“…The changes in apoptotic processes seen in HIBM satellite cells might be one of the initial pathologic events leading to the degeneration of muscle tissue, since they appear during the mitotic phase, while other biological functions of the cells -morphology, proliferation, senescence and differentiation -seem normal. In contrast, in highly degenerative diseases such as HD, CMD and DMD, most basic biological functions are impaired from the early stages of satellite cells activation, 17,19,21 and therefore even when apoptotic processes are involved, it is difficult to point to the initial steps of the process. Presently, the upstream events in HIBM pathophysiology, in terms of intracellular and intercellular signaling, have not been elucidated.…”