Skeletal Muscle Repair is the complex biological process involving the removal of damaged muscle fibers, the activation and proliferation of muscle stem cells (satellite cells), and the subsequent fusion and differentiation of these cells to regenerate new, functional muscle tissue. This process is essential for adapting to exercise, recovering from injury, and maintaining lean body mass across the lifespan. Hormonal signaling is a major regulator of this regenerative capacity. Efficient repair is key to physical function and metabolic health.
Origin
This term is fundamental to muscle physiology and sports medicine, describing the highly organized response to mechanical or metabolic stress. ‘Skeletal Muscle’ specifies the tissue, while ‘Repair’ denotes the regenerative and remodeling functions that maintain tissue homeostasis and functional strength. The efficiency of this repair declines with age and chronic inflammation, leading to sarcopenia.
Mechanism
The mechanism is initiated by localized inflammation and the release of various growth factors and cytokines following muscle damage. This signals the quiescent satellite cells to activate, proliferate, and migrate to the injury site. Anabolic hormones, such as Growth Hormone and Testosterone, play a critical role by promoting the fusion of these myoblasts into new muscle fibers and increasing protein synthesis. The entire process requires a delicate balance between catabolic cleanup and anabolic rebuilding, with sufficient rest and nutrient availability being key determinants of the outcome.
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