“…Since that time, several lines of evidence have developed showing that denervation occurs in aging muscles, including a progressive reduction in the number of motoneurons in the spinal cord beginning at ≈60 y [5], loss of motoneurons in the periphery [6], [7], fiber type grouping [8], [9], degeneration of neuromuscular junctions [4], [10], loss of motor units [11], [12], and grouped fiber atrophy in aging muscle [13], [14]. It is also striking that the muscle morphological alterations in aging human muscle, e.g., accumulation of severely atrophic angular fibers [14], [15], [16], are similar to those seen in motoneuron diseases and in experimental models of denervation [17], [18], [19]. Finally, some fibers in aged muscles express markers of denervation, such as neural cell adhesion molecule [20] and the sodium channel, Nav 1.5
[21].…”