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Am J Physiol Endocrinol Metab (April 15, 2003). doi:10.1152/ajpendo.00080.2003
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Submitted on February 19, 2003
Accepted on April 8, 2003

Maternal Protein Homeostasis and Milk Protein Synthesis During Feeding and Fasting in Humans

Agneta L. Sunehag1 and Morey W. Haymond1*

1 Department of Pediatrics, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA

* To whom correspondence should be addressed. E-mail: mhaymond{at}bcm.tmc.edu.

Little is known about amino acid (aa) and protein metabolism in lactating women. We hypothesized: 1) aa sources other than the plasma acid pool provide substrate for milk protein synthesis in humans; and 2) if albumin was one such source, then albumin fractional synthesis rate (FSR) is higher in the lactating women. To test these hypotheses, 6 healthy exclusively breastfeeding women (27±3 y; BMI 26±2 kg/m2) between 6 wks and 3 months postpartum, and 6 healthy non-lactating women (28±2 y; BMI 22±1 kg/m2) were studied twice, in random order, during 22 h fasting or 10 h of continuous feeding with a mixed nutrient drink. Protein metabolism was determined using [1-13C]leucine and [15N2]urea. In both the fed and fasted states, a significant portion of milk protein (20±5 and 31±6%, respectively) was derived from sources other than the plasma free aa pool. A 70% higher (p<0.02) FSR of albumin was observed in lactating women during feeding suggesting that albumin is a likely source of aa for milk protein synthesis. We conclude that plasma free amino acids contribute only 70-80% of the substrate for milk protein synthesis in humans and that albumin may be a significant source of amino acids for the remainder.




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M. A. Mohammad, A. L. Sunehag, S. K. Chacko, A. S. Pontius, P. D. Maningat, and M. W. Haymond
Mechanisms to conserve glucose in lactating women during a 42-h fast
Am J Physiol Endocrinol Metab, October 1, 2009; 297(4): E879 - E888.
[Abstract] [Full Text] [PDF]




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