Abstract

The objective of the present study ( clinicaltrials.gov NCT02026414) was to observe the effects of oral supplementation of a purified and standardized Shilajit extract on skeletal muscle adaptation in adult overweight/class I obese human subjects from the U.S. Shilajit is a mineral pitch that oozes out of Himalayan rocks. The study design consisted of a baseline visit, followed by 8 weeks of 250 mg of oral Shilajit supplementation b.i.d., and additional 4 weeks of supplementation with exercise. At each visit, blood samples and muscle biopsies were collected for further analysis. Supplementation was well tolerated without any changes in blood glucose levels and lipid profile after 8 weeks of oral supplementation and the additional 4 weeks of oral supplementation with exercise. In addition, no changes were noted in creatine kinase and serum myoglobin levels after 8 weeks of oral supplementation and the additional 4 weeks of supplementation with exercise. Microarray analysis identified a cluster of 17 extracellular matrix (ECM)-related probe sets that were significantly upregulated in muscles following 8 weeks of oral supplementation compared with the expression at the baseline visit. This cluster included tenascin XB, decorin, myoferlin, collagen, elastin, fibrillin 1, and fibronectin 1. The differential expression of these genes was confirmed using quantitative real-time polymerase chain reaction (RT-PCR). The study provided maiden evidence that oral Shilajit supplementation in adult overweight/class I obese human subjects promoted skeletal muscle adaptation through upregulation of ECM-related genes that control muscle mechanotransduction properties, elasticity, repair, and regeneration.

Highlights

  • I n recent years, understanding effectiveness of nutritional supplements in enhancing skeletal muscle performance and attenuating muscle injury has gained marked interest.[1]

  • A new multivariate linear regression model was used to check if patient lipids/glucose/muscle damage marker values were jointly different across adjacent time points

  • Lipid profile measurements displayed no significant changes in the cholesterol, high-density lipoprotein cholesterol (HDL-C), calculated low-density lipoprotein cholesterol (LDL-C), total cholesterol/HDL, non-HDL–C, and triglycerides following 8 weeks of oral PrimaVie Shilajit (PVS) supplementation compared with the baseline levels, suggesting the supplementation was well tolerated (Tables 2 and 3)

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Summary

Introduction

I n recent years, understanding effectiveness of nutritional supplements in enhancing skeletal muscle performance and attenuating muscle injury has gained marked interest.[1] Shilajit is a mineral pitch that seeps out of the rocks in the high altitudes of Himalayan Mountains.[2] In traditional Ayurvedic medicine, Shilajit has been reported to exhibit adaptogenic and potent anabolic properties.[3,4] Shilajit has been used for centuries to treat a number of disorders, including muscle and tendon injuries.[2,5] A derivative of Shilajit, fulvic acid (FA) complex, consists of naturally occurring low- and medium-molecular-weight.

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