PMID- 32505773 OWN - NLM STAT- MEDLINE DCOM- 20210525 LR - 20210525 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 509 DP - 2020 Oct TI - Serum biomarkers that predict lean mass loss over bed rest in older adults: An exploratory study. PG - 72-78 LID - S0009-8981(20)30267-9 [pii] LID - 10.1016/j.cca.2020.06.003 [doi] AB - BACKGROUND: Lean mass (LM) loss during extended bed rest contributes to long term functional decline in older adults. Identifying blood biomarkers that predict a hospitalized individual's risk of losing LM could allow for timely intervention. METHODS: LM from 19 healthy subjects (age 60-76 y, 4 males, 15 females), who were confined to 10 days of complete bed rest, was measured pre- and post-bed rest. One hundred eighty-seven biomarkers from pre-bed rest fasted serum samples were obtained from all evaluable subjects (n = 18), analyzed using multiplexed immunoassay array and pooled. Decision tree analysis was used to identify pre-bed rest markers that predict LM loss over bed rest. RESULTS: Sixty-three markers were excluded due to being below assay detection limits. One pair of markers, Tissue inhibitor of metalloprotease-1 (TIMP1) and tenascin C (TNC), were found to correlate with percent change in total LM over bed rest: [R(2) = 0.71, all subjects; R(2) = 0.76, females]. Subjects with pre-bed rest TIMP1 >/= 141 ng/ml had the highest loss of total LM over bed rest, whereas subjects with pre-bed rest TIMP1 < 141 and TNC >/= 461 ng/ml maintained total LM over bed rest. An additional marker set was found to correlate with percent change in leg LM loss over bed rest: matrix metalloprotease-3 (MMP3) and apolipoprotein A2 (APOA2) [R(2) = 0.59, females]. Females with pre-bed rest MMP3 < 6.93 ng/ml had the highest loss of leg LM over bed rest. Whereas females with pre-bed rest MMP3 >/= 6.93 and ApoA2 < 276 ng/ml, maintained leg lean mass at the end of bed rest. CONCLUSIONS: Panels of blood biomarkers associated with the muscle extracellular matrix may predict the likelihood for LM loss over extended bed rest. CI - Copyright (c) 2020 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Gawel, Susan H AU - Gawel SH AD - Abbott Diagnostics Division, Abbott Laboratories, 100 Abbott Park Road, Abbott Park, IL 60064, USA. FAU - Davis, Gerard J AU - Davis GJ AD - Abbott Diagnostics Division, Abbott Laboratories, 100 Abbott Park Road, Abbott Park, IL 60064, USA. FAU - Luo, Menghua AU - Luo M AD - Abbott Nutrition Division, Abbott Laboratories, 3300 Stelzer Road, Columbus, OH 43219, USA. FAU - Deutz, Nicolaas E P AU - Deutz NEP AD - Texas A&M University, Department of Health & Kinesiology, 675 John Kimbrough Blvd, College Station, TX 77843-4253, USA. FAU - Wolfe, Robert R AU - Wolfe RR AD - University of Arkansas Medical Sciences, UAMS Centers on Aging, 4301 West Markham Street, Little Rock, AR 72205, USA. FAU - Pereira, Suzette L AU - Pereira SL AD - Abbott Nutrition Division, Abbott Laboratories, 3300 Stelzer Road, Columbus, OH 43219, USA. Electronic address: suzette.pereira@abbott.com. LA - eng PT - Journal Article DEP - 20200604 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Biomarkers) SB - IM MH - Aged MH - *Bed Rest MH - Biomarkers MH - Body Composition MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Muscle, Skeletal OTO - NOTNLM OT - Bed rest OT - Biomarkers OT - DEXA OT - Hospitalization OT - Immobilization OT - Lean mass EDAT- 2020/06/09 06:00 MHDA- 2021/05/26 06:00 CRDT- 2020/06/08 06:00 PHST- 2020/04/01 00:00 [received] PHST- 2020/05/23 00:00 [revised] PHST- 2020/06/02 00:00 [accepted] PHST- 2020/06/09 06:00 [pubmed] PHST- 2021/05/26 06:00 [medline] PHST- 2020/06/08 06:00 [entrez] AID - S0009-8981(20)30267-9 [pii] AID - 10.1016/j.cca.2020.06.003 [doi] PST - ppublish SO - Clin Chim Acta. 2020 Oct;509:72-78. doi: 10.1016/j.cca.2020.06.003. Epub 2020 Jun 4.