Evidence map›Paper›PMID 25475435›Full record

Trial reportDiabetes2015

Protein Ingestion Induces Muscle Insulin Resistance Independent of Leucine-Mediated mTOR Activation.

Gordon I Smith, Jun Yoshino, Kelly L Stromsdorfer, Seth J Klein, Faidon Magkos, Dominic N Reeds, Samuel Klein, Bettina Mittendorfer

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01538836 nacompletednot on this map

Calorie Restriction and Metabolic Health

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2017Enrolled75ConditionsObesity, Menopause, Osteoporosis, SarcopeniaArmsWeight loss with normal protein intake, Weight loss with protein supplementation
NCT01757340 nacompletednot on this map

Calorie Restriction With Leucine Supplementation in Postmenopausal Women

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2017Enrolled43ConditionsObesity, Menopause, Osteoporosis, SarcopeniaArmsWeight loss with normal protein and leucine intake, Weight loss with protein/leucine supplementation
NCT03627104 nacompletednot on this mapstarted 2018, after this paper: background citation

Effect of Dietary Protein and Energy Restriction in the Improvement of Insulin Resistance in Subjects With Obesity

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2018 to 2020Enrolled80ConditionsObesity, Insulin ResistanceArmsNormoprotein diet with animal protein, Normoprotein diet with vegetable protein, High-protein diet with animal protein, High-protein diet with vegetable protein
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 80 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Gordon I SmithDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Jun YoshinoDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Kelly L StromsdorferDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Seth J KleinDepartment of Radiology, Washington University School of Medicine, St. Louis, MO.
Faidon MagkosDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Dominic N ReedsDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Samuel KleinDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO.
Bettina MittendorferDepartment of Medicine and Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, MO mittendb@wustl.edu.
Atkins (United States) · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI James Alexander Fitzpatrick · 2013 to 2026
$27.1M
TRANSGENICS COREP60DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI SCHAFFER, JEAN E. · 1986 to 2012
$25.2M
TrainingP41GM103422 · NIGMS · WASHINGTON UNIVERSITY · PI YARASHESKI, KEVIN E · 2012 to 2019
$12.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
CALORIE RESTRICTION AND METABOLIC HEALTHR01DK094483 · NIDDK · WASHINGTON UNIVERSITY · PI KLEIN, SAMUEL, MITTENDORFER, BETTINA · 2011 to 2015
$2.5M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS UL1 TR000448NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P60 DK020579NIDDK NIH HHS R01 DK094483NIGMS NIH HHS P41 GM103422
6 · The paper itself

Abstract

Increased plasma branched-chain amino acid concentrations are associated with insulin resistance, and intravenous amino acid infusion blunts insulin-mediated glucose disposal. We tested the hypothesis that protein ingestion impairs insulin-mediated glucose disposal by leucine-mediated mTOR signaling, which can inhibit AKT. We measured glucose disposal and muscle p-mTOR(Ser2448), p-AKT(Ser473), and p-AKT(Thr308) in 22 women during a hyperinsulinemic-euglycemic clamp procedure with and without concomitant ingestion of whey protein (0.6 g/kg fat-free mass; n = 11) or leucine that matched the amount given with whey protein (n = 11). Both whey protein and leucine ingestion raised plasma leucine concentration by approximately twofold and muscle p-mTOR(Ser2448) by ∼30% above the values observed in the control (no amino acid ingestion) studies; p-AKT(Ser473) and p-AKT(Thr308) were not affected by whey protein or leucine ingestion. Whey protein ingestion decreased insulin-mediated glucose disposal (median 38.8 [quartiles 30.8, 61.8] vs. 51.9 [41.0, 77.3] µmol glucose/µU insulin · mL(-1) · min(-1); P < 0.01), whereas ingestion of leucine did not (52.3 [43.3, 65.4] vs. 52.3 [43.9, 73.2]). These results indicate that 1) protein ingestion causes insulin resistance and could be an important regulator of postprandial glucose homeostasis and 2) the insulin-desensitizing effect of protein ingestion is not due to inhibition of AKT by leucine-mediated mTOR signaling.

Indexed as

AgedAmino AcidsBlood GlucoseDietary ProteinsFemaleGlucose Clamp TechniqueHumansInsulinInsulin ResistanceLeucineMiddle AgedMilk ProteinsMuscle, SkeletalSignal TransductionTOR Serine-Threonine KinasesWhey ProteinsAmino AcidsBlood GlucoseDietary ProteinsInsulinLeucineMilk ProteinsMTOR protein, humanTOR Serine-Threonine KinasesWhey Proteins

Identifiers

PMID25475435
PMCPMC4407849
OpenAlexW1967545335

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.