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Role of MicroRNAs on Age and Contraction-induced Skeletal Muscle Growth

Primary Purpose

Sarcopenia

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Acute Resistance Exercise
Sponsored by
Tufts University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Sarcopenia focused on measuring Exercise, Anabolic Resistance, Skeletal Muscle, microRNA

Eligibility Criteria

20 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and Female
  • 20-30 or 70-85 years of age
  • Sedentary: Must not participate in any regular exercise sessions (participants who walk regularly or walk for exercise are eligible)
  • Individuals must confirm good health
  • BMI must be between 19-35 kg/m2
  • Individuals must be fluent in English
  • Willing to come to the HNRCA laboratory for study visits
  • Short Physical Performance Battery of less than 9 (70-85 years of age cohort)
  • 10 subjects with Normal Muscle Mass and 10 subjects with Low Muscle Mass as determined by DXA scan (70-85 years of age cohort) Low Muscle Mass is defined as Class I Sarcopenia, Skeletal Muscle Index within 1 to 2 standard deviations from the sex-specific mean of young adults

Exclusion Criteria:

  • Lost or gained 7.5% or more of their body weight in the past 6 months
  • Acute or terminal disease
  • Significant immune disorder
  • Types I and II Diabetes mellitus
  • Uncontrolled hypertension (>180/100 mmHg)
  • Neuromuscular disease
  • Subjects must also not be participating in any regular endurance or resistance training exercise during the previous six months.
  • Mini-mental state examination (MMSE) score of <23
  • Because of the DXA scan and the unknown risk associated with the muscle biopsy procedure, women who are pregnant, planning to become pregnant, or are breastfeeding will be excluded from the study.

Subjects with a history of any of the following within the past 6 months will be excluded:

  • Myocardial infarction in the past 6 months, or other symptomatic coronary artery disease.
  • Surgery in previous 6 months
  • Upper or lower extremity fracture in the previous 6 months
  • Allergy to lidocaine

Subjects currently taking any of the following drugs or classes of drugs will be excluded:

  • Anticoagulant therapy (Warfarin, Coumadin, or Plavix)
  • ACE inhibitors
  • Drugs that affects neuromuscular function
  • Angiotensin receptor blockers
  • Androgen or estrogen therapy or other hormone replacement therapy
  • Low dose aspirin with known cardiovascular disease (e.g.: reported coronary artery disease, peripheral vascular disease, or previous stroke, or history of transient ischemic attacks)
  • Diabetes medications (ie. metformin, insulin therapy, thiazolidinediones, sulfonylureas etc.)
  • Chronic corticosteroid therapy

Laboratory blood test exclusions:

  • Estimated GFR <30 mL/min/1.73m2
  • Other abnormal screening lab values will be at the discretion of the study physician

Sites / Locations

  • Human Nutrition Research Center on Aging at Tufts University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

HL-YNG

FL-OLD

SR-OLD

Arm Description

Healthy young sedentary males and females 20-30 yrs old Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.

Functionally-limited older sedentary males and females without sarcopenia (70-85 yrs old) Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.

Functionally-limited older sedentary males and females with clinically defined sarcopenia (70-85 yrs old) Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.

Outcomes

Primary Outcome Measures

Change of microRNA expression in humans skeletal muscle after an acute bout of high intensity resistance exercise
Determine if the expression of miRNA in skeletal muscle after an acute bout of high-intensity resistance exercise in young, functionally-limited older adults with and without low muscle mass

Secondary Outcome Measures

Full Information

First Posted
December 17, 2015
Last Updated
July 16, 2021
Sponsor
Tufts University
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1. Study Identification

Unique Protocol Identification Number
NCT02638454
Brief Title
Role of MicroRNAs on Age and Contraction-induced Skeletal Muscle Growth
Official Title
Role of MicroRNAs on Age and Contraction-induced Skeletal Muscle Growth
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Unknown status
Study Start Date
August 2015 (undefined)
Primary Completion Date
January 2022 (Anticipated)
Study Completion Date
January 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tufts University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Sarcopenia is a predictor of functional-limitation, leading to loss of independence, lowered quality of life, and ultimately death. The impaired ability of aged skeletal muscle to adapt to anabolic stimulation may be a factor that contributes to sarcopenia. This project will provide novel insights into the role of microRNA in the attenuation of aging skeletal muscle to changes in gene expression after anabolic stimulation.
Detailed Description
The age-associated loss of skeletal muscle mass and function (sarcopenia) is associated with substantial social and economic costs. The plasticity and adaptability of skeletal muscle to contraction (ie. resistance-exercise) is a fundamental physiological event leading to larger and more robust skeletal muscle. However, muscle growth in response to resistance exercise (RE), like other anabolic stimuli, is attenuated in older adults. The cause of aberrant muscle adaptation with aging is complex. Recent work has revealed a novel role for small non-coding RNAs, called microRNAs (miRNA) in the regulation of gene expression. Using an integrated bioinformatics analysis of protein-coding gene and miRNA array data from young and older men, I identified ten specific miRNAs as important regulators of muscle plasticity (Plasticity Related miRs [PR-miRs]) leading to the transcriptional response to exercise and lean mass in young and older men. However, the precise mechanisms underlying the expression of PR-miRs on age-related changes in muscle anabolism and sarcopenia are currently unknown. Thus, the overall objective of this K01 application will be to determine the mechanistic role(s) of these PR-miRs in skeletal muscle adaptation to anabolic stimulation in: healthy young, sarcopenic older and age- and functionally-matched non-sarcopenic older males and females. This will be accomplished by determine the differences in expression of PR-miRs with aging and sarcopenia in response to anabolic stimulation (AIM 1). Mechanistically determine the extent to which manipulation of PR-miR levels in vitro, in human primary myocytes, can reverse anabolic resistance observed with age and sarcopenia (AIM 2) and the effect of altering PR-miRs levels on skeletal muscle growth and development (AIM 3). This project will improve our understanding of the molecular mechanisms that contribute to the loss of skeletal muscle and eventually leading to the development of drug therapies for the treatment of sarcopenia in the ever growing aging population.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcopenia
Keywords
Exercise, Anabolic Resistance, Skeletal Muscle, microRNA

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Investigator
Allocation
Non-Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HL-YNG
Arm Type
Active Comparator
Arm Description
Healthy young sedentary males and females 20-30 yrs old Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.
Arm Title
FL-OLD
Arm Type
Experimental
Arm Description
Functionally-limited older sedentary males and females without sarcopenia (70-85 yrs old) Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.
Arm Title
SR-OLD
Arm Type
Experimental
Arm Description
Functionally-limited older sedentary males and females with clinically defined sarcopenia (70-85 yrs old) Participants will undergo an acute bout of resistance exercise at 80% of their 1 repetition maximum (1RM, maximum strength) and will undergo muscle biopsies before, immediately after and 4 hours after the exercise.
Intervention Type
Procedure
Intervention Name(s)
Acute Resistance Exercise
Other Intervention Name(s)
Acute Strength Training
Intervention Description
1 bout of high-intensity resistance exercise at 80% of the individuals 1 repetition maximum
Primary Outcome Measure Information:
Title
Change of microRNA expression in humans skeletal muscle after an acute bout of high intensity resistance exercise
Description
Determine if the expression of miRNA in skeletal muscle after an acute bout of high-intensity resistance exercise in young, functionally-limited older adults with and without low muscle mass
Time Frame
Baseline, immediately (within 15-30 min after acute resistance exercise) and 4 hours after acute resistance exercise

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and Female 20-30 or 70-85 years of age Sedentary: Must not participate in any regular exercise sessions (participants who walk regularly or walk for exercise are eligible) Individuals must confirm good health BMI must be between 19-35 kg/m2 Individuals must be fluent in English Willing to come to the HNRCA laboratory for study visits Short Physical Performance Battery of less than 9 (70-85 years of age cohort) 10 subjects with Normal Muscle Mass and 10 subjects with Low Muscle Mass as determined by DXA scan (70-85 years of age cohort) Low Muscle Mass is defined as Class I Sarcopenia, Skeletal Muscle Index within 1 to 2 standard deviations from the sex-specific mean of young adults Exclusion Criteria: Lost or gained 7.5% or more of their body weight in the past 6 months Acute or terminal disease Significant immune disorder Types I and II Diabetes mellitus Uncontrolled hypertension (>180/100 mmHg) Neuromuscular disease Subjects must also not be participating in any regular endurance or resistance training exercise during the previous six months. Mini-mental state examination (MMSE) score of <23 Because of the DXA scan and the unknown risk associated with the muscle biopsy procedure, women who are pregnant, planning to become pregnant, or are breastfeeding will be excluded from the study. Subjects with a history of any of the following within the past 6 months will be excluded: Myocardial infarction in the past 6 months, or other symptomatic coronary artery disease. Surgery in previous 6 months Upper or lower extremity fracture in the previous 6 months Allergy to lidocaine Subjects currently taking any of the following drugs or classes of drugs will be excluded: Anticoagulant therapy (Warfarin, Coumadin, or Plavix) ACE inhibitors Drugs that affects neuromuscular function Angiotensin receptor blockers Androgen or estrogen therapy or other hormone replacement therapy Low dose aspirin with known cardiovascular disease (e.g.: reported coronary artery disease, peripheral vascular disease, or previous stroke, or history of transient ischemic attacks) Diabetes medications (ie. metformin, insulin therapy, thiazolidinediones, sulfonylureas etc.) Chronic corticosteroid therapy Laboratory blood test exclusions: Estimated GFR <30 mL/min/1.73m2 Other abnormal screening lab values will be at the discretion of the study physician
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Donato A Rivas, PhD
Organizational Affiliation
Tufts University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Human Nutrition Research Center on Aging at Tufts University
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Role of MicroRNAs on Age and Contraction-induced Skeletal Muscle Growth

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