We sought to quantify changes in human skeletal muscle protein kinetics during prolonged inactivity with and without accompanying hypercortisolemia. Oral hydrocortisone sodium succinate (~22 μg/dL) was administered to an experimental group (EXP: male, n=6, 28± 2 y; 84±4 kg; 178± 3 cm;) throughout 28 days of bedrest. The control group (CON: male, n=6; 38±8 y; 86±10 kg; 179±3 cm) received no exogenous cortisol (~10 μg/dL). Femoral arterio-venous blood samples and a vastus lateralis muscle biopsy were obtained during a primed constant infusion of L-[ring-2H5] phenylalanine before and after bed rest. Postabsorptive net balance became more negative in the EXP group following bedrest, a change largely facilitated by a ~40% reduction in protein synthesis in the EXP group. Table 1.. 3-pool model data representing protein synthesis (Fom) and breakdown (Fmo) (nmol/min/100mL leg) before and after bedrest. A similar superscript represents a statistical difference (p<0.05). The EXP group experienced a decrease in plasma testosterone (Day 1: 503.5±56.3 vs. Day 28: 409.5±28.6 ng/dL) and sex hormone binding globulin (SHBG) (Day 1: 22.5±2.5 vs. 12.2±1.5 nmol/L), (p<0.05). This was consistent with 3-fold greater loss of lean leg mass (LLM) in the EXP group (EXP: −1.4±0.1 vs. CON: −0.4±0.1 kg), (p<0.05). In conclusion, a combination of inactivity and hypercortisolemia leads to hormonal deregulation which in-turn further exacerbates muscle protein catabolism. Supported by funding from NPFR00205.
Read full abstract