Pulsatile Leucine Administration during Continuous Enteral Feeding Enhances Skeletal Muscle Mechanistic Target of

Marko Rudar1, Agus Suryawan2, Hanh V Nguyen2

  • 1Department of Animal Sciences, Auburn University, Auburn, AL, United States.

The Journal of Nutrition
|December 23, 2023
PubMed

Insights

Intravenous leucine pulses enhance muscle protein synthesis in preterm pigs. Higher leucine doses are needed compared to term-born pigs to achieve optimal anabolic responses.

Area of Science:

  • Nutritional biochemistry
  • Skeletal muscle physiology
  • Neonatal nutrition

Background:

  • Continuous feeding is suboptimal for muscle anabolism but necessary for preterm infants.
  • Previous studies showed intermittent leucine pulses stimulate muscle protein synthesis in term-born pigs.

Purpose of the Study:

  • To investigate the impact of intravenous leucine pulses on mTORC1 activation and protein synthesis in preterm pigs under continuous feeding.
  • To determine the optimal leucine dosage for anabolic response in this population.

Main Methods:

  • Preterm pigs were continuously fed and received intravenous pulses of alanine or leucine (L1x, L2x) or intermittent feeding (INT).
  • Muscle protein synthesis was measured using L-[2H5-ring]Phenylalanine.
  • Signaling pathways (insulin, amino acid, translation initiation) were analyzed via Western blot.

Main Results:

  • Higher plasma leucine concentrations were observed with increased leucine pulse doses (L2x vs. L1x and ALA).
  • Muscle protein synthesis was significantly enhanced in the L2x group compared to ALA and L1x groups.
  • Signaling pathway activation correlated with protein synthesis rates, with mTORC1 playing a key role.

Conclusions:

  • Intravenous leucine pulses effectively stimulate mTORC1 activity and protein synthesis in the skeletal muscle of continuously fed preterm pigs.
  • The required leucine dosage for optimal response in preterm pigs is higher than in term-born pigs.
Abstract