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Department of Clinical and Experimental Medicine, University of Padova, 35128 Padua, Italy
Whether phenylalanine-tyrosine (Phe-Tyr)
tracers yield estimates of postprandial protein synthesis comparable to
those of the widely used leucine (Leu) tracer is unclear. We measured
Leu oxidation (Ox), Phe hydroxylation (Hy), and their disposal into whole body protein synthesis before and after the administration of a
mixed meal (62 kJ/kg body wt, 22% of energy as protein), over 4 h
in healthy subjects. Both plasma and intracellular precursor pools were
used. The amino acid data were extrapolated to body protein by assuming
a fixed ratio of Leu to Phe in the proteins. In the postabsorptive
state, whole body protein synthesis (expressed as
mg · kg
1 · min
1)
was similar between Leu and Phe-Tyr tracers irrespective of the
precursor pool used. After the meal, Leu Ox, Phe Hy, and body protein
synthesis increased (P
0.01 vs. basal). With the use of
intracellular precursor pools, the increase of protein synthesis with
Phe-Tyr (+0.51 ±0.21
mg · kg
1 · min
1)
and Leu tracers (+0.57 ± 0.14) were similar (P = not significant). In contrast, with plasma pools the increase of
protein synthesis was more than twofold greater with Phe-Tyr
(+1.17 ± 0.19 mg · kg
1 · min
1)
than that with Leu (0.50 ± 0.13 mg · kg
1 · min
1,
P < 0.01). Direct correlations were found between Leu
and Ox [using both plasma and intracellular pools (r
0.65, P
0.01)] but not between Phe and either plasma or
intracellular Hy. In conclusion, 1) Phe-Tyr and Leu tracers
yield comparable estimates of body protein synthesis postprandially,
provided that intracellular precursor pools are used; 2)
both Leu Ox and Phe Hy are stimulated by a mixed meal; 3)
Phe does not correlate with Hy, which might be better related to the
(unknown) portal Phe.
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