在必需氨基酸混合物中添加碳水化合物或丙氨酸不会增强人体骨骼肌蛋白质合成。

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

机构信息

Department of Nutrition and Metabolism, University of Texas Medical Branch, Galveston, TX, USA.

出版信息

J Nutr. 2013 Mar;143(3):307-14. doi: 10.3945/jn.112.168203. Epub 2013 Jan 23.

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.

摘要

在人体中,必需氨基酸(EAA)可刺激肌肉蛋白质合成(MPS),而不会影响肌肉蛋白质分解(MPB)。胰岛素可以刺激 MPS,而碳水化合物(CHO)和胰岛素则会减少 MPB。当 MPS 最大化且 MPB 最小化时,净蛋白质平衡(NB;整体合成代谢的指标)最大。为了确定与单独使用 EAA 相比,添加 CHO 或生糖氨基酸是否会改善 NB,我们招募了 21 名年轻男性和女性,让他们单独摄入 10 克 EAA,或摄入 30 克蔗糖(EAA+CHO),或摄入 30 克丙氨酸(EAA+ALA)。在摄入营养物质后 60 和 180 分钟,通过稳定同位素方法评估肌肉活检的合成率和苯丙氨酸动力学(MPS、MPB、NB)。所有组在摄入后 30 分钟胰岛素均增加,EAA+CHO 和 EAA+ALA 组的胰岛素水平分别在 60 和 120 分钟持续升高。在所有组中,从基线开始,合成率在 60 分钟时增加(P < 0.05;EAA = 0.053 ± 0.018 至 0.090 ± 0.039%·h(-1);EAA+ALA = 0.051 ± 0.005 至 0.087 ± 0.015%·h(-1);EAA+CHO = 0.049 ± 0.006 至 0.115 ± 0.024%·h(-1))。MPS 和 NB 在 EAA 和 EAA+CHO 组中在 30 分钟时达到峰值,但在 EAA+ALA 组中在 60 分钟时达到峰值,EAA+ALA 组的 NB 高于基线并持续更长时间(P < 0.05)。尽管 EAA+CHO 组的反应更为强烈且持续时间更长,但在所有组中,EAA、EAA+ALA 和 EAA+CHO 组的 AUC 之间的合成率、MPS、MPB 和 NB 相似。由于与 EAA 相比,EAA+ALA 或 EAA+CHO 组的整体肌肉蛋白质合成代谢反应并未得到改善,因此我们得出结论,增强肌肉蛋白质合成代谢的蛋白质营养干预措施不需要额外的能量。

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