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The molecular basis of skeletal muscle atrophy
Abstract
Skeletal muscle atrophy attributable to muscular inactivity has significant adverse functional consequences. While the initiating physiological event leading to atrophy seems to be the loss of muscle tension and a good deal of the physiology of muscle atrophy has been characterized, little is known about the triggers or the molecular signaling events underlying this process. Decreases in protein synthesis and increases in protein degradation both have been shown to contribute to muscle protein loss due to disuse, and recent work has delineated elements of both synthetic and proteolytic processes underlying muscle atrophy. It is also becoming evident that interactions among known proteolytic pathways (ubiquitin-proteasome, lysosomal, and calpain) are involved in muscle proteolysis during atrophy. Factors such as TNF-alpha, glucocorticoids, myostatin, and reactive oxygen species can induce muscle protein loss under specified conditions. Also, it is now apparent that the transcription factor NF-kappaB is a key intracellular signal transducer in disuse atrophy. Transcriptional profiles of atrophying muscle show both up- and downregulation of various genes over time, thus providing further evidence that there are multiple concurrent processes involved in muscle atrophy. The purpose of this review is to synthesize our current understanding of the molecular regulation of muscle atrophy. We also discuss how ongoing work should uncover more about the molecular underpinnings of muscle wasting, particularly that due to disuse.
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“Various stimuli, such as aging, genetics, denervation, starvation, unhealthy lifestyle (i.e., sedentariness, high fat diet (HFD)), systemic pathologies (i.e., diabetes, inflammation, cancer), and long-term drug therapy (i.e., glucocorticoids) are known to further skeletal muscle loss and weakness [2,3,4].”
From Nutraceuticals in the Prevention and Treatment of the Muscle Atrophy (2021) · cites this paper as [3]
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“It is characterized by a decrease in protein content and fibre size because of a decrease in protein synthesis and increase protein degradation rates.(1) The major consequence of this is a reduced force generation capacity and muscle function that often leads to a decreased quality of life.”
BackgroundMuscle does not drive persistent posttraumatic elbow contracture in a rat model
Dunham, C. L., Chamberlain, A. M., Meyer, G. A., & Lake, S. P. (2018) · Muscle & Nerve · doi:10.1002/mus.26344 · Cited by 13
Komiya, Y., Kobayashi, C., Uchida, N., Otsu, S., Tanio, T., Yokoyama, I., Nagasao, J., & Arihara, K. (2019) · Animal Science Journal · doi:10.1111/asj.13224 · Cited by 12
Xuekelati, S., Maimaitiwusiman, Z., Bai, X., Xiang, H., Li, Y., & Wang, H. (2024) · Experimental Gerontology · doi:10.1016/j.exger.2024.112390 · Cited by 12
“The maintenance of skeletal muscle quality and function is very important for exercise completion, posture support, posture maintenance, vital organ protection, and metabolism maintenance (Jackman and Kandarian, 2004).”
BackgroundPotential of Lycii Radicis Cortex as an Ameliorative Agent for Skeletal Muscle Atrophy
Son, R. H., Kim, M. I., Kim, H. M., Guo, S., Lee, D. H., Lim, G. M., Kim, S.-M., Kim, J., & Kim, C. Y. (2024) · Pharmaceuticals · doi:10.3390/ph17040462 · Cited by 14
Vásquez, F., Díaz-Bautista, E., Lera, L., Meza, J. S., Salas, I., Rojas, P., Atalah, E., & Burrows, R. A. (2013) · PubMed · doi:10.3305/nh.2013.28.2.6280 · Cited by 12
Abdel-Raouf, K. M. A., Rezgui, R., Stefanini, C., Teo, J. C. M., & Christoforou, N. (2021) · Biology · doi:10.3390/biology10060539 · Cited by 12
“In the context of skeletal muscle development, the importance of TNF-α, an inflammatory cytokine secreted during traumatic injury, is highlighted during the remodeling process, where it is released by immune cells to induce skeletal muscle degradation and atrophy while promoting infiltration of fibroblasts, thus delet…”
BackgroundIshii, N., Ogasawara, R., Kobayashi, K., & Nakazato, K. (2012) · The Journal of Physical Fitness and Sports Medicine · doi:10.7600/jpfsm.1.83 · Cited by 12
Effect of kinin B2 receptor ablation on skeletal muscle development and myostatin gene expression
Souza, K. D. P., Batista, E. C., Silva, E. D., Reis, F. C. G., Silva, S. M. A., Araújo, R. C., Luz, J., dos Santos, E. L., & Pesquero, J. B. (2010) · Neuropeptides · doi:10.1016/j.npep.2009.12.001 · Cited by 12
“Various hormones, growth factors and cytokines are regulators of skeletal muscle mass (Matsakas and Patel, 2009; Jackman and Kandarian, 2004).”
BackgroundBunn, J. A., Buford, T. W., Serra, M. C., Kreider, R. B., & Willoughby, D. S. (2011) · Journal of Nutrition and Metabolism · doi:10.1155/2011/539690 · Cited by 12
“Muscle atrophy is characterized by a reduction in muscle protein synthesis or an increase in protein degradation [1– 4] that results in decreased fiber diameter, force production, and fatigue resistance [5].”
Influentialvan Aswegen, H., Myezwa, H., Mudzi, W., & Becker, P. (2011) · European Journal of Trauma and Emergency Surgery · doi:10.1007/s00068-010-0071-4 · Cited by 12
“tein breakdown through the ubiquitin–proteasome pathway [23–25].”
KLOTHO, FGF21 AND FGF23: NOVEL PATHWAYS TO MUSCULOSKELETAL HEALTH?
Bartali, B., Semba, R. D., & de Araújo, A. B. (2013) · The Journal of Frailty & Aging · doi:10.14283/jfa.2013.26 · Cited by 12
Non-invasive Assessment of Dorsiflexor Muscle Function in Mice
Gerlinger‐Romero, F., Addinsall, A. B., Lovering, R. M., Foletta, V. C., van der Poel, C., Gatta, P. A. D., & Russell, A. P. (2019) · Journal of Visualized Experiments · doi:10.3791/58696 · Cited by 12
Evaluation of Right Ventricle Function in Children With Primary Nephrotic Syndrome
Qin, Q., Xu, R., Dong, J., Xia, W., & Sun, R. (2010) · Pediatrics & Neonatology · doi:10.1016/s1875-9572(10)60031-9 · Cited by 12
Gene Profiling Studies in Skeletal Muscle by Quantitative Real-Time Polymerase Chain Reaction Assay
Bhatnagar, S., Panguluri, S. K., & Kumar, A. (2011) · Methods in molecular biology · doi:10.1007/978-1-61779-343-1_18 · Cited by 12
“Conversely, skeletal muscle undergoes atrophy or wasting, which is a critical determinant of human morbidity and mortality in a wide variety of disease states and conditions (4-6).”
BackgroundPharmacology of manipulating lean body mass
Sepulveda, P. V., Bush, E. D., & Baar, K. (2014) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/1440-1681.12320 · Cited by 12
IMPLEMENTAÇÃO DE CONTROLE ESTATÍSTICO DE APERTADEIRAS EM UMA INDÚSTRIA AUTOMOTIVA: ESTUDO DE CASO
Sampaio, N. A. D. S., de Barros, J. G. M., de Almeida, M. D. G. D., BASTOS, B., de Araújo, A. H., OLIVEIRA, E. T. D., GUERRA, A. V., de Camargo, P. R., VIEIRA, A. L. D. R., RAMOS, F. T., et al. (2019) · Revista SODEBRAS · doi:10.29367/issn.1809-3957.14.2019.163.22 · Cited by 11
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Wei, Y., Guo, D., Bai, Y., Liu, Z., Li, J., Chen, Z., Shi, B., Zhao, Z., Hu, J., Han, X., et al. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242316991 · Cited by 11
“Moreover, the overexpression of IGFBP5 can either enhance or hinder the IGF -mediated myoblast differentiation or survival by facilitating or impeding the action of IGFs [32,33].”
BackgroundMendes, S., Leal, D. V., Baker, L. A., Ferreira, A., Smith, A. C., & Viana, J. L. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24076017 · Cited by 12
“Nonetheless, it is characterized firstly by a decrease in muscle mass (and volume), force production and, on a more detailed perspective, by a diminishment of protein content and fibre diameter [35].”
BackgroundRole of dietary flavonoids in oxidative stress and prevention of muscle atrophy
Mukai, R., & Terao, J. (2013) · The Journal of Physical Fitness and Sports Medicine · doi:10.7600/jpfsm.2.385 · Cited by 11
Tanaka, M., Nakanishi, R., Murakami, S., Fujita, N., Kondo, H., Ishihara, A., Roy, R. R., & Fujino, H. (2015) · Acta Histochemica · doi:10.1016/j.acthis.2015.11.007 · Cited by 11
Liang, Y., Liu, Y., Lai, W., Du, M., Li, S., Zhou, L., Mo, Y., Wang, P., Min, Y., & Cui, L. (2019) · Endocrine · doi:10.1007/s12020-019-01857-5 · Cited by 14
Effect of Tomato Peel Extract Grown under Drought Stress Condition in a Sarcopenia Model
Felice, F., Cesare, M. M., Fredianelli, L., Leo, M. D., Conti, V., Braca, A., & Stefano, R. D. (2022) · Molecules · doi:10.3390/molecules27082563 · Cited by 11
“Numerous studies have shown that glucocorticoids decrease muscle size, due to accelerated muscle protein breakdown [6,7].”
BackgroundChronic Obstructive Pulmonary Disease and Heart Failure
Álvarez, F. V., Méndez‐Bailón, M., & de Miguel‐Díez, J. (2009) · Archivos de Bronconeumología · doi:10.1016/s1579-2129(09)72937-4 · Cited by 11
Developmental regulation of molecular signalling in fetal and neonatal diaphragm protein metabolism
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“These potential triggers play a causal role in atrophy or are involved in various aspects of cell homeostasis.(2,3,10) The circulating IGF-1 (a major anabolic factor of protein metabolism) expression underwent three phases of dynamic changes, with a peak increase at 100 days of GA, falling to a low level at full term,…”
BackgroundArvanitidis, A., Henriksen, K., Karsdal, M. A., & Nedergaard, A. (2016) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-160150 · Cited by 11
“Lastly, caspase activity is related to muscle atrophy in various muscle wasting models involving myonuclear apoptosis [45].”
BackgroundSISTEMA AUTOMÁTICO DE CONTROLE DE ILUMINAÇÃO BASEADO EM SENSORES DE PRESENÇA E BLUETOOTH
da Rocha, W. F., & Mestria, M. (2019) · Revista SODEBRAS · doi:10.29367/issn.1809-3957.14.2019.163.32 · Cited by 10
Tereshenko, V., Dotzauer, D. C., Schmoll, M., Harnoncourt, L., Rojas, G. C., Gfrerer, L., Eberlin, K. R., Austen, W. G., Blumer, R., Farina, D., et al. (2024) · Science Advances · doi:10.1126/sciadv.adj3872 · Cited by 10
“We evaluated muscle atrophy on the basis of the following atrophy signs: intramuscular fibrous tissue; small, scattered, and angulated muscle fibers; or nuclear bags, which appear as clumps of nuclei encircled by the remaining sarcolemmal membrane ( 35 , 36 ).”
The Alleviative Effect of Sodium Butyrate on Dexamethasone‐Induced Skeletal Muscle Atrophy
Zhao, X., Zhu, M., Wang, Z., Gao, M., Long, Y., Zhou, S., & Wang, W. (2025) · Cell Biology International · doi:10.1002/cbin.70003 · Cited by 9
“The use of dexameth-asone inhibits protein synthesis pathways significantly while activating protein degradation pathways (Jackman and Kandarian 2004).”
Metadata
- Authors
- Jackman, R. W., & Kandarian, S. C.
- Affiliations
- Boston University (US)
- Venue
- American Journal of Physiology-Cell Physiology
- Publisher
- American Physiological Society
- Published
- 2004-10
- Volume
- 287
- Issue
- 4
- Pages
- C834-C843
- ISSN
- 0363-6143 (ISSN-L)
- 1522-1563
- OpenAlex
- W2127808488
- Cited by
- 1,008
- References
- 118
- Citations by year
- 2026: 18 · 2025: 21 · 2024: 53 · 2023: 34 · 2022: 33 · 2021: 35 · 2020: 45 · 2019: 50 · 2018: 38 · 2017: 41 · 2016: 52 · 2015: 59 · 2014: 49 · 2013: 64 · 2012: 49
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Cell Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Space Biomedical Research Institute
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR-41705, R01AR041705)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- skeletal muscle atrophy, disuse atrophy, muscle protein degradation, muscle protein synthesis, ubiquitin-proteasome system, lysosomal proteolysis, calpain, TNF-α, glucocorticoids, myostatin, reactive oxygen species, NF-κB, transcriptional regulation, muscle atrophy
- MeSH terms
- Muscle Proteins, Muscular Atrophy, Transcription, Genetic, Signal Transduction, Gene Expression, NF-kappa B, Muscle, Skeletal, Muscular Disorders, Atrophic
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