-Skeletal muscle anabolism associated with postprandial plasma aminoacidemia and insulinemia is contingent upon amino acids (AA) and insulin crossing the microcirculation-myocyte interface. In this study, we hypothesized that increasing muscle microvascular blood volume (flow) would enhance fed-state anabolic responses in muscle protein turnover. We studied 10 young men (23.2 Ϯ 2.1 yr) under postabsorptive and fed [iv Glamin (ϳ10 g AA), glucose ϳ7.5 mmol/l] conditions. Methacholine was infused into the femoral artery of one leg to determine, via bilateral comparison, the effects of feeding alone vs. feeding plus pharmacological vasodilation. We measured leg blood flow (LBF; femoral artery) by Doppler ultrasound, muscle microvascular blood volume (MBV) by contrast-enhanced ultrasound (CEUS), muscle protein synthesis (MPS) and breakdown (MPB; a-v balance modeling), and net protein balance (NPB) using [1,2-13 C2] leucine and [ 2 H5]phenylalanine tracers via gas chromatography-mass spectrometry (GC-MS). Indexes of anabolic signaling/endothelial activation (e.g., Akt/mTORC1/NOS) were assessed using immunoblotting techniques. Under fed conditions, LBF (ϩ12 Ϯ 5%, P Ͻ 0.05), MBV (ϩ25 Ϯ 10%, P Ͻ 0.05), and MPS (ϩ129 Ϯ 33%, P Ͻ 0.05) increased. Infusion of methacholine further enhanced LBF (ϩ126 Ϯ 12%, P Ͻ 0.05) and MBV (ϩ79 Ϯ 30%, P Ͻ 0.05). Despite these radically different blood flow conditions, neither increases in MPS in response to feeding (0.04 Ϯ 0.004 vs. 0.08 Ϯ 0.01%/h, P Ͻ 0.05) nor improvements in NPB (Ϫ4.4 Ϯ 2.4 vs. 16.4 Ϯ 5.7 nmol Phe·100 ml leg Ϫ1 ·min Ϫ1 , P Ͻ 0.05) were affected by methacholine infusion (MPS 0.07 Ϯ 0.01%/h; NPB 24.0 Ϯ 7.7 nmol Phe·100 ml leg Ϫ1 ·min Ϫ1 ), whereas MPB was unaltered by either feeding or infusion of methacholine. Thus, enhancing LBF/MBV above that occurring naturally with feeding alone does not improve muscle anabolism. blood flow; protein metabolism; muscle SKELETAL MUSCLES SERVE CRUCIAL locomotory and postprandial metabolic [e.g., amino acid (AA) and glucose disposal] functions (52). Given such vital functions, understanding the control of nutrient delivery in the context of muscle metabolism is important. The day-to-day stability of muscle mass in healthy, habitually active individuals (not engaged in formal exercise training) is the result of a dynamic equilibrium in muscle protein turnover, whereby rates of muscle protein synthesis (MPS) are balanced with those of breakdown (MPB) (4, 27). This equilibrium depends on the postprandial supply of essential amino acid (EAA) components of dietary protein, which provide the substrate and "signal" to recoup postabsorptive muscle protein losses. This role of EAAs has been delineated in both human (8, 32, 36) and animal work (1, 2, 15).Before EAA can act either as substrates or signals for MPS, they must leave the bloodstream, transverse the interstitial fluid, and be transported into myocytes (12). Potentially, then, both delivery and transendothelial AA transport could be rate limiting for the uptake of circulating AA by muscle ...