. Determination of steadystate protein breakdown rate in vivo by the disappearance of proteinbound tracer-labeled amino acids: a method applicable in humans. Am J Physiol Endocrinol Metab 304: E895-E907, 2013. First published February 19, 2013; doi:10.1152/ajpendo.00579.2012.-A method to determine the rate of protein breakdown in individual proteins was developed and tested in rats and confirmed in humans, using administration of deuterium oxide and incorporation of the deuterium into alanine that was subsequently incorporated into body proteins. Measurement of the fractional breakdown rate of proteins was determined from the rate of disappearance of deuterated alanine from the proteins. The rate of disappearance of deuterated alanine from the proteins was calculated using an exponential decay, giving the fractional breakdown rate (FBR) of the proteins. The applicability of this protein-specific FBR approach is suitable for human in vivo experimentation. The labeling period of deuterium oxide administration is dependent on the turnover rate of the protein of interest. protein kinetics; protein degradation; fractional breakdown rate; deuterated water BODY PROTEIN POOLS UNDERGO CONTINUAL RENEWAL through a constant cycle of synthesis and degradation. Alterations in the balance between synthetic and degradative rates produce changes in protein pool size that are fundamental for the ability of a biological system to adapt to intrinsic and environmental factors (26). Therefore, accurate methods to assess directly the protein synthetic and breakdown rates are necessary to investigate and understand the regulation of protein balance. The rate of protein synthesis can be measured from the rate of isotope-labeled amino acid incorporation into proteins (45, 47). With technical advances in mass spectrometers and the combination of techniques, the determination of the synthesis rate of small quantities of individual proteins is now possible (21,24). The need for a comparable approach to measure proteinspecific breakdown rates is also important for in vivo human research. However, the assessment of protein breakdown is more troublesome (18). Currently, the in vivo approach used routinely relies on isotope dilution and arterial-venous catheterization (2, 6). More pools have been added to the method, improving validity (17), and the latest approach has been reworked and further refined by Zhang and colleagues (51-53). However, the same principle remains, i.e., to measure the dilution of free amino acid tracer enrichment at arterial, venous, and intracellular sites as a consequence of release of tracee amino acids when proteins degrade. Although this technique has substantial utility, the protein origin of the amino acids remains unknown. Hence, it does not permit estimation of the breakdown rate of specific proteins as it does for the direct tracer incorporation approach for protein synthesis measurements. For this reason we developed a fractional breakdown rate (FBR) method in rats, allowing the measurements of FBR of individu...