabolic disease</article-title>. <source>Circ. Res.</source> <volume>137</volume>, <fpage>139</fpage>&#x2013;<lpage>162</lpage>. <pub-id pub-id-type="doi">10.1161/CIRCRESAHA.124.325704</pub-id>
<pub-id pub-id-type="pmid">40608858</pub-id>
</mixed-citation>
</ref>
<ref id="B7">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Egan</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Sharples</surname>
<given-names>A. P.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Molecular responses to acute exercise and their relevance for adaptations in skeletal muscle to exercise training</article-title>. <source>Physiol. Rev.</source> <volume>103</volume>, <fpage>2057</fpage>&#x2013;<lpage>2170</lpage>. <pub-id pub-id-type="doi">10.1152/physrev.00054.2021</pub-id>
<pub-id pub-id-type="pmid">36395350</pub-id>
</mixed-citation>
</ref>
<ref id="B8">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Tian</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Role of circular RNA in myocardial ischemia and ageing-related diseases</article-title>. <source>Cytokine and Growth Factor Rev.</source> <volume>65</volume>, <fpage>1</fpage>&#x2013;<lpage>11</lpage>. <pub-id pub-id-type="doi">10.1016/j.cytogfr.2022.04.005</pub-id>
<pub-id pub-id-type="pmid">35561533</pub-id>
</mixed-citation>
</ref>
<ref id="B9">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hafner</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Katsantoni</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>K&#xf6;ster</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Marks</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Mukherjee</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Staiger</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>CLIP and complementary methods</article-title>. <source>Nat. Rev. Methods Prim.</source> <volume>1</volume>, <fpage>20</fpage>. <pub-id pub-id-type="doi">10.1038/s43586-021-00018-1</pub-id>
</mixed-citation>
</ref>
<ref id="B10">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hargreaves</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Spriet</surname>
<given-names>L. L.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Skeletal muscle energy metabolism during exercise</article-title>. <source>Nat. Metab.</source> <volume>2</volume>, <fpage>817</fpage>&#x2013;<lpage>828</lpage>. <pub-id pub-id-type="doi">10.1038/s42255-020-0251-4</pub-id>
<pub-id pub-id-type="pmid">32747792</pub-id>
</mixed-citation>
</ref>
<ref id="B11">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Circular RNA-protein interactions: functions, mechanisms, and identification</article-title>. <source>Theranostics</source> <volume>10</volume>, <fpage>3503</fpage>&#x2013;<lpage>3517</lpage>. <pub-id pub-id-type="doi">10.7150/thno.42174</pub-id>
<pub-id pub-id-type="pmid">32206104</pub-id>
</mixed-citation>
</ref>
<ref id="B12">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jarlstad Olesen</surname>
<given-names>M. T.</given-names>
</name>
<name>
<surname>Kristensen</surname>
<given-names>L. S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Circular RNAs as microRNA sponges: evidence and controversies</article-title>. <source>Essays Biochem.</source> <volume>65</volume>, <fpage>685</fpage>&#x2013;<lpage>696</lpage>. <pub-id pub-id-type="doi">10.1042/EBC20200060</pub-id>
<pub-id pub-id-type="pmid">34028529</pub-id>
</mixed-citation>
</ref>
<ref id="B13">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname>
<given-names>M.-P.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>W.-X.</given-names>
</name>
<name>
<surname>Hou</surname>
<given-names>J.-C.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-D.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>J.-H.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>The emerging role of the interactions between circular RNAs and RNA-binding proteins in common human cancers</article-title>. <source>J. Cancer</source> <volume>12</volume>, <fpage>5206</fpage>&#x2013;<lpage>5219</lpage>. <pub-id pub-id-type="doi">10.7150/jca.58182</pub-id>
<pub-id pub-id-type="pmid">34335937</pub-id>
</mixed-citation>
</ref>
<ref id="B14">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kristensen</surname>
<given-names>L. S.</given-names>
</name>
<name>
<surname>Andersen</surname>
<given-names>M. S.</given-names>
</name>
<name>
<surname>Stagsted</surname>
<given-names>L. V. W.</given-names>
</name>
<name>
<surname>Ebbesen</surname>
<given-names>K. K.</given-names>
</name>
<name>
<surname>Hansen</surname>
<given-names>T. B.</given-names>
</name>
<name>
<surname>Kjems</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>The biogenesis, biology and characterization of circular RNAs</article-title>. <source>Nat. Rev. Genet.</source> <volume>20</volume>, <fpage>675</fpage>&#x2013;<lpage>691</lpage>. <pub-id pub-id-type="doi">10.1038/s41576-019-0158-7</pub-id>
<pub-id pub-id-type="pmid">31395983</pub-id>
</mixed-citation>
</ref>
<ref id="B15">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kritikaki</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Asterling</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Ward</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Padget</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Barreiro</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Simoes</surname>
<given-names>D. C. M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Exercise training-induced extracellular matrix protein adaptation in locomotor muscles: a systematic review</article-title>. <source>Cells</source> <volume>10</volume>, <fpage>1022</fpage>. <pub-id pub-id-type="doi">10.3390/cells10051022</pub-id>
<pub-id pub-id-type="pmid">33926070</pub-id>
</mixed-citation>
</ref>
<ref id="B16">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lai</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Ram&#xed;rez-Pardo</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Isern</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>An</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Perdiguero</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Serrano</surname>
<given-names>A. L.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Multimodal cell atlas of the ageing human skeletal muscle</article-title>. <source>Nature</source> <volume>629</volume>, <fpage>154</fpage>&#x2013;<lpage>164</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-024-07348-6</pub-id>
<pub-id pub-id-type="pmid">38649488</pub-id>
</mixed-citation>
</ref>
<ref id="B17">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>A. T.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>B. B.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Circular RNAs in cancer: limitations in functional studies and diagnostic potential</article-title>. <source>Semin. Cancer Biol.</source> <volume>75</volume>, <fpage>49</fpage>&#x2013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1016/j.semcancer.2020.10.002</pub-id>
<pub-id pub-id-type="pmid">33035655</pub-id>
</mixed-citation>
</ref>
<ref id="B18">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Mei</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>A brief review of circRNA biogenesis, detection, and function</article-title>. <source>Curr. Genomics</source> <volume>22</volume>, <fpage>485</fpage>&#x2013;<lpage>495</lpage>. <pub-id pub-id-type="doi">10.2174/1389202922666210331130722</pub-id>
<pub-id pub-id-type="pmid">35386433</pub-id>
</mixed-citation>
</ref>
<ref id="B19">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>C.-X.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>L.-L.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Circular RNAs: characterization, cellular roles, and applications</article-title>. <source>Cell</source> <volume>185</volume>, <fpage>2016</fpage>&#x2013;<lpage>2034</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2022.04.021</pub-id>
<pub-id pub-id-type="pmid">35584701</pub-id>
</mixed-citation>
</ref>
<ref id="B20">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>Y.-J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>A review of the regulatory mechanisms of extracellular vesicles-mediated intercellular communication</article-title>. <source>Cell Commun. Signal. CCS</source> <volume>21</volume>, <fpage>77</fpage>. <pub-id pub-id-type="doi">10.1186/s12964-023-01103-6</pub-id>
<pub-id pub-id-type="pmid">37055761</pub-id>
</mixed-citation>
</ref>
<ref id="B21">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Qiu</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Circular RNA ROCK1, a novel circRNA, suppresses osteosarcoma proliferation and migration <italic>via</italic> altering the miR-532-5p/PTEN axis</article-title>. <source>Exp. Mol. Med.</source> <volume>54</volume>, <fpage>1024</fpage>&#x2013;<lpage>1037</lpage>. <pub-id pub-id-type="doi">10.1038/s12276-022-00806-z</pub-id>
<pub-id pub-id-type="pmid">35879346</pub-id>
</mixed-citation>
</ref>
<ref id="B22">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Hallajzadeh</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Role of exercise on ncRNAs and exosomal ncRNAs in preventing neurodegenerative diseases: a narrative review</article-title>. <source>Mol. Med. (Camb. Mass,)</source> <volume>31</volume>, <fpage>51</fpage>. <pub-id pub-id-type="doi">10.1186/s10020-025-01091-y</pub-id>
<pub-id pub-id-type="pmid">39920595</pub-id>
</mixed-citation>
</ref>
<ref id="B23">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luo</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Pu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Recent advances of exosomes derived from skeletal muscle and crosstalk with other tissues</article-title>. <source>Int. J. Mol. Sci.</source> <volume>25</volume>, <fpage>10877</fpage>. <pub-id pub-id-type="doi">10.3390/ijms252010877</pub-id>
<pub-id pub-id-type="pmid">39456658</pub-id>
</mixed-citation>
</ref>
<ref id="B24">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ma</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Meng</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>An</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Yue</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Single-cell RNA-seq reveals novel interaction between muscle satellite cells and fibro-adipogenic progenitors mediated with FGF7 signalling</article-title>. <source>J. Cachexia Sarcopenia Muscle</source> <volume>15</volume>, <fpage>1388</fpage>&#x2013;<lpage>1403</lpage>. <pub-id pub-id-type="doi">10.1002/jcsm.13484</pub-id>
<pub-id pub-id-type="pmid">38751367</pub-id>
</mixed-citation>
</ref>
<ref id="B25">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Masante</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Susin</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Baudet</surname>
<given-names>M.-L.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Droplet digital PCR for the detection and quantification of bona fide CircRNAs</article-title>. <source>Methods Mol. Biol. (Clifton N.J.)</source> <volume>2765</volume>, <fpage>107</fpage>&#x2013;<lpage>126</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-0716-3678-7_6</pub-id>
<pub-id pub-id-type="pmid">38381336</pub-id>
</mixed-citation>
</ref>
<ref id="B26">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mayakrishnan</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Kannappan</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Balakarthikeyan</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>C. Y.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Rodent model intervention for prevention and optimal management of sarcopenia: a systematic review on the beneficial effects of nutrients and non-nutrients and exercise to improve skeletal muscle health</article-title>. <source>Ageing Res. Rev.</source> <volume>102</volume>, <fpage>102543</fpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2024.102543</pub-id>
<pub-id pub-id-type="pmid">39427886</pub-id>
</mixed-citation>
</ref>
<ref id="B27">
<mixed-citation publication-type="journal">
<collab>MoTrPAC Study Group, Lead Analysts</collab> (<year>2024</year>). <article-title>Temporal dynamics of the multi-omic response to endurance exercise training</article-title>. <source>Nature</source> <volume>629</volume>, <fpage>174</fpage>&#x2013;<lpage>183</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-023-06877-w</pub-id>
<pub-id pub-id-type="pmid">38693412</pub-id>
</mixed-citation>
</ref>
<ref id="B28">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nielsen</surname>
<given-names>A. F.</given-names>
</name>
<name>
<surname>Bindereif</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Bozzoni</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Hanan</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hansen</surname>
<given-names>T. B.</given-names>
</name>
<name>
<surname>Irimia</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Best practice standards for circular RNA research</article-title>. <source>Nat. Methods</source> <volume>19</volume>, <fpage>1208</fpage>&#x2013;<lpage>1220</lpage>. <pub-id pub-id-type="doi">10.1038/s41592-022-01487-2</pub-id>
<pub-id pub-id-type="pmid">35618955</pub-id>
</mixed-citation>
</ref>
<ref id="B29">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Noone</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Mucinski</surname>
<given-names>J. M.</given-names>
</name>
<name>
<surname>DeLany</surname>
<given-names>J. P.</given-names>
</name>
<name>
<surname>Sparks</surname>
<given-names>L. M.</given-names>
</name>
<name>
<surname>Goodpaster</surname>
<given-names>B. H.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Understanding the variation in exercise responses to guide personalized physical activity prescriptions</article-title>. <source>Cell Metab.</source> <volume>36</volume>, <fpage>702</fpage>&#x2013;<lpage>724</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmet.2023.12.025</pub-id>
<pub-id pub-id-type="pmid">38262420</pub-id>
</mixed-citation>
</ref>
<ref id="B30">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pisignano</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Michael</surname>
<given-names>D. C.</given-names>
</name>
<name>
<surname>Visal</surname>
<given-names>T. H.</given-names>
</name>
<name>
<surname>Pirlog</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Ladomery</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Calin</surname>
<given-names>G. A.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Going circular: history, present, and future of circRNAs in cancer</article-title>. <source>Oncogene</source> <volume>42</volume>, <fpage>2783</fpage>&#x2013;<lpage>2800</lpage>. <pub-id pub-id-type="doi">10.1038/s41388-023-02780-w</pub-id>
<pub-id pub-id-type="pmid">37587333</pub-id>
</mixed-citation>
</ref>
<ref id="B31">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roy</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Padhi</surname>
<given-names>S. S.</given-names>
</name>
<name>
<surname>Khyriem</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Nikose</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Sankar</surname>
<given-names>S. H. H.</given-names>
</name>
<name>
<surname>Bharathavikru</surname>
<given-names>R. S.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Resetting the epigenome: methylation dynamics in cancer stem cells</article-title>. <source>Front. Cell Dev. Biol.</source> <volume>10</volume>, <fpage>909424</fpage>. <pub-id pub-id-type="doi">10.3389/fcell.2022.909424</pub-id>
<pub-id pub-id-type="pmid">36225315</pub-id>
</mixed-citation>
</ref>
<ref id="B32">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sadhukhan</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Sinha</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Dey</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Panda</surname>
<given-names>A. C.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Subcellular localization of circular RNAs: where and why</article-title>. <source>Biochem. Biophys. Res. Commun.</source> <volume>715</volume>, <fpage>149937</fpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2024.149937</pub-id>
<pub-id pub-id-type="pmid">38701688</pub-id>
</mixed-citation>
</ref>
<ref id="B33">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schreiner</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Didio</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Hung</surname>
<given-names>L.-H.</given-names>
</name>
<name>
<surname>Bindereif</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Design and application of circular RNAs with protein-sponge function</article-title>. <source>Nucleic Acids Res.</source> <volume>48</volume>, <fpage>12326</fpage>&#x2013;<lpage>12335</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkaa1085</pub-id>
<pub-id pub-id-type="pmid">33231682</pub-id>
</mixed-citation>
</ref>
<ref id="B34">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Evolutionary conserved circular MEF2A RNAs regulate myogenic differentiation and skeletal muscle development</article-title>. <source>PLOS Genet.</source> <volume>19</volume>, <fpage>e1010923</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1010923</pub-id>
<pub-id pub-id-type="pmid">37676887</pub-id>
</mixed-citation>
</ref>
<ref id="B35">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Singh</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Sinha</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Panda</surname>
<given-names>A. C.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Regulation of microRNA by circular RNA</article-title>. <source>WIREs RNA</source> <volume>15</volume>, <fpage>e1820</fpage>. <pub-id pub-id-type="doi">10.1002/wrna.1820</pub-id>
<pub-id pub-id-type="pmid">37783567</pub-id>
</mixed-citation>
</ref>
<ref id="B36">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Smith</surname>
<given-names>J. A. B.</given-names>
</name>
<name>
<surname>Murach</surname>
<given-names>K. A.</given-names>
</name>
<name>
<surname>Dyar</surname>
<given-names>K. A.</given-names>
</name>
<name>
<surname>Zierath</surname>
<given-names>J. R.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Exercise metabolism and adaptation in skeletal muscle</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>24</volume>, <fpage>607</fpage>&#x2013;<lpage>632</lpage>. <pub-id pub-id-type="doi">10.1038/s41580-023-00606-x</pub-id>
<pub-id pub-id-type="pmid">37225892</pub-id>
</mixed-citation>
</ref>
<ref id="B37">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Kang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>The emerging regulatory mechanisms and biological function of circular RNAs in skeletal muscle development</article-title>. <source>Biochim. Biophys. Acta, Gene Regul. Mech.</source> <volume>1865</volume>, <fpage>194888</fpage>. <pub-id pub-id-type="doi">10.1016/j.bbagrm.2022.194888</pub-id>
<pub-id pub-id-type="pmid">36280131</pub-id>
</mixed-citation>
</ref>
<ref id="B38">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Urzi</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Srp&#x10d;i&#x10d;</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Lakota</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Circular RNAs and their emerging roles in muscular immune-related diseases</article-title>. <source>Front. Immunol.</source> <volume>16</volume>, <fpage>1675567</fpage>. <pub-id pub-id-type="doi">10.3389/fimmu.2025.1675567</pub-id>
<pub-id pub-id-type="pmid">41322400</pub-id>
</mixed-citation>
</ref>
<ref id="B39">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van Nostrand</surname>
<given-names>E. L.</given-names>
</name>
<name>
<surname>Freese</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Pratt</surname>
<given-names>G. A.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Xiao</surname>
<given-names>R.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>A large-scale binding and functional map of human RNA-binding proteins</article-title>. <source>Nature</source> <volume>583</volume>, <fpage>711</fpage>&#x2013;<lpage>719</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-020-2077-3</pub-id>
<pub-id pub-id-type="pmid">32728246</pub-id>
</mixed-citation>
</ref>
<ref id="B40">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Walzik</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Wences Chirino</surname>
<given-names>T. Y.</given-names>
</name>
<name>
<surname>Zimmer</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Joisten</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Molecular insights of exercise therapy in disease prevention and treatment</article-title>. <source>Signal Transduct. Target. Ther.</source> <volume>9</volume>, <fpage>138</fpage>. <pub-id pub-id-type="doi">10.1038/s41392-024-01841-0</pub-id>
<pub-id pub-id-type="pmid">38806473</pub-id>
</mixed-citation>
</ref>
<ref id="B41">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Qian</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>W.</given-names>
</name>
</person-group> (<year>2023a</year>). <article-title>Exosomal circRNAs: novel biomarkers and therapeutic targets for gastrointestinal tumors</article-title>. <source>Biomed. Pharmacother. &#x3d; Biomed. Pharmacother.</source> <volume>157</volume>, <fpage>114053</fpage>. <pub-id pub-id-type="doi">10.1016/j.biopha.2022.114053</pub-id>
<pub-id pub-id-type="pmid">36462315</pub-id>
</mixed-citation>
</ref>
<ref id="B42">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Meng</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2023b</year>). <article-title>Exercise-induced circular RNA circUtrn is required for cardiac physiological hypertrophy and prevents myocardial ischaemia-reperfusion injury</article-title>. <source>Cardiovasc Res.</source> <volume>119</volume>, <fpage>2638</fpage>&#x2013;<lpage>2652</lpage>. <pub-id pub-id-type="doi">10.1093/cvr/cvad161</pub-id>
<pub-id pub-id-type="pmid">37897547</pub-id>
</mixed-citation>
</ref>
<ref id="B43">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2023c</year>). <article-title>Exosome-mediated regulatory mechanisms in skeletal muscle: a narrative review</article-title>. <source>J. Zhejiang Univ. Sci. B</source> <volume>24</volume>, <fpage>1</fpage>&#x2013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1631/jzus.B2200243</pub-id>
<pub-id pub-id-type="pmid">36632747</pub-id>
</mixed-citation>
</ref>
<ref id="B44">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Ju</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Cai</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>METTL3 facilitates the translation of CircSIK2 during chicken myogenesis in an m6A dependent manner</article-title>. <source>PLoS Genet.</source> <volume>21</volume>, <fpage>e1011934</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1011934</pub-id>
<pub-id pub-id-type="pmid">41171889</pub-id>
</mixed-citation>
</ref>
<ref id="B45">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>L.-L.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>The functional circular RNA screening <italic>via</italic> RfxCas13D/BSJ-gRNA system</article-title>. <source>Methods Mol. Biol.</source> <volume>2765</volume>, <fpage>173</fpage>&#x2013;<lpage>191</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-0716-3678-7_10</pub-id>
<pub-id pub-id-type="pmid">38381340</pub-id>
</mixed-citation>
</ref>
<ref id="B46">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Cai</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>F.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Exploring the cellular landscape of circular RNAs using full-length single-cell RNA sequencing</article-title>. <source>Nat. Commun.</source> <volume>13</volume>, <fpage>3242</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-022-30963-8</pub-id>
<pub-id pub-id-type="pmid">35688820</pub-id>
</mixed-citation>
</ref>
<ref id="B47">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Joseph</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Xia</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Teng</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>R.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Circular RNAs acting as miRNAs&#x2019; sponges and their roles in stem cells</article-title>. <source>J. Clin. Med.</source> <volume>11</volume>, <fpage>2909</fpage>. <pub-id pub-id-type="doi">10.3390/jcm11102909</pub-id>
<pub-id pub-id-type="pmid">35629034</pub-id>
</mixed-citation>
</ref>
<ref id="B48">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yan</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Pei</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Recent progress on circular RNAs in the development of skeletal muscle and adipose tissues of farm animals</article-title>. <source>Biomolecules</source> <volume>13</volume>, <fpage>314</fpage>. <pub-id pub-id-type="doi">10.3390/biom13020314</pub-id>
<pub-id pub-id-type="pmid">36830683</pub-id>
</mixed-citation>
</ref>
<ref id="B49">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>The function and regulation mechanism of non-coding RNAs in muscle development</article-title>. <source>Int. J. Mol. Sci.</source> <volume>24</volume>, <fpage>14534</fpage>. <pub-id pub-id-type="doi">10.3390/ijms241914534</pub-id>
<pub-id pub-id-type="pmid">37833983</pub-id>
</mixed-citation>
</ref>
<ref id="B50">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Guan</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Tian</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Back to the origin: mechanisms of circRNA-directed regulation of host genes in human disease</article-title>. <source>Non-coding RNA</source> <volume>10</volume>, <fpage>49</fpage>. <pub-id pub-id-type="doi">10.3390/ncrna10050049</pub-id>
<pub-id pub-id-type="pmid">39452835</pub-id>
</mixed-citation>
</ref>
<ref id="B51">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zaccara</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Jaffrey</surname>
<given-names>S. R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>A unified model for the function of YTHDF proteins in regulating m6A-modified mRNA</article-title>. <source>Cell</source> <volume>181</volume>, <fpage>1582</fpage>&#x2013;<lpage>1595.e18</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2020.05.012</pub-id>
<pub-id pub-id-type="pmid">32492408</pub-id>
</mixed-citation>
</ref>
<ref id="B52">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Ling</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Transcriptome sequencing analysis of circRNA in skeletal muscle between fast- and slow-growing chickens at embryonic stages</article-title>. <source>Animals</source> <volume>12</volume>, <fpage>3166</fpage>. <pub-id pub-id-type="doi">10.3390/ani12223166</pub-id>
<pub-id pub-id-type="pmid">36428392</pub-id>
</mixed-citation>
</ref>
<ref id="B53">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Lv</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Lin</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2025</year>). <article-title>Physical exercise and epigenetic modifications in skeletal muscle, brain, and heart</article-title>. <source>Epigenetics and Chromatin</source> <volume>18</volume>, <fpage>12</fpage>. <pub-id pub-id-type="doi">10.1186/s13072-025-00576-8</pub-id>
<pub-id pub-id-type="pmid">40114219</pub-id>
</mixed-citation>
</ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3262403/overview">Sirui Zhang</ext-link>, Brigham and Women&#x27;s Hospital and Harvard Medical School, United States</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2959301/overview">Victor Hugo Joaquim</ext-link>, University of S&#xe3;o Paulo, Brazil</p>
</fn>
</fn-group>
</back>
</article>