In this study, food-deprived (18 h) control rats and rats with alloxan-induced diabetes were orally administered saline or the amino acid leucine to assess whether it regulates protein synthesis independently of a change in serum insulin concentrations. Immediately after leucine administration, diabetic rats were infused with insulin (0.0, 4.0, or 20 pmol ⅐ min -1 ⅐ kg -1 ) for 1 h to examine the role of the hormone in the protein synthetic response to leucine. In control rats, leucine stimulated protein synthesis by 58% and increased phosphorylation of the translational repressor, eukaryotic initiation factor (eIF) 4E-binding protein (BP)-1, 4E-BP1, fivefold. Consequently, association of the mRNA cap-binding protein eukaryotic initiation factor (eIF)4E with 4E-BP1 was reduced to 50% of control values, and eIF4G•eIF4E complex assembly was increased 80%. Furthermore, leucine increased the phosphorylation of the 70-kDa ribosomal protein S6 (rp S6) and the ribosomal protein S6 kinase (S6K1). Diabetes attenuated protein synthesis compared with control rats. Nonetheless, in diabetic rats, leucine increased protein synthesis by 53% without concomitant changes in the phosphorylation of 4E-BP1 or S6K1. Skeletal muscle protein synthesis was stimulated in diabetic rats infused with insulin, but rates of synthesis remained less than values in nondiabetic controls that were administered leucine. Phosphorylation of 4E-BP1 and S6K1 was increased in diabetic rats infused with insulin in a dose-dependent manner, and the response was enhanced by leucine. The results suggest that leucine enhances protein synthesis in skeletal muscle through both insulin-dependent and -independent mechanisms. The insulin-dependent mechanism is associated with increased phosphorylation of 4E-BP1 and S6K1. In contrast, the insulin-independent effect on protein synthesis is mediated by an unknown mechanism. Diabetes 51:
-936, 2002A fter consumption of a protein-containing meal, the fractional rate of protein synthesis of total mixed proteins in skeletal muscle of growing animals is upregulated. Two vital components of this response are elevations in circulating concentrations of the hormone insulin and an increase in amino acid supply. The relative importance of each of these components in regulating protein synthesis continues to be a topic of investigation and controversy. Several reports indicate that physiological increases in circulating insulin concentrations are not sufficient to stimulate protein synthesis in food-deprived rats (1-4). When postabsorptive rats are administered an oral bolus of carbohydrate alone, no change in protein synthesis is observed. In contrast, when food-deprived rats are administered an isocaloric macronutrient-mixed meal, rates of protein synthesis are stimulated (1). Plasma insulin concentrations in rats administered either meal are similar; hence, the enhanced rate of recovery in rats administered a mixed meal cannot be attributed to a differential insulin response between the groups. Likewise, when fasted rats are...