Leucine and urea metabolism in acute human cold exposure

Haematology and serum biochemistry of adult free-ranging mountain brushtail possums (Trichosurus cunninghami), including correlations with season, sex, age, habitat type and disease status

For many wildlife species only limited data are available on haematology and blood biochemistry for free-ranging populations because these are often difficult to obtain. We collected blood samples from wild adult mountain brushtail possums (Trichosurus cunninghami) in the Strathbogie Ranges, Victoria (Australia), over two years, to provide reference values for haematological and some serum biochemical parameters (serum protein, sodium, chloride, potassium, urea, creatinine, creatine kinase and cortisol) for free-ranging animals. We also investigated patterns associated with sex, season, age, habitat type and disease status, including a form of skin disease (rumpwear – one of the major diseases of brushtail possums) and parasite loads. Values for several blood parameters correlated with sex, and most also changed significantly with season. Eosinophil counts increased significantly with the number of strongyle eggs in faeces, and packed cell volume decreased significantly with increasing numbers of ticks. Surprisingly, there was a significant negative relationship between mean population serum cortisol concentrations and the prevalence of rumpwear. Serum sodium and chloride concentrations were significantly lower in possums with moderate to severe rumpwear; however, the biological significance of this is unclear. While there is a growing body of data on the blood parameters of marsupials, these are mainly derived from captive animals, or single sample sets from wild populations, thus are unlikely to accurately reflect the changing status of wild animals/populations across seasons and under varying environmental conditions and parasite loads. More comprehensive, longer-term data from free-ranging marsupial populations, such as those presented here, provide extremely important reference data to aid in determining the health status of wild populations and interpreting data collected from individuals.

Effect of exercise on protein requirements

The effect(s) of exercise on dietary protein requirements has (have) been a controversial topic for many years. Although most expert committees on nutrition have not provided an additional allowance of protein for active individuals, a considerable amount of experimental evidence has accumulated during the past 15 years which indicates that regular exercise does in fact increase protein needs. Part of the confusion is due to methodological difficulties and inadequate control of several interacting factors including: diet composition, total energy intake, exercise intensity, duration and training, ambient temperature, gender, and perhaps even age. Although definitive dietary recommendations for various athletic groups must await future study, the weight of current evidence suggests that strength or speed athletes should consume about 1.2-1.7 g protein/kg body weight.d-1 (approximately 100-212% of current recommendations) and endurance athletes about 1.2-1.4 g/kg.d-1 (approximately 100-175% of current recommendations). These quantities of protein can be obtained from a diet which consists of 12-15% energy from protein, unless total energy intake is insufficient. There is no evidence that protein intakes in this range will cause any adverse effects. Future studies with large sample sizes, adequate controls, and performance as well as physiological/biochemical measures are necessary to fine tune these recommendations.

Rates of energy substrates utilization during human cold exposure

Although it is well established in animals that acute cold exposure markedly increases the oxidation of energy substrates, the absolute quality and quantity of substrate oxidation is poorly understood in humans. This study compared the rates of substrate utilization in seven healthy young men exposed to both the warm (control exposure at 29 degrees C; semi-nude, 14 h fasted) and to the cold for 2 h (10 degrees C, 1 m.s-1 wind velocity). Substrate utilization was calculated using indirect calorimetry and the nonprotein respiratory exchange ratio, which was derived from the urinary urea nitrogen output. Cold exposure induced a 3.1 +/- 0.2 degrees C drop in mean body temperature and a body heat debt of 825.9 +/- 63.3 kJ (p less than 0.01). These parameters remained essentially unchanged in the warm. Cold exposure elevated the 2 h energy expenditure 2.46-fold in comparison to the warm (p less than 0.01). This cold-induced thermogenesis was accompanied by increases of 588% in carbohydrate oxidation (p less than 0.01) and 63% in fat oxidation (p less than 0.05), whereas protein oxidation remained unchanged. Although the greatest proportion of the energy expenditure in the warm was derived from lipid (59%), carbohydrate oxidation represented the major fuel for thermogenesis in the cold, since it accounted for 51% of the corresponding total energy expenditure. The results demonstrate that cold exposure causes a much greater increase in the utilization of carbohydrate than lipid. It is suggested that these substrates are directly utilized for thermogenesis in the shivering skeletal muscles.

Effects of [15N]leucine infused at low rates on leucine metabolism in humans

The present studies were carried out to determine whether infusions of [15N]leucine at low rates affect estimates of leucine oxidation and of proteolysis and protein synthesis in humans. Three groups of normal subjects were infused for 3 h with either [15N]leucine at a rate of 0.16 or 0.26 mumol X kg-1 X min-1 or saline using [2H3]leucine and alpha-[14C]ketoisocaproate as isotopic tracers of leucine metabolism. Data were analyzed at steady state using both single- and dual-isotope models. Preliminary studies were carried out to characterize the dual-isotope model in humans using infusions of [3H]leucine and alpha-[14C]ketoisocaproate. In the postabsorptive state estimates of leucine appearance, disappearance, and oxidation derived from the two isotope models were in good agreement. Infusion of stable isotope up to approximately 10% of the leucine carbon flux do not have a significant effect on leucine metabolism, but the data derived from such studies must be properly controlled and interpreted with care because these tracers are not massless.

Adaptation to exercise in the cold

The winter athlete has several potential tactics for sustaining body temperature in the face of severe cold. An increase in the intensity of physical activity may be counter-productive because of increased respiratory heat loss, increased air or water movement over the body surface, and a pumping of air or water beneath the clothing. Shivering can generate heat at a rate of 10 to 15 kJ/min, but it impairs skilled performance, while the resultant glycogen usage hastens the onset of fatigue and mental confusion. Non-shivering thermogenesis could arise in either brown adipose tissue or white fat. Brown adipose tissue generates heat by the action of free fatty acids in uncoupling mitochondrial electron transport, and by noradrenaline-induced membrane depolarisation and sodium pumping. The existence of brown adipose tissue in human adults is controversial, and although there are theoretical mechanisms of heat production in white fat, their contribution to the maintenance of body temperature is small. Acclimatisation to cold develops over the course of about 10 days, and in humans the primary change is an insulative, hypothermic type of response; this reflects the intermittent nature of most occupational and athletic exposures to cold. Nevertheless, with more sustained exposure to cold air or water, humans can apparently develop the humoral type of acclimatisation described in small mammals, with an increased output of noradrenaline and/or thyroxine. The associated mobilisation of free fatty acids suggests the possibility of using winter sport as a pleasant method of treating obesity. In men, a combination of moderate exercise and facial cooling induces a substantial fat loss over a 1- to 2-week period, with an associated ketonuria, proteinuria, and increase of body mass. Possible factors contributing to this fat loss include: (a) a small energy deficit; (b) the energy cost of synthesising new lean tissue; (c) energy loss through the storage and excretion of ketone bodies; (d) catecholamine-induced 'futile' metabolic cycles with increased resting metabolism; and (e) a specific reaction to cold dehydration. Current limitations for the clinical application of such treatment include uncertainty regarding optimal environmental conditions, concern over possible pathological reactions to cold, and suggestions of a less satisfactory fat mobilisation in female patients. Possible interactions between physical fitness and metabolic reactions to cold remain controversial.(ABSTRACT TRUNCATED AT 400 WORDS)

Response of protein and urea kinetics in burn patients to different levels of protein intake

The effects of two levels of protein intake on protein metabolism in six severely burned adult patients were studied (means of 70% BSA burned). A crossover experimental design enabled the authors to study each patient at the end of two three-day dietary regimens. All diets were isocaloric and provided approximately 25% more calories than the measured energy expenditure (means = 40.8 Kcal/kg X day). In one regimen, each patient received 2.2 g protein/kg X day, while during the other treatment period they received 1.4 g protein/kg X day. The patients were studied in the fed state and after 10 to 12 hours of fasting. Leucine kinetics were determined by means of the primed-constant infusion of [1--13C]--leucine. The authors were able to distinguish the oxidation of plasma leucine from the oxidation of leucine derived from intracellular protein at the site of the deamination of leucine (predominantly muscle) by simultaneously determining both leucine and alpha-ketoisocaproic acid enrichment. Also, rates of whole-body protein synthesis and catabolism were calculated from the leucine flux and oxidation data. Net protein synthesis was also calculated by means of another stable-isotope technique involving the infusion of [15N2]--urea. Finally, a third means of estimating net protein catabolism based on urinary N-excretion data was used at the same time that the isotopic studies were performed. The 13C leucine-data and the N-excretion data indicated that a balance between protein synthesis and catabolism could be achieved with a protein intake of 1.4 protein/kg X day. When protein intake was increased to 2.2 g protein/kg X day, neither isotopic method indicated a further beneficial effect on net protein synthesis, although the absolute rates of protein synthesis and catabolism were stimulated. The N-excretion data, on the other hand, indicated a significant improvement in net protein synthesis with higher protein intake. Regardless of the level of protein intake, the underlying alterations in protein metabolism that occurred as a response to burn injury persisted.