. Glucocorticoid-induced skeletal muscle atrophy is associated with upregulation of myostatin gene expression. Am J Physiol Endocrinol Metab 285: E363-E371, 2003. First published April 29, 2003 10.1152/ajpendo.00487.2002The mechanisms by which excessive glucocorticoids cause muscular atrophy remain unclear. We previously demonstrated that dexamethasone increases the expression of myostatin, a negative regulator of skeletal muscle mass, in vitro. In the present study, we tested the hypothesis that dexamethasone-induced muscle loss is associated with increased myostatin expression in vivo. Daily administration (60, 600, 1,200 g/kg body wt) of dexamethasone for 5 days resulted in rapid, dose-dependent loss of body weight (Ϫ4.0, Ϫ13.4, Ϫ17.2%, respectively, P Ͻ 0.05 for each comparison), and muscle atrophy (6.3, 15.0, 16.6% below controls, respectively). These changes were associated with dose-dependent, marked induction of intramuscular myostatin mRNA (66.3, 450, 527.6% increase above controls, P Ͻ 0.05 for each comparison) and protein expression (0.0, 260.5, 318.4% increase above controls, P Ͻ 0.05). We found that the effect of dexamethasone on body weight and muscle loss and upregulation of intramuscular myostatin expression was time dependent. When dexamethasone treatment (600 g ⅐ kg Ϫ1 ⅐ day Ϫ1 ) was extended from 5 to 10 days, the rate of body weight loss was markedly reduced to ϳ2% within this extended period. The concentrations of intramuscular myosin heavy chain type II in dexamethasonetreated rats were significantly lower (Ϫ43% after 5-day treatment, Ϫ14% after 10-day treatment) than their respective corresponding controls. The intramuscular myostatin concentration in rats treated with dexamethasone for 10 days returned to basal level. Concurrent treatment with RU-486 blocked dexamethasone-induced myostatin expression and significantly attenuated body loss and muscle atrophy. We propose that dexamethasone-induced muscle loss is mediated, at least in part, by the upregulation of myostatin expression through a glucocorticoid receptor-mediated pathway.regulation;