Oral glutamine supplementation relieves muscle loss in immobilized rats, altering p38MAPK and FOXO3a signaling pathways

Nutrition. 2024 Feb:118:112273. doi: 10.1016/j.nut.2023.112273. Epub 2023 Oct 25.

Abstract

Background: Skeletal muscle synthesizes, stores, and releases body L-glutamine (GLN). Muscle atrophy due to disabling diseases triggers the activation of proteolytic and pro-apoptotic cell signaling, thus impairing the body's capacity to manage GLN content. This situation has a poor therapeutic prognosis.

Objective: Evaluating if oral GLN supplementation can attenuate muscle wasting mediated by elevated plasma cortisol and activation of caspase-3, p38MAPK, and FOXO3a signaling pathways in soleus and gastrocnemius muscles of rats submitted to 14-day bilateral hindlimbs immobilization.

Methods: Animals were randomly distributed into six groups: non-immobilized rats (Control), control orally supplemented with GLN (1 g kg-1) in solution with L-alanine (ALA: 0.61 g kg-1; GLN+ALA), control orally supplemented with dipeptide L-alanyl-L-glutamine (DIP; 1.49 g kg-1), hindlimbs immobilized rats (IMOB), IMOB orally GLN+ALA supplemented (GLN+ALA-IMOB), and IMOB orally DIP supplemented (DIP-IMOB). Plasma and muscle GLN concentration, plasma cortisol level, muscle caspase-3 activity, muscle p38MAPK and FOXO3a protein content (total and phosphorylated forms), and muscle cross-sectional area (CSA) were measured.

Results: Compared to controls, IMOB rats presented: a) increased plasma cortisol levels; b) decreased plasma and muscle GLN concentration; c) increased muscle caspase-3 activity; d) increased total and phosphorylated p38MAPK protein content; e) increased FOXO3a and decreased phosphorylated FOXO3a protein content; f) reduced muscle weight and CSA befitting to atrophy. Oral supplementation with GLN+ALA and DIP was able to significantly attenuate these effects.

Conclusions: These findings attest that oral GLN supplementation in GLN+ALA solution or DIP forms attenuates rats' skeletal muscle mass wasting caused by disuse-mediated muscle atrophy.

Keywords: Caspase 3; Cortisol; Disuse muscle atrophy; FOXO3a; Glutamine supplementation; HSP70; p38MAPK.

MeSH terms

  • Animals
  • Caspase 3 / metabolism
  • Dietary Supplements
  • Dipeptides / metabolism
  • Dipeptides / pharmacology
  • Dipeptides / therapeutic use
  • Forkhead Box Protein O3 / drug effects
  • Forkhead Box Protein O3 / metabolism
  • Glutamine* / pharmacology
  • Hydrocortisone*
  • Muscle, Skeletal
  • Muscular Atrophy* / drug therapy
  • Muscular Atrophy* / etiology
  • Muscular Atrophy* / metabolism
  • Rats
  • Signal Transduction
  • p38 Mitogen-Activated Protein Kinases / drug effects
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Caspase 3
  • Dipeptides
  • Glutamine
  • Hydrocortisone
  • Forkhead Box Protein O3
  • p38 Mitogen-Activated Protein Kinases