Abstract
Steroid myopathy is a consequence of #glucocorticoid administration
and excess occurring in #Cushing's syndrome. It is characterized by
muscle weakness, which impairs patients' capacity to perform everyday
activities. The relevance of steroid myopathy is very high especially
given the large number of patients suffering from inflammatory diseases
that are treated with glucocorticoids. The major #pathogenetic mechanisms
hypothesized are: imbalance between protein synthesis and degradation,
impairment of mitochondrial function and redox imbalance. The triggers
of the latter phenomena and muscle damage are still unknown. The latter
issues are still unsatisfactorily settled mainly because analyses are
mostly focused at times when steroid myopathy had fully developed making
it difficult to take apart the phenomena causing the #myopathy from
those being a consequence of it. To identify the triggering mechanisms
involved in the pathogenesis of steroid myopathy the very early stages
of the phenomenon must be investigated. This short review describes the
effect of short-term #corticosteroid administration on muscle functional,
structural and molecular adaptations in humans and mice.This short review will focus on to the understanding the pathogenesis of the steroid myopathy.
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Steroid Myopathy: Understanding the Pathogenesis by Monica Canepari in BJSTR
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