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口服脱脂牛奶对大鼠全胃切除术后骨骼肌蛋白质合成的影响。

Effect of Oral Skim Milk Administration on Skeletal Muscle Protein Synthesis after Total Gastrectomy in Rat.

机构信息

Department of Physical Therapy, School of Rehabilitation Sciences, Health Sciences University of Hokkaido, Tobetsu 061-0293, Japan.

Graduate School of Sport and Health Science, Ritsumeikan University, Kusatsu 525-8577, Japan.

出版信息

Nutrients. 2024 Jul 23;16(15):2390. doi: 10.3390/nu16152390.

DOI:10.3390/nu16152390
PMID:39125271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11313795/
Abstract

Leucine is a branched-chain amino acid that is present in protein, and it is an essential factor in activating the mechanistic target of the rapamycin complex 1 signaling pathway and increasing muscle protein synthesis. However, the loss of digestive function after total gastrectomy leads to impaired protein absorption, potentially failing to stimulate muscle protein synthesis. Therefore, this study aimed to investigate whether muscle protein synthesis is enhanced by oral skim milk administration after total gastrectomy. Male Sprague Dawley rats were divided into total gastrectomy (TG) and sham surgery (S) groups. After five weeks postoperatively, we orally administered skim milk to achieve 3.1 g protein/kg body weight and collected blood and gastrocnemius muscle. The gastrocnemius muscle weight was significantly lower in the TG group than in the S group ( < 0.05). The increase in plasma leucine concentration was significantly lower in the TG group than in the S group ( < 0.05). The skeletal muscle protein synthesis and the phosphorylation of p70S6K and 4E-BP1 showed a similar increase in both groups. Even after TG, muscle protein synthesis was stimulated by consuming skim milk, accompanied by a sufficient rise in plasma leucine concentration.

摘要

亮氨酸是一种存在于蛋白质中的支链氨基酸,它是激活雷帕霉素靶蛋白复合物 1 信号通路和增加肌肉蛋白质合成的必需因素。然而,全胃切除术后消化功能的丧失导致蛋白质吸收受损,可能无法刺激肌肉蛋白质合成。因此,本研究旨在探讨全胃切除术后口服脱脂牛奶是否能增强肌肉蛋白质合成。雄性 Sprague Dawley 大鼠分为全胃切除(TG)和假手术(S)组。术后五周,我们经口给予脱脂牛奶,使体重达到 3.1 g 蛋白质/kg,采集血液和比目鱼肌。TG 组的比目鱼肌重量明显低于 S 组(<0.05)。TG 组的血浆亮氨酸浓度升高明显低于 S 组(<0.05)。两组的骨骼肌蛋白质合成和 p70S6K 和 4E-BP1 的磷酸化均呈相似增加。即使在 TG 后,摄入脱脂牛奶也能刺激肌肉蛋白质合成,并伴有血浆亮氨酸浓度的充分升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/b1864efa3359/nutrients-16-02390-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/74ca6ced81ac/nutrients-16-02390-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/14160e14350f/nutrients-16-02390-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/b1864efa3359/nutrients-16-02390-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/74ca6ced81ac/nutrients-16-02390-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/14160e14350f/nutrients-16-02390-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9198/11313795/b1864efa3359/nutrients-16-02390-g003.jpg

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Effect of Oral Skim Milk Administration on Skeletal Muscle Protein Synthesis after Total Gastrectomy in Rat.口服脱脂牛奶对大鼠全胃切除术后骨骼肌蛋白质合成的影响。
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2
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Leucine stimulates translation initiation in skeletal muscle of postabsorptive rats via a rapamycin-sensitive pathway.亮氨酸通过雷帕霉素敏感途径刺激禁食大鼠骨骼肌中的翻译起始。
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Elevated plasma free fatty acids decrease basal protein synthesis, but not the anabolic effect of leucine, in skeletal muscle.血浆游离脂肪酸水平升高会降低骨骼肌中的基础蛋白质合成,但不会降低亮氨酸的合成代谢作用。
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Alcohol impairs leucine-mediated phosphorylation of 4E-BP1, S6K1, eIF4G, and mTOR in skeletal muscle.酒精会损害骨骼肌中亮氨酸介导的4E-BP1、S6K1、eIF4G和mTOR的磷酸化。
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Amino acid availability and age affect the leucine stimulation of protein synthesis and eIF4F formation in muscle.氨基酸可用性和年龄会影响亮氨酸对肌肉中蛋白质合成和eIF4F形成的刺激作用。
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Oral administration of leucine stimulates phosphorylation of 4E-bP1 and S6K 1 in skeletal muscle but not in liver of diabetic rats.口服亮氨酸可刺激糖尿病大鼠骨骼肌中4E-bP1和S6K 1的磷酸化,但对其肝脏无此作用。
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本文引用的文献

1
The effects of vitamin B6 on the nutritional support of BCAAs-enriched amino acids formula in rats with partial gastrectomy.维生素 B6 对胃大部切除术后大鼠部分肠外营养支持用支链氨基酸配方的影响。
Clin Nutr. 2023 Jun;42(6):954-961. doi: 10.1016/j.clnu.2023.04.018. Epub 2023 Apr 17.
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Impact of loss of skeletal muscle mass within 6-12 months after gastrectomy and S1 adjuvant chemotherapy on the survival prognosis of elderly patients with gastric cancer.胃癌患者术后 6-12 个月内骨骼肌量丢失及 S1 辅助化疗对其生存预后的影响。
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Skeletal Muscle Mass Depletion After Gastrectomy Negatively Affects the Prognosis of Patients With Gastric Cancer.
胃切除术后骨骼肌质量耗竭对胃癌患者的预后产生负面影响。
Anticancer Res. 2020 Aug;40(8):4271-4279. doi: 10.21873/anticanres.14429.
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Effect of Oral Branched-Chain Amino Acids and Glutamine Supplementation on Skeletal Muscle Atrophy After Total Gastrectomy in Rat Model.口服支链氨基酸和谷氨酰胺补充对大鼠全胃切除术后骨骼肌萎缩的影响。
J Surg Res. 2019 Nov;243:281-288. doi: 10.1016/j.jss.2019.05.041. Epub 2019 Jun 26.
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Factors contributing to the selection of dietary protein food sources.导致膳食蛋白质食物来源选择的因素。
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Influence of enhanced recovery after surgery programs on laparoscopy-assisted gastrectomy for gastric cancer: a systematic review and meta-analysis of randomized control trials.加速康复外科方案对腹腔镜辅助胃癌根治术的影响:一项随机对照试验的系统评价和荟萃分析。
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Branched-chain amino acids and muscle protein synthesis in humans: myth or reality?支链氨基酸与人体肌肉蛋白质合成:神话还是现实?
J Int Soc Sports Nutr. 2017 Aug 22;14:30. doi: 10.1186/s12970-017-0184-9. eCollection 2017.
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Postoperative weight loss leads to poor survival through poor S-1 efficacy in patients with stage II/III gastric cancer.术后体重减轻会导致II/III期胃癌患者因S-1疗效不佳而生存率低下。
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Nutrients. 2016 Jun 3;8(6):339. doi: 10.3390/nu8060339.
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