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  • Title: Stimulation of intestinal glutamine absorption in chronic metabolic acidosis.
    Author: Pan M, Meng Q, Choudry HA, Karinch AM, Lin C, Souba WW.
    Journal: Surgery; 2004 Aug; 136(2):127-34. PubMed ID: 15300171.
    Abstract:
    BACKGROUND: Amino acid glutamine plays a central role in inter-organ nitrogen transfer in acidosis, a compensatory mechanism that is essential in maintaining acidbase balance. Intestinal glutamine absorption is a key exogenous glutamine source in maintaining glutamine homeostasis. The purpose of this in vivo study was to investigate the regulation of intestinal glutamine absorption during chronic metabolic acidosis. METHODS: Metabolic acidosis in adult male Sprague-Dawley rats was induced by adding 1.5% NH4Cl to drinking water. [3H]-L-glutamine transport activity across brush border membrane vesicles and glutamine transporter ATB0 messenger RNA levels by relative reverse transcriptase-polymerase chain reaction were measured in rat jejunum. Data were analyzed by t test (P < .05). RESULTS: Acidosis occurred as early as 1 day and was partially compensated by 7 days. Glutamine transport in brush border membrane vesicles was increased after 2 days of acidosis. Chronic acidosis (7 days) resulted in an 8-fold increase of glutamine transport activity. The glutamine transport maximal capacity (Vmax) was stimulated 5-fold, while the transport affinity (Km) was not affected by acidosis. Relative reverse transcriptase-polymerase chain reaction showed a 2.5-fold increase of glutamine transporter ATB0 messenger RNA levels. CONCLUSIONS: Chronic metabolic acidosis stimulates intestinal glutamine absorption via a mechanism that involves an increase of functional membrane glutamine transporter units.
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