Muscle Wasting in Chronic Kidney Disease: Mechanism and Clinical Implications—A Narrative Review

Tsai Chin Cheng, Shou Hsien Huang, Chung Lan Kao, Po Cheng Hsu*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Muscle wasting, known to develop in patients with chronic kidney disease (CKD), is a deleterious consequence of numerous complications associated with deteriorated renal function. Muscle wasting in CKD mainly involves dysregulated muscle protein metabolism and impaired muscle cell regeneration. In this narrative review, we discuss the cardinal role of the insulin‐like growth factor 1 and myostatin signaling pathways, which have been extensively investigated using animal and human studies, as well as the emerging concepts in microRNA‐ and gut microbiota-mediated regulation of muscle mass and myogenesis. To ameliorate muscle loss, therapeutic strategies, including nutritional support, exercise programs, pharmacological interventions, and physical modalities, are being increasingly developed based on advances in understanding its underlying pathophysiology.

Original languageEnglish
Article number6047
JournalInternational Journal Of Molecular Sciences
Volume23
Issue number11
DOIs
StatePublished - 1 Jun 2022

Keywords

  • chronic kidney disease
  • exercise
  • molecular mechanism
  • muscle regeneration
  • muscle wasting
  • nutrition
  • pharmaceutical intervention
  • physical modality
  • protein metabolism

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