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1 Schwartz Center, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH, USA
* To whom correspondence should be addressed. E-mail: pparimi{at}metrohealth.org.
Threonine kinetics, threonine oxidative pathway and the relationship between threonine and whole body protein turnover were quantified in 10 healthy term infants during the first 48 hours after birth. The kinetic data were obtained 6 hours after the last feed (fasting) and in response to formula feeding, using [U-13C4,15N]threonine, [2H5]phenylalanine and [15N]glycine tracers. The rate of carbon dioxide production (VCO2) and 13C enrichment of the expired CO2 were measured to quantify the rate of oxidation of threonine. The rate of appearance (Ra) of threonine (136 ± 37 µmole.kg-1.h-1) was higher in newborn infants than those reported in adults. Formula feeding resulted in a significant decrease in the rate of appearance of threonine (p<0.05). A significant positive correlation was seen between phenylalanine Ra and threonine Ra, both during fasting and following formula feeding (r2 = 0.65). In contrast to a 1:1 ratio of threonine and phenylalanine in mixed muscle protein, the rate of appearance of threonine relative to the rate of appearance of phenylalanine was 2.2 ± 0.4. The fractional rate of threonine flux oxidized was 20% during fasting and 26% (p<0.05) in response to nutrient administration. There was a significant correlation between plasma threonine concentration and threonine oxidation (r2 = 0.75). No measurable incorporation of threonine in plasma glycine was seen. These data suggest that threonine is exclusively degraded by the glycine-independent serine- threonine dehydratase pathway (STDH). A higher flux of threonine relative to phenylalanine indicates higher turnover of threonine enriched proteins.
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