Dynamic Proteomics and Integrated Rates of Muscle Protein Synthesis During an Acute Period of Loading and Unloading

NCT ID: NCT04514744

Last Updated: 2024-10-02

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 16 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-30
• Study Completion Date: 2025-07-01

Brief Summary

Skeletal muscle plays several different roles in the promotion and maintenance of health and well-being. The loss of muscle mass that occurs with aging, chronic muscle wasting diseases, and physical inactivity puts people at an increased risk of frailty and becoming insulin resistant, and therefore imposes a significant burden on health care spending. Resistance exercise participation has proven particularly effective for increasing muscle mass and strength. This effectiveness can be used by health care practitioners in a rehabilitation setting to promote the recovery of individuals who have undergone involuntary periods of muscular unloading (i.e. limb immobilization caused by a sports injury or reconstructive surgery). However, there is large variability in the amount of muscle mass and strength that people gain following participation in resistance exercise. Some individuals fail to increase the size of their muscle (low responders) whereas others show vary large increases in muscle size (high responders) in response to the same resistance training program. People also show differences in the amount of muscle tissue they lose when they have a limb immobilized. To circumvent variability across individuals, the investigators utilized a within-person paired Hypertrophy and Atrophy ('HYPAT') strategy that reduced response heterogeneity by ~40% (Available at: https://ssrn.com/abstract=3445673). Specifically, one leg performed resistance training for 10 weeks to induce hypertrophy, whereas the other leg underwent single-leg immobilization for 2 weeks to induce atrophy. The primary goal of the study will be to gain insight into the molecular responses to an acute period of single-leg immobilization and resistance exercise (8 days). The investigators will use an integrated systems biology approach to monitor the individual rates of over one hundred different muscle proteins.

Conditions

Proteomics; Exercise; Atrophy, Disuse; Hypertrophy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Unilateral Immobilization

One leg will undergo 14 days of single-leg immobilization, by means of a removable knee brace.

Group Type: EXPERIMENTAL

Knee bracing

Intervention Type: PROCEDURE

Participants will have one leg immobilized, by means of a removable Don Joy Knee Brace. Participants will be expected to keep the knee brace on for 14 days, completely prevent weight bearing on the immobilized leg, and use crutches.

Unilateral Resistance Exercise

One leg will undergo 4 sessions of unilateral resistance exercise, over the course of 8 days. Specifically, participants will be asked to perform leg press and leg extension.

Group Type: EXPERIMENTAL

Unilateral Resistance Exercise Training

Intervention Type: OTHER

Participants will perform resistance training on 4 occasions throughout an 8 day time period.

Interventions

Knee bracing

Participants will have one leg immobilized, by means of a removable Don Joy Knee Brace. Participants will be expected to keep the knee brace on for 14 days, completely prevent weight bearing on the immobilized leg, and use crutches.

Intervention Type: PROCEDURE

Unilateral Resistance Exercise Training

Participants will perform resistance training on 4 occasions throughout an 8 day time period.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Healthy males, between the ages of 18 and 30 y
• Body Mass Index between 18.5 and 30.0 kg/m2
• Able and willing to provide informed consent

Exclusion Criteria

• A history of neuromuscular disorders or muscle/bone wasting diseases.
• Any acute or chronic illness, cardiac, pulmonary, liver, or kidney abnormalities, uncontrolled hypertension, insulin-dependent or insulin-independent diabetes, or the presence of any other metabolic disease - all of which will be determined via a medical history screening questionnaire.
• The use of any medications known to affect protein metabolism (glucocorticoids, non-steroidal anti-inflammatory medication, or prescription strength acne medication, etc.).
• A (family) history of thrombosis.
• The use of anticoagulant medications.
• Consumption of tobacco-containing products.
• Excessive alcohol consumption (>21 units/wk).
• History of bleeding diathesis, platelet or coagulation disorders, or anti-platelet/anticoagulation therapy.
• Exercise participation >2 days/wk (structured resistance and/or aerobic-type exercise)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: Yes

Sponsors

McMaster University

OTHER

Sponsor Role: lead

Responsible Party

Stuart Phillips

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Exercise Metabolism Research Laboratory, McMaster Univeristy

Hamilton, Ontario, Canada

Countries

Canada

Other Identifiers

10624

Identifier Type: -

Identifier Source: org_study_id