INRA, UMR 1019 UNH, CRNHF-63000 Auvergne Clermont-Ferrand France; Clermont Université, Université d'Auvergne Unité de Nutrition Humaine BP 10448 F-63000 Clermont-Ferrand France.
J Cachexia Sarcopenia Muscle. 2016 Dec;7(5):587-603. doi: 10.1002/jcsm.12103. Epub 2016 Feb 15.
Muscle wasting prevails in numerous diseases (e.g. diabetes, cardiovascular and kidney diseases, COPD,…) and increases healthcare costs. A major clinical issue is to devise new strategies preventing muscle wasting. We hypothesized that 8-week docosahexaenoic acid (DHA) supplementation prior to fasting may preserve muscle mass .
Six-week-old C57BL/6 mice were fed a DHA-enriched or a control diet for 8 weeks and then fasted for 48 h.
Feeding mice a DHA-enriched diet prior to fasting elevated muscle glycogen contents, reduced muscle wasting, blocked the 55% decrease in Akt phosphorylation, and reduced by 30-40% the activation of AMPK, ubiquitination, or autophagy. The DHA-enriched diet fully abolished the fasting induced-messenger RNA (mRNA) over-expression of the endocannabinoid receptor-1. Finally, DHA prevented or modulated the fasting-dependent increase in muscle mRNA levels for Rab18, PLD1, and perilipins, which determine the formation and fate of lipid droplets, in parallel with muscle sparing.
These data suggest that 8-week DHA supplementation increased energy stores that can be efficiently mobilized, and thus preserved muscle mass in response to fasting through the regulation of Akt- and AMPK-dependent signalling pathways for reducing proteolysis activation. Whether a nutritional strategy aiming at increasing energy status may shorten recovery periods in clinical settings remains to be tested.
肌肉减少症在许多疾病中普遍存在(例如糖尿病、心血管和肾脏疾病、COPD 等),并增加了医疗保健成本。一个主要的临床问题是设计新的策略来预防肌肉减少症。我们假设在禁食前补充 8 周二十二碳六烯酸(DHA)可能会保留肌肉质量。
6 周龄 C57BL/6 小鼠用富含 DHA 的饮食或对照饮食喂养 8 周,然后禁食 48 小时。
在禁食前用富含 DHA 的饮食喂养小鼠可提高肌肉糖原含量,减少肌肉减少,阻止 Akt 磷酸化减少 55%,并减少 AMPK、泛素化或自噬激活 30-40%。富含 DHA 的饮食完全消除了禁食诱导的内源性大麻素受体 1 的 mRNA 过度表达。最后,DHA 可预防或调节禁食依赖性肌肉 Rab18、PLD1 和 perilipin 的 mRNA 水平增加,这些基因决定了脂质滴的形成和命运,与肌肉保存平行。
这些数据表明,8 周的 DHA 补充增加了可有效动员的能量储备,从而通过调节 Akt 和 AMPK 依赖的信号通路减少蛋白水解激活来维持肌肉质量,以应对禁食。旨在增加能量状态的营养策略是否可以缩短临床环境中的恢复时间仍有待测试。