2009
DOI: 10.1183/09031936.00091108
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Atrophy and hypertrophy signalling in the diaphragm of patients with COPD

Abstract: We investigated whether atrophy and hypertrophy signalling were altered in the diaphragm of chronic obstructive pulmonary disease (COPD) patients.We studied diaphragm fibre dimensions and proportion, expression of markers of the ubiquitinproteasome pathway, nuclear factor (NF)-kB pathways, muscle regulatory factors and myostatin in diaphragm biopsies from 19 patients with severe COPD and 13 patients without COPD.Type I proportion was significantly increased in the diaphragm of COPD patients while type II propo… Show more

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Cited by 75 publications
(58 citation statements)
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“…It is composed of a family of five members (p65, Rel-B, c-Rel, p50 and p52), which are all expressed within skeletal muscles. The NF-kB pathway was recently shown to be upregulated in the diaphragm of severe COPD patients [39]. In the muscle-wasted patients of the current study, protein expression of p65, but not p50, was greater in their vastus lateralis, and also showed a positive correlation with levels of total muscle protein ubiquitination.…”
Section: Redox Balance and Content Of Key Muscle Proteinssupporting
confidence: 49%
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“…It is composed of a family of five members (p65, Rel-B, c-Rel, p50 and p52), which are all expressed within skeletal muscles. The NF-kB pathway was recently shown to be upregulated in the diaphragm of severe COPD patients [39]. In the muscle-wasted patients of the current study, protein expression of p65, but not p50, was greater in their vastus lateralis, and also showed a positive correlation with levels of total muscle protein ubiquitination.…”
Section: Redox Balance and Content Of Key Muscle Proteinssupporting
confidence: 49%
“…Another novel finding in the investigation is that muscle-wasted severe COPD patients exhibited greater protein ubiquitination levels in their atrophying muscles. In view of the present findings and of those previously published in limb [5][6][7] and respiratory muscles [8,39] of severe COPD patients, it could be assumed that the ubiquitin-proteasome system seems to play a relevant role in the process of muscle atrophy in severe COPD patients.…”
Section: Redox Balance and Content Of Key Muscle Proteinsmentioning
confidence: 45%
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“…Diaphragm muscle atrophy in COPD patients correlated with increased expression and activity of the ubiquitin-proteasome system [59,84,85]. This finding was further substantiated by animal experiments where proteasome inhibitors efficiently counteracted increased protein turnover in a model for diaphragm atrophy, indicating a causal role for increased proteasome activity for diaphragm atrophy [60].…”
Section: Copdmentioning
confidence: 70%
“…De Troyer and colleagues (11) first noted compromised inspiratory muscle function in patients with cardiac dysfunction. Respiratory muscle dysfunction is now considered a salient feature of patients (11,21,23,35,36,62) and animals (7-9, 24, 28, 53, 58) with HF. Currently, little is known about the development of respiratory muscle dysfunction during the early onset of HF.…”
Section: Diaphragmatic Myofilament Function Becomes Increasingly Impamentioning
confidence: 99%