J Clin Endocrinol Metab. 2022 Apr 20. pii: dgac239. [Epub ahead of print]
CONTEXT: IL-6 is implicated in skeletal muscle wasting and in regulating skeletal muscle hypertrophy in the healthy state.
OBJECTIVE: To determine the role of IL-6 in regulating systemic protein and amino acid metabolism during rest, exercise and recovery in lean and obese humans.
PARTICIPANTS AND METHODS: In a non-randomized, single-blind design, twelve lean and nine obese individuals were infused first with 0.9% saline (Saline), secondly with the IL-6 receptor antibody tocilizumab (Acute IL-6R ab) and 21 days later with saline while still under tocilizumab influence (Chronic IL-6R ab). Outcome measures were determined before, during and after 90min exercise at 40% Wattmax by isotope dilution technique, using primed continuous infusion of L-[ring-D5]phenylalanine and L-[D2]tyrosine.
MAIN OUTCOME MEASURES: Systemic protein turnover and plasma amino acid concentrations.
RESULTS: We saw no effect of acute or chronic IL-6 receptor blockade on protein turnover. In lean individuals, chronic IL-6 receptor blockade increased plasma concentrations of total amino acids (rest Δ+186 μmol/l, 95%-CI [40;332]; recovery Δ+201 μmol/l, 95%-CI [55;347]) and essential amino acids (rest Δ+43 μmol/l, 95%-CI [12;76]; recovery Δ+45 μmol/l, 95%-CI [13;77]) independently of exercise but had no such effect in obese individuals (total amino acids rest Δ+63 μmol/l, 95%-CI [-170;295], recovery Δ-23 μmol/l, 95%-CI [-256;210]; essential amino acids rest Δ+26 μmol/l, 95%-CI [-21;73], recovery Δ+11 μmol/l, 95%-CI [-36;58]).
CONCLUSIONS: IL-6 receptor blockade has no effect on protein turnover in fasting lean and obese humans during rest, exercise and recovery. Chronic IL-6 receptor blockade increases total and essential amino acid concentrations only in lean individuals.
Keywords: IL-6; exercise; obese; protein turnover; recovery; rest; tocilizumab