Abstract
Insulin sensitivity and metabolic flexibility decrease in response to bed rest, but the temporal and causal adaptations in human skeletal muscle metabolism are not fully defined. Here, we use an integrative approach to assess human skeletal muscle metabolism during bed rest and provide a multi-system analysis of how skeletal muscle and the circulatory system adapt to short- and long-term bed rest (German Clinical Trials: DRKS00015677). We uncover that intracellular glycogen accumulation after short-term bed rest accompanies a rapid reduction in systemic insulin sensitivity and less GLUT4 localization at the muscle cell membrane, preventing further intracellular glycogen deposition after long-term bed rest. We provide evidence of a temporal link between the accumulation of intracellular triglycerides, lipotoxic ceramides, and sphingomyelins and an altered skeletal muscle mitochondrial structure and function after long-term bed rest. An intracellular nutrient overload therefore represents a crucial determinant for rapid skeletal muscle insulin insensitivity and mitochondrial alterations after prolonged bed rest.
Original language | English |
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Article number | 101372 |
Pages (from-to) | 101372 |
Journal | Cell reports. Medicine |
Volume | 5 |
Issue number | 1 |
DOIs | |
Publication status | Published - 16 Jan 2024 |
Bibliographical note
Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.Funding
The authors acknowledge the support of the European Space Agency (ESA, grant number 16-16ESA AGBR-0013 , contract number 4000113871/15/NL/PG) and the National Aeronautics and Space Administration (NASA, grant number 80JSC018P0078). B.G. is supported by the German Research Foundation (grant number GA2420/1-1 ) and German Aerospace Center (grant number 50WB1928 ). A.B. is supported by the Italian Space Agency grant (MIAG project ASI n.2021-13-U.0). H.D., I.G., and P.H. are supported by the UK Space Agency ( ST/S0001735/1 and ST/T00066X/1 ). M.E. and R.C.I.W. are supported by an Amsterdam Movement Sciences PhD fellowship grant (2019). ESA and NASA were involved in the overall study design but not in the collection, data analysis and interpretation, the writing of the report, or the decision to submit the article for publication. The authors would like to thank Dr. Angelique van Ombergen for her assistance with ESA bed rest data sharing. Illustrations were created with BioRender.com (full license).
Funders | Funder number |
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National Aeronautics and Space Administration | 80JSC018P0078 |
UK Space Agency | ST/T00066X/1, ST/S0001735/1 |
European Space Agency | 4000113871/15/NL/PG, 16-16ESA AGBR-0013 |
Deutsche Forschungsgemeinschaft | GA2420/1-1 |
Deutsches Zentrum für Luft- und Raumfahrt | 50WB1928 |
Agenzia Spaziale Italiana | ASI n.2021-13-U.0 |
Keywords
- Humans
- Insulin Resistance/physiology
- Bed Rest/adverse effects
- Muscle, Skeletal/metabolism
- Energy Metabolism/physiology
- Glycogen/metabolism