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Department of Internal Medicine and General Clinical Research Center, University of Virginia School of Medicine, Charlottesville, VA 22908
4 To whom correspondence should be addressed. E-mail: ejb8x{at}virginia.edu.
ABSTRACT
For many decades, it has been recognized that insulin, growth hormone, glucocorticoids, insulin-like growth factor 1, thyroid hormones, and other hormones regulate body protein metabolism. It has been more recently recognized, but not understood, that humor factors present in states of acute and chronic inflammation could have a strong impact on protein turnover. Most recently, the role of amino acids, acting as signaling molecules, has become increasingly clarified. In aggregate, these factors (together with neuromuscular activity) determine the balance of body protein mass. We will review some of these data, particularly focusing on amino acids, insulin, and the growth hormone axis and their actions in muscle and how these relate to whole-body protein metabolism.
KEY WORDS: insulin growth hormone IGF-I amino acids protein degradation protein synthesis skeletal muscle
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