Skip to main content
Log in

Development of clinical and morphological signs of chronic alcoholic myopathy in men with prolonged alcohol intoxication

  • Published:
Human Physiology Aims and scope Submit manuscript

Abstract

Chronic alcoholic myopathy (ChAM) develops in 40–60% of alcohol-abusing patients and is accompanied by a lower performance, proximal paresis, and skeletal muscle atrophy. It is still unclear whether the duration or amount of alcohol consumption is important for ChAM development. The time course of the pathological process in skeletal muscle is also unknown. Male patients with and without alcoholic myopathy were evaluated for the duration of alcohol abuse, ethanol intake, morphological characteristics of m. quadriceps vastus lateralis, and the plasma content of insulin-like growth factor 1 (IGF-1). ChAM was found to develop after 10 years of alcohol abuse. Proximal paresis was observed only in patients with muscle fiber atrophy and was associated with a slow to fast transformation of the myosin phenotype. A decrease in plasma IGF-1 was detected in early ChAM, including stages without clinical signs of proximal paresis or morphological signs of muscle fiber atrophy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Zinov’eva, O.E. and Shenkman, B.S., Alcoholic myopathy, Nevrol. Zh., 2007, no. 5, p. 4.

    Google Scholar 

  2. Shenkman, B.S., Zinov’eva, O.E., Maslova, G.A., et al., Atrophy of slow and fast fibers of locomotor muscles in patients with chronic alcoholism: A clinical physiological analysis, Tekhnol. Zhiv. Sist., 2009, no. 8, p. 3.

    Google Scholar 

  3. Freilich, R., Kirsner, R., Whelan, G., et al., Quantitative measure of muscle strength and size in chronic alcoholism: An early indication of tissue damage, Drug Alcohol Rev., 1996, vol. 15, p. 277.

    Article  CAS  PubMed  Google Scholar 

  4. Hanid, A., Slavin, G., Mair, W., et al., Fiber type changes in striated muscle of alcoholics, J. Clin. Pathol., 1981, vol. 34, p. 991.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Preedy, V.R. and Peters, T.J., The effect of chronic ethanol ingestion on protein metabolism in type-Iand type-II-fire-rich skeletal muscles of the rat, Biochem. J., 1988, vol. 254, p. 631.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Steiner, J.L. and Lang, C.H., Dysregulation of skeletal muscle protein metabolism by alcohol, Am. J. Physiol. Endocrinol. Metab., 2015, Mar. DOI: 10.1152/ajpendo.00006.2015.

    Google Scholar 

  7. Reilly, M.E., McKoy, G., Mantle, D., et al., Protein and mRNA levels of the myosin heavy chain isoforms (β, IIa, IIx and IIb in type I and type II fiber-predominant rat skeletal muscles in response to chronic alcohol feeding, J. Muscle Res. Cell Motil., 2000, vol. 21, no. 8, p. 763.

    Article  CAS  PubMed  Google Scholar 

  8. Adachi, J., Asano, M., Ueno, Y., et al., Alcoholic muscle disease and biomembrane perturbations (review), J. Nutrit. Biochem., 2003, vol. 14, no. 11, p. 616.

    Article  CAS  Google Scholar 

  9. Fernández-Solà, J., García, G., Elena, M., et al., Muscle antioxidant status in chronic alcoholism, Alcohol. Clin. Exp. Res., 2002, vol. 26, no. 12, p. 1858.

    Article  PubMed  Google Scholar 

  10. WHO International guide for monitoring of alcohol consumption and related harm, http:/who int/publication/en.International Center for Alcohol Policies (ICAP). The ICAP Blue Book, Module 20: Standard Drinks.

  11. Estruch, R., Sacanella, E., Fernandez-Sola, J., et al., Natural history of alcoholic myopathy: A 5-year study, Alcohol. Clin. Exp. Res., 1998, vol. 22, no. 9, p. 2023.

    CAS  PubMed  Google Scholar 

  12. Nicolás, J.M., García, G., Fatjó, F., et al., Influence of nutritional status on alcoholic myopathy, Am. J. Clin. Nutr., 2003, vol. 78, p. 326.

    PubMed  Google Scholar 

  13. Lang, C.H., Frost, R.A., Svanberg, E., et al., IGF1/IGFBP-3 ameliorates alterations in protein synthesis, eIF4E availability, and myostatin in alcohol-fed rats, Am. J. Physiol. Endocrinol. Metab., 2004, vol. 286, p. 916.

    Article  Google Scholar 

  14. Yang, S., Alnaqeeb, M., Simpson, H., et al., Changes in muscle fiber type, muscle mass and IGF-I gene expression in rabbit skeletal muscle subjected to stretch, J. Anat., 1997, vol. 190, p. 613.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Fernandez-Solà, J., Preedy, V.R., Lang, C.H., et al., Molecular and cellular events in alcohol-induced muscle disease, Alcohol. Clin. Exp. Res., 2007, vol. 31, no. 12, p. 1953.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. L. Nemirovskaya.

Additional information

Original Russian Text © T.L. Nemirovskaya, B.S. Shenkman, O.E. Zinovyeva, Yu.N. Kazantseva, N.D. Samkhaeva, 2015, published in Fiziologiya Cheloveka, 2015, Vol. 41, No. 6, pp. 65–69.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nemirovskaya, T.L., Shenkman, B.S., Zinovyeva, O.E. et al. Development of clinical and morphological signs of chronic alcoholic myopathy in men with prolonged alcohol intoxication. Hum Physiol 41, 625–628 (2015). https://doi.org/10.1134/S0362119715060043

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1134/S0362119715060043

Keywords

Navigation