Dynamic Proteomics and Integrated Rates of Muscle Protein Synthesis During an Acute Period of Hypertrophy and Atrophy (HYPAT) in Young, Healthy Men
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- McMaster University
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Change in Integrated Rates of Muscle Protein Synthesis
Study Overview
Brief Summary
Skeletal muscle plays several different roles in the promotion and maintenance of health and well-being. The loss of muscle mass that occurs with aging, chronic muscle wasting diseases, and physical inactivity puts people at an increased risk of frailty and becoming insulin resistant, and therefore imposes a significant burden on health care spending. Resistance exercise participation has proven particularly effective for increasing muscle mass and strength. This effectiveness can be used by health care practitioners in a rehabilitation setting to promote the recovery of individuals who have undergone involuntary periods of muscular unloading (i.e. limb immobilization caused by a sports injury or reconstructive surgery). However, there is large variability in the amount of muscle mass and strength that people gain following participation in resistance exercise. Some individuals fail to increase the size of their muscle (low responders) whereas others show vary large increases in muscle size (high responders) in response to the same resistance training program. People also show differences in the amount of muscle tissue they lose when they have a limb immobilized. To circumvent variability across individuals, the investigators utilized a within-person paired Hypertrophy and Atrophy ('HYPAT') strategy that reduced response heterogeneity by ~40% (Available at: https://ssrn.com/abstract=3445673). Specifically, one leg performed resistance training for 10 weeks to induce hypertrophy, whereas the other leg underwent single-leg immobilization for 2 weeks to induce atrophy. The primary goal of the study will be to gain insight into the molecular responses to an acute period of single-leg immobilization and resistance exercise (8 days). The investigators will use an integrated systems biology approach to monitor the individual rates of over one hundred different muscle proteins.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Healthy males, between the ages of 18 and 30 y
- •Body Mass Index between 18.5 and 30.0 kg/m2
- •Able and willing to provide informed consent
Exclusion Criteria
- •A history of neuromuscular disorders or muscle/bone wasting diseases.
- •Any acute or chronic illness, cardiac, pulmonary, liver, or kidney abnormalities, uncontrolled hypertension, insulin-dependent or insulin-independent diabetes, or the presence of any other metabolic disease - all of which will be determined via a medical history screening questionnaire.
- •The use of any medications known to affect protein metabolism (glucocorticoids, non-steroidal anti-inflammatory medication, or prescription strength acne medication, etc.).
- •A (family) history of thrombosis.
- •The use of anticoagulant medications.
- •Consumption of tobacco-containing products.
- •Excessive alcohol consumption (>21 units/wk).
- •History of bleeding diathesis, platelet or coagulation disorders, or anti-platelet/anticoagulation therapy.
- •Exercise participation >2 days/wk (structured resistance and/or aerobic-type exercise)
Arms & Interventions
Unilateral Immobilization
One leg will undergo 14 days of single-leg immobilization, by means of a removable knee brace.
Intervention: Knee bracing (Procedure)
Unilateral Resistance Exercise
One leg will undergo 4 sessions of unilateral resistance exercise, over the course of 8 days. Specifically, participants will be asked to perform leg press and leg extension.
Intervention: Unilateral Resistance Exercise Training (Other)
Outcomes
Primary Outcomes
Change in Integrated Rates of Muscle Protein Synthesis
Time Frame: Baseline, Day 5, Day 9 and Day 14 (Post)
The investigators will use deuterated water and skeletal muscle biopsies to calculate the cumulative synthesis of skeletal muscle proteins.
Change in Dynamic Proteomics
Time Frame: Baseline, Day 5, Day 9 and Day 14 (Post)
The investigators will use deuterated water and skeletal muscle biopsies, paired with sensitive Gas Chromatography-Mass Spectrometry techniques to calculate the individual synthesis rate of over one hundred different skeletal muscle proteins.
Secondary Outcomes
- Change in Muscle Cross-Sectional Area using Ultrasonography(Baseline, Day 5 and Day 14 (Post))
- Change in Lean Mass Using Dual X-Ray Absorptiometry(Baseline, Day 5 and Day 14 (Post))
- Change in Muscle Strength using an Isokinetic Dynamometer(Baseline, Day 5 and Day 14 (Post))
Investigators
Stuart Phillips
Professor
McMaster University