Brightwell · American journal of physiology. Cell physiology 2022 · narrative review · n=?

A glitch in the matrix: the pivotal role for extracellular matrix remodeling during muscle hypertrophy.

Cited 50 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanistic research without new clinical trial or empirical human dataset

PubMed 35876284 · doi:10.1152/ajpcell.00200.2022 · record verified 2026-08-29

What was done

This narrative review synthesized recent evidence on how the extracellular matrix (ECM) and surrounding mononuclear cell populations (including fibrogenic cells, satellite cells, and immune cells) coordinate with muscle fibers to regulate skeletal muscle adaptation and hypertrophy following mechanical loading.

What was found

The abstract provides a qualitative summary and reports no specific numerical data or effect sizes. It describes that mechanical loading drives collagen production, turnover, and intercellular signaling, with the acellular collagen scaffold serving as both a mechanical signal transducer and a reservoir of growth factors necessary to support muscle fiber growth.

Why it matters

It emphasizes that muscle hypertrophy depends not only on the muscle fiber itself but on the structural and biochemical remodeling of the surrounding non-myogenic matrix environment.

Limits

The abstract contains no primary quantitative data, sample sizes, or specific study cohorts, representing purely mechanistic synthesis and theory.

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