1 Department of Surgery, State University of New York, Stony Brook, New York 11794-8191; and 2 Endocrine Research Unit, Division of Endocrinology and Metabolism, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905
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ABSTRACT |
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Muscle protein synthesis in dogs measured by flooding with L-[2H5]phenylalanine (70 mg/kg) was significantly stimulated by infusion of insulin with amino acids. The stimulation of muscle protein synthesis was similar when calculated from the enrichment of phenylalanyl-tRNA (61 ± 10%, P < 0.001), plasma phenylalanine (61 ± 10%, P < 0.001), or tissue fluid phenylalanine (54 ± 10%, P < 0.001). The time course for changes in enrichment of L-[2H5]phenylalanine throughout the flooding period was determined for plasma, tissue fluid, and phenylalanyl-tRNA in the basal state and during the infusion of insulin with amino acids. Enrichments of plasma free phenylalanine and phenylalanyl-tRNA were equalized between 20 and 45 min, although the enrichment of phenylalanyl-tRNA was lower at early time points. Rates of muscle protein synthesis obtained with the flooding method and calculated from plasma phenylalanine enrichment were comparable to those calculated from phenylalanyl-tRNA and also to those obtained previously with a continuous infusion of phenylalanine with phenylalanyl-tRNA as precursor. This study confirms that, with a bolus injection of labeled phenylalanine, the enrichment of aminoacyl-tRNA, the true precursor pool for protein synthesis, can be assessed from more readily sampled plasma phenylalanine.
amino acids; L-[2H5]phenylalanine; dog; flooding technique; ketoisocaproic acid; stable isotopes
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INTRODUCTION |
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INSULIN IS GENERALLY CONSIDERED an anabolic hormone, with reported stimulation of protein synthesis in vitro and in vivo (18, 32, 34). However, its action on human muscle is not completely clear. Several studies in human subjects have demonstrated that the main effect of insulin is to inhibit protein degradation (16, 22, 26, 36, 38), but whether this is accompanied by a stimulation of protein synthesis is still controversial. Many studies have failed to show any stimulation of muscle protein synthesis by insulin (16, 22, 36, 38). However, some studies indicate that insulin does stimulate muscle protein synthesis in humans (3, 4, 42).
In most of the studies in humans, muscle protein synthesis was measured with a constant infusion of a labeled amino acid. These measurements rely on an accurate estimate of the enrichment of the immediate precursor for protein synthesis. However, the true precursor, aminoacyl-tRNA, is difficult to determine routinely, and consequently it is often estimated from the enrichment of more readily accessible amino acid pools, such as the free amino acid in plasma or within the tissue (tissue fluid). The use of surrogate pools to estimate precursor labeling is based on the assumption that the experimental treatment does not alter the relationship between the labeling of the sampled pool and that of aminoacyl-tRNA. Because insulin affects amino acid transport in muscle (23) and can inhibit muscle protein degradation (16, 22, 26, 36), studies with insulin have the potential to alter precursor enrichment either by affecting the amount of labeled amino acid entering the cell or by decreasing the contribution of unlabeled amino acids derived from protein degradation to the charging of aminoacyl-tRNA. Providing exogenous amino acids can also alter the relationship of enrichment within surrogate amino acid pools to the true precursor. For example, increasing the plasma concentration of the amino acid used to trace protein synthesis (i.e., the tracee) twofold during the infusion of insulin and amino acids in dogs altered the relationship of the tracer enrichment in the plasma to the enrichment in aminoacyl-tRNA (9). This alteration resulted in an overestimate of the effect of insulin on muscle protein synthesis when the plasma enrichment of tracer was used to estimate muscle protein synthesis (9).
However, the problem of accurately determining precursor enrichment may be minimized by the flooding technique. With this method, a labeled amino acid is injected not in tracer amounts, but as a large bolus, with the aim of flooding all amino acid pools to a similar enrichment (e.g., Refs. 11, 13, and 25). With this technique, the labeling of aminoacyl-tRNA is less likely to be affected by experimental manipulations, so that assessment of enrichment from either the plasma or the free amino acid within the tissue provides an accurate estimate of the enrichment of the precursor for protein synthesis (see review in Ref. 19).
The aim of the present study was to investigate the effect of insulin on muscle protein synthesis with the flooding technique in a dog model that allowed comparison of the direct measurement of the enrichment of aminoacyl-tRNA and the enrichment of tracer in potential surrogate pools (free amino acid in plasma and tissue fluid) under conditions of altered protein degradation and amino acid uptake. Muscle protein synthesis was measured with L-[2H5]phenylalanine (at 70 mg/kg) in a basal (postabsorptive) state and during the infusion of sufficient insulin to increase plasma insulin concentrations to levels comparable to those during feeding. To compensate for the insulin-induced decline in plasma glucose and amino acids (17), an amino acid mixture and glucose were also infused. The time course of labeling of phenylalanyl-tRNA after a flooding amount of L-[2H5]phenylalanine and the effect of a flood of phenylalanine on the labeling of other simultaneously infused amino acids were also investigated.
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METHODS |
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Two groups of eight conditioned adult male dogs of mixed breed
(wt 20 ± 2 kg) were used in the experiments. Animals were singly housed and fed a standard diet (Purina Lab Canine Chow, Purina Mills,
Richmond, IN) with free access to food from 0830 to 1300 and to water
throughout the day. Each dog adapted to the laboratory environment for
7 days before the experiments were begun.
Experimental Protocol
The synthesis of muscle protein was measured during a 3-h basal period and again during infusion of both insulin and an amino acid mixture to maintain euaminoacidemia (Figs. 1 and 2).
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At 7:30 AM, acepromazine (0.15 mg/kg) was given, and cannulas were
inserted in two contralateral leg veins. Dogs were then anesthetized
with pentobarbital and intubated. Anesthesia was maintained throughout
the experiment by mechanical ventilation with O2 containing
1.5-2% isoflurane. A cannula was inserted in the carotid artery,
and samples were taken at 30-min intervals for the measurement of
plasma free amino acid levels, insulin concentrations, and blood gases.
The ventilation rate was continually adjusted to maintain blood pH at
initial values, because muscle protein synthesis is sensitive to pH
(10). Starting at 3 h, a euglycemic hyperinsulinic
clamp (12) was performed for a further 3 h (Figs. 1
and 2). Insulin (Eli Lilly, Indianapolis,
IN) was infused at a constant rate of 1 mU · kg1 · h
1. Plasma
glucose concentration was closely monitored, and glucose was infused at
a variable rate to maintain plasma glucose concentration at basal
levels. A commercially available solution containing 10% amino acids
(TrophAmine, Braun Medical, Irvine, CA) was also infused at 0.42 ml · kg
1 · h
1 (6.72 mg
N · kg
1 · h
1) for 3-6
h (Figs. 1 and 2). All protocols were approved by the Institutional
Animal Care and Use Committee of the State University of New York at
Stony Brook.
Experiment 1. Effect of insulin on the rate of muscle protein
synthesis.
In this experiment, muscle protein synthesis was measured with the
flooding technique under basal conditions (2.25-3 h) and during
the infusion of insulin with glucose and amino acids to prevent
insulin-induced reductions in plasma levels (5.25-6 h) (Fig. 1).
L-[2H5]phenylalanine (MassTrace,
Woburn, MA) and unlabeled L-phenylalanine (Ajinomoto, Tokyo, Japan) were injected over a 10-min period at 70 mg/kg and 10 mole percent excess (MPE) for the first injection and 20 MPE for the second. Blood samples were taken at intervals to measure
changes in the enrichment of plasma phenylalanine. Forty-five minutes
after the injection of the labeled phenylalanine, a muscle biopsy was
taken from the biceps femoris muscle for the measurement of isotope
incorporation into muscle protein and for the determination of
phenylalanine enrichment within the tissue. For the second measurement
of muscle protein synthesis, a biopsy was taken before the injection of
L-[2H5]phenylalanine and at the
end of the 45-min incorporation period (Fig. 1). Muscle samples were
snap-frozen in isopentane in a liquid nitrogen bath and stored at
70°C until analysis.
Experiment 2. Effect of insulin and amino acid infusion on
the time course of precursor and protein labeling with
L-[2H5]phenylalanine flooding.
This experiment was designed to evaluate the labeling of
intracellular precursor pools for protein synthesis after a bolus injection of
L-[2H5]phenylalanine. Effects of
the bolus injection of labeled phenylalanine on the labeling of
phenylalanine precursor pools were investigated along with two other
labeled amino acids, L-[1-13C]leucine and
L-[2-15N2]lysine (MassTrace),
which were given as a priming amount of 18 µmol/kg and then infused
at 24 µmol · kg1 · h
1 for
the entire 6-h period (Fig. 2). As in experiment
1,
L-[2H5]phenylalanine was
given at 2.25 (basal) and 5.25 h (during insulin and
amino acid infusion). To ensure sufficient labeling of samples of
muscle protein from early time points, the enrichment of the injection
solution was increased to 20 MPE in the first and to 40 MPE in
the second flood. Muscle biopsies of ~1 g were taken before and 5, 10, 20, and 45 min after the injection of L-[2H5]phenylalanine (Fig. 2).
Muscle biopsies were taken alternately from right and left hind legs,
with care taken to avoid muscle fibers damaged from previous sampling.
After the removal of each sample of muscle tissue, the leg was
sutured and covered to preserve body temperature.
Analytical Methods
Enrichment of tissue protein. Tissue powdered in liquid N2 was precipitated with cold perchloric acid (20 g/l) to separate free and protein-bound amino acids. Muscle protein was extensively washed with cold perchloric acid (20 g/l) and hydrolyzed with 6 M HCl (38). The enrichment of L-[2H5]phenylalanine in protein was measured as previously described (39) with an MD800 gas chromatograph-mass spectrometer (GC-MS; Fisons Instruments, Beverly, MA), operated under electron impact condition and in splitless mode to monitor the ions with mass-to-charge ratio (m/z) 106 (M+2) and 109 (M+5).
Enrichment of plasma and tissue fluid free amino acid. The enrichments of amino acids from plasma and tissue fluid samples were analyzed by gas chromatography-mass spectrometry after acid precipitation of protein and purification by cation-exchange chromatography (AG 50W Resin, 100-200 mesh, hydrogen form; Bio-Rad Laboratories, Richmond, CA). Plasma and tissue fluid L-[2H5]phenylalanine enrichments were measured in Stony Brook by monitoring the ions at m/z 336 and 341 of the tertiary butyldimethylsilyl derivative on a model MD800 GC-MS (Fisons Instruments) operated under electron impact (39) and verified in Rochester (Hewlett-Packard, Avondale, PA). Leucine and lysine were derivatized as their N-trifluoroacetyl isopropyl esters, and the enrichment was measured in Rochester with selected ion monitoring under positive ion chemical ionization conditions (GC-MS; Hewlett-Packard, Avondale, PA) (35). The ions at m/z 288 and 287 for leucine and at m/z 399 and 398 for lysine were monitored. Enrichments of ketoisocaproic acid (KIC) were measured in Stony Brook, as previously described (8). Keto acid was isolated from plasma, and the ions at m/z 260 and 259 of the quinoxalinol-tertiary-butyldimethylsilyl derivative were monitored on an MD800 GC-MS (Fisons Instruments) operated under electron impact conditions (8). Exchange of plasma samples and labeled standards between Stony Brook and Rochester ensured comparability of measurements.
Enrichment of aminoacyl-tRNA. Aminoacyl-tRNA was isolated as previously described (35). Briefly, aminoacyl-tRNA was extracted with phenol, precipitated with ethanol, deacylated by addition of 50 mM NaHCO3, and incubated at 37°C (33, 35). After acidification, the amino acid solution was evaporated to dryness and resuspended in 0.01 M HCl. Amino acids were derivatized to their N-trifluoroacetyl isopropyl esters, and the isotopic enrichments were determined by a GC-MS (Hewlett-Packard) operated under selected ion monitoring and positive ion chemical ionization conditions, as previously described (35). The ions at m/z 326 and 321 were monitored for phenylalanine.
Substrate and hormone analysis. Plasma glucose concentrations were determined with a Beckman Glucose Analyzer 2 (Beckman Instruments, Brea, CA). Plasma amino acid concentrations were measured by HPLC (Waters 2690, Milford, MA) after acetonitrile precipitation of plasma protein with fluorescence detection of the o-phthaldehyde amino acid derivative. 6-Amino-n-caproic acid was used as an internal standard.
Plasma insulin was determined by radioimmunoassay (Diagnostic Products, Los Angeles, CA).Calculations
The rates of muscle protein synthesis were calculated as fractional synthesis rates (FSR, i.e., the percentage of the muscle protein pool synthesized per day), as described by McNurlan et al. (40)
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Statistics
All of the results are expressed as means ± SE. Comparison of measurements in the basal state and with insulin and amino acid infusion were analyzed by a Student's t-test for paired data. Comparison of three or more groups was made by a one-way analysis of variance (ANOVA). A P value <0.05 was considered statistically significant. ![]() |
RESULTS |
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Plasma Insulin, Glucose, and Amino Acids
Both experiments 1 and 2 consisted of a basal period of 3 h followed by a 3-h period when insulin was infused with glucose and amino acids to ensure that concentrations did not fall below the basal values. Plasma insulin concentrations in the basal period were 31.1 ± 3.8 pmol/l in experiment 1 and 32.3 ± 5.6 pmol/l in experiment 2. They rose to 330 ± 30 and 316 ± 22 pmol/l, respectively, during the insulin infusion period (basal vs. insulin, P < 0.001), to levels corresponding to normal fed plasma concentrations (Fig. 3). Plasma glucose concentrations were maintained at basal levels during the infusion of insulin and amino acids (5.7 ± 0.2 vs. 5.4 ± 0.2 mmol/l in experiment 1 and 5.9 ± 0.2 vs. 5.6 ± 0.2 mmol/l in experiment 2).
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The administration of the amino acid mixture
(TrophAmine) prevented the decline in plasma concentration of
leucine (Fig. 3) and of many, but not all, amino acids during the
infusion of insulin. In both experiments, plasma lysine, valine,
arginine, threonine, and asparagine concentrations decreased during the
infusion of insulin (P < 0.05) (Table
1). A decline in methionine and
tryptophan plasma concentrations during the infusion of insulin was
detected only in experiment 1 (P < 0.05; Table
1).
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As expected, the levels of plasma phenylalanine were significantly elevated after injection of 70 mg/kg phenylalanine. Basal concentrations of phenylalanine in plasma were 43 ± 5 µmol/l (experiment 1) and 45 ± 2 µmol/l (experiment 2), rising to 165 ± 19 and 173 ± 6 µmol/l, respectively, 45 min after the injection of the flooding amount of phenylalanine. During the infusion of insulin and amino acids, the plasma phenylalanine concentration slowly declined, to reach a value of 67 ± 8 µmol/l in experiment 1 and 85 ± 4 µmol/l in experiment 2 at 5.25 h, just before the second bolus injection of phenylalanine. At 6 h, after the injection of the second flood of phenylalanine, plasma phenylalanine concentrations were 163 ± 19 (experiment 1) and 217 ± 14 µmol/l (experiment 2).
Effect of Insulin on Muscle Protein Synthesis
All but one dog in experiment 1 showed a stimulation in the rate of muscle protein synthesis with insulin and amino acid infusion, with an average increase of 52 ± 19% over the basal rates with plasma phenylalanine as the precursor (P = 0.0068) (Table 2, flooding method 1). Similarly, in experiment 2, the rate of muscle protein synthesis calculated from plasma phenylalanine enrichment was stimulated by 54 ± 10% by infusion of insulin and amino acids (P = 0.0004) (Table 2, flooding method 2).
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In this study, all measurements of muscle protein synthesis were made on anesthetized dogs because of the need for large samples of muscle tissue throughout the experimental period. Although there is evidence that whole body protein synthesis is decreased in anesthetized dogs (29, 30), studies in rodents (27) and surgical patients (15) indicate that rates of muscle protein synthesis during anesthesia are comparable to measurements made during conscious conditions. More importantly, adequate ventilation is necessary to maintain blood pH during anesthesia (9, 10). The ability of anesthesia to alter the response of muscle protein synthesis to insulin was not specifically investigated in the present study.
Effect of Insulin on Protein and Precursor Enrichments
Muscle protein enrichment.
Insulin did not alter the almost linear incorporation of
L-[2H5]phenylalanine into muscle
protein. Figure 4 shows that the increase
of L-[2H5]phenylalanine
enrichment within muscle protein was linear in both the basal period
(r2 = 0.999) (Fig. 4A) and
during the infusion of insulin (r2 = 0.997)
(Fig. 4B). The linear incorporation in Fig. 4, A
and B, also suggests that the rate of muscle protein
synthesis was constant over both experimental periods despite the
sequential removal of muscle tissue.
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Precursor enrichment (experiment 1).
The enrichment of
L-[2H5]phenylalanine in plasma
reached a peak value equivalent to 90% of the enrichment of the
injected phenylalanine by 10 min after the injection, declining almost
linearly thereafter (Fig. 5). At the end
of the 45-min incorporation period, the average enrichment of free
phenylalanine in the tissue fluid was similar to that of plasma after
both the first bolus injection (6.24 ± 0.15 vs. 6.17 ± 0.07 MPE) and the second bolus injection (11.80 ± 0.24 vs. 11.43 ± 0.26 MPE) (Fig. 5). The enrichment of the phenylalanyl-tRNA was also
similar to that of plasma 45 min after the first injection (ratio of
Phe-tRNA to plasma enrichment, 0.91 ± 0.05) and at the end of the
second injection (ratio of Phe-tRNA to plasma enrichment, 0.96 ± 0.08) (Fig. 5), indicating that the plasma enrichment of phenylalanine
was a good approximation of the enrichment of phenylalanine at the site
of protein synthesis. This similarity of enrichment is reflected in the
similarity of the rate of protein synthesis calculated with
phenylalanine in plasma, tissue fluid, or phenylalanyl-tRNA (Table 2,
Flooding method 1), with no significant difference among the
estimates of muscle protein synthesis from the three pools in either
the basal or insulin-stimulated rate (ANOVA).
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Precursor enrichment over time (experiment 2).
The relationship between enrichment of phenylalanine in plasma and
aminoacyl-tRNA was investigated further in experiment 2, where biopsies were taken throughout the time course of the
incorporation period. Figure 6 shows the
enrichment of phenylalanine in phenylalanyl-tRNA, plasma, and tissue
fluid during the basal period and during the infusion of insulin with
glucose and amino acids. As Fig. 6 demonstrates, phenylalanine
enrichment within the tissue did not immediately reach the plasma
value. At 10 min after the injection of
L-[2H5]phenylalanine, the
enrichment of phenylalanine within the tissue was 10% lower than that
in plasma in the basal period and 15% lower than plasma enrichment
during the infusion of insulin and amino acids (enrichment tissue fluid
vs. plasma, P < 0.02). However, the enrichment of tissue
phenylalanine declined more slowly than that of plasma phenylalanine
and was 14% higher than plasma at 45 min (enrichment tissue fluid vs.
plasma, P < 0.02) in the basal period and 8% higher at the
end of the incorporation period during the infusion of insulin
(enrichment tissue fluid vs. plasma, P < 0.02).
Consequently, the area under the enrichment vs. time curve, necessary
for the calculation of the rate of muscle protein synthesis, was
similar for tissue fluid and for plasma [655 ± 15 vs. 645 ± 12 in the first flood and 1,206 ± 31 vs. 1,242 ± 18 in
the second flood, P = not significant (NS)], with the lower enrichment in the free tissue phenylalanine in the first part of the
flood balanced out by the higher enrichment in the last 25 min.
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Enrichment of simultaneously infused tracers.
In addition to assessing the time course of changes in enrichment of
L-[2H5]phenylalanine during the
flooding protocol, experiment 2 was also designed to
ascertain whether flooding with phenylalanine altered the enrichment of
two simultaneously infused labeled amino acids given in tracer amounts
as a continuous infusion. Figure 7 shows
the enrichment of L-[1-13C]leucine and
L-[2-15N2]lysine given by
continuous infusion during the bolus injection of phenylalanine.
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DISCUSSION |
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This study was undertaken to determine the effect of insulin with provision of amino acids and glucose on the rate of muscle protein synthesis in postabsorptive, adult, nondiabetic dogs. The results show that the infusion of insulin with amino acids significantly stimulated the rate of muscle protein synthesis. Calculated in the usual way with plasma phenylalanine enrichment, the increase in muscle protein synthesis was highly significant (53 ± 8% over the basal levels, experiments 1 and 2, n = 16, P < 0.001).
Although aminoacyl-tRNA is the true precursor for protein synthesis, the low concentration of aminoacyl-tRNA within tissue makes the routine measurement of the enrichment of aminoacyl-tRNA impractical because of the necessity for large (0.5-1 g) tissue samples. The flooding technique, with a bolus injection of a labeled amino acid, has been developed to flood all amino acid pools to similar enrichment, thereby minimizing the differences between the enrichment of the aminoacyl-tRNA and the more easily accessible plasma amino acid pool. This study tested the assumption that the flooding method allows an accurate estimate of protein synthesis without the necessity for assessing the enrichment of aminoacyl-tRNA.
To verify that the difference in enrichment between the true precursor for protein synthesis and the more readily sampled plasma pool was indeed minimized with the bolus injection of amino acid, an anesthetized dog model was employed so that large tissue samples could be taken for the isolation and direct measurement of enrichment in the aminoacyl-tRNA pool. The results confirmed the equilibration between the enrichment of phenylalanine in plasma and phenylalanyl-tRNA at the end of the flooding period both in the basal state and during the infusion of insulin (Fig. 5), in agreement with the findings of Davis et al. (11) in neonatal pigs. However, Fig. 6 shows that there was equivalence of enrichment in plasma phenylalanine and phenylalanyl-tRNA for the interval 20-45 min after the injection of 70 mg/kg of L-[2H5]phenylalanine, but before 20 min, the increase in the enrichment of phenylalanyl-tRNA was slower than that of plasma phenylalanine. However, because the plasma enrichment also declined faster than aminoacyl-tRNA enrichment (Fig. 6), the area under the plasma curve became progressively closer to the area estimated from phenylalanyl-tRNA for longer periods of incorporation. Therefore, the estimate of protein synthesis rate from plasma phenylalanine enrichment was closer to the true value with increasing periods of incorporation. Moreover, had the incorporation period been prolonged to 90 min, as used in human studies, the difference between synthesis rates based on plasma or on aminoacyl-tRNA would have been even less.
Although the amount of phenylalanine administered in dogs (70 mg/kg) was larger than that used in human volunteers (45 mg/kg), it is possible that more rapid equilibrium of plasma phenylalanine and phenylalanyl-tRNA might have been achieved if an even larger bolus injection of phenylalanine had been used. In human volunteers, increasing the amount of L-[2H5]phenylalanine from 29 to 45 mg/kg improved the ratio between the enrichment of intracellular free L-[2H5]phenylalanine and the enrichment in plasma at early time points (10 min), although at both amounts, the enrichment in the two compartments had equalized by 30 min (38).
At 45 min, the enrichment of phenylalanine in plasma was only ~58% of that of the injected solution in dogs, compared with ~75% in human volunteers (38), indicating faster clearance of phenylalanine in dogs. Because the rate of muscle protein synthesis is only 20-30% higher in the dog than in humans (see summary in Ref. 19), the more rapid decline of plasma phenylalanine enrichment may be explained by both more rapid whole body protein synthesis and higher amino acid oxidation rates in dogs compared with humans (e.g., Refs. 6, 14, 24, 29, and 30).
An even larger flooding dose, such as 248 mg/kg, generally used in rodents (20) or other animals (11, 45), would have maintained higher levels of plasma phenylalanine enrichment for a longer time, as well as facilitating equilibration of the enrichment of phenylalanyl-tRNA and plasma phenylalanine.
The value of muscle protein synthesis for the basal period assessed with the flooding technique (Table 2) is only ~50% of the rate reported by Jahoor et al. (31), with a flooding amount of L-[13C]leucine in dogs (5.0 ± 0.43%/day). It is possible that this difference arises from a stimulation of muscle protein synthesis by the bolus injection of leucine, as has been suggested from studies in other systems both in vitro (7, 34, 46) and in vivo (7, 44). With phenylalanine, however, the injection of a large amount of amino acid did not stimulate the rate of muscle protein synthesis, as can be seen from the similarity of rates obtained with the bolus injection of a large amount of phenylalanine and those obtained with tracer amounts of labeled phenylalanine given as a constant infusion (Table 2 and Ref. 9).
There is a remarkable similarity in the rates of muscle protein synthesis obtained with the flooding technique and the constant infusion technique (9) calculated with phenylalanine enrichment in either tissue fluid or phenylalanyl-tRNA (Table 2). There are no significant differences in the basal rate of protein synthesis among any of the measurements, excluding those from constant infusion based on plasma phenylalanine enrichment (ANOVA). Likewise, there are no significant differences among the rates of muscle protein synthesis during the infusion of insulin with amino acids for any of the three possible precursors with the flooding technique (experiments 1 and 2) and the constant infusion technique based on phenylalanine enrichment in either tissue fluid or phenylalanyl-tRNA (Table 2). However, the similarity of rates of muscle protein synthesis assessed with constant infusion and the flooding technique in this study has not been consistently observed in human studies. In some studies in humans, rates of muscle protein synthesis from constant infusion were lower (e.g., Refs. 4 and 43) than those assessed with the flooding technique (e.g., Refs. 21 and 38). However, other studies in humans have reported rates from constant infusion that were similar to rates reported with the flooding technique (1, 5, 47).
This study has also explored the relationship of the enrichment of leucyl-tRNA to plasma KIC, often used as a surrogate for the enrichment of leucine at the site of protein synthesis. The enrichment of leucine in tissue fluid was similar to that of leucyl-tRNA, both in the basal state (leucyl-tRNA-to-tissue fluid enrichment 0.95 ± 0.02) and during the infusion of insulin and amino acids (leucyl-tRNA-to-tissue fluid enrichment 0.94 ± 0.02, Fig. 7A). However, the enrichment of KIC in plasma was significantly higher than the enrichment of leucyl-tRNA (27 ± 8% higher in the basal state, P = 0.01, and 10 ± 4% higher with insulin and amino acids, P = 0.02). A similar relationship of the enrichment of leucyl-tRNA to that of plasma KIC was also observed when a tracer amount of leucine was given as a continuous infusion without a flooding amount of phenylalanine (KIC enrichment 29 ± 4% higher during the basal state, P = 0.0002; and 21 ± 5% higher during the infusion of insulin and amino acids, P = 0.002) (unpublished data from Ref. 9). These data suggest a compartmentation of intracellular leucine pools, with a greater proportion of leucine from plasma going into the pool supplying the oxidative pathway (via KIC) than into the pool supplying protein synthesis (leucyl-tRNA). This compartmentation is most evident in the basal state. With provision of insulin and amino acids, the intracellular pool of leucine becomes more homogeneous.
Although the present study in the adult dog demonstrates a stimulation of muscle protein synthesis by insulin with amino acids, many studies in healthy human subjects have observed no stimulation of muscle protein synthesis by insulin when amino acid levels were allowed to decline (38, 41) or when amino acid levels were maintained at basal levels (16, 22, 26, 36). However, a few studies in adult volunteers have reported a stimulation of muscle protein synthesis with insulin infusion at physiological (4) and supraphysiological levels (28). While concomitant infusion of exogenous amino acids with insulin provides substrate amino acids for protein synthesis, there is also a potential for these amino acids to alter the relationship of aminoacyl-tRNA enrichment relative to the enrichment of the tracee in plasma (9). The value of the flooding technique is that there is less potential for alterations in the enrichment of the precursor, as demonstrated by the close agreement of plasma phenylalanine enrichment and phenylalanyl-tRNA even with the infusion of insulin and amino acids.
The present study in dogs does not explain the difference in response of muscle protein synthesis to insulin between adult dogs and humans in several of the human studies. It is possible that there is a genuine difference in response between these two species, but it is also possible that the stage of development is different between the adult human and 20-kg dogs. The sensitivity of muscle protein to the stimulatory effect of insulin is age related, with stimulation by insulin declining during development in both rats and pigs (2, 48). At 20 kg, it is possible that dogs might be sufficiently immature to maintain responsiveness to stimulation by insulin comparable to that of other growing animals.
In summary, this study shows that infusion of insulin along with amino acids in dogs stimulates the rate of muscle protein synthesis. The study also documents that the enrichments of plasma free phenylalanine and phenylalanyl-tRNA were comparable at the end of a 45-min incorporation period. The rates of muscle protein synthesis calculated from plasma phenylalanine enrichment were comparable to those obtained with phenylalanyl-tRNA both in the basal state and during infusion of insulin and amino acids, and also to values obtained with the constant infusion of tracer amounts of phenylalanine. Thus, by minimizing the differences in the enrichment among all amino acid precursor pools, the flooding technique allows an accurate estimate of muscle protein synthesis with sampling of the more accessible plasma amino acid pool, obviating the necessity of assessing the enrichment of aminoacyl-tRNA.
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ACKNOWLEDGEMENTS |
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The expert technical assistance of G. Casella, Y. Hong, D. Sasvary, and B. Tyndall is gratefully acknowledged.
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FOOTNOTES |
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This study was supported in part by National Institutes of Health Grants R01 DK-4878602, RR-10710, and RR-00585.
Address for reprint requests and other correspondence: G. Caso, Dept. of Surgery, HSC T19-048, State Univ. of New York at Stony Brook, Stony Brook, NY 11794-8191 (E-mail: Giuseppe.Caso{at}stonybrook.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
First published January 22, 2002;10.1152/ajpendo.00215.2001
Received 16 May 2001; accepted in final form 15 January 2002.
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