Smith IJ, Tizio S, Hasselgren P. Sepsis and glucocorticoids downregulate the expression of the nuclear cofactor PGC-1 in skeletal muscle. Am J Physiol Endocrinol Metab 299: E533-E543, 2010. First published July 20, 2010; doi:10.1152/ajpendo.00596.2009.-Muscle wasting during sepsis is at least in part regulated by glucocorticoids and is associated with increased transcription of genes encoding the ubiquitin ligases atrogin-1 and muscle-specific RING-finger protein-1 (MuRF1). Recent studies suggest that muscle atrophy caused by denervation is associated with reduced expression of the nuclear cofactor peroxisome proliferator-activated receptor-␥ coactivator (PGC)-1 and that PGC-1 may be a repressor of the atrogin-1 and MuRF1 genes. The influence of other muscle-wasting conditions on the expression of PGC-1 is not known. We tested the influence of sepsis and glucocorticoids on PGC-1 and examined the potential link between downregulated PGC-1 expression and upregulated atrogin-1 and MuRF1 expression in skeletal muscle. Sepsis in rats and mice and treatment with dexamethasone resulted in downregulated expression of PGC-1 and increased expression of atrogin-1 and MuRF1 in the fast-twitch extensor digitorum longus muscle, with less pronounced changes in the slow-twitch soleus muscle. In additional experiments, adenoviral gene transfer of PGC-1 into cultured C 2C12 myotubes resulted in a dose-dependent decrease in atrogin-1 and MuRF1 mRNA levels. Treatment of cultured C 2C12 myotubes with dexamethasone or PGC-1 small interfering RNA (siRNA) resulted in downregulated PGC-1 expression and increased protein degradation. Taken together, our results suggest that sepsis-and glucocorticoid-induced muscle wasting may, at least in part, be regulated by decreased expression of the nuclear cofactor PGC-1.peroxisome proliferator-activated receptor-␥ coactivator-1; muscle wasting; transcription factors; muscle mass SEPSIS-INDUCED MUSCLE WASTING is associated with increased transcription of genes in the ubiquitin-proteasome proteolytic pathway, in particular the genes encoding the ubiquitin ligases atrogin-1 and muscle-specific RING-finger protein-1 (MuRF1) (7,10,44). Because stimulated gene transcription is involved in muscle wasting, it is not surprising that increased expression and activity of certain transcription factors, including NF-B (4, 28, 29, 40), CCAAT-enhancer-binding protein (C/EBP)- and C/EBP␦ (27,46), and FOXO1 and FOXO3a (32,35,49), play a role in muscle wasting.In addition to being regulated by transcription factors, gene transcription is also influenced by nuclear cofactors acting as activators or repressors (14). The potential role of nuclear cofactors in muscle wasting was illustrated in recent studies in our laboratory, in which we found evidence that glucocorticoid-induced muscle atrophy may, at least in part, be regulated by the nuclear cofactor p300 (47, 48).An important group of nuclear cofactors that may also participate in the regulation of muscle mass are members of the peroxisome proliferato...