Myogenic lineage in myofiber formation. The myogenic precursor cells (Pax3/Pax7/Myf5 positive) are derived from pluripotent stem cells of the dermomyotome compartment of the somites during embryogenesis and undergo multiple waves of division followed by migration for the formation of myofibers in different parts of the body. The primary myofibers arise mostly from Pax3 positive myogenic progenitor cells, whereas the secondary myofibers are formed from the Pax7 positive myogenic progenitors using the primary myofibers as scaffold. Subsequent to activation and proliferation, the myogenic precursor cells transform into myoblasts expressing Pax7, Myf5, and MyoD. Myf5 acts alongside the expression of paired box genes, which is followed by the expression of MyoD, a downstream effector of myogenesis. During differentiation, the committed myoblasts, also known as myocytes expressing MyoD, exit the cell cycle, and fuse to form the multinucleated myotubes upon the induction of Myogenin and MRF4 genes. During both myoblast proliferation and differentiation some cells maintain high levels of Pax7 expression and self-renew to maintain tissue homeostasis (satellite cells pool). The mature myotubes turn into myofibers upon the expression of various structural proteins such as myosin light and heavy chains and myocyte enhancer factor 2c. Myonuclei—red; stem cell nuclei—green. The blue arrow points to a satellite cell located on the myofiber. Pax3/7: paired box 3/7; Myf5: myogenic factor 5; MyoD: myogenic determination factor D1; MRF4: muscle regulatory factor 4.