β-Lactoglobulin Is Insulinotropic Compared with Casein and Whey Protein Ingestion during Catabolic Conditions in Men in a Double-Blinded Randomized Crossover Trial.

Abstract

Muscle loss during acute infectious disease is mainly triggered by inflammation, immobilization, and malnutrition. The objective was to compare muscle protein kinetics and metabolism following ingestion of the dairy protein supplements β-lactoglobulin (BLG), casein (CAS), and whey (WHE) during controlled catabolic conditions. We used a randomized crossover design (registered at clinicaltrials.gov as NCT03319550) to investigate 9 healthy male participants [age: 20-40 y; BMI (in kg/m2) 20-30] who were randomly assigned servings of BLG, CAS, or WHE (0.6g protein/kg, one-third as bolus and two-thirds as sip every 20min) on 3 separate occasions separated by ∼6-8 wk. The participants received an infusion of lipopolysaccharide (1ng/kg) combined with 36h of fasting and bed rest before each study day, mimicking a clinical catabolic condition. The forearm model and isotopic tracer techniques were used to quantify muscle protein kinetics. Muscle biopsy specimens were obtained and intramyocellular signaling investigated using Western blot. BLG, CAS, and WHE improved the net balance of phenylalanine (NBphe) from baseline with ∼75% (P<0.001) with no difference between interventions (primary outcome, P<0.05). No difference in rates of appearance and disappearance of phenylalanine or in intramyocellular signaling activation was found between interventions (secondary outcomes). The incremental AUC for serum insulin was 62% higher following BLG compared with CAS (P <0.001) and 30% higher compared with WHE (P=0.002), as well as 25% higher in WHE compared with CAS (P=0.006). Following BLG consumption, plasma concentrations of glucose-dependent insulinotropic peptide (GIP) increased 70% compared with CAS (P=0.001) and increased 34% compared with WHE (P=0.06). No significant difference was found between WHE and CAS (P=0.12). BLG, WHE, and CAS have similar effects on muscle in young male participants during catabolic conditions. BLG showed specific, possibly GIP-dependent, insulinotropic properties, which may have future clinical implications.