AzTrials
AzTrials

Satellite CellsNCT03711838

Redox Regulation of Satellite Cells and Skeletal Muscle Healing

A study testing N-Acetylcysteine in people with Satellite Cells and Redox Status, run by University of Thessaly at 1 site in Greece.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Skeletal muscle stem cells (Satellite cells) are indispensable for muscle growth and remodeling following myofibril damage. Skeletal muscle trauma is present in numerous catabolic conditions, characterized by elevated proteolysis and muscle wasting such as, cancer cachexia and muscular dystrophy, which result in… Read more about this study

Who is it for?
Ages 18 to 30 years, men onlyHealthy volunteers can take part
What is being tested?
N-Acetylcysteine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
1 siteGreece
Study dates
22 Jul 2019to 1 Aug 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • No recent history of musculoskeletal injury
  • Non-smokers.
  • Abstain from any vigorous physical activity during the study
  • Abstain from consumption of caffeine, alcohol, performance-enhancing or antioxidant supplements, NSAIDs and medications before (at least 6 months) and during the study.

Who cannot join

  • A known NAC intolerance or allergy
  • A recent febrile illness
  • A recent history of muscle lesion and/or lower limb trauma
  • Presence of metabolic diseases
  • Use of anti-inflammatory medication.
  • Use of medication interacting with muscle metabolism.

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Laboratory of Exercise Biochemistry, Exercise Physiology,and Sports Nutrition, School of Physical Education and Sport Science, University of Thessaly

    Trikala, Thessaly, 42100

Other trials in Greece

About this study

Official title: The Effect of Redox Potential on the Regulation of Satellite Cells and Skeletal Muscle Healing Following Exercise-Induced Muscle Damage

Skeletal muscle stem cells (Satellite cells) are indispensable for muscle growth and remodeling following myofibril damage. Skeletal muscle trauma is present in numerous catabolic conditions, characterized by elevated proteolysis and muscle wasting such as, cancer cachexia and muscular dystrophy, which result in physical capacity impairment and a deteriorated quality of life. Recent studies performed in animals and cell cultures indicate that the increased levels of inflammation and oxidative stress and the reduction of antioxidant defense may blunt the satellite cells response and myogenic programming during muscle healing. However, evidence regarding the effects of redox status on satellite cells and muscle myogenic potential in humans is lacking. Exercise-induced muscle damage bears striking similarities with the aforementioned conditions, which makes it a valuable tool to investigate the redox-dependent regulation of satellite cells during muscle healing. Thus, the objectives of the present study are to examine the effects of redox status perturbation (via N-acetylcysteine administration) on intracellular pathways responsible for satellite cells responses at rest and following aseptic muscle trauma induced by damaging exercise.

Read the detailed description

A total number of 40-60 young males aged 18-30 will be initially enrolled in the study. Then, participants will be allocated to either a 1) Low glutathione (GSH-low) or a 2) High glutathione (GSH-high) group based on the basal glutathione levels of their vastus lateralis muscle. In a double-blind, crossover, repeated measures design, participants will consume either Placebo (PLA) or N-acetylcysteine (NAC) before (7-day loading phase), on exercise day and for 8 consecutive days following a single bout of intense exercise (300 eccentric contractions at 30 deg/sec in an isokinetic dynamometer). In both conditions, blood samples and muscle biopsies will be collected at baseline, before the exercise protocol and at 2- and 8-days post-exercise. Muscle performance and soreness will also be assessed at the same time points. Before each trial, participants' dietary intake will be analyzed via diet recalls. Physical activity will be analyzed only at baseline via accelerometry. A 4-week washout period will be implemented between trials. Blood samples will be analyzed for inflammation and oxidative stress markers. Muscle samples will be analyzed for satellite cell responses and myogenic potential, protein levels of intracellular signaling proteins, muscle thiols and antioxidant enzyme activity.

Being tested
N-Acetylcysteine, Placebo
Keywords
Pax7, MyoD, Antioxidants, Myogenic potential, Skeletal muscle healing

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • N-AcetylcysteineDietary supplement

    N-Acetylcysteine in a powder form diluted in a 250 ml drink containing 248 ml water and 2 ml of natural, non-caloric, flavoring-sweetener containing sucralose.

  • PlaceboDietary supplement

    Placebo consisted of 248 ml water and 2 ml of natural, non-caloric, flavoring-sweetener containing sucralose.

Study groups in NCT03711838
Study groupRoleWhat they receive
N-AcetylcysteineExperimentalN-Acetylcysteine supplementation: Orally, 40 mg/kg per day in 3 doses (250 ml each) for 7 consecutive days and immediately post-exercise. The remaining 8 days, 40mg/kg per day in 3 doses (250 ml each).
Receives: Dietary Supplement: N-Acetylcysteine
PlaceboActive comparatorPlacebo administration: Orally 750 ml per day in 3 doses (250 ml each) for 7 consecutive days and immediately post-exercise. The remaining 8 days, 750 ml per day in 3 doses (250 ml each).
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in muscle satellite cells number (i.e. Pax7+ cells) and activation status (i.e. Pax7+/MyoD+ cells)

    Satellite cells number and activation status, will be assessed in muscle via immunohistochemistry.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  2. Change in muscle myogenic mRNA expression

    mRNA expression levels of Myogenic factor 5 (Myf5), myogenin and Myogenic factor 6 (Myf6/MRF4) and myostatin will be assessed in muscle using Real-Time Polymerase Chain Reaction (RT-PCR).

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  3. Change in muscle inflammatory state

    Pro-inflammatory (M1+) and anti-inflammatory (M2+) macrophages will be measured in muscle using immunohistochemistry.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  4. Change in intracellular antioxidant enzymes in muscle

    Protein levels of Glutathione peroxidase 3 (GPx3), Superoxide dismutase 1 (SOD1) and Thioredoxin (Trx1) will be measured using western blotting.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  5. Change in muscle thiol content

    Concentration levels of reduced glutathione (GSH) and oxidized glutathione (GSSG) will be measured spectophotometrically.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  6. Change in intracellular signaling proteins in muscle

    Protein levels of IGF-1, Notch1 and Wnt3 will be measured using western blotting.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  7. Change in skeletal muscle damage levels

    Skeletal muscle damage will be quantified via histochemistry using H\&E staining.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

Secondary outcomes (18)
  1. Resting metabolic rate (RMR)

    RMR will be assessed after an overnight fast with participants in a supine position following a 15-min stabilization period by taking 30 consecutive 1-min VO2/CO2 measurements using a portable open-circuit indirect calorimeter with a ventilated hood system following a standard calibration protocol.

    Measured: At baseline

  2. Body composition

    Body composition will be measured using a dual-energy x-ray absorptiometry scanner (DXA).

    Measured: At baseline

  3. Maximal oxygen consumption (VO2max)

    VO2max will be assessed during continuous incremental running to volitional fatigue on a treadmill with a pulmonary gas exchange system (Oxycon Mobile; Sensor-Medics Corporation).

    Measured: At baseline

  4. Isokinetic strength

    Maximal knee extensor eccentric peak torque at 60 degrees will be assessed on an isokinetic dynamometer.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  5. Change in delayed onset of muscle soreness (DOMS)

    Muscle soreness will assessed during palpation of the muscle belly and the distal region of relaxed vastus medialis, vastus lateralis and rectus femoris following three repetitions of of a full squat. Subjects will rate their DOMS on a visual analogue scale (0-10).

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  6. Physical activity

    Level of habitual physical activity will be assessed using accelerometry (ActiGraph GT3X-BT accelerometer).

    Measured: At baseline.

  7. Dietary intake

    Daily dietary intake will be assessed using 7-day diet recalls.

    Measured: At baseline.

  8. Interleukin-1β (IL-1β) in blood

    Concentration of IL-1β will be measured in plasma.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  9. Interleukin-6 (IL-6) in blood

    Concentration of IL-6 will be measured in plasma.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  10. Interleukin-8 (IL-8) in blood

    Concentration of IL-6 will be measured in plasma.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  11. Interleukin-10 (IL-10) in blood

    Concentration of IL-10 will be measured in plasma.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  12. Cortisol in blood

    Concentration of cortisol will be measured in serum.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  13. Protein carbonyls (PC)

    Concentration of protein carbonyls will be measured in muscle.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  14. Malondialdehyde (MDA)

    Concentration of malondialdehyde will be measured in muscle.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  15. Total antioxidant capacity (TAC)

    Concentration of TAC will be measured in serum.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  16. Catalase

    Concentration of catalase will be measured in red blood cell lysate.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  17. Creatine Kinase (CK)

    Concentration of CK will be measured in serum.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

  18. White blood cell count in blood

    White blood cell count will be measured in blood. White blood cell count will be measured in blood.

    Measured: At baseline, before the exercise protocol and at days 2 and 8 following exercise.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Oct 2018
  2. Study start22 Jul 2019
  3. Primary completion1 May 2022
  4. Study completion1 Aug 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03711838
Sponsor's protocol ID
Satellite Cells - UTH
Status last verified
Nov 2024
First submitted
11 Oct 2018
Last updated
20 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Papanikolaou K, Jamurtas AZ, Poulios A, Tsimeas P, Draganidis D, Margaritelis NV, Baloyiannis I, Papadopoulos C, Sovatzidis A, Deli CK, Rosvoglou A, Georgakouli K, Tzatzakis T, Nikolaidis MG, Fatouros IG. Skeletal muscle and erythrocyte redox status is associated with dietary cysteine intake and physical fitness in healthy young physically active men. Eur J Nutr. 2023 Jun;62(4):1767-1782. doi: 10.1007/s00394-023-03102-2. Epub 2023 Feb 24.

    PubMed 36828945
  • Papanikolaou K, Draganidis D, Chatzinikolaou A, Laschou VC, Georgakouli K, Tsimeas P, Batrakoulis A, Deli CK, Jamurtas AZ, Fatouros IG. The redox-dependent regulation of satellite cells following aseptic muscle trauma (SpEED): study protocol for a randomized controlled trial. Trials. 2019 Jul 31;20(1):469. doi: 10.1186/s13063-019-3557-3.

    PubMed 31366396

Questions about this trial

What is this clinical trial studying?

A study testing N-Acetylcysteine in people with Satellite Cells and Redox Status, run by University of Thessaly at 1 site in Greece.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in muscle satellite cells number (i.e. Pax7+ cells) and activation status (i.e. Pax7+/MyoD+ cells) (time frame: At baseline, before the exercise protocol and at days 2 and 8 following exercise.). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03711838, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in