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Enrolling by Invitation

NCT Number: NCT05801185

Single Nuclei Sequencing in Human Skeletal Muscle After Unloading

Injuries often require people to undergo some degree of limb immobilization. This comes at a high cost in terms of muscle mass and function losses. At the molecular level, it is completely unknown how the different cells in the muscle respond to this complete lack of mechanical stimuli.

The investigators will explore cell type specific changes in skeletal muscle after a short period of unloading, and specifically examine the behavior of myogenic stem cells with particular attention to potential unloading-induced maturation into fast- or slow-twitch muscle fibers.

Twenty healthy young participants will perform a 5-day Unilateral Lower Limb Suspension (ULLS) intervention, where one leg is continuously subjected to unloading, i.e., lack of mechanical stimuli. Before and after the ULLS period, participants will perform muscle function testing and MRI scans to assess muscle size in the lower limbs. Immediately after the ULLS, two muscle biopsies will be obtained, one from each leg. The tissue will be employed for single-nuclei RNA sequencing analysis and immunohistochemistry experiments.

This project will be the first to analyze cell type specific changes induced by complete, short-term lack of mechanical stimuli in skeletal muscle. This will add a new dimension to the understanding of the processes directing this type of muscle atrophy (i.e., muscle loss in otherwise healthy individuals) and thus help to develop effective countermeasures to offset muscle changes.

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Key information

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Karolinska Institutet

Huddinge, Stockholm County, 14152, Sweden

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy young adult men and women

Exclusion criteria

  • An age younger than 18 or older than 40 years
  • Contraindications to magnetic resonance imaging (MRI)
  • Contraindications to maximal intensity resistance exercise
  • Contraindications to unloading (i.e., ULLS)
  • Very high physical activity levels (determined using a standard Godin Leisure-Time Exercise Questionnaire (GLTEQ))
  • Hypertension (>140/90 mm Hg)
  • History of malignancy
  • History of coagulation dysfunction
  • History of musculoskeletal or neurological disorders
  • History of cardiovascular disease
  • History of cerebrovascular disease
  • History of respiratory disease
  • History of gastrointestinal disease
  • History of renal disease
  • History of past or present condition requiring long-term drug prescriptions.

Treatment and study plan

unilateral lower limb suspension

Other

Participants will perform a 5-day unloading intervention using the ULLS model. Short-length crutches, aided by handgrip and forearm support distal to the elbow will be used to assist in any upright or ambulatory activity. One foot (randomized in a counterbalance manner) will be equipped with a shoe having a 10-cm thick sole, which permits the unloaded limb to move passively about the hip joint while adopting a near straight position.

Primary outcomes

  1. Single nuclei RNA sequencing

    Time frame: Immediately after the 5-day unilateral unloading intervention

    Single nuclei RNA sequencing from skeletal muscle (m. vastus lateralis) from both legs

Secondary outcomes

  1. Muscle mass

    Time frame: Before and immediately after the 5-day unloading intervention

    Muscle volume of quadriceps muscle group (and individual muscles) assessed by MRI in both legs

  2. Concentric isokinetic torque of knee extensor muscles

    Time frame: Before and immediately after the 5-day unloading intervention

    Concentric isokinetic torque of knee extensor muscles at 30°/s, 90°/s, 180°/s and 300°/s, measured with an isokinetic dynamometer unilaterally in both legs

  3. Isometric torque of knee extensor muscles

    Time frame: Before and immediately after the 5-day unloading intervention

    Isometric torque of knee extensor muscles at 60° knee flexion, measured with an isokinetic dynamometer unilaterally in both legs

Sponsors and collaborators

Lead sponsor

Karolinska Institutet

Other

Registry information

Acronym: ULLS23

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Apr 6, 2023
Registry last updated
Jul 31, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.