Venetian Institute of Molecular Medicine VIMM, Padova, Italy.
Int J Biochem Cell Biol. 2013 Oct;45(10):2191-9. doi: 10.1016/j.biocel.2013.05.016. Epub 2013 May 21.
Muscle wasting occurs in a variety of conditions, including both genetic diseases, such as muscular dystrophies, and acquired disorders, ranging from muscle disuse to cancer cachexia, from heart failure to aging sarcopenia. In most of these conditions, the loss of muscle tissue is not homogeneous, but involves specific muscle groups, for example Duchenne muscular dystrophy affects most body muscles but spares extraocular muscles, and other dystrophies affect selectively proximal or distal limb muscles. In addition, muscle atrophy can affect specific fiber types, involving predominantly slow type 1 or fast type 2 muscle fibers, and is frequently accompanied by a slow-to-fast or fast-to-slow fiber type shift. For example, muscle disuse, such as spinal cord injury, causes type 1 fiber atrophy with a slow-to-fast fiber type shift, whereas cancer cachexia leads to preferential atrophy of type 2 fibers with a fast-to-slow fiber type shift. The identification of the signaling pathways responsible for the differential response of muscles types and fiber types can lead to a better understanding of the pathogenesis of muscle wasting and to the design of therapeutic interventions appropriate for the specific disorders. This article is part of a Directed Issue entitled: Molecular basis of muscle wasting.
肌肉减少症发生在多种情况下,包括遗传性疾病,如肌肉营养不良症,以及获得性疾病,从肌肉失用到癌症恶病质,从心力衰竭到衰老性肌肉减少症。在大多数情况下,肌肉组织的丧失不是均匀的,而是涉及特定的肌肉群,例如杜兴氏肌肉营养不良症影响大多数身体肌肉,但不影响眼外肌,而其他肌肉营养不良症则选择性地影响近端或远端肢体肌肉。此外,肌肉萎缩可影响特定的纤维类型,主要涉及慢型 1 型或快型 2 型肌肉纤维,并且常伴有慢型到快型或快型到慢型纤维类型转变。例如,肌肉失用,如脊髓损伤,导致 1 型纤维萎缩,并伴有慢型到快型纤维类型转变,而癌症恶病质则导致 2 型纤维优先萎缩,并伴有快型到慢型纤维类型转变。确定导致肌肉类型和纤维类型不同反应的信号通路,可以更好地理解肌肉减少症的发病机制,并设计出针对特定疾病的治疗干预措施。本文是一个专题的一部分,该专题题为:肌肉减少症的分子基础。