1995
DOI: 10.1016/0026-0495(95)90005-5
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Modulation of skeletal muscle protein synthesis by amino acids and insulin during sepsis

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Cited by 51 publications
(75 citation statements)
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References 36 publications
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“…For example, in sepsis, skeletal muscle protein synthesis is suppressed, and these cells are resistant to the stimulation of protein synthesis by insulin or amino acids (21). Consistent with these observations, eIF2B⑀ has been reported to be hyperphosphorylated in sepsis (19), and this hyperphosphorylation can be ameliorated with administration of TNF-␣-binding protein (19).…”
Section: Discussionsupporting
confidence: 71%
“…For example, in sepsis, skeletal muscle protein synthesis is suppressed, and these cells are resistant to the stimulation of protein synthesis by insulin or amino acids (21). Consistent with these observations, eIF2B⑀ has been reported to be hyperphosphorylated in sepsis (19), and this hyperphosphorylation can be ameliorated with administration of TNF-␣-binding protein (19).…”
Section: Discussionsupporting
confidence: 71%
“…This contrasts with the observed insulin resistance for AA metabolism in an adult rat model of sepsis (45). The high sensitivity to insulin in the neonatal muscle (18,20,22), and an apparent lack of development of insulin resistance during prolonged endotoxemia in the neonate, likely contribute to the lower serum BCAA levels in the LPS group.…”
mentioning
confidence: 70%
“…Because insulin resistance has been implicated in the reduction in protein synthesis in different adult models of sepsis (26,45), we speculate that the fact that muscle protein synthesis was only modestly reduced in this neonatal model of endotoxemia may be ascribed to the unique sensitivity and responsiveness of neonatal muscle protein synthesis to insulin and amino acids. Because of the endogenous production of insulin induced by glucose and amino acid infusion, the enhanced sensitivity of neonatal muscle protein synthesis to these anabolic agents (17,18,20,22), and the lack of apparent insulin resistance in this model, it appears that the elevation in insulin and/or amino acids to fed levels (18,22,27) may have circumvented some of the catabolic effects induced by the septic-like state (15) and blunted the reduction in muscle protein synthesis by endotoxin.…”
mentioning
confidence: 89%
“…Amino acid refeeding after short-term starvation increases muscle protein synthesis, and physiologically-relevant concentrations of amino acids enhance synthesis in the perfused hindlimb, in incubated muscle, and cultured myocytes (2)(3)(4)(5)(6)(7)(8). The branched-chain amino acid leucine accounts for all or most of the ability of a mixture of amino acids to stimulate protein synthesis.…”
Section: Introductionmentioning
confidence: 99%
“…The branched-chain amino acid leucine accounts for all or most of the ability of a mixture of amino acids to stimulate protein synthesis. Moreover, the anabolic effects of leucine are mediated by cell signaling pathways which stimulate translation initiation via activation of mammalian target of rapamycin (mTOR) (2)(3)(4)(5)(6)(7)(8)(9)(10). This protein kinase represents a point of signal amplification because stimulation of mTOR phosphorylates multiple substrates which enhance translation, including eukaryotic initiation factor 4E-binding protein (4E-BP1) and the ribosomal protein (rp) S6 kinase-1(S6K1) (11).…”
Section: Introductionmentioning
confidence: 99%