Alanylglutamine-enriched total parenteral nutrition improves protein metabolism more than branched chain amino acid-enriched total parenteral nutrition in protracted peritonitis

J Trauma. 1997 Feb;42(2):183-90. doi: 10.1097/00005373-199702000-00003.

Abstract

Branched chain amino acids (BCAAs) and glutamine are both recommended in catabolic states. The object of this study was to compare the efficacies of alanylglutamine (Ala-Gln)-enriched and BCAA-enriched total parenteral nutrition (TPN) on the protein kinetics in peritonitis. Rats were divided into Ala-Gln and BCAA groups after intraperitoneal implantation of an osmotic pump, delivering a continuous infusion of Escherichia coli. Glutamine composed 30.0% (w/v) of the total amino acids in the Ala-Gln group, and BCAA composed 30.5% (w/v) of the total amino acids in the BCAA group. The two solutions were isocaloric and isonitrogenous. Whole body protein turnover and organ fractional protein synthetic rates (FSR) were measured on days 3 and 5. Serum amino acid levels and mucosal morphology were determined. Ala-Gln group had higher rates of whole body protein turnover, and hepatic FSR on both days. Serum glutamine levels correlated with hepatic and muscle FSR. Ala-Gln TPN group had greater mucosal thickness, numbers of mitoses per crypt, and FSR in distal intestine. Ala-Gln-enriched TPN may be a useful nutritional treatment modality in sepsis.

Publication types

  • Comparative Study

MeSH terms

  • Amino Acids / blood
  • Amino Acids, Branched-Chain / therapeutic use*
  • Animals
  • Dipeptides / therapeutic use*
  • Disease Models, Animal
  • Male
  • Parenteral Nutrition, Total / methods*
  • Peritonitis / blood
  • Peritonitis / metabolism*
  • Peritonitis / therapy*
  • Proteins / metabolism*
  • Rats
  • Rats, Wistar

Substances

  • Amino Acids
  • Amino Acids, Branched-Chain
  • Dipeptides
  • Proteins
  • alanylglutamine