Addition of carbohydrate or alanine to an essential amino acid mixture does not enhance human skeletal muscle protein anabolism.

TitleAddition of carbohydrate or alanine to an essential amino acid mixture does not enhance human skeletal muscle protein anabolism.
Publication TypeJournal Article
Year of Publication2013
AuthorsGlynn EL, Fry CS, Timmerman KL, Drummond MJ, Volpi E, Rasmussen BB
JournalJ Nutr
Volume143
Issue3
Pagination307-14
Date Published2013 Mar
ISSN1541-6100
KeywordsAdult, Alanine, Amino Acids, Essential, Area Under Curve, Biopsy, Diet, Dietary Sucrose, Female, Humans, Insulin, Male, Muscle Proteins, Muscle, Skeletal, Protein Biosynthesis, Sucrose
Abstract

In humans, essential amino acids (EAAs) stimulate muscle protein synthesis (MPS) with no effect on muscle protein breakdown (MPB). Insulin can stimulate MPS, and carbohydrates (CHOs) and insulin decrease MPB. Net protein balance (NB; indicator of overall anabolism) is greatest when MPS is maximized and MPB is minimized. To determine whether adding CHO or a gluconeogenic amino acid to EAAs would improve NB compared with EAA alone, young men and women (n = 21) ingested 10 g EAA alone, with 30 g sucrose (EAA+CHO), or with 30 g alanine (EAA+ALA). The fractional synthetic rate and phenylalanine kinetics (MPS, MPB, NB) were assessed by stable isotopic methods on muscle biopsies at baseline and 60 and 180 min following nutrient ingestion. Insulin increased 30 min postingestion in all groups and remained elevated in the EAA+CHO and EAA+ALA groups for 60 and 120 min, respectively. The fractional synthetic rate increased from baseline at 60 min in all groups (P < 0.05; EAA = 0.053 ± 0.018 to 0.090 ± 0.039% · h(-1); EAA+ALA = 0.051 ± 0.005 to 0.087 ± 0.015% · h(-1); EAA+CHO = 0.049 ± 0.006 to 0.115 ± 0.024% · h(-1)). MPS and NB peaked at 30 min in the EAA and EAA+CHO groups but at 60 min in the EAA+ALA group and NB was elevated above baseline longer in the EAA+ALA group than in the EAA group (P < 0.05). Although responses were more robust in the EAA+CHO group and prolonged in the EAA+ALA group, AUCs were similar among all groups for fractional synthetic rate, MPS, MPB, and NB. Because the overall muscle protein anabolic response was not improved in either the EAA+ALA or EAA+CHO group compared with EAA, we conclude that protein nutritional interventions to enhance muscle protein anabolism do not require such additional energy.

DOI10.3945/jn.112.168203
Alternate JournalJ. Nutr.
PubMed ID23343676
PubMed Central IDPMC3713020
Grant ListAR049877 / AR / NIAMS NIH HHS / United States
UL1 TR000071 / TR / NCATS NIH HHS / United States
R01 AR049877 / AR / NIAMS NIH HHS / United States
T32-HD07539 / HD / NICHD NIH HHS / United States
UL-1TR000071 / TR / NCATS NIH HHS / United States
P30 AG024832 / AG / NIA NIH HHS / United States