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Articles in PresS, published online ahead of print December 6, 2002
J Appl Physiol, 10.1152/jap.00481.2002
Submitted on May 31, 2002
Accepted on November 20, 2002
1 Department of Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, Stratford, NJ, USA
2 Department of Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, Stratford, NJ, USA; Department of Medicine and the General Clinical Research Center, Temple University Health Sciences Center, Philadelphia, PA, USA
3 Department of Medicine and the General Clinical Research Center, Temple University Health Sciences Center, Philadelphia, PA, USA
* To whom correspondence should be addressed. E-mail: tpstein{at}umdnj.edu.
Background: Bed rest is associated with a loss of protein from the weight bearing muscle. Objectives: To determine whether increasing the amount of the branched chain amino acids (BCAAs) in the diet during bed rest would improve the anabolic response after bed rest. Methods: The study was divided into three phases, a one day ambulatory period, fourteen days of bed rest period and a four day recovery period. Before starting the bed rest phase, the subjects (n=12) were randomized into two groups. Dietary intake (1.3 x Resting energy expenditure) was supplemented with either 30 mMol.d-1 each of glycine (2.16 g d-1), serine (3.15 g d-1) and alanine (2.58 g d-1) and diet 2 (BCAA supplemented) with 30 mMol.d-1 each of the three branched chain amino acids leucine (3.93 g d-1), isoleucine (3.93 g d-1) and valine (3.51 g d-1. Protein and glucose kinetics were measured during each phase. Whole body protein synthesis (WBPSR) was determined with U-15N labeled algal amino acids, muscle (M-FSR) and plasma protein synthesis (fibrinogen, ceruloplasmin, complement C-3, transferrin and VLDL Apoprotein B-100, PP-FSR) with 2H5 L-phenylalanine. Total glucose production (RaT) and gluconeogenesis from alanine (RaGng) were determined by with a combination of U-13C3 L-alanine and 6,6 2H2 glucose . Daily N balance and urinary 3-methyylhistidine excretion were determined for the bed rest and recovery phases. Results: N retention was greater with BCAA fed group during the second week of bed rest (56 ± 6 vs 26 ± 12 mg N. kg-1.d-1, p<0.05). WBPSR was reduced by ~20% during bed rest (NEAA, 3.39 ± 0.10 vs 2.86 ± 0.18 g prot. kg-1.d-1, p<0.05; BCAA 3.96 ± 0.33 vs 2.89 ± 0.27 g prot. kg-1.d-1, p<0.05). There was no effect of BCAA supplementation on either M-FSR (0.34 ± 0.15 vs 0.34 ± 0.08 %. d-1), or PP-FSR or the rate of 3-MeH excretion (3.55 ± 0.10 vs 3.26 ± 0.10 µmol.kg-1.d-1) during or after bed rest. Muscle tissue free amino acid concentrations were increased during bed rest with BCAA (0.214 ± 0.066 vs 0.088 ± 0.12 nmol. mg protein-1, p<0.05). RaT and RaAGng were unchanged with bed rest but were reduced (p<0.05) with the BCAA group in the recovery phase (RaT 22.2 ± 1.0 vs 18.6 ± 0.9 mmol. kg-1.hr-1 and RaT (0.72 ± 0.10 vs 0.34 ± 0.12 mmol. kg-1.hr-1). Conclusions: Accretion of amino acids in the tissue free amino acid pools is a significant factor in the improved N balance found with BCAA supplementation during bed rest. The amount accreted is not enough to impact protein kinetics in the recovery phase, but does improve N retention by providing additional essential amino acids in the early recovery phase.
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