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              <classCode scheme="vocinrae-old" n="atrophie musculaire">atrophie musculaire</classCode>
              <classCode scheme="vocinrae-old" n="hibernation">hibernation</classCode>
              <classCode scheme="vocinrae-old" n="proteolyse">proteolyse</classCode>
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              <p>Muscle atrophy is one of the main characteristics of human ageing and physical inactivity, with resulting adverse health outcomes. To date, there are still no efficient therapeutic strategies for its prevention and/or treatment. However, during hibernation, bears exhibit a unique ability for preserving muscle in conditions where muscle atrophy would be expected in humans. Therefore, our objective was to determine whether there are components of bear serum which can control protein balance in human muscles. In this study, we exposed cultured human differentiated muscle cells to bear serum collected during winter and summer periods, and measured the impact on cell protein content and turnover. In addition, we explored the signalling pathways that control rates of protein synthesis and degradation. We show that the protein turnover of human myotubes is reduced when incubated with winter bear serum, with a dramatic inhibition of proteolysis involving both proteasomal and lysosomal systems, and resulting in an increase in muscle cell protein content. By modulating intracellular signalling pathways and inducing a protein sparing phenotype in human muscle cells, winter bear serum therefore holds potential for developing new tools to fight human muscle atrophy and related metabolic disorders. Muscle disuse atrophy is common in humans during immobilization, bedrest, spaceflight, denervation, cancer, and ageing, and therefore represents a major health issue 1–3 , and is also observed in a number of non-human models used for atrophy studies 4. Basic knowledge regarding the underlying mechanisms is continuously growing , and an intricate network of signalling pathways appears to be involved in the regulation of muscle fibre size, including IGF1-AKT-FOXO, inflammatory cytokines, NFκB signaling, myostatin, and glucocorticoids 5. However, there is still no fully effective therapy or prevention for disuse atrophy.</p>
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