Marc S. Schneider, M.D.
Muscle protein synthesis is the biochemical pathway your muscles use to build, get stronger, and recover from exercise.
Muscles are organized collections of cells made up of specialized proteins:
- myofibrillar – contractile proteins
- sarcoplasmic – the gel within the cell
- mitochondrial – muscle cell energy factory
Your muscle proteins are constantly going through a cycle that involves muscle protein breakdown (MPB) and muscle protein synthesis (MPS).
The goal of exercising our muscles is to be as strong, powerful, and as healthy as possible. We want to maintain or build our strength for optimum health. As we age, these goals are still on the list, but muscle breakdown accelerates. To prevent many problems when we age, we also need to minimize muscle loss.
The muscles are usually going through some level of muscle protein breakdown at all times. Sometimes MPB is increased, sometimes it is decreased.
Did you ever notice the size of someone’s arm after it comes out of a cast?
That is the muscle breakdown effect at work and it literally happens within a week of limited muscle use. Your muscles are in a constant state of flux where about 1% of muscle protein is turned over daily.
Your body uses the amino acids generated by muscle protein breakdown for other purposes.
A cycle is created where muscle proteins are broken down and used by the body during fasting. Then when protein feeding occurs, these proteins are replaced by turning on muscle protein synthesis.
Usually there is a steady state where net amounts of muscle are neither gained nor lost.
These dynamics and responses are different in different age groups, health, activity level, foods that are eaten, and genetics.
The muscle growth algorithim:
Illustration Elements by @iconicbestiary
- If MPS is greater than MPB then you gain muscle.
- If MPS is equal to MPB then your lean muscle mass remains the same.
- If MPB is greater than MPS … you are losing muscle.
The Science Behind Muscle Protein Synthesis
- How Exercise Effects Muscle Protein Synthesis
- Eccentric vs Concentric Contractions and MPS
- Latency Period and Exercise
- Nutrition and MPS
- The Type of Protein is Critical
- Protein / Exercise Magnify MPS
- mTOR and MPS
- Leucine and MPS
- Insulin Decreases Muscle Protein Breakdown
- Carbohydrates + Protein
- Testosterone and Muscle Protein Synthesis
First how do we know that any of this happens in the first place? The science behind untangling the riddles of muscle protein synthesis and muscle growth is quite interesting.
Beyond dissecting the muscle and looking at it under more and more powerful microscopes, scientists can now measure the dynamics of muscle protein synthesis by labeling amino acids with isotopes.
Trained and untrained individuals, young and old, are put through a variety of exercise regimes and scientists take biopsies of their muscles several times throughout the sessions. From this, they then measure and determine the responses to exercise, nutrition, fasting, and a combination of these factors.
How Exercise Effects Muscle Protein Synthesis
“Adaption” is a muscle’s response to exercise. Muscle adaptation depends on the force, intensity, and type and duration of the exercise. Genetic factors that affect the response of the individual also play a role.
We have all heard of athletes that are genetically gifted. This means that some respond more, and others less, to the same exercise. Though unfortunately true, some individuals are just better gifted for athletics.
One reason you need variance in your exercise routine is to enable muscles to achieve an “all-around” adaptation. Timmons demonstrated this scientifically and how muscles adapt in different individuals.
Different types of exercise stimulate the different types of muscle proteins that we spoke about earlier (myofibrillar, sarcoplasmic, mitochondrial), differently.
With exercise, both MPS and MPB increase. The extent to which each increases depends on type of exercise, the intensity, and the duration.
After resistance training, myofibrillar protein synthesis is specifically increased. The myofibrillar proteins are the ones that produce muscle contractions.
Conversely, after endurance training, mitochondrial protein synthesis in the muscle is increased whereas myofibrillar protein synthesis is not. Mitochondrial proteins are responsible for energy production.
Increases in myofibrillar MPS are specific to resistance exercise (weightlifting) and results in the net positive growth of the muscle. Something we call muscle hypertrophy.
The magnitude of muscle protein synthesis that results from resistance exercise is dependent upon both workload and the intensity. For example, at intensities ≤40% of one-repetition maximum (1-RM), there is no detectable increase in MPS.
When you begin to lift at intensities and loads greater than 60% 1-RM, resistance exercise increases MPS 2- to 3-fold. Scientists think the ideal workload zone is in the 70-90% range.
However, this does not mean that lifting lighter loads is worthless. But it must be done in a particular way to produce anabolic effects.
Failure is key!
Indeed, increases in MPS at 30% 1-RM can have comparable results to 90% 1-RM BUT only when exercise is performed to failure. This has to be stressed- if workload is the same but the 30% group does not go to failure, they do not get the results.
In essence, this means that increasing the volume of work at a lower intensity can overcome and even surpass the blunted MPS response of low-intensity exercise, but only if failure is attained.
Eccentric vs Concentric Contractions and MPS
Muscles go through 2 types of contractions. Eccentric contractions are when the muscles lengthen and resist force; concentric contractions are when the muscle contracts and shortens.
In a bicep curl, bringing the weight up to you is the concentric contraction and lowering it back down is eccentric.
An eccentric contraction is not necessarily a “negative” contraction. It is simply the muscle resisting a force as it is stretched.
Eccentric-type exercise training has been shown to result in greater muscle hypertrophy than concentric type training.
But don’t jump to conclusions… there is more.
Measurement of muscle protein synthesis after both concentric and eccentric contractions has demonstrated only minimal differences. Moreover, when the total amount of work is matched between eccentric and concentric contractions there is no difference in training-induced muscle hypertrophy.
It appears that the increased work caused by slowed eccentric contractions (negatives) may explain the greater efficacy of eccentric training, rather than contraction mode per se.
Summary – it is not the type of contraction that makes one type of contraction better than another in producing increased muscle growth. Rather, it is the increased amount of workload created by the increased time of contraction of a slow negative that is responsible for it.
Latency Period and Exercise
MPS is stimulated after exercise. The time between the end of the exercising and the start of muscle protein synthesis is called the latency period. The degree of intensity and the amount of time involved in the exercise will affect when MPS kicks in.
When you workout very and hard and intensely, it may take several hours before muscle protein synthesis starts. Cuthbertson showed that MPS remained stagnant for up to 3 hours after extremely fatiguing and damaging eccentric contractions.
The latency period for lower intensity exercise is much shorter (6 × 8 repetitions at 75% 1-RM) is <1 h.
After this latent period, MPS rises sharply for between 45 and 150 min and may be sustained for up to 4 h if the athlete has not eaten a protein containing meal.
Resistance exercise keeps MPS turned on for 24 hrs or greater.
However, In the presence of increased amino acid availability, (this is a scientists way of saying the athlete consumes protein), muscle protein synthesis can remain active for up to and beyond 24 h.
This leads us to the effect of nutrition, and specifically protein, and its effect on muscle growth.
Nutrition and MPS
Anabolism is the building of larger biologic molecules from smaller ones. It is the basis of building muscle.
The anabolic effects of nutrition are principally driven by the transfer and incorporation of amino acids acquired by consuming dietary protein, into skeletal muscle proteins.
In the early 90’s researchers found that the key nutritional component for stimulating muscle protein synthesis from any meal was the amino acids contained in the meal.
Since that time, other researchers have discovered that the effect of consuming protein on muscle protein synthesis is dose dependent. This means that amount of protein and in fact the type of protein you eat, affects the amount of MPS that results.
The Type of Protein is Critical
Different proteins have different amino acid quantities and these directly impact the level of muscle protein synthesis.
Yes, whey protein is far superior to any other protein in stimulating MPS. Check out The Ultimate Guide to Protein Powder and Building Muscle.
Studies over the last 10-15 years seem to have put a limit on how much protein can be used to stimulate MPS.
20-25 grams is the number that is frequently cited. New research however contradicts this paradigm and when exercise is combined with protein supplementation, it appears that the dosing limits may have been underestimated.
40 grams of whey is superior to 20 grams. The higher the quality, the better the results.
When you consume a protein meal high in essential amino acids, and especially high in branched chain amino acids, the anabolic MPS response is strong, yet occurs for a set period of time.
This makes sense, as you cannot simply grow your muscles by overeating quantities of chicken and steak. Though it would be nice!
Thirty minutes after you eat a protein meal, there is a large increase (∼3-fold) in muscle protein synthesis. MPS will then peak at around 90 minutes before returning to its normal state in 2 hours.
Though the level of circulating amino acids and sustained ‘anabolic signaling’ may remain high, MPS returns to normal. At this point after eating, the muscle becomes full and no additional effect occurs in spite of sustained elevated amino acid levels.
The better and the higher the amino acid digestion during this time frame the better the muscle protein synthesis effect.
Protein / Exercise Magnify MPS
Combining optimum nutrition with exercise has a much greater effect on muscle protein synthesis than either protein consumption or exercise has on MPS alone.
If you are reading this blog, this is probably something that you have already figured out on your own.
This is exemplified by the fact that acute increases in MPS after exercise in the absence of adequate intake of protein will be overshadowed by a prolonged rise in muscle protein breakdown.
Remember, the battle is always between muscle breakdown and synthesis and without adequate protein intake, the muscle breakdown forces will outweigh the muscle gain forces. This results in a net muscle loss also called negative nitrogen balance.
You can’t build or remodel muscle without amino acids!
When you increase the dietary essential amino acid availability after exercise, the magnitude and duration of MPS is significantly increased. Therefore, in essence, exercise is able to pre-condition muscle to delay the muscle full ‘set-point’.
This is a key factor and why we always recommend to athletes that they take high-quality whey protein following training or competition.
mTOR and MPS
mTOR is one of the keys that unlocks the MPS gate.
The science is fascinating and intuitively supports everything you see in athletics: power athletes are more muscular with less endurance, and endurance athletes are less muscular with greater endurance.
mTOR is an acronym for the mammalian target of rapamycin pathway and is a key signaling mechanism affecting exercise/nutrient-induced changes in muscle protein synthesis (Drummond et al. 2009; Dickinson et al. 2011).
Activation of mTOR stimulates other factors such as 4E-binding protein (4EBP1), ribosomal protein S6 kinase (p70S6K1), 4 G/A/B (eIF4G/A/B) that are involved in the biochemical pathways of muscle protein synthesis.
In a parallel pathway, activation of eukaryotic initiation factor 2B (eIF2B) helps carry a transfer-RNA molecule to RNA and helps further stimulate protein synthesis.
We have all heard of IGF-1 (insulin growth factor) and its effects on muscle growth. Studies have demonstrated that this happens as a result of IGF-1 stimulating mTOR via the IGFr-AKT-mTOR pathway.
However recent studies seem to indicate that systemic igf-1 levels may not have as much effect as thought. These data suggest that systemic induction of IGF-1 is not a pivotal part of the adaptive process. Nonetheless, it could be argued that IGF-1 regulates AKT–mTOR signaling via localized cell-to-cell signaling mechanisms.
New research has shown that phospholipase D (PLD) and phosphatidic acid (PA) play a biochemical role as well in muscle protein synthesis. These reactions may happen prior to the mTOR stimulation that results from muscle contractions.
This is why phosphatidic acid is a key ingredient in MPO … another stimulus to muscle protein synthesis.
When you combine endurance exercise at the end or beginning of your resistance exercise, endurance biochemistry prevails. Therefore you should do your cardio at least 2 hours separated from your lifting, or do it on a different day.
During endurance exercise, mitochondrial protein synthesis is stimulated via 5′-AMP-activated protein kinase (AMPK)–peroxisome proliferator-activated receptor γ coactivator (PGC-1) pathway.
In the muscle, the energy molecule ATP (adenosine triphosphate) donates phosphate molecules for cellular energy and the result is a build up of AMP (adenosine monophosphate) which stimulates the production of AMPK resulting in mitochondrial protein synthesis, not muscle protein synthesis.
Increases in PGC-1 also leads to mitochondrial protein synthesis.
Further, the activation of both AMPK and PGC-1 together, inhibits MPS and stimulates MPB.
A mouthful yes, but endurance exercise puts different demands and creates different effects on the muscle.
The takeaway: Resistance exercise biochemically increases MPS. Endurance exercise decreases MPS and stimulates MPB.
Leucine and MPS
Amino acid metabolism in skeletal muscle is limited to six amino acids (glutamate, aspartate, asparagine, and the three BCAAs). Among these amino acids, the most noteworthy effects have been observed with the branched chain amino acid leucine.
Increased levels of leucine within the muscle cell stimulate protein synthesis via mTOR-dependent and mTOR independent pathways.
Leucine stimulates muscle protein synthesis by mTOR activating initiation factors eIF4E and rpS6. Interestingly, plasma levels of leucine do not decrease after resistance exercise. Net protein balance remains negative after resistance exercise, as protein breakdown is greater than protein synthesis, and remains negative until dietary protein or leucine is ingested.
Dietary branched chain amino acids reach the bloodstream virtually unaltered from their levels in the diet; thus, leucine reaches peripheral tissues in direct proportion to its dietary intake.
During exercise, there is also an increased release of leucine from the liver and gut and movement into skeletal muscle. This pattern of inter-organ movement of amino acids provides for a continuous supply of leucine to skeletal muscle necessary to maintain some MPS.
Different proteins and different quality whey proteins vary in how much leucine they provide. New Zealand Whey Protein contains 6.1 grams of natural BCAA per serving.
Insulin Decreases Muscle Protein Breakdown
While it is noteworthy that provision of protein alone (i.e. without carbohydrate) causes a rise in insulin similar to that seen following a meal of carbohydrate, protein and fat, insulin apparently does not contribute to the anabolic effects that essential amino acids have on muscle protein synthesis.
It is commonly thought that the effect of insulin is to increase the uptake of amino acids in the muscle and stimulate mps. This is actually not true and studies show that if insulin is blocked, the amino acids are still absorbed by the the muscle and mps continues.
Photo by: @dariusbashar
However, insulin does have a very significant effect on muscle protein turnover in that it blocks muscle protein breakdown by 40-50% !
Thus insulin is not anabolic but rather it is anti-catabolic.
Thus, to summarize, essential amino acids regulate anabolic muscle growth via large increases in MPS. Insulin, on the other hand, regulates anti-catabolic (depressions in MPB) responses. Therefore, protein nutrition is the major driving force stimulating MPS while simultaneously decreasing MPB. The result is significant net increases in muscle growth.
Carbohydrates + Protein
How do carbohydrates factor into MPS?
The short answer – they don’t.
The addition of carbohydrate to protein affords no greater anabolic effects on muscle gains (neither increases in MPS nor depressions in MPB) after exercise. This emphasizes the central role of essential amino acids as the principal (and perhaps only!) macronutrients required to optimize the anabolic responses in muscle growth afforded by weight lifting.
Yes carbs have other effects that are beneficial for sports performance and sports nutrition, however, they do not induce or play a significant role in MPS.
Testosterone and Muscle Protein Synthesis
How big of a factor does testosterone play in MPS?
Unlike carbs, testosterone can play a very significant role in MPS. Various studies show that testosterone greatly increases muscle hypertrophy and MPS by as much as 27%.
It seems that testosterone positively affects mTOR in how it regulates protein synthesis. Low testosterone signals a decrease in muscle protein synthesis. This does make logical sense.
One thing that can especially plague men as they get older is a lower T-count which correlates with their difficulty of increasing or even maintaining muscle mass and strength. When testosterone is given to men and women, muscle protein synthesis and muscle mass increases.
Muscle protein synthesis is the key to increased muscle growth and strength. It is the critical element behind gaining lean mass. If you want to maximize your muscular growth, strength and athletic performance, you need to eat like a power athlete and train like a power athlete.
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