Introduction:
Ketone bodies are small molecules consisting of β-hydroxybutyrate, acetoacetate, and acetone that serve as an alternative energy source when carbohydrates are depleted 1). In particular, β-hydroxybutyrate, which accounts for approximately 80% of ketone bodies in the blood, has been shown to have potent physiological effects. It has been reported that β-hydroxybutyrate improves mitochondrial function and may suppress muscle catabolism caused by inflammation in skeletal muscle 2)3). However, the effect on skeletal muscle protein synthesis response is not clear. Therefore, the purpose of this study was to examine the direct effects of β-hydroxybutyrate on muscle protein synthesis and anabolic signaling in C2C12 myotubes.
Methods:
 C2C12 myoblasts were cultured in DMEM containing 2% horse serum for 5 days to induce differentiation into myotubes. After differentiation, the myotubes were incubated with DMEM containing different concentrations of β-hydroxybutyrate (0, 0.25, 0.5, 1, 2, 5mM) for 30 minutes. For assessment of protein synthesis, myotubes were treated with 1 µM puromycin 30 min prior to cell collection. Protein synthesis and mTORC1 related proteins were quantified using Western blotting. Data were analyzed using one-way ANOVA.
Results:
A significant increase in puromycin-labeled protein expression was observed after stimulation with 1mM β-hydroxybutyrate (1.20±0.06 arbitrary units) compared to 0mM (1.00±0.05, p<0.05). However, phosphorylation of mTORC1 related proteins (p70S6KThr389, rpS6Ser240/244, 4E-BP1Thr37/46) was not changed by any concentrations of β-hydroxybutyrate.
Conclusion:
These results suggest that β-hydroxybutyrate might enhance muscle protein synthesis in C2C12 myotubes. In contrast, mTORC1-related signaling did not change with short-term exposure to β-hydroxybutyrate. It appears that β-hydroxybutyrate may activate muscle protein synthesis through mTORC1-independent pathways.