Comments

Sarcopenia associated with chronic obstructive pulmonary disease

  • Shifang YANG ,
  • Xinglin GAO ,
  • Jing LI ,
  • Lupeng. JI
Expand
  • *.Department of Pulmonary and Critical Care Medicine,Guangdong Provincial People′s Hospital,Guangdong Academy of Medical Sciences,Southern Medical University,Guangzhou 510080,China

Received date: 2023-11-29

  Online published: 2024-05-15

Abstract

Sarcopenia is a progressive and systemic skeletal muscle disease and an important extrapulmonary complication of chronic obstructive pulmonary disease (COPD). Multiple studies have confirmed that COPD patients with sarcopenia have more severe airflow obstruction and emphysema, higher dyspnea index scores, reduced quality of life and exercise capacity, frequent acute exacerbations, and increased mortality. Although sarcopenia has been mentioned as a complication of COPD for many years, current clinical practice has received insufficient attention and insufficient intervention. The main reason is that its pathogenesis is unknown and drug treatment regimens are ineffective. As more and more research has been done on COPD combined with sarcopenia in recent years, this article reviews the current research progress to pay attention to further research and early intervention, including new mechanisms, diagnostic criteria, and drug treatment progress.

Cite this article

Shifang YANG , Xinglin GAO , Jing LI , Lupeng. JI . Sarcopenia associated with chronic obstructive pulmonary disease[J]. The Journal of Practical Medicine, 2024 , 40(9) : 1181 -1185 . DOI: 10.3969/j.issn.1006-5725.2024.09.001

References

1 SINGER J, YELIN E H, KATZ P P, et al. Respiratory and skeletal muscle strength in chronic obstructive pulmonary disease: impact on exercise capacity and lower extremity function [J]. J Cardiopulm Rehabil Prev, 2011, 31(2): 111-119. doi:10.1097/hcr.0b013e3182033663
2 CRUZ-JENTOFT A J, SAYER A A. Sarcopenia [J]. Lancet, 2019, 393 (10191), 2636-2646. doi:10.1016/s0140-6736(19)31138-9
3 DIVO M J, CELLI B R, POBLADOR-PLOU B, et al. Chronic obstructive pulmonary disease (COPD) as a disease of early aging: evidence from the EpiChron cohort [J]. PLoS One, 2018, 13: e0193143. doi:10.1371/journal.pone.0193143
4 GóMEZ-MARTíNEZ M, RODRíGUEZ-GARCí A W, GONZáL-EZISLAS D, et al. Impact of Body Composotion and Sarcopenia on Mortality in Chronic Obstructive Pulmonary Disease Patients [J]. J Cli Med, 2023, 12(4): 1321. doi:10.3390/jcm12041321
5 CHOI Y J, PARK H J, CHO J H, et al. Low Skeletal Muscle Mass and Clinical Outcomes in Chronic Obstructive Pulmonary Disease [J]. Tuberc Respir Dis (Seoul), 2023, 86(4):272-283. doi:10.4046/trd.2023.0008
6 MCDONALD M N, WOUTERS E F M, RUTTEN E, et al. It′s more than low BMI: prevalence of cachexia and associated mortality in COPD [J]. Respir Res, 2019, 20: 100. doi:10.1186/s12931-019-1073-3
7 CELLI B R, LOCANTORE N, TAL-SINGER R, et al. Emphysema and extrapulmonary tissue loss in COPD: a multi-organ loss of tissue phenotype [J]. Eur Respir J, 2018, 51(2):1702146. doi:10.1183/13993003.02146-2017
8 BENZ E, TRAJANOSKA K, LAHOUSSE L, et al. Sarcopenia in COPD: a systematic review and meta-analysis[J].Eur Respir Rev, 2019, 28(154):190049. doi:10.1183/16000617.0049-2019
9 SEPúLVEDA-LOYOLA W, OSADNIK C, PHU S, et al. Diagnosis, prevalence, and clinical impact of sarcopenia in COPD: a systematic review and meta-analysis[J]. J Cachexia Sarcopenia Muscle, 2020,11(5):1164-1176. doi:10.1002/jcsm.12600
10 ATTAWAY A H, WELCH N, HATIPOGLU U, et al. Muscle loss contributes to higher morbidity and mortality in COPD: an analysis of national trends[J]. Respirol, 2021, 26(1):62-71. doi:10.1111/resp.13877
11 ZHAO X, SU R, HU R, et al. Sarcopenia index as a predictor of clinical outcomes among older adult patients with acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study[J]. BMC Geriatr, 2023, 23(1):89. doi:10.1186/s12877-023-03784-7
12 BYUN M K, CHO E N, CHANG J, et al. Sarcopenia correlates with systemic inflammation in COPD [J]. Int J Chron Obstruct Pulmon Dis, 2017, 12:669-675. doi:10.2147/copd.s130790
13 WANG Y Q, LI P J, CAO Y Y, et al.Skeletal muscle mitochondrial dysfunction in chronic obstructive pulmonary disease: underlying mechanisms and physical therapy perspectives [J].Aging Dis, 2023, 14(1):33-45. doi:10.14336/ad.2022.0603
14 SANCHO-MU?OZ A, GUITART M, GUITART M, et al. Deficient muscle regeneration potential in sarcopenic COPD patients: Role of satellite cells [J]. J Cell Physiol, 2021, 236(4):3083-3098. doi:10.1002/jcp.30073
15 MONTES DE OCA M, TORRES S H, DE SANCTIS J, et al. Skeletal muscle inflammation and nitric oxide in patients with COPD [J]. Eur Respir J, 2005, 26(3):390-397. doi:10.1183/09031936.05.00107404
16 MENON M K, HOUCHEN L, SINGH S J,et al. Inflammatory and satellite cells in the quadriceps of patients with COPD and response to resistance Training [J]. Chest, 2012, 142(5):1134-1142. doi:10.1378/chest.11-2144
17 GURRIARAN-RODRIGUEZ U, SANTOS-ZAS I, GONZALEZ-SANCHEZ J,et al. Action of obestatin in skeletal muscle repair:stem cell expansion,muscle growth, and microenvironment remodeling [J]. Mol Ther, 2015, 23(6):1003-1021. doi:10.1038/mt.2015.40
18 LAKSHMAN KUMAR P, WILSON A C, ROCCO A, et al. Genetic variation in genes regulating skeletal muscle regeneration and tissue remodelling associated with weight loss in chronic obstructive pulmonary disease [J]. J Cachexia Sarcopenia Muscle, 2021, 12(6):1803-1817. doi:10.1002/jcsm.12782
19 ATTAWAY A H, BELLAR A, WELCH N, et al. Gene polymorphisms associated with heterogeneityand senescence characteristics of sarcopenia in chronic obstructive pulmonary disease [J]. J Cachexia Sarcopenia Muscle, 2023, 14(2):1083-1095. doi:10.1002/jcsm.13198
20 TAN Z, ZHAO M, LI J, et al. Myostatin is involved in skeletal muscle dysfunction in chronic obstructive pulmonary disease via Drp-1 mediated abnormal mitochondrial division [J]. Ann Transl Med, 2022, 10(4): 162. doi:10.21037/atm-22-377
21 LEDUC-GAUDET J P, REYNAUD O, HUSSAIN S N, et al. Parkin Overexpression Protects from Ageing-Related Loss of Muscle Mass and Strength [J]. J Physiol, 2019, 597(7): 1975-1991. doi:10.1113/jp277157
22 左玉强,柳青,高志红,等. L3椎体平面骨骼肌和脂肪化程度与老年肌少症关系的CT定量研究 [J]. 实用医学杂志, 2021, 37 (11): 1470-1475. doi:10.3969/j.issn.1006-5725.2021.11.020
23 PATEL S, MADDOCKS M, MAN W D.Exercise Training in COPD: FITT for Purpose [J]. Chest, 2020, 158(1):9-10. doi:10.1016/j.chest.2020.02.040
24 REMELLI F, VITALI A, ZURLO A, et al.Vitamin D deficiency and sarcopenia in older persons [J]. Nutrients, 2019, 11(12):2861. doi:10.3390/nu11122861
25 PASSEY S L, HANSEN M J, BOZINOVSKI S, et al. Emerging therapies for the treatment of skeletal muscle wasting in chronic obstructive pulmonary disease [J]. Pharmacol Ther, 2016, 166:56-70. doi:10.1016/j.pharmthera.2016.06.013
26 POLKEY M I, PRAESTGAARD J, BERWICK A, et al. Activin Type II Receptor Blockade for Treatment of Muscle Depletion in Chronic Obstructive Pulmonary Disease. A Randomized Trial [J]. Am J Respir Crit Care Med, 2019, 199(3):313-320. doi:10.1164/rccm.201802-0286oc
Outlines

/