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Ninety-five percent of the dietary glutamate is metabolized by intestinal cells in a first pass.

Intestinal Glutamate Metabolism

Peter J. Reeds3, Douglas G. Burrin, Barbara Stoll, and Farook Jahoor
U.S. Department of Agriculture/Agricultural Research Service, Children¡¯s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX

Although it is well known that the intestinal tract has a high metabolic rate, the substrates that are used to generate the necessary energy remain poorly established, especially in fed animals. Under fed conditions, the quantification of substrate used by the gut is complicated by the fact that potential oxidative precursors are supplied from both the diet and the arterial circulation. To circumvent this problem, and to approach the question of the compounds used to generate ATP in the gut, we combined measurements of portal nutrient balance with enteral and intravenous infusions of [U-13C]substrates. We studied rapidly growing piglets that were consuming diets based on whole-milk proteins. The results revealed that 95% of the dietary glutamate presented to the mucosa was metabolized in first pass and that of this, 50% was metabolized to CO2. Dietary glucose was oxidized to a very limited extent, and arterial glutamine supplied no >15% of the CO2 production by the portal-drained viscera. Glutamate was the single largest contributor to intestinal energy generation. The results also suggested that dietary glutamate appeared to be a specific precursor for the biosynthesis of glutathione, arginine and proline by the small intestinal mucosa. These studies imply that dietary glutamate has an important functional role in the gut. Furthermore, these functions are apparently different from those of arterial glutamine, the substrate that has received the most attention.

SUMMARY
The studies summarized above led to some general conclusions. First, under the conditions of our experiments, glutamate is the single most important oxidative substrate for the intestinal mucosa. Second, glutamate is clearly playing a quantitatively significant role in the biosynthesis of two conditionally essential amino acids (proline and arginine) and is a key factor responsible for protection of the mucosa (glutathione). However, the most important result to emerge from these tracer studies is that it is dietary glutamate that is important in these respects. This raises the intriguing questions whether dietary glutamate is an essential factor for the maintenance of mucosal health and whether some of the changes in intestinal mass and function that accompany parenteral nutrition represent the effects of a lack of enteral glutamate. There is some evidence in the literature to suggest that this might be so, and we are now starting to address this subject both in relation to the possible use of enteral glutamate supplements during parenteral nutrition and in relation to the functional consequences of the lack of enteral glutamate.

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Is glutamine a unique fuel for small intestinal cells?

- Alpers, David H. MD
- Current Opinion in Gastroenterology: March 2000 - Volume 16 - Issue 2 - p 155

Although the small intestinal mucosa is designed to transport large quantities of all nutrients to the blood, the primary nutrients utilized by the enterocyte for growth and/or maintenance are quite restricted. The major fuels for the small intestinal mucosa are amino acids (glutamine, glutamate, aspartate), whereas glucose and fatty acids are of much less importance. Many of the experiments have been performed during growth or maintenance of mucosa in small rodents, especially the rat, a model in which the adaptation of the intestinal mucosa, at least to fasting, is quite different than in humans. A special role has been suggested for glutamine as a small intestinal fuel, compared with glutamate and aspartate, but the available data do not support this view. Clinical trials of glutamine supplementation suggest that, if glutamine has a role, it may be related to functions other than those relating to small intestinal function.


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