“…FOXO3a, a critical mediator between growth factor IRS-1/PI3K/AKT and IRS2/MEK/ERK signaling, induces the expression of ubiquitin, atrogin-1, and MuRF1 (Tisdale; Zheng, Ohkawa et al; Sandri, Sandri et al 2004). In addition to atrogenes, FOXO3a is responsible for apoptotic signaling leading to the loss of mitochondrial membrane permeability, degradation of nuclear DNA, cytochrome c release, Bad phosphorylation, downregulation of FLICE-inhibitory protein, and cleaved (active) caspase 1, 3, and 8 (Hou, Chong et al;Shang, Chong et al;Skurk, Maatz et al 2004). Therefore, FOXO3a may represent a promising target for the treatment of T1DM-mediated skeletal muscle atrophy.…”