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1 Groupe de Biochimie et Physiopathologie Digestive et Nutritionnelle and Institut Fédératif de Recherches Multidisciplinaires sur les Peptides No. 23, Faculté de Médecine-Pharmacie, 76183 Rouen Cedex; and 2 Laboratoire de Nutrition Humaine, Université d'Auvergne, Centre de Recherche en Nutrition Humaine, 63000 Clermont-Ferrand, France
The
effect of enteral Gln on protein and Gln metabolism was investigated
during experimental hypercortisolemia. Four groups of subjects that had
received corticosteroids and either enteral Gln (0.5 g · kg
1 · day
1
for 2 days) or isonitrogenous Ala-Gly were studied in a fasted or in a
fed state. In either state, enteral Gln, compared with Ala-Gly, induced
no statistically significant change in the endogenous rate of Leu
appearance, an index of proteolysis, Leu oxidation, and nonoxidative
Leu disposal, an index of protein synthesis, as studied by kinetics of
[1-13C]Leu. Similar data were obtained from
kinetics of [2H5]Phe, resulting in
an unchanged protein balance in both cases. In contrast, enteral Gln
significantly decreased the endogenous rate of Gln appearance and Gln
de novo synthesis in the fed state (P < 0.05) as estimated by
the kinetics of [15N]Gln. This decrease in Gln
de novo synthesis induced by Gln could contribute to spare amino acids
in hypercatabolic patients.
protein metabolism; glutamine; stable isotopes; cortisol
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