About this trial
The study investigates the role of mTOR in mediating enhancement of muscle insulin sensitivity following a single bout of exercise.
This will be investigated in young healthy male subjects by administering the pharmacological mTOR inhibitor Rapamycin in a crossover blinded experimental setup known to enhance muscle insulin sensitivity following one-legged knee-extensor exercise.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Healthy persons (no known disease) without diabetes in the family
No use of medications
Non-smokers
Men
Disqualifiers
Women
Physical activity (e.g., running, cycling, fitness, etc.) above 6 hours a week.
Persons who show signs of metabolic diseases, hematologic diseases, reduced liver function, human immunodeficiency virus (HIV), hepatitis, thyroid diseases or other signs of disease that may affect the outcome of the study or the study subject's wellbeing will be excluded.
Acute sickness less than 2 weeks prior to study start.
Trial design
Crossover
Treatments tested in this trial
Exercise
Other intervention1 hour of one-legged knee-extensor exercise followed by 4 hours of rest
Insulin infusion
Procedure/Surgery2 hours of Euglycemic Hyperinsulinemic Clamp
Placebo
DrugAdministration of 800 mg of calcium tablets
Rapamycin
DrugAdministration of 16 mg of Rapamycin tablets
Treatment groups
Trial outcomes
Primary outcomes
Insulin stimulated muscle glucose uptake
Muscle glucose uptake during insulin stimulation in recovery from exercise (insulin sensitivity) will be determined based on Fick's principle. Thus, femoral arterio-venous difference (av difference) in blood glucose concentration will be multiplied by femoral arterial leg blood flow.
Secondary outcomes
Insulin stimulated muscle protein synthesis
Muscle protein synthesis during insulin stimulation in recovery from exercise will be determined based on incorporation of 13C6-phenylalanine in muscle biopsies. Unit of measure is fractional synthesis rate (FSR) in percentage per hour (%/h).
Posttranslational modification of proteins in muscle biopsies
The obtained muscle samples will be subjected to mass spectrometry-based phosphoproteomic analysis. This measurement shows posttranslational modification that regulates protein function and will reveal the signalling network underlying the interventions studied. Unit of measure is log2-transformed arbitrary units.
Sponsors and contacts
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University of Copenhagen
Lead sponsor
Danish Diabetes Academy
Collaborator