~ Effect Tissue References Protein degradation J Ribosome degradation Macromolecule degradation (lysosomal) t Protein synthesis T mRNA transcription T mRNA translation t mRNA stability t Ternary complex formation J AA oxidation and deamination t AA transport Skeletal muscle Fibroblasts Cardiac muscle Liver 1 5 2 7 Skeletal muscle Liver 16,24,33,34, 37,38,40,42,43 Skeletal muscle in fed animals 52 Hepatocytes 56,57,6042, Fibroblasts Skeletal muscle 145,146 AA = Amino acid. in vivo. A m f Physiol 262: E92SE935, 1992. Tessari P, Nissen SL, Miles JM, and Haymond MW: Inverse relationship of leucine flux and oxidation to free-fatty acid availability in vivo. J Clin Invest 77: 575-581, 1986. Beaufrere 8, Chassard D, Broussolle C, Riou JP, and Beylot M: Effect of D-P-hydroxybutyrate and long-and medium-chain triglycerides on leucine metabolism in humans. A m Physiol 262: E26bE274, 1992. Nair KS, Welle SL, Halliday D, and Campbell RG: Effect of P-hydroxybutyrate on wholebody leucine kinetics and fractional mixed skeletal muscle protein synthesis in humans. J Clin Invest 92: 198-205, 1988. Miles JM, Nissen SL, Rizza RA, Gerich JE, and Haymond MW: Failure of infused betahydroxybutyrate to decrease proteolysis in man.