Facts, noise and wishful thinking: muscle protein turnover in aging and human disuse atrophy.

Abstract:

:Surprisingly little is known about the mechanisms of muscle atrophy with aging and disuse in human beings, in contrast to rodents, from which much has been extrapolated to explain the human condition. However, this extrapolation is likely unwarranted because the time course, extent of wasting, muscle fiber involvement and alterations of muscle protein turnover are all quite different in rodent and human muscle. Furthermore, there is little evidence that static indices of protein turnover represent dynamic changes and may be misleading. With disuse there are reductions in the rate of muscle protein synthesis (MPS) large enough to explain the atrophic loss of muscle protein without a concomitant increase in proteolysis. In aging, there is no evidence that there are marked alterations in basal muscle protein turnover in healthy individuals but instead the ability to maintain muscle after feeding is compromised. This anabolic resistance is evident with physical inactivity, which exacerbates the inability to maintain muscle mass with aging. The main conclusion of this review is that in uncomplicated, non-inflammatory disuse atrophy, the facilitative change causing loss of muscle mass is a depression of MPS, exacerbated by anabolic resistance during feeding, with possible adaptive depressions, rather than increases, of muscle proteolysis.

journal_name

Scand J Med Sci Sports

authors

Rennie MJ,Selby A,Atherton P,Smith K,Kumar V,Glover EL,Philips SM

doi

10.1111/j.1600-0838.2009.00967.x

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

5-9

issue

1

eissn

0905-7188

issn

1600-0838

pii

SMS967

journal_volume

20

pub_type

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