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1.
Mar Drugs ; 13(8): 5007-15, 2015 Aug 07.
Article in English | MEDLINE | ID: mdl-26262626

ABSTRACT

N-acetyl-d-glucosamine (GlcNAc) is a monosaccharide that polymerizes linearly through (1,4)-ß-linkages. GlcNAc is the monomeric unit of the polymer chitin. GlcNAc is a basic component of hyaluronic acid and keratin sulfate found on the cell surface. The aim of this study was to examine amino acid metabolism after oral GlcNAc administration in dogs. Results showed that plasma levels of ectoine were significantly higher after oral administration of GlcNAc than prior to administration (p < 0.001). To our knowledge, there have been no reports of increased ectoine concentrations in the plasma. The mechanism by which GlcNAc administration leads to increased ectoine plasma concentration remains unclear; future studies are required to clarify this mechanism.


Subject(s)
Acetylglucosamine/administration & dosage , Metabolome/drug effects , Plasma/drug effects , Plasma/metabolism , Administration, Oral , Amino Acids/metabolism , Amino Acids, Diamino/blood , Animals , Dogs , Metabolomics/methods , Monosaccharides/administration & dosage
2.
Neuroscience ; 292: 137-47, 2015 Apr 30.
Article in English | MEDLINE | ID: mdl-25725357

ABSTRACT

Amyotrophic lateral sclerosis (ALS) is an extremely devastating neurodegenerative disease with an obscure etiology. The amino acid ß-N-methylamino-l-alanine (BMAA) produced by globally widespread phytoplankton has been implicated in the etiology of human motor neuron diseases [corrected]. BMAA was recently proven to be present in Baltic Sea food webs, ranging from plankton to larger Baltic Sea organisms, some serving as important food items (fish) for humans. To test whether exposure to BMAA in a Baltic Sea setting is reflected in humans, blood and cerebrospinal fluid (CSF) from individuals suffering from ALS were analyzed, together with sex- and age-matched individuals not inflicted with ALS. Ultra high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) and multiple reaction monitoring (MRM), in conjunction with diagnostic transitions revealed BMAA in three (12%) of the totally 25 Swedish individuals tested, with no preference for those suffering from ALS. The three BMAA-positive samples were all retrieved from the CSF, while BMAA was not detected in the blood. The data show that BMAA, potentially originating from Baltic Sea phytoplankton, may reach the human central nervous system, but does not lend support to the notion that BMAA is resident specifically in ALS-patients. However, while dietary exposure to BMAA may be intermittent and, if so, difficult to detect, our data provide the first demonstration of BMAA in the central nervous system of human individuals ante mortem quantified with UHPLC-MS/MS, and therefore calls for extended research efforts.


Subject(s)
Amino Acids, Diamino/blood , Amino Acids, Diamino/cerebrospinal fluid , Amyotrophic Lateral Sclerosis/blood , Amyotrophic Lateral Sclerosis/cerebrospinal fluid , Adult , Aged , Aged, 80 and over , Chromatography, High Pressure Liquid , Cyanobacteria Toxins , Female , Humans , Male , Middle Aged , Oceans and Seas , Sweden , Tandem Mass Spectrometry , Young Adult
3.
Xenobiotica ; 45(7): 625-33, 2015.
Article in English | MEDLINE | ID: mdl-25733027

ABSTRACT

1. Negamycin exerts its antimicrobial activity by inhibiting bacterial protein synthesis and is efficacious in animal models of infection. In order to optimize negamycin exposure for therapeutic purposes, its pharmacokinetics in pre-clinical species were determined. 2. Negamycin has a dipeptide-like structure with logD7.4 < -1, causing low permeation into Caco-2 cells, low-oral bioavailability in rats of 6% and low-plasma protein binding of 10% in mouse, rat, dog and human plasma. Negamycin degradation rates in microsomes and hepatocytes predicted low-hepatic intrinsic clearance in pre-clinical species, which was confirmed in vivo where clearance varied between 3.4 and 11.5 mL/min/kg and virtually all negamycin was cleared unchanged renally. The similar behavior in multiple animal species allowed for the prediction of systemic clearance and volume of distribution in humans using multiple-scaling methods and physiological-based pharmacokinetic modeling and simulation. 3. Only 0.05-0.25% (mol/mol) of administered negamycin was recovered as 2-(1-methylhydrazinyl)acetic acid, a potential reactive metabolite, from rat and dog urine, respectively. 4. In summary, negamycin is a very polar molecule with low-plasma protein binding and low-oral bioavailability that is slowly and exclusively cleared into the urine. Its physicochemical properties make intravenous or intramuscular administration, or a derivative thereof, for therapeutic purposes most likely.


Subject(s)
Anti-Bacterial Agents/pharmacokinetics , Administration, Intravenous , Administration, Oral , Amino Acids, Diamino/blood , Amino Acids, Diamino/chemistry , Amino Acids, Diamino/pharmacokinetics , Animals , Anti-Bacterial Agents/blood , Anti-Bacterial Agents/chemistry , Blood Proteins/metabolism , Caco-2 Cells , Cell Membrane Permeability/drug effects , Chromatography, Liquid , Dogs , Hepatocytes/drug effects , Hepatocytes/metabolism , Humans , Male , Mice , Microsomes, Liver/drug effects , Microsomes, Liver/metabolism , Protein Binding/drug effects , Rats, Sprague-Dawley , Tandem Mass Spectrometry
4.
Arch Pharm Res ; 36(3): 366-73, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23456691

ABSTRACT

A rapid analytical method was developed to quantify dibasic amino acids (ornithine, lysine and arginine) after two-step derivatization procedure with good sensitivity and specificity on human plasma. If early diagnosis has not been made, patients with inborn metabolic disorders such as HHH syndrome, Hyperornithinemia and dibasic aminoaciduria rapidly progress to sudden death, physical defect or mental retardation resulting in storage of the toxic material into the brain. Therefore, it is necessary to develop the analytical method for rapid screening and/or correct confirmation diagnosis. The formation of trimethylsilyl derivative of the carboxylic (COO-) functional group was performed by adding MSTFA. Five µL of methyl orange was added to the residue until the color changed into yellow. Consecutively, the trifluoroacyl derivative of the amino (-NH2) functional group was produced by adding MBTFA. Specific ions was chosen for quantification with following ions; m/z 166 and m/z 212 for ornithine, m/z 180 and m/z 395 for lysine, and m/z 292 and, m/z 519 for arginine. A calibration curve showed a linear relationship for the dibasic amino acids spiked to pooled normal plasma showing R(2) of 0.9955-0.9979 in the range of 0.1-600 ng investigated. The utility of the method for screening and diagnosis was demonstrated by recovery 80-125 % and reproducibility with RSD (9-17 %) at low, medium and high concentration fortified to pooled plasma. Collectively, the present study suggest that this method could be useful for diagnosis, screening, therapeutic monitoring of metabolic disorders on dietary therapy with excellent sensitivity and rapidity.


Subject(s)
Acetamides/blood , Amino Acids, Diamino/blood , Fluoroacetates/blood , Gas Chromatography-Mass Spectrometry/methods , Trimethylsilyl Compounds/blood , Acetamides/chemistry , Amino Acids, Diamino/chemistry , Fluoroacetates/chemistry , Gas Chromatography-Mass Spectrometry/standards , Humans , Trimethylsilyl Compounds/chemistry
5.
Eur J Mass Spectrom (Chichester) ; 15(3): 439-43, 2009.
Article in English | MEDLINE | ID: mdl-19395779

ABSTRACT

Amino acid BMMA is produced by cyanobacteria and has been linked to the development of neurodegenerative diseases. We developed a method for quantitative analysis of BMAA in biological samples and plant extracts. The method is utilizing iTRAQ and LC-MS/MS detection using multiple reaction monitoring mode. The method uses 50 microL of sample and has a limit of quantitation of 300 ng mL(-1), within-run run imprecision below 1%. Using this method we analyzed human serum samples, human cerebrospinal fluid samples and extract of the cycad seed. No BMAA could be detected in the human samples. Content of BMAA in the seed was 50 mg kg(-1).


Subject(s)
Amino Acids, Diamino/analysis , Chromatography, Liquid/methods , Tandem Mass Spectrometry/methods , Amino Acids, Diamino/blood , Amino Acids, Diamino/cerebrospinal fluid , Chromatography, Liquid/economics , Cyanobacteria Toxins , Cycadopsida/chemistry , Humans , Plant Extracts/analysis , Seeds/chemistry , Sensitivity and Specificity , Tandem Mass Spectrometry/economics , Time Factors
6.
Article in English | MEDLINE | ID: mdl-16730243

ABSTRACT

An analytical method was developed for the determination of enantiomers of dencichine in plasma. Sample extraction from plasma was achieved by a solid-phase extraction (SPE) procedure using a C(18) cartridge, with carbocisteine as the internal standard. Plasma was deproteinized using inorganic acid and derivatizated before the SPE. Chiral separation of dencichine enantiomers was achieved by pre-column derivatization using o-phthaldialdehyde (OPA) and the chiral thiol N-isobutanoyl-L-cysteine (NIBC) to form diastereoisomeric isoindole derivatives that were separable by ODS column using a gradient solvent programme. The column eluent was monitored using mass spectrometry (MS). The conditions of MS detection were optimized, and selected ion monitoring was used to selectively detect D-dencichine and its arrangement isomer. High sensitivity and selectivity were obtained using this method. The limit of detection was determined to be 10 ng/ml for D-dencichine and 8 ng/ml for L-dencichine in plasma. The linearity was demonstrated over a wide range of concentrations, from 0.5 to 50 microg/ml for both enatiomers. The intra- and inter-day precision (C.V.), studied at four concentrations, was less than 7.0%. No interferences from endogenous amino acids and isomers of dencichine were found. The method was suitable for pharmacokinetic studies of dencichine enantiomers.


Subject(s)
Amino Acids, Diamino/blood , Chromatography, High Pressure Liquid/methods , Spectrometry, Mass, Electrospray Ionization/methods , Amino Acids, Diamino/pharmacokinetics , Animals , Chromatography, Gas , Rabbits , Reference Standards , Reproducibility of Results , Sensitivity and Specificity , Stereoisomerism
7.
Metabolism ; 55(2): 224-31, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16423630

ABSTRACT

Lysinuric protein intolerance (LPI) is an autosomal recessive transport disorder of the dibasic amino acids. The defect leads to deficiency of lysine, arginine, and ornithine and, secondarily, to a functional disorder of the urea cycle. Transient postprandial hyperammonemia and subsequent persistent protein aversion, linked with several other biochemical and clinical characteristics of the disease, suggest an increased risk for maternal and fetal complications during pregnancy and delivery. Our unique material on the outcomes of 18 pregnancies of 9 Finnish mothers with LPI and the follow-up of their 19 children shows that maternal LPI is truly associated with increased risk of anemia, toxemia, and intrauterine growth retardation during pregnancy and bleeding complications during delivery. Successful pregnancies and deliveries can still be achieved with careful follow-up of blood pressure and laboratory values. The children of the mothers with LPI generally develop normally. Special care of maternal protein nutrition and control of ammonemia, anemia, and toxemia during pregnancy are essential. We propose centralization of deliveries to obstetric units with capability to deal with bleeding complications and rare inborn errors of metabolism.


Subject(s)
Amino Acid Transport Disorders, Inborn/genetics , Amino Acid Transport Disorders, Inborn/metabolism , Amino Acids, Diamino/metabolism , Pregnancy Complications/metabolism , Adult , Amino Acid Transport Disorders, Inborn/pathology , Amino Acids, Diamino/blood , Amino Acids, Diamino/urine , Blood Pressure/physiology , Female , Hemoglobins/metabolism , Humans , Infant, Newborn , Orotic Acid/urine , Pregnancy , Pregnancy Complications/genetics , Pregnancy Complications/pathology , Toxemia/metabolism , Urea/metabolism
8.
Clin Biochem ; 37(4): 318-22, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15003735

ABSTRACT

OBJECTIVES: The reasons for the very low incidence of the disease neurolathyrism in humans even after excessive consumption of the pulse, Lathyrus sativus, under severe drought and famine conditions, and its continued consumption by large populations during normal periods without any deleterious effects have been examined in the context of a possible metabolism or detoxification of beta-N-oxalyl-L-alpha, beta-diaminopropionic acid (ODAP), the major neurotoxic amino acid of L. sativus. DESIGN AND METHODS: ODAP in urine samples from 54 subjects habitually consuming the pulse and in three volunteers on an L. sativus diet was determined by the OPT method following clean up of the samples on an alumina column. Urinary oxalate was also determined in these individuals. RESULTS: Twenty-five subjects showed no excretion of ODAP and it was only less than 0.7% of the dietary intake in the remaining 29 subjects. Urinary excretion of ODAP in three volunteers was also less than 1% with a peak excretion in the 4-h sample. The 4-h blood sample from one volunteer had a maximum ODAP concentration of 177 microM. The urinary oxalate content in the volunteers was nearly 3-fold higher compared to controls. CONCLUSIONS: The low excretion of dietary ingested ODAP in humans is in sharp contrast to that seen in animals and indicates a metabolism or detoxification of ODAP which may be unique to humans and may explain the low incidence of neurolathyrism.


Subject(s)
Amino Acids, Diamino/administration & dosage , Amino Acids, Diamino/pharmacokinetics , Diet , Lathyrism/epidemiology , Lathyrus/toxicity , Amino Acids, Diamino/blood , Amino Acids, Diamino/urine , Humans , Inactivation, Metabolic , Incidence , Lathyrism/urine , Neurons/pathology , Oxalates/urine
9.
Cancer Lett ; 79(1): 27-32, 1994 Apr 29.
Article in English | MEDLINE | ID: mdl-8187051

ABSTRACT

The administration of an acute dose (6 nmol) of tumour necrosis factor-alpha (TNF-alpha) to 20-day pregnant rats resulted in important changes in the circulating concentration of maternal blood amino acids. The main changes concern increases in the concentration of neutral (alanine, glycine, threonine, proline), branched-chain (valine, leucine, isoleucine), basic (lysine, histidine), aromatic (phenylalanine) and acidic (aspartate and glutamate) amino acids. The cytokine treatment also increased the total concentration of circulating amino acids. In contrast, the cytokine did not promote any changes in the concentration of amino acids in the fetal circulation. The results suggested support that TNF-alpha may be responsible for impaired fetal growth as a consequence of a decrease in the transplacental passage of amino acids.


Subject(s)
Amino Acids/blood , Pregnancy, Animal/blood , Tumor Necrosis Factor-alpha/pharmacology , Amino Acids, Branched-Chain/blood , Amino Acids, Diamino/blood , Amino Acids, Dicarboxylic/blood , Animals , Female , Phenylalanine/blood , Pregnancy , Rats , Rats, Wistar , Recombinant Proteins/pharmacology , Reference Values
10.
Anal Biochem ; 199(1): 86-92, 1991 Nov 15.
Article in English | MEDLINE | ID: mdl-1807166

ABSTRACT

The original objective of this study was to develop a selective and sensitive method for the analysis and quantification of basic amino acids from biological samples via reversed-phase high-performance liquid chromatography. Using various previously described techniques for the separation of amino acids, we were unsuccessful in measuring levels of histidine, arginine, ornithine, and lysine in biological samples due to the presence of interfering compounds. A "cleanup" procedure for the isolation of the basic amino acids using a weakly acidic cation exchange resin, Biorex-70 (Bio-Rad), is described in detail. Upon separation from the bulk of the neutral and acidic amino acids, the basic amino acids were subjected to precolumn fluorescence derivatization using 9-fluorenylmethyl chloroformate (FMOC) and the fluorescent derivatives were separated by RP-HPLC. The advantages of this method over previously described amino acid analysis techniques are (i) isolation and stable recovery (greater than 95%) of the desired basic amino acids, (ii) sensitivity of detection (low pmol range), (iii) complete resolution of derivatized amino acids via HPLC, (iv) limited amount of sample required for analysis, and (v) samples readily concentrated by lyophilization or rotoevaporating. This ion-exchange cleanup procedure was also adapted for the analysis of polyamines in concentrated culture media samples and proved additionally advantageous by eliminating the use of costly C-18 extraction columns required by previously described techniques.


Subject(s)
Amino Acids, Diamino/isolation & purification , Polyamines/isolation & purification , Amino Acids, Diamino/blood , Animals , Cells, Cultured , Chromatography, High Pressure Liquid/methods , Chromatography, Ion Exchange/methods , Culture Media , Indicators and Reagents , Kidney/chemistry , Liver/chemistry , Rats
11.
J Pharmacol Exp Ther ; 258(1): 27-35, 1991 Jul 01.
Article in English | MEDLINE | ID: mdl-2072299

ABSTRACT

2-Amino-3-(methylamino)-propanoic acid (BMAA) is a neurotoxic, excitatory amino acid which has been linked through cycad use and consumption with the onset of a variant of amyotrophic lateral sclerosis occurring with high incidence in the western Pacific region. We have studied BMAA pharmacokinetics, oral bioavailability and blood-brain barrier permeability in the rat in an attempt to better define the possible role for BMAA in this disease. To evaluate its kinetics and uptake, BMAA (25-400 mg/kg) was administered to rats, either acutely or chronically, and then plasma and brain concentrations were determined at various times thereafter by combined gas chromatography mass spectrometry. After single dose i.v. injection, BMAA was cleared from plasma in a rapid distribution phase (Vd approximately 16 liters/kg) followed by a slower elimination phase (t1/2 approximately 1 day). Brain uptake was limited by a low blood-brain barrier permeability-surface area product of 2 to 5 x 10(-5) ml/sed/g. Brain BMAA levels peaked within 8 hr after injection, and then declined with a t1/2 similar to that of plasma. After two weeks of continuous infusion (100 mg/kg/day), steady-state brain concentrations equalled 10 to 30 micrograms/g, and only moderately exceeded those in plasma. The results suggest that BMAA may reach potentially toxic levels in brain (i.e., greater than 250 microM) after large doses (greater than 100 mg/kg). However, such doses are orders of magnitude greater than those available from dietary or medicinal use of cycads.


Subject(s)
Amino Acids, Diamino/pharmacokinetics , Blood-Brain Barrier/drug effects , Administration, Oral , Amino Acids, Diamino/blood , Amino Acids, Diamino/pharmacology , Animals , Biological Availability , Blood-Brain Barrier/physiology , Cyanobacteria Toxins , Gas Chromatography-Mass Spectrometry , Half-Life , Injections, Intravenous , Male , Rats , Rats, Inbred Strains , Tissue Distribution
12.
J Neurosci Methods ; 26(1): 45-54, 1988 Nov.
Article in English | MEDLINE | ID: mdl-3199847

ABSTRACT

A high-performance liquid chromatography (HPLC) method is described for determining subpicomole concentrations of beta-N-methylamino-L-alanine (BMAA) in plant and animal tissue. BMAA and other amino acids were reacted with 9-fluorenylmethyl chloroformate (FMOC) for 10 min under alkaline conditions to form highly fluorescent and stable derivatives. All amino acids, including BMAA, eluted from the column within 22 min. BMAA (tr = 18.02 +/- 0.07 min) was detected in Cycas circinalis L. seed and in serum, cerebrospinal fluid and brain tissue from BMAA-treated monkeys and rats. The primary amino acids glutamine, glutamic acid, aspartic acid, alanine, glycine and gamma-aminobutyric acid (GABA) could also be detected since they were well resolved from BMAA. These amino acids and BMAA were linear over the concentration range of 0.15-7.5 microM with a relative standard deviation ranging from 2.1-6.7%. This method should prove useful in studies to determine the role of BMAA in the Western Pacific amyotrophic lateral sclerosis/Parkinsonism-dementia complex for which cycad seed is the principal etiological candidate.


Subject(s)
Amino Acids, Diamino/analysis , Cerebral Cortex/metabolism , Chromatography, High Pressure Liquid/methods , Fluorenes , Plants/analysis , Amino Acids, Diamino/blood , Amino Acids, Diamino/pharmacokinetics , Animals , Cerebral Cortex/drug effects , Cyanobacteria Toxins , Macaca fascicularis , Rats , Rats, Inbred Strains
13.
Ann Nutr Metab ; 30(1): 58-65, 1986.
Article in English | MEDLINE | ID: mdl-3954321

ABSTRACT

The blood amino acid compartmentalization during pregnancy and lactation of the rat have been studied. Cellular amino acid levels are similar to those of the plasmatic fraction. Important generalized decreases are detected on days 12 and 21 of the pregnancy; Glu + Gln, Ala and essential and semiessential amino acids being the most affected. During lactation, after a transient phase on day 1 after delivery, there is a generalized increase in blood levels, especially in the plasma fraction, that affects the whole essential values. The different patterns shown by amino acids during pregnancy and lactation confirm that the measurement of plasmatic levels underestimates the actual capacity of whole blood to transport amino acids.


Subject(s)
Amino Acids/blood , Erythrocytes/metabolism , Lactation , Pregnancy, Animal , Amino Acids, Branched-Chain/blood , Amino Acids, Diamino/blood , Amino Acids, Essential/blood , Amino Acids, Sulfur/blood , Animals , Female , Gestational Age , Plasma/metabolism , Pregnancy , Rats , Rats, Inbred Strains
16.
Anal Biochem ; 91(1): 264-75, 1978 Nov.
Article in English | MEDLINE | ID: mdl-9762108

ABSTRACT

A fully automated, fast, and sensitive method for the separation of common basic amino acids and mono-, di-, and polyamines as well as phenolic- and indoleamines is described. Picomole level determination of hydroxytryptophan, tryptophan, histidine, lysine, ethanol amine, arginine, noradrenaline, diaminopropane, putrescine, histamine, cadaverine, dopamine, hexamethylenediamine, agmatine, tyramine, phenethylamine, serotonin, 5,6-dihydroxytryptamine, 5-methoxytryptamine, tryptamine, spermidine, and spermine is carried out by ion-exchange column chromatography on a single sample in 170 min of total analysis. This method is well suited for crude extracts without preliminary purification, thus reducing preparative losses. The reproducibility of the method has been studied and the percentage recovery of the different compounds after column chromatography is reported. Its application to crude samples from different biological sources such as microorganisms, vegetables, platelets, and urine is presented. This method could serve as a powerful tool for the analysis of these amino compounds in which there is currently a considerable interest.


Subject(s)
Amines/analysis , Amino Acids, Diamino/analysis , Adult , Amines/blood , Amines/urine , Amino Acids, Diamino/blood , Amino Acids, Diamino/urine , Blood Platelets/chemistry , Chromatography, Ion Exchange/methods , Chromatography, Ion Exchange/statistics & numerical data , Diamines/analysis , Escherichia coli/chemistry , Humans , Solanum lycopersicum/chemistry , Polyamines/analysis
17.
Environ Physiol Biochem ; 5(3): 165-71, 1975.
Article in English | MEDLINE | ID: mdl-1149726

ABSTRACT

The amino acid composition of lung, serum and liver in silicotic rats was studied in order to assess the availability of precursors in lung for fibrogenesis. It was observed that the pool of ornithine, arginine, alanine, leucine, valine, glutamic acid, lysine, proline and glycine underwent marked alterations. Free arginine, proline and leucine were only detectable in silicotic lung, while free glycine, glutamic acid and glutamine pools decreased significantly in liver. Changes in amino acid metabolism as a result of silicosis are discussed.


Subject(s)
Amino Acids/metabolism , Silicosis/metabolism , Amino Acids/blood , Amino Acids, Diamino/blood , Amino Acids, Diamino/metabolism , Amino Acids, Dicarboxylic/blood , Amino Acids, Dicarboxylic/metabolism , Amino Acids, Essential/blood , Amino Acids, Essential/metabolism , Animals , Glycine/blood , Glycine/metabolism , Liver/metabolism , Lung/metabolism , Male , Quartz , Rats , Silicosis/blood , Silicosis/chemically induced , Taurine/blood , Taurine/metabolism
18.
J Clin Invest ; 54(1): 9-17, 1974 Jul.
Article in English | MEDLINE | ID: mdl-4600043

ABSTRACT

Lysinuric protein intolerance (LPI) is a rare recessively inherited disease in which one of the fundamental physiological defects is in the mechanism by which diamino acids are transported by the kidney. The purpose of the present studies was to examine that mechanism in four controls and seven patients with LPI. Two types of studies were conducted. In the first set, the renal handling of l-arginine and l-ornithine was evaluated by gradually increasing the plasma concentration of each of these amino acids by constant infusion techniques. In the second set of studies, the possible existence of competitive inhibition between l-arginine, l-ornithine, and l-lysine was examined. In the control subjects, there was almost complete reabsorption of arginine and ornithine, with increases in their filtered loads to 50-100 times normal. With further increases in the filtered loads of these amino acids, there was a gradual decrease in their fractional reabsorption. Mutual competitive inhibition was suggested by the observation that an increase in the filtered load of one diamino acid was associated with a decrease in the reabsorption of the other two. In LPI, the fasting plasma diamino acid concentrations were significantly lower than in the controls. With low filtered loads, the fractional reabsorption of the diamino acids was clearly below normal. This defect diminished with higher loads. A stepwise increase in the plasma concentration of one diamino acid resulted in a biphasic response. Initially, net tubular secretion of the other diamino acids was noted, but later was followed by return to net absorption. When two diamino acids were infused simultaneously, net absorption of both took place, though less efficiently than in the controls. We conclude that the renal reabsorption mechanism is defective in patients with LPI. With low normal filtered loads, there is increased fractional excretion of all three diamino acids resulting in low serum concentrations of these compounds. However, at higher artificially elevated concentrations of diamino acids, the capacity of the renal transport system in these patients appears normal.


Subject(s)
Amino Acids, Diamino/urine , Dietary Proteins/metabolism , Kidney Tubules/metabolism , Lysine/urine , Renal Aminoacidurias/urine , Adolescent , Adult , Amino Acids, Diamino/blood , Arginine/blood , Arginine/urine , Child , Child, Preschool , Clinical Trials as Topic , Fasting , Female , Genes, Recessive , Glomerular Filtration Rate , Humans , Infant , Lysine/blood , Male , Ornithine/blood , Ornithine/urine , Renal Aminoacidurias/blood , Urea/biosynthesis
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