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. 2023 Sep 4;14(5):2003–2015. doi: 10.1002/jcsm.13276

Table 4.

Protein metabolism

Cancer and chemotherapy effect Protein diet effects
CTRL NP16% P LP8% LP12% NP16% HP24% HP32%
Liver
Protein content
mg 600 ± 66 557 ± 25 NS 500 ± 26 a 583 ± 26 a 557 ± 25 a 597 ± 29 a 586 ± 34 a
g/100 g tissue 9.8 ± 0.9 10.0 ± 0.4 NS 9.5 ± 0.4 a 10.4 ± 0.4 a 10.0 ± 0.4 a 10.2 ± 0.4 a 10.2 ± 0.5 a
Protein synthesis
AU 0.36 ± 0.17 0.19 ± 0.11 NS 0.16 ± 0.03 a 0.17 ± 0.03 a 0.19 ± 0.10 a 0.14 ± 0.06 a 0.13 ± 0.04 a
Tibialis
Protein content
mg 58.7 ± 2.4 52.6 ± 3.9 NS 47.3 ± 2.7 a 50.9 ± 3.6 a 52.6 ± 3.9 a 51.9 ± 3.8 a 52.1 ± 3.6 a
g/100 g muscle 19.8 ± 0.7 18.4 ± 1.1 NS 17.2 ± 1.0 a 17.8 ± 1.2 a 18.4 ± 1.1 a 17.7 ± 1.1 a 18.1 ± 1.1 a
Protein synthesis
AU 0.74 ± 0.13 0.71 ± 0.16 NS 0.68 ± 0.11 a 0.66 ± 0.16 a 0.71 ± 0.16 a 0.61 ± 0.10 a 0.64 ± 0.06 a
mTORC1 activation
4EBP1 phospho (AU) 0.21 ± 0.05 0.15 ± 0.04 NS 0.14 ± 0.05 a 0.14 ± 0.03 a 0.15 ± 0.04 a 0.14 ± 0.02 a 0.15 ± 0.03 a
Proteolyis
Atrogin‐1 (AU) 0.18 ± 0.04 0.18 ± 0.03 NS 0.18 ± 0.04 a 0.18 ± 0.03 a 0.18 ± 0.03 a 0.16 ± 0.03 a 0.19 ± 0.04 a
Murf‐1 (AU) 0.20 ± 0.09 0.20 ± 0.08 0.20 ± 0.09 0.16 ± 0.05 0.20 ± 0.08 0.17 ± 0.05 0.19 ± 0.07
Jejunum
Protein content
mg/10 cm 15.0 ± 1.5 11.6 ± 0.9 0.0440 12.5 ± 0.9 a 12.0 ± 0.6 a 11.6 ± 0.9 a 11.3 ± 0.5 a 11.3 ± 0.9 a
g/100 mucosa 5.3 ± 0.4 4.5 ± 0.3 NS 4.6 ± 0.2 a 5.0 ± 0.3 a 4.5 ± 0.3 a 4.8 ± 0.2 a 4.6 ± 0.2 a
Protein synthesis
AU 0.61 ± 0.22 0.31 ± 0.18 NS 0.27 ± 0.06 a 0.20 ± 0.18 a 0.31 ± 0.18 a 0.89 ± 0.06 a 0.28 ± 0.10 a
Ileon
Protein content
mg/10 cm 17.5 ± 2.0 15.9 ± 1.9 NS 15.5 ± 0.9 a 15.6 ± 1.1 a 15.9 ± 1.9 a 14.1 ± 1.3 a 14.2 ± 0.9 a
g/100 g mucosa 6.9 ± 0.4 6.2 ± 0.3 NS 6.2 ± 0.2 a 6.1 ± 0.1 a 6.2 ± 0.3 a 6.0 ± 0.3 a 6.1 ± 0.2 a
Protein synthesis
AU 1.03 ± 0.40 0.99 ± 0.44 NS 1.09 ± 0.32 a 0.81 ± 0.44 a 0.99 ± 0.44 a 0.89 ± 0.31 a 1.31 ± 0.74 a

Control rats have received the normal‐protein diet (CTRL; n = 8) and tumour‐bearing rats received either the normal‐protein diet (NP16%, n = 14) or a low‐protein diet with 8% protein (LP8%, n = 14), a low‐protein diet with 12% protein (LP12%, n = 14), a high‐protein diet with 24% protein (HP24%, n = 14) or a high‐protein diet with 32% protein (LP32%, n = 14). Two days later, for the tumour‐bearing rats, the first chemotherapy cycle was initiated: irinotecan (CPT‐11; 50 mg/kg) at D0 and 5‐fluorouracil (5‐FU; 50 mg/kg) at D1. One week later, they received the second cycle of chemotherapy (CPT‐11 at D7 and 5‐FU at D8). All rats were then sacrificed at D9 for analysis.

Data are presented as mean ± SEM. Significant differences are grey‐backgrounded. For protein diet effects, values with different superscript letters are statistically different (P < 0.05).