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Cited by 298

The DOI matches its Crossref record; 155 of the 155 references it cites were found in a registry or an index.

Sepsis-induced myopathy

Open access
Callahan, Leigh Ann, Supinski, Gerald S.·2009·Critical Care Medicine

Abstract

Sepsis is a major cause of morbidity and mortality in critically ill patients, and despite advances in management, mortality remains high. In survivors, sepsis increases the risk for the development of persistent acquired weakness syndromes affecting both the respiratory muscles and the limb muscles. This acquired weakness results in prolonged duration of mechanical ventilation, difficulty weaning, functional impairment, exercise limitation, and poor health-related quality of life. Abundant evidence indicates that sepsis induces a myopathy characterized by reductions in muscle force-generating capacity, atrophy (loss of muscle mass), and altered bioenergetics. Sepsis elicits derangements at multiple subcellular sites involved in excitation contraction coupling, such as decreasing membrane excitability, injuring sarcolemmal membranes, altering calcium homeostasis due to effects on the sarcoplasmic reticulum, and disrupting contractile protein interactions. Muscle wasting occurs later and results from increased proteolytic degradation as well as decreased protein synthesis. In addition, sepsis produces marked abnormalities in muscle mitochondrial functional capacity and when severe, these alterations correlate with increased death. The mechanisms leading to sepsis-induced changes in skeletal muscle are linked to excessive localized elaboration of proinflammatory cytokines, marked increases in free-radical generation, and activation of proteolytic pathways that are upstream of the proteasome including caspase and calpain. Emerging data suggest that targeted inhibition of these pathways may alter the evolution and progression of sepsis-induced myopathy and potentially reduce the occurrence of sepsis-mediated acquired weakness syndromes.

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Metadata

Authors
Callahan, L. A., & Supinski, G. S.
Venue
Critical Care Medicine
Published
2009-10
Volume
37
Issue
10 Suppl
Pages
S354-S367
ISSN
0090-3493 (ISSN-L)
OpenAlex
W1980424395
Cited by
298
References
155
FWCI
9.25
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Sepsis-induced myopathy. https://app.cochat.ai/papers/10.1097/ccm.0b013e3181b6e439
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Callahan, L. A., & Supinski, G. S. (2009). Sepsis-induced myopathy. Critical Care Medicine. https://doi.org/10.1097/ccm.0b013e3181b6e439

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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