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1 Centre de Recherche en Nutrition Humaine, and 3 Laboratoire de Nutrition et Alimentation, Ecole Nationale Vétérinaire de Nantes, 44093 Nantes, France; 2 Division of Clinical Nutrition, School of Medicine of Ribeirão Preto, 14049-900 Ribeirão Preto, Brazil; and 4 Nemours Children's Clinic, Jacksonville, Florida 32207
To determine whether glutamine acutely
stimulates protein synthesis in the duodenal mucosa, five healthy
growing dogs underwent endoscopic biopsies of duodenal mucosa at the
end of three 4-h primed, continuous intravenous infusions of
L-[1-13C]leucine
on three separate days, while receiving intravenous infusion of
1) saline,
2)
L-glutamine (800 µmol · kg
1 · h
1),
and 3) isonitrogenous amounts of
glycine. The three infusions were performed after 24 h of fasting, a
week apart from each other and in a randomized order. Glutamine
infusion induced a doubling in plasma glutamine level, and glycine
caused a >10-fold rise in plasma glycine level. During intravenous
infusions of
[13C]leucine, the
plasma leucine labeling attained a plateau value between 3.22 and 3.68 mole % excess (MPE) and
[13C]ketoisocaproate
([13C]KIC) of
2.91-2.84 MPE; there were no significant differences between
glutamine, glycine, and saline infusion days. Plasma leucine appearance
rate was 354 ± 33 (SE), 414 ± 28, and 351 ± 35 µmol · kg
1 · h
1
(not significant) during glycine, saline, and glutamine infusion, respectively. The fractional synthetic rate (FSR) of duodenal mucosa
protein was calculated from the rise in protein-bound
[13C]leucine
enrichment in the biopsy sample, divided by time and with either plasma
[13C]KIC or tissue
free [13C]leucine as
precursor pool enrichment. Regardless of the precursor pool used in
calculations, duodenal protein FSR failed to rise significantly during
glutamine infusion (65 ± 11%/day) compared either with saline (84 ± 18%/day) or glycine infusion days (80 ± 15%/day). We conclude
that 1) plasma
[13C]KIC and tissue
free [13C]leucine can
be used interchangeably as precursor pools to calculate gut protein
FSR; and 2) short intravenous
infusion of glutamine does not acutely stimulate duodenal protein
synthesis in well-nourished, growing dogs.
stable isotopes; nutrition; small intestine; [13C]leucine
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