Title
Impact of muscle carnosine loading on exercise capacity and muscle
contractile characteristics in Experimental Autoimmune
Encephalomyelitis (EAE) and Multiple Sclerosis. (Research)
Abstract
Exercise therapy has become an important part of overall symptom management in Multiple
Sclerosis (MS). So far, a multitude of low to high intensity exercise therapy studies have shown
consistent improvements in a variety of MS related disabilities such as lost muscle strength and
decreased exercise capacity. However, the underlying mechanisms of this overall therapeutic
effect of exercise therapy are not clear. Furthermore, effects are lower compared to healthy
controls and some other disease populations. This may be due to the fact that a portion of the
neuromuscular dysfunction present in MS resides within the affected muscle. Here, impairments
in both (I) muscle contraction and (II) muscle energy supply seem to attenuate exercise therapy
outcome in MS. Interestingly, the physiological role of carnosine in muscle is related to both (I)
muscle contraction and (II) energy supply and muscle carnosine concentrations appear to be
reduced in MS. Because muscle carnosine loading (via beta-alanine intake) in other disease
populations and healthy peers has been shown to counter this, carnosine treatment could be a
valid new approach to improve exercise therapy outcome in MS and investigate the effects of MS
on skeletal muscle characteristics. As such, the present project will investigate the impact of
muscle carnosine loading on (A) muscle carnosine levels, (B) exercise therapy outcome and (C)
muscle contractile characteristics and energy supply in both an animal MS model and in MS.
Period of project
01 October 2017 - 30 October 2019