Neuhäuser M, Bässler K H
Infusionsther Klin Ernahr. 1986 Dec;13(6):292-6.
Glutamine may be important especially in the catabolic patient, due to its universal role in transamination reactions. Because of its instability, until presently, glutamine is not included in amino acid solutions for parenteral nutrition. The availability of glutamine from the stable derivate N-acetyl-L-glutamine is investigated under the condition of a long-term parenteral nutrition by means of growth, N-balance, and amino acid concentrations in plasma, muscle and urine. For this purpose 2 groups of young healthy male rats (n = 6) are maintained entirely by parenteral nutrition for 12 days. Both groups are given 0.8 g N/kg/24 h as an amino acid solution without containing glutamine. Only one of the groups was supplied additionally with 0.4 g N as N-acetyl-L-glutamine. This resulted in a weight gain of 33 +/- 1.5 g and a cumulative N-balance of 1.5 +/- 0.045 g. In the group in which no acetyl-L-glutamine is given, weight gain is 27 +/- 1.8 g (p less than 0.05) and cumulative N-balance amounts only 1.16 +/- 0.034 g (p less than 0.001). In plasma and urine the amino acid concentrations are significantly elevated for the essential one in this group. The results indicate a good availability of glutamine from N-acetyl-L-glutamine when given intravenously to the rat.
谷氨酰胺可能尤其对分解代谢的患者很重要,因为它在转氨反应中具有普遍作用。由于其不稳定性,直到目前,谷氨酰胺仍未被纳入用于肠外营养的氨基酸溶液中。在长期肠外营养的条件下,通过生长、氮平衡以及血浆、肌肉和尿液中的氨基酸浓度,研究了稳定衍生物N-乙酰-L-谷氨酰胺中谷氨酰胺的可用性。为此,将两组年轻健康雄性大鼠(n = 6)完全通过肠外营养维持12天。两组均给予0.8 g N/kg/24 h不含谷氨酰胺的氨基酸溶液。只有一组额外补充了0.4 g N的N-乙酰-L-谷氨酰胺。这导致体重增加33±1.5 g,累积氮平衡为1.5±0.045 g。在未给予乙酰-L-谷氨酰胺的组中,体重增加为27±1.8 g(p<0.05),累积氮平衡仅为1.16±0.034 g(p<0.001)。在该组中,血浆和尿液中必需氨基酸的浓度显著升高。结果表明,静脉给予大鼠N-乙酰-L-谷氨酰胺时,谷氨酰胺具有良好的可用性。