“…Oxidative stress, defined as the imbalance between oxidants and antioxidants in favor of the former (Figure 1), was shown to be a key contributing factor to the respiratory and limb muscle dysfunction of patients with COPD [14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30], muscles of animals with experimental cancer cachexia [31,32,33], and sepsis [34,35,36,37,38,39,40], and in elderly subjects [41,42,43]. High levels of oxidants may alter the function and structure of key cellular molecules such as proteins, DNA, and lipids, eventually leading to cellular injury and cell death (Figure 2) Moreover, protein oxidation including protein carbonylation was demonstrated to modify enzyme activity and DNA binding of transcription factors, while also rendering proteins more prone to proteolytic degradation (Figure 2) [44,45,46,47].…”