Kalhan Satish C
Department of Gastroenterology, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Nestle Nutr Workshop Ser Pediatr Program. 2009;63:121-31; discussion 131-3, 259-68. doi: 10.1159/000209977.
The coexistence of intrauterine and neonatal malnutrition and the development of obesity, type 2 diabetes and related comorbidities have been confirmed in a number of studies in humans and animal models. Data from studies in animals suggest that epigenetic changes as a result of altered methylation of the genomic DNA may be responsible for such metabolic patterning. Methionine, an essential amino acid, plays a critical role in the methyltranferases involved in the methylation by providing the one-carbon units via the methionine transmethylation cycle. Because of its interaction with a number of vitamins (B12, folate, pyridoxine), its regulation by hormones, i.e. insulin and glucagon, and by the changes in redox state, methionine metabolism is effected by nutrient and environmental influences and by altered physiological states. In the present review the impact of human pregnancy, dietary protein restriction and fatty liver disease on methionine metabolism is discussed. The role of methionine in metabolic programming in a commonly used model of intrauterine growth retardation and in propagation of fatty liver disease is briefly described.
多项针对人类和动物模型的研究证实,宫内和新生儿营养不良与肥胖、2型糖尿病及相关合并症的发生并存。动物研究数据表明,基因组DNA甲基化改变导致的表观遗传变化可能是这种代谢模式的原因。蛋氨酸作为一种必需氨基酸,通过蛋氨酸转甲基循环提供一碳单位,在参与甲基化的甲基转移酶中起关键作用。由于其与多种维生素(维生素B12、叶酸、吡哆醇)相互作用,受胰岛素和胰高血糖素等激素调节,以及氧化还原状态变化的影响,蛋氨酸代谢受营养和环境影响以及生理状态改变的影响。在本综述中,讨论了人类妊娠、饮食蛋白质限制和脂肪肝疾病对蛋氨酸代谢的影响。简要描述了蛋氨酸在常用的宫内生长迟缓模型中的代谢编程以及在脂肪肝疾病传播中的作用。