scholarly journals How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction

Thorax ◽  
2005 ◽  
Vol 60 (5) ◽  
pp. 367-375 ◽  
Author(s):  
M A Puhan
2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Ákos Tényi ◽  
Isaac Cano ◽  
Francesco Marabita ◽  
Narsis Kiani ◽  
Susana G. Kalko ◽  
...  

2013 ◽  
Vol 114 (9) ◽  
pp. 1273-1281 ◽  
Author(s):  
Sabah N. A. Hussain ◽  
Marco Sandri

Chronic obstructive pulmonary disease (COPD) is a debilitating disease caused by parenchymal damage and irreversible airflow limitation. In addition to lung dysfunction, patients with COPD develop weight loss, malnutrition, poor exercise performance, and skeletal muscle atrophy. The latter has been attributed to an imbalance between muscle protein synthesis and protein degradation. Several reports have confirmed that enhanced protein degradation and atrophy of limb muscles of COPD patient is mediated in part through activation of the ubiquitin-proteasome pathway and that this activation is triggered by enhanced production of reactive oxygen species. Until recently, the importance of the autophagy-lysosome pathway in protein degradation of skeletal muscles has been largely ignored, however, recent evidence suggests that this pathway is actively involved in recycling of cytosolic proteins, organelles, and protein aggregates in normal skeletal muscles. The protective role of autophagy in the regulation of muscle mass has recently been uncovered in mice with muscle-specific suppression of autophagy. These mice develop severe muscle weakness, atrophy, and decreased muscle contractility. No information is yet available about the involvement of the autophagy in the regulation of skeletal muscle mass in COPD patients. Pilot experiments on vastus lateralis muscle samples suggest that the autophagy-lysosome system is induced in COPD patients compared with control subjects. In this review, we summarize recent progress related to molecular structure, regulation, and roles of the autophagy-lysosome pathway in normal and diseased skeletal muscles. We also speculate about regulation and functional importance of this system in skeletal muscle dysfunction in COPD patients.


Author(s):  
Vitalii Poberezhets ◽  
Szymon Skoczyński ◽  
Anna Demchuk ◽  
Aleksandra Oraczewska ◽  
Ewelina Tobiczyk ◽  
...  

Thorax ◽  
2014 ◽  
Vol 69 (Suppl 2) ◽  
pp. A76-A76
Author(s):  
R. Lahkdar ◽  
G. Choudhury ◽  
J. McLeish ◽  
E. Drost ◽  
L. McGlynn ◽  
...  

Author(s):  
Vitalii Poberezhets ◽  
Szymon Skoczyński ◽  
Anna Demchuk ◽  
Aleksandra Oraczewska ◽  
Ewelina Tobiczyk ◽  
...  

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