The aims of this proposal are (1) to characterize further in quantitative terms the role of branched-chain ketoacids (BCKA) relative to branched- chain amino acids (BCAA) as precursors of protein and of CO2. The fractions of tracer doses of BCKA or BCAA incorporated into protein, f and F, and oxidized to CO2, 1-f and 1-F, are measured and results are expressed in terms of the ration f/F in whole body protein or in specific proteins and the ration (1-f)/(1-F) in expired CO2. We have shown these ratios to be time-independent (under certain conditions). We will determine in normal man the contribution of extracellular BCKA, relative to extracellular BCAA, to the synthesis of whole body protein, albumin, fibrin, globin, and salivary mucin, and also first pass oxidation of these compounds. (2) In rats fed parenterally, we find that 2-ketoisocaproate (KIC) spares N markedly. To see if suppression of glucocorticoid levels ( which we find to exert a profound effect on protein turnover) is responsible, we will repeat these experiments in hormone-replaced adrenalectomized rats, will see if long-term N-sparing occurs and involves suppression of glucorticoid production in normal rats, and will see if glucorticoid levels fall in KIC-infused fasting obese volunteers. (3) We propose that whole body protein synthesis, S, is more reliably measured from C, total amino acid catabolism, and 1-F [as C(F/(1-F)] than from plasma KIC enrichment (during labelled leucine infusion), that the fractions of total flux (Qi) of six amino acids (BCAA, lysine, methionine, and tryptophan) going to oxidation (Ci/Qi) and to protein synthesis (Si/Qi) tend to be equal, and that therefore BCKA oxi-dation must be proportionate to C except (1) when intake of these amino acids is disproportionate to relative Si values, or (2) when the ratio of free essential amino N to free non-essential N changes. We will test this hypothesis in rats, first by determining whether fractional oxidation rates of these six amino acids are indeed equal during fasting, and second by determining how fractional oxidation rates respond to infusing (or omitting from an otherwise balanced mixture) one of these amino acids.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK032009-08
Application #
3230481
Study Section
Nutrition Study Section (NTN)
Project Start
1983-04-01
Project End
1993-11-30
Budget Start
1990-12-20
Budget End
1991-11-30
Support Year
8
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Type
Schools of Medicine
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Yonekura, T; Matsusue, S; Walser, M (1993) Ketoisocaproate infusion improves survival from experimental sepsis by an antioxidant mechanism. Circ Shock 41:213-20
Quan, Z Y; Walser, M (1992) Effects of corticosterone administration on nitrogen excretion and nitrogen balance in adrenalectomized rats. Am J Clin Nutr 55:695-700
Matsusue, S; Walser, M (1992) Healing of intestinal anastomoses in adrenalectomized rats given corticosterone. Am J Physiol 263:R164-8
Quan, Z Y; Walser, M (1991) Effect of corticosterone administration at varying levels on leucine oxidation and whole body protein synthesis and breakdown in adrenalectomized rats. Metabolism 40:1263-7
Walser, M (1990) Role of branched-chain ketoacids in protein metabolism. Kidney Int 38:595-604
Imura, K; Walser, M (1990) Comparison of the fates of ingested leucine and ingested 2-ketoisocaproate in rats. Am J Clin Nutr 51:822-5
Yagi, M; Walser, M (1990) Estimation of whole body protein synthesis from oxidation of infused [1-14C]leucine. Am J Physiol 258:E151-7
Yagi, M; Matthews, D E; Walser, M (1990) Nitrogen sparing by 2-ketoisocaproate in parenterally fed rats. Am J Physiol 259:E633-8
Walser, M; Jarskog, F L; Hill, S B (1989) Branched-chain-ketoacid metabolism in patients with chronic renal failure. Am J Clin Nutr 50:807-13
Walser, M; Drew, H H; LaFrance, N D (1989) Reciprocal creatinine slopes often give erroneous estimates of progression of chronic renal failure. Kidney Int Suppl 27:S81-5

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