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Schematic of muscle satellite cell (myosatellite cell) transition to myofiber.

Satellite Cell Activation and Muscle Regeneration

Satellite cells have a crucial role in muscle regeneration due to their ability to proliferate, differentiate, and self-renew. Prior to a severe injury to the muscle, satellite cells are in a dormant state. Slight proliferation can occur in times of light injuries but major injuries require greater numbers of satellite cells to activate. The activation of satellite cells from their dormant state is controlled through signals from the muscle niche. This signaling induces an inflammatory response in the muscle tissue. The behavior of satellite cells is a highly regulated process to accommodate the balance between dormant and active states. In times of injury, satellite cells in myofibers receive signals to proliferate from proteins in the crushed skeletal muscle. Myofibers are fundamental elements in muscle made up of actin and myosin myofibrils. The proteins responsible for signaling the activation of satellite cells are called mitogens. A mitogen is a small protein that induces a cell to enter the cell cycle. When the cells receive signals from the neurons, it causes the myofibers to depolarize and release calcium from the sarcoplasmic reticulum. The release of calcium induces the actin and myosin filaments to move and contract the muscle. Studies found that transplanted satellite cells onto myofibers supported multiple regenerations of new muscle tissue. These findings support the hypothesis that satellite cells are the stem cells in muscles. Dependent on their relative position to daughter cells on myofibers, satellite cells undergo asymmetric and symmetric division. The niche and location determines the behavior of satellite cells in their proliferation and differentiation. In general, mammalian skeletal muscle is relatively stable with little myonuclei turnover. Minor injuries from daily activities can be repaired without inflammation or cell death. Major injuries contribute to myofiber necrosis, inflammation, and cause satellite cells to activate and proliferate. The process of myofiber necrosis to myofiber formation results in muscle regeneration.

Muscle regeneration occurs in three overlapping stages. The inflammatory response, activation and differentiation of satellite cells, and maturation of the new myofibers are essential for muscle regeneration. This process begins with the death of damaged muscle fibers where dissolution of myofiber sacolemma leads to an increase in myofiber permeability. The disruption in myofiber integrity is seen in increased plasma levels in muscle proteins. The death of myofibers drives a calcium influx from the sarcoplasmic reticulum to induce tissue degradation. An inflammatory response follows the necrosis of myofibers. During times of muscle growth and regeneration, satellite cells can travel over between myofibers and muscle and over connective tissue barriers. Signals from the damaged environment induce these behavioral changes in satellite cells.