Department of Internal Medicine II, Centre for Complementary Medicine, Freiburg University Hospital, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany.
Nutrients. 2023 Jun 28;15(13):2942. doi: 10.3390/nu15132942.
Chronic low-grade metabolic acidosis is now a common phenomenon in the Western world. The high dietary intake of sulfur-containing amino acids in the form of processed meats results in an excessive release of acid in the form of protons and non-metabolizable acidic anions. The kidneys produce increasing amounts of ammonia to excrete this acid. This process requires the breakdown of the nitrogenous amino acid glutamine, which the body provides by breaking down muscle tissue. Hitherto not examined, we hypothesized that a high dietary acid load (DAL) could alter the serum concentrations of selected amino acids. Using secondary data from a 4-week dietary intervention study conducted in 2017, we examined the associations between various amino acids and DAL in = 42 individuals who either consumed a meat-rich or vegan diet. Results from this secondary data analysis suggested that DAL (as measured by the potential renal acid load and net endogenous acid production) is positively correlated with higher serum concentrations of lysine and 1-methyl-histidine (r = 0.50 and 0.43, respectively) and negatively correlated with glutamine and glycine (r = -0.43 and -0.47, respectively). The inverse association with glycine and glutamine warrants special attention, as both play an important role in many metabolic disorders and the immune system.
慢性低度代谢性酸中毒现在是西方世界的一种常见现象。饮食中大量摄入以加工肉类形式存在的含硫氨基酸,会导致以质子和非代谢性酸性阴离子的形式过量释放酸。肾脏会产生越来越多的氨来排泄这种酸。这个过程需要分解氮基氨基酸谷氨酸,而身体通过分解肌肉组织来提供谷氨酸。迄今为止尚未研究过,我们假设高饮食酸负荷(DAL)可能会改变选定氨基酸的血清浓度。我们利用 2017 年进行的为期 4 周饮食干预研究的二级数据,检查了 42 名参与者中各种氨基酸与 DAL 之间的关联,这些参与者要么摄入富含肉类的饮食,要么摄入纯素饮食。这项二次数据分析的结果表明,DAL(通过潜在的肾酸负荷和净内源性酸生成来衡量)与赖氨酸和 1-甲基组氨酸的血清浓度呈正相关(分别为 r = 0.50 和 0.43),与谷氨酰胺和甘氨酸的血清浓度呈负相关(分别为 r = -0.43 和 -0.47)。与甘氨酸和谷氨酰胺的负相关特别值得关注,因为它们在许多代谢紊乱和免疫系统中都发挥着重要作用。