Muscle atrophy

Muscle atrophy or “muscle wastage” is a medical problem where a person loses muscle tissue. This makes the person's muscles weaker. With muscle atrophy, muscles can shrink completely, or only partly.

Many older people have muscular atrophy. Muscle atrophy can also happen to people with certain diseases or medical conditions, like cancer, AIDS, congestive heart failure, Chronic obstructive pulmonary disease, and renal failure (where the kidneys do not work correctly). Muscles can get smaller and weaker when those muscles are not used as much as usual - for example, when a person has to wear a cast for a broken arm or leg, or when a person must be on bed rest for a long time during a long illness. Muscle atrophy can also be caused by Dejerine Sottas syndrome, cachexia, burns, liver failure, and starvation.

Muscular atrophy can cause serious problems in a person's life. As the person loses muscle strength, they will lose the ability to do more and more things. When they try to do things, they will be more likely to have accidents. Muscular atrophy increases the risks of falling.

No one knows exactly what causes muscular atrophy. It may be due to the gradual failure in the "satellite cells" which help to regenerate skeletal muscle fibres, and a decrease in sensitivity to or the availability of secreted growth factors which are necessary to maintain muscle mass and satellite cell survival.

In muscle atrophy, the normal balance between protein synthesis and protein degradation changes. There is a down-regulation of protein synthesis pathways, and an activation of protein breakdown pathways.^[1] In the ATP-dependent ubiquitin/proteasome pathway, particular proteins are targeted for destruction by the ligation of at least four copies of a small peptide called ubiquitin onto a substrate protein. The substrate is later targeted for destruction by the proteasome.

Muscle atrophy can be treated

• by exercise which induces an increase in muscle mass. The exercise downregulates the pathways which induce muscle hypertrophy, or an increase in muscle size.
• by the use of functional electrical stimulation to stimulate the muscles. This has been successful in the rehabilitation of paraplegic patients.^[2]
• by therapy with muscle-building amino acids for regenerating damaged or atrophied muscle tissue. The branched-chain amino acids or BCAAs (leucine, isoleucine, and valine) are critical to this process, in addition to lysine and other amino acids.