Physiological mechanisms of muscle atrophy
1. Decline in protein synthesis: Progressive loss of muscle protein, Impairment of sarcolemma ion transport, Loss of Ca2+ homeostasis
2. Oxidative damage: Reactive oxygen species (ROS) leak out of mitochondrial membranes and damage muscle fibres, ROS are a natural by-product of the normal aerobic metabolism, Oxidative damage occurs only when the rate of formation of ROS exceeds the rate of removal