Role of insulin and branched-chain amino acids in regulating protein metabolism during fasting.

Frexes-Steed M, Warner ML, Bulus N, Flakoll P, Abumrad NN
Am J Physiol. 1990 258 (6 Pt 1): E907-17

PMID: 2193532 · DOI:10.1152/ajpendo.1990.258.6.E907

This study examines the independent effects of insulin and amino acids on protein metabolism after a 12-h and 4-day fast in healthy volunteers. Leucine (Leu) kinetics were examined during sequential insulin infusions of 0 (group I) or 0.0125 (groups II and III), 1.2, and 10 Plasma Leu was maintained at 12-h fasted levels in groups I and II and at 84-h fasted levels in group III. Four-day fast (vs. 1 day, P less than 0.01) was associated with a 79% drop in plasma insulin and elevations in plasma Leu (122%), Leu rates of appearance (Ra) (21%), and Leu oxidation (56%), and no change in nonoxidative rates of disappearance (Rd). Insulin resulted in a dose-dependent suppression of endogenous Leu Ra with group III = I greater than II. Leu oxidation rose 1.7-fold in group III at the highest insulin dose but remained stable in the two other groups. In conclusion, 4-day fasting is associated with enhanced proteolysis and Leu oxidation with no change in nonoxidative Rd (protein synthesis). Elevated branched-chain (and other) amino acids were required to restore tissue sensitivity and specificity to the effects of insulin on protein metabolism after 4 days of fasting.

MeSH Terms (13)

Adult Amino Acids Amino Acids, Branched-Chain Blood Glucose Epinephrine Fasting Glucagon Humans Hydrocortisone Infusions, Intravenous Insulin Leucine Male

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