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Department of Surgery, University of Cincinnati, and Shriners Hospital for Children, Cincinnati, Ohio 45267-0558
Thermal
injury is associated with a pronounced catabolic response in skeletal
muscle, reflecting inhibited protein synthesis and increased protein
breakdown, in particular myofibrillar protein breakdown. Administration
of insulin-like growth factor I (IGF-I) has a nitrogen-sparing effect
after burn injury, but the influence of this treatment on protein
turnover rates in skeletal muscle is not known. In the present study,
we examined the effect of IGF-I on muscle protein synthesis and
breakdown rates following burn injury in rats. After a 30% total body
surface area burn injury or sham procedure, rats were treated with a
continuous infusion of IGF-I (3.5 or 7 mg · kg
1 · 24 h
1) for 24 h. Protein
synthesis and breakdown rates were determined in incubated extensor
digitorum longus muscles. Burn injury resulted in increased total and
myofibrillar protein breakdown rates and reduced protein synthesis in
muscle. The increase in protein breakdown rates was blocked by both
doses of IGF-I and the burn-induced inhibition of muscle protein
synthesis was partially reversed by the higher dose of the hormone.
IGF-I did not influence muscle protein turnover rates in nonburned
rats. The results suggest that the catabolic response to burn injury in
skeletal muscle can be inhibited by IGF-I.
protein breakdown; protein synthesis; ubiquitin; amino acids
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