PMID- 15562251 OWN - NLM STAT- MEDLINE DCOM- 20050412 LR - 20131121 IS - 0193-1849 (Print) IS - 0193-1849 (Linking) VI - 288 IP - 4 DP - 2005 Apr TI - Combined ingestion of protein and free leucine with carbohydrate increases postexercise muscle protein synthesis in vivo in male subjects. PG - E645-53 AB - The present study was designed to determine postexercise muscle protein synthesis and whole body protein balance following the combined ingestion of carbohydrate with or without protein and/or free leucine. Eight male subjects were randomly assigned to three trials in which they consumed drinks containing either carbohydrate (CHO), carbohydrate and protein (CHO+PRO), or carbohydrate, protein, and free leucine (CHO+PRO+Leu) following 45 min of resistance exercise. A primed, continuous infusion of L-[ring-13C6]phenylalanine was applied, with blood samples and muscle biopsies collected to assess fractional synthetic rate (FSR) in the vastus lateralis muscle as well as whole body protein turnover during 6 h of postexercise recovery. Plasma insulin response was higher in the CHO+PRO+Leu compared with the CHO and CHO+PRO trials (+240 +/- 19% and +77 +/- 11%, respectively, P < 0.05). Whole body protein breakdown rates were lower, and whole body protein synthesis rates were higher, in the CHO+PRO and CHO+PRO+Leu trials compared with the CHO trial (P < 0.05). Addition of leucine in the CHO+PRO+Leu trial resulted in a lower protein oxidation rate compared with the CHO+PRO trial. Protein balance was negative during recovery in the CHO trial but positive in the CHO+PRO and CHO+PRO+Leu trials. In the CHO+PRO+Leu trial, whole body net protein balance was significantly greater compared with values observed in the CHO+PRO and CHO trials (P < 0.05). Mixed muscle FSR, measured over a 6-h period of postexercise recovery, was significantly greater in the CHO+PRO+Leu trial compared with the CHO trial (0.095 +/- 0.006 vs. 0.061 +/- 0.008%/h, respectively, P < 0.05), with intermediate values observed in the CHO+PRO trial (0.0820 +/- 0.0104%/h). We conclude that coingestion of protein and leucine stimulates muscle protein synthesis and optimizes whole body protein balance compared with the intake of carbohydrate only. FAU - Koopman, Rene AU - Koopman R AD - Department of Human Biology, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. R.Koopman@HB.unimaas.nl FAU - Wagenmakers, Anton J M AU - Wagenmakers AJ FAU - Manders, Ralph J F AU - Manders RJ FAU - Zorenc, Antoine H G AU - Zorenc AH FAU - Senden, Joan M G AU - Senden JM FAU - Gorselink, Marchel AU - Gorselink M FAU - Keizer, Hans A AU - Keizer HA FAU - van Loon, Luc J C AU - van Loon LJ LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20041123 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Proteins) RN - 0 (Insulin) RN - 0 (Muscle Proteins) RN - 42HK56048U (Tyrosine) RN - 47E5O17Y3R (Phenylalanine) RN - GMW67QNF9C (Leucine) SB - IM MH - Adult MH - Dietary Carbohydrates/*administration & dosage/metabolism MH - Dietary Proteins/*administration & dosage/metabolism MH - Double-Blind Method MH - Exercise/*physiology MH - Humans MH - Insulin/blood MH - Leucine/*administration & dosage/blood/metabolism MH - Male MH - Muscle Proteins/metabolism MH - Muscle, Skeletal/*metabolism MH - Phenylalanine/blood MH - Tyrosine/blood EDAT- 2004/11/25 09:00 MHDA- 2005/04/13 09:00 CRDT- 2004/11/25 09:00 PHST- 2004/11/25 09:00 [pubmed] PHST- 2005/04/13 09:00 [medline] PHST- 2004/11/25 09:00 [entrez] AID - 00413.2004 [pii] AID - 10.1152/ajpendo.00413.2004 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2005 Apr;288(4):E645-53. doi: 10.1152/ajpendo.00413.2004. Epub 2004 Nov 23.