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Loss of muscle function studied in obese patients

An illustration of the muscle structure of a human Researchers are working on groundbreaking research to determine what damage obesity can inflict on the muscles in our body. Funded by the Biotechnology and Biological Sciences Research Council (BBSRC), the study at the University of Nottingham will lead to more effective treatment strategies for the obese to minimise muscle complications.

Professor Greenhaff and Professor Rennie have been awarded nearly £600,000 to carry out the research. Greenhaff said: "This work is essential because it will further our understanding of the health consequences of obesity which is all the more important given the purported obesity epidemic threatening to face the western world in future years."

The study has already shown the release of cytokines (small inflammatory-inducing proteins) slow down the skeletal muscle making process and speed up the rate of muscle breakdown. Cytokines, released from the fat cells of the body, are elevated in obese individuals at low levels for long periods of time.

Researchers are recruiting a group of obese and healthy normal-weight volunteers. Scientists will measure the rates of synthesis and breakdown of muscle proteins in conjunction with rates of carbohydrate oxidation in obese individuals and compare them to rates determined in healthy non-obese volunteers and see how they differ. Muscle biopsies will be taken to examine the molecular signalling events that underpin these processes.

The study will also explore whether an insulin sensitising drug, known to limit the release of cytokines from fat cells, can reverse any effect of obesity on the synthesis and breakdown of muscle proteins and whether this could lead to functional improvements. These studies will determine, for the first time, the effect of obesity associated low-dose chronic inflammation on essential muscle events.

Professor Greenhaff said: "Despite the serious implications, there is a dearth of information on this topic. Our research is of such magnitude that if we can find the answers, it will create a multitude of future research avenues that could be explored by the wider scientific community. This could have wide-reaching implications for the many disease states characterised by low-grade chronic inflammation."