Measurement of Muscle, Tendon, Ligament, Cartilage, and Bone Protein Synthesis Rates In Vivo in Humans

Abstract

IntroductionSkeletal muscle plasticity is reflected by a dynamic balance between protein synthesis and breakdown, with basal muscle protein synthesis rates typically ranging between 0.04 and 0.06 %/h. Though it is evident that other musculoskeletal tissues should also express some level of plasticity, protein synthesis rates of most of these tissues have never been assessed. The present study applies contemporary stable isotope methodology to assess basal muscle, tendon, ligament, bone, as well as cartilage protein synthesis rates in vivo in humans.MethodsSix otherwise healthy patients (62±3 y), scheduled to undergo unilateral total knee arthroplasty, were included in this study. Primed continuous intravenous infusions with L‐[ring‐13C6]‐Phenylalanine were initiated 2.5 h prior to surgery and continued during surgery. Throughout the surgical procedure the following tissue samples were obtained: muscle, tendon, cruciate ligaments, cartilage, bone, menisci, fat and synovium. Tissue‐specific fractional protein synthesis rates (%/h) were assessed by measuring the incorporation of labelled L‐[ring‐13C6]‐Phenylalanine in tissue protein and were compared with muscle tissue protein synthesis rates using a paired t test.ResultsProtein bound L‐[ring‐13C6]‐Phenylalanine enrichments did not differ substantially between the different musculoskeletal tissues and skeletal muscle, except for notch bone tissue (P<0.01). Highest enrichment levels were observed in synovium derived protein (0.029±0.008 MPE) and lowest enrichment levels in patellar bone tissue protein (0.005±0.002 MPE). Tendon, bone, cartilage, fat, anterior cruciate ligament, posterior cruciate ligament, and menisci tissue protein synthesis rates averaged 0.06±0.01, 0.03±0.01, 0.04±0.01, 0.11±0.03, 0.07±0.02, 0.04±0.01, and 0.04±0.01 %/h, respectively, and did not significantly differ from skeletal muscle protein synthesis rates (0.04±0.01 %/h; P>0.05). Synovium derived protein and notch bone tissue protein synthesis rates were respectively higher and lower compared to skeletal muscle protein synthesis rates (P<0.05 and P<0.01, respectively).ConclusionBasal protein synthesis rates in various musculoskeletal tissues are within the same range of skeletal muscle protein synthesis rates, with fractional muscle, tendon, bone, cartilage, ligament and menisci tissue protein synthesis rates ranging between 0.02 and 0.13 % per hour.Support or Funding InformationThis study received no specific grant from any funding agency.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.