Research Center for Physical Fitness, Sports and Health, Toyohashi University of Technology, 1-1 Hibarigaoka, Tenpaku-cho, Toyohashi, 441-8580, Japan,
J Cachexia Sarcopenia Muscle. 2012 Jun;3(2):77-94. doi: 10.1007/s13539-011-0052-4. Epub 2012 Jan 12.
Recent advances in our understanding of the biology of muscle, and how anabolic and catabolic stimuli interact to control muscle mass and function, have led to new interest in the pharmacological treatment of muscle wasting. Loss of muscle occurs as a consequence of several chronic diseases (cachexia) as well as normal aging (sarcopenia). Although many negative regulators [Atrogin-1, muscle ring finger-1, nuclear factor-kappaB (NF-κB), myostatin, etc.] have been proposed to enhance protein degradation during both sarcopenia and cachexia, the adaptation of mediators markedly differs among these conditions. Sarcopenic and cachectic muscles have been demonstrated to be abundant in myostatin- and apoptosis-linked molecules. The ubiquitin-proteasome system (UPS) is activated during many different types of cachexia (cancer cachexia, cardiac heart failure, chronic obstructive pulmonary disease), but not many mediators of the UPS change during sarcopenia. NF-κB signaling is activated in cachectic, but not in sarcopenic, muscle. Some studies have indicated a change of autophagic signaling during both sarcopenia and cachexia, but the adaptation remains to be elucidated. This review provides an overview of the adaptive changes in negative regulators of muscle mass in both sarcopenia and cachexia.
近年来,我们对肌肉生物学的理解以及合成代谢和分解代谢刺激如何相互作用以控制肌肉质量和功能有了新的认识,这促使人们对肌肉减少症的药物治疗产生了新的兴趣。肌肉丧失是几种慢性疾病(恶病质)以及正常衰老(肌肉减少症)的结果。尽管已经提出了许多负调节剂[肌萎缩蛋白 1、肌肉环指 1、核因子-κB(NF-κB)、肌肉生长抑制素等]来增强肌肉减少症和恶病质期间的蛋白质降解,但这些条件之间的调节剂适应性明显不同。已经证明,肌肉减少症和恶病质肌肉中富含肌肉生长抑制素和凋亡相关分子。泛素-蛋白酶体系统(UPS)在许多不同类型的恶病质(癌症恶病质、心力衰竭、慢性阻塞性肺疾病)中被激活,但在肌肉减少症中,UPS 的许多调节剂不会发生变化。NF-κB 信号在恶病质肌肉中被激活,但在肌肉减少症肌肉中没有被激活。一些研究表明,自噬信号在肌肉减少症和恶病质中都发生了变化,但适应性仍有待阐明。本文综述了肌肉减少症和恶病质中肌肉质量负调节剂的适应性变化。