1 Ortopædkirurgisk Afdeling M, Bispebjerg and Frederiksberg Hospital, The Capital Region of Denmark
use of flood-primed, continuous infusion of amino acid tracers
Muscle protein synthesis (MPS) rate is determined conventionally by obtaining two or more tissue biopsies during a primed, continuous infusion of a stable isotopically labeled amino acid. The purpose of the present study was to test whether tracer priming given as a flooding dose, thereby securing an instantaneous labeling of the tissue pools of free tracee amino acids, followed by a continuous infusion of the same tracer to maintain tracer isotopic steady state, could be used to determine the MPS rate over a prolonged period of time by obtaining only a single tissue biopsy. We showed that the tracer from the flood prime appeared immediately in the muscle free pool of amino acids and that this abundance could be kept constant by a subsequent continuous infusion of the tracer. When using phenylalanine as tracer, the flood-primed, continuous infusion protocol does not stimulate the MPS rate per se. In conclusion, the flood-primed, continuous infusion protocol using phenylalanine as tracer can validly be used to measure the protein synthesis rate in human in vivo experiments by obtaining only a single tissue biopsy after a prolonged infusion period.
American Journal of Physiology: Endocrinology and Metabolism, 2014, Vol 306, Issue 11
Journal Article; Research Support, Non-U.S. Gov't; Algorithms; Amino Acids; Biopsy; Collagen; Connective Tissue; Data Interpretation, Statistical; Humans; Infusions, Intravenous; Keto Acids; Leucine; Male; Muscle Proteins; Muscle, Skeletal; Myofibrils; Phenylalanine; Protein Biosynthesis; Radioactive Tracers; Young Adult