Multiple lines of evidence suggest that the ubiquitin-proteasome-dependent
proteolytic pathway is the major degradative process responsible for the lo
ss of muscle proteins seen in various pathological states and following foo
d deprivation. The first step in this pathway is the covalent attachment of
polyubiquitin chains to protein substrates. This signal targets the substr
ates for subsequent hydrolysis into peptides by the 26S proteasome. Several
metabolic abnormalities (reduced food intake, Impaired mobility, and pertu
rbations in the production or responsiveness of catabolic and anabolic horm
ones, cytokines and/or proteolysis inducing factors) act in concert to cont
ribute to muscle wasting in disease states. We cite recent evidence that in
sulin, glucocorticoids, thyroid hormones, and nutrients regulate the rates
of ubiquitinylation of protein substrates and of proteasome dependent prote
olysis in skeletal muscle. (C) 2001 by the National Kidney Foundation, Inc.