Millward D J, Rivers J P
Nutrition Research Unit, London School of Hygiene & Tropical Medicine, UK.
Eur J Clin Nutr. 1988 May;42(5):367-93.
Short-term balances and metabolic studies suggest that current estimates of adult indispensable amino acid (IAA) requirements are too low. In addition, the observed biological value of protein is less than that predicted from its amino acid score. We propose that these discrepancies reflect the fact that IAA requirements are complex, and can only be defined under specific artificial conditions. This is because consumption of protein usually results in oxidative losses of IAA and nitrogen, which are important to the organism and variable according to dietary composition. It is likely that the age-related fall in the current values for IAA requirement primarily reflects different dietary designs in the original balance studies, which induced different rates of oxidative losses. A new model for amino acid utilization is proposed which takes account of such losses, and factors that influence them are reviewed. We propose that dietary IAAs serve an important transient function prior to their oxidation, exerting a regulatory influence on maintenance and growth which we call the anabolic drive. The model also allows for diurnal cycling of body protein, in which oxidative losses of amino acids occurring during the postabsorptive phase must be balanced by net protein deposition during feeding if overall balance is to be attained. Diurnal cycling is likely to be nutritionally sensitive, influenced by the anabolic drive and could affect the relationship between total protein and IAA requirements. We argue that oxidative losses should be included in the requirement; this will account for apparent discrepancies in the observed efficiency of protein utilization. We propose that IAA requirements (R) can only be unambiguously defined in terms of Rmin, a value obtainable under artificial conditions when oxidative losses, Lr, are minimal (Lr min); current estimates of adult requirements may be close to this level. An operative requirement of practical value, Rop, will only be defineable when the value to the organism of the oxidative losses induced by usual diets, (Lr op), can be evaluated.
短期平衡和代谢研究表明,目前对成人必需氨基酸(IAA)需求量的估计过低。此外,观察到的蛋白质生物学价值低于根据其氨基酸评分预测的值。我们认为,这些差异反映了IAA需求很复杂,且只能在特定的人工条件下定义这一事实。这是因为蛋白质的消耗通常会导致IAA和氮的氧化损失,这对生物体很重要,并且会根据饮食组成而变化。目前IAA需求值随年龄下降,这可能主要反映了最初平衡研究中不同的饮食设计,这些设计导致了不同的氧化损失率。本文提出了一个考虑到此类损失的氨基酸利用新模型,并对影响这些损失的因素进行了综述。我们认为,膳食IAA在氧化之前具有重要的短暂功能,对维持和生长发挥调节作用,我们称之为合成代谢驱动力。该模型还考虑了身体蛋白质的昼夜循环,即在吸收后阶段发生的氨基酸氧化损失必须通过进食期间的净蛋白质沉积来平衡,才能实现总体平衡。昼夜循环可能对营养敏感,受合成代谢驱动力影响,并可能影响总蛋白质与IAA需求之间的关系。我们认为氧化损失应包含在需求中;这将解释观察到的蛋白质利用效率方面的明显差异。我们提出,IAA需求量(R)只能根据Rmin明确界定,Rmin是在人工条件下氧化损失Lr最小时(Lr min)可获得的值;目前对成人需求量的估计可能接近这一水平。只有当能够评估日常饮食引起的氧化损失对生物体的价值(Lr op)时,才能确定具有实际价值的操作需求量Rop。