Dietary Supplements

Effects of Astragalus membranaceus and Panax notoginseng Saponins Extract on the Pharmacokinetics of Whey Protein Absorption, Intestinal Permeability, and Muscle Function: A Pilot Study.

TL;DR

APS supplementation enhances amino acid absorption from whey proteins, muscle function and gut barrier integrity, especially in older adults, highlighting its synergistic role in improving protein supplementation efficacy for those with age-related muscle loss.

Key Findings

Immediate APS supplementation produced modest increases in area under the curve for branched-chain amino acids compared to placebo in a single-dose trial.

  • AUC for valine was 6.67% higher with APS vs. placebo
  • AUC for leucine was 3.62% higher with APS vs. placebo
  • AUC for isoleucine was 0.15% higher with APS vs. placebo
  • These were single-dose, immediate absorption measurements
  • Study used a randomized, double-blind, placebo-controlled crossover design with 30 healthy participants

After 4 weeks of daily APS supplementation combined with resistance training, absorption of branched-chain amino acids increased significantly compared to the single-dose results.

  • Valine absorption increased by 14.07% after 4 weeks
  • Leucine absorption increased by 8.34% after 4 weeks
  • Isoleucine absorption improved by 6.33% after 4 weeks
  • The 4-week phase combined daily supplementation with resistance training
  • Long-term effects were greater in magnitude than single-dose effects for all three branched-chain amino acids

The effects of APS on total essential amino acid absorption were most pronounced in older adults aged 60-80 years.

  • Older adults (60-80 years) showed a 12.74% increase in total essential amino acid absorption
  • 30 participants were equally stratified into three age groups: 18-25, 26-59, and 60-80 years (n=10 per group)
  • The paper characterizes older adults as the group most relevant to age-related muscle loss
  • Findings highlight APS's synergistic role in improving protein supplementation efficacy for those with age-related muscle loss

APS supplementation resulted in greater improvements in grip strength compared to placebo after 4 weeks.

  • Grip strength increased by +5.20% in the APS group vs. +2.44% in the placebo group
  • Both groups underwent resistance training during the 4-week supplementation phase
  • The difference represents approximately a 2.76 percentage point greater improvement with APS

APS supplementation produced a greater increase in muscle mass compared to placebo after 4 weeks.

  • Muscle mass increased by +0.85% in the APS group vs. +0.68% in the placebo group
  • Both groups participated in resistance training alongside supplementation
  • The difference represents approximately a 0.17 percentage point greater increase with APS

APS supplementation substantially reduced blood zonulin levels compared to placebo, indicating improved intestinal barrier integrity.

  • Zonulin levels decreased by -13.01% in the APS group vs. -0.9% in the placebo group
  • Zonulin is described as a marker of intestinal permeability and barrier integrity
  • The reduction was assessed after the 4-week supplementation phase
  • No adverse effects on liver or kidney function were observed with APS supplementation

The study was designed as a two-phase randomized, double-blind, placebo-controlled crossover trial in healthy adults across different age groups.

  • 30 healthy participants were enrolled and equally stratified into three age groups: 18-25, 26-59, and 60-80 years
  • Phase 1 was a single-dose trial measuring immediate amino acid absorption from whey protein
  • Phase 2 was a 4-week phase combining daily supplementation with resistance training
  • Outcomes included amino acid absorption kinetics, muscle function (grip strength, muscle mass), and gut health (blood zonulin levels)
  • The intervention consisted of Astragalus membranaceus and Panax notoginseng saponins extract (APS) combined with whey protein

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Citation

Zhuang S, Yen C, Lin K, Shen Y. (2026). Effects of Astragalus membranaceus and Panax notoginseng Saponins Extract on the Pharmacokinetics of Whey Protein Absorption, Intestinal Permeability, and Muscle Function: A Pilot Study.. Nutrients. https://doi.org/10.3390/nu18030504