The impact of bed rest on human skeletal muscle metabolism

Moritz Eggelbusch, Braeden T Charlton, Alessandra Bosutti, Bergita Ganse, Ifigenia Giakoumaki, Anita E Grootemaat, Paul W Hendrickse, Yorrick Jaspers, Stephan Kemp, Tom J Kerkhoff, Wendy Noort, Michel van Weeghel, Nicole N van der Wel, Julia R Wesseling, Petra Frings-Meuthen, Jörn Rittweger, Edwin R Mulder, Richard T Jaspers, Hans Degens, Rob C I Wüst

Research output: Contribution to JournalArticleAcademicpeer-review

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 languageEnglish
Article number101372
Pages (from-to)101372
JournalCell reports. Medicine
Volume5
Issue number1
DOIs
Publication statusPublished - 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).

FundersFunder number
National Aeronautics and Space Administration80JSC018P0078
UK Space AgencyST/T00066X/1, ST/S0001735/1
European Space Agency4000113871/15/NL/PG, 16-16ESA AGBR-0013
Deutsche ForschungsgemeinschaftGA2420/1-1
Deutsches Zentrum für Luft- und Raumfahrt50WB1928
Agenzia Spaziale ItalianaASI n.2021-13-U.0

    Keywords

    • Humans
    • Insulin Resistance/physiology
    • Bed Rest/adverse effects
    • Muscle, Skeletal/metabolism
    • Energy Metabolism/physiology
    • Glycogen/metabolism

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