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Katre P, Joshi S, Bhat DS, Deshmukh M, Gurav N, Pandit S, Lubree H, Marczewski S, Bennett C, Gruca L, Kalyanaraman K, Naik SS, Yajnik CS, Kalhan SC. Effect of multi-nutrient insufficiency on markers of one carbon metabolism in young women: response to a methionine load. Eur J Clin Nutr 2016; 70:687-93. [PMID: 26373967 PMCID: PMC4794418 DOI: 10.1038/ejcn.2015.155] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 07/30/2015] [Accepted: 07/31/2015] [Indexed: 11/08/2022]
Abstract
BACKGROUND/OBJECTIVES Multi-nutrient insufficiencies as a consequence of nutritional and economic factors are common in India and other developing countries. We have examined the impact of multi-nutrient insufficiency on markers of one carbon (1C) metabolism in the blood, and response to a methionine load in clinically healthy young women. SUBJECTS/METHODS Young women from Pune, India (n=10) and Cleveland, USA (n=13) were studied. Blood samples were obtained in the basal state and following an oral methionine load (50 mg/kg of body weight in orange juice). Plasma concentrations of vitamin B12, folate and B6 were measured in the basal state. The effect of methionine load on the levels of methionine, total homocysteine, cysteine, glutathione and amino acids was examined. RESULTS Indian women were significantly shorter and lighter compared with the American women and had lower plasma concentration of vitamins B12, folate and B6, essential amino acids and glutathione, but higher concentration of total homocysteine. The homocysteine response to methionine load was higher in Indian women. The plasma concentrations of glycine and serine increased in the Indian women after methionine (in juice) load. A significant negative correlation between plasma B6 and homocysteine (r= -0.70), and plasma folate and glycine and serine levels were observed in the Indian group (P<0.05) but not in the American group. CONCLUSIONS Multi-nutrient insufficiency in the Indian women caused unique changes in markers of whole body protein and 1C metabolism. These data would be useful in developing nutrient intervention strategies.
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Affiliation(s)
- P Katre
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - S Joshi
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - D S Bhat
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - M Deshmukh
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - N Gurav
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - S Pandit
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - H Lubree
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - S Marczewski
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
| | - C Bennett
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
| | - L Gruca
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
| | - K Kalyanaraman
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - S S Naik
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - C S Yajnik
- Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital Research Centre, Pune, India
| | - S C Kalhan
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
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Dasarathy J, Gruca LL, Bennett C, Parimi PS, Duenas C, Marczewski S, Fierro JL, Kalhan SC. Methionine metabolism in human pregnancy. Am J Clin Nutr 2010; 91:357-65. [PMID: 19939983 PMCID: PMC2806892 DOI: 10.3945/ajcn.2009.28457] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2009] [Accepted: 10/29/2009] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Hyperhomocysteinemia during pregnancy, which is a consequence of perturbations in methionine and/or folate metabolism, has been implicated in adverse outcomes such as neural tube defects, preeclampsia, spontaneous abortion, and premature delivery. The adaptive changes in methionine metabolism during pregnancy in humans have not been determined. OBJECTIVE Our objective was to examine the kinetics of methionine and its rate of transsulfuration and transmethylation in healthy women with advancing gestation. DESIGN The whole-body rate of appearance (Ra) of methionine and phenylalanine was measured in healthy pregnant women during the first (n = 10), second (n = 5), and third (n = 10) trimesters of pregnancy. These data were compared with those for nonpregnant women (n = 8). Tracers [1-(13)C]methionine, [C(2)H(3)]methionine, and [(2)H(5)]phenylalanine were administered as prime-constant rate infusions. The effect of enteral high-protein, mixed-nutrient load on tracer-determined variables was also examined. RESULTS In pregnant women, the Ra of phenylalanine was significantly (P < 0.05) lower in the first trimester than in the second and third trimesters and was significantly lower than that in nonpregnant women. A linear positive correlation was evident between gestational age and phenylalanine Ra. The fractional rate and total rate of transsulfuration of methionine was significantly (P < 0.05) higher during the first trimester, whereas the rate of transmethylation was higher during the third trimester. Plasma concentrations of total cysteine and homocysteine were lower during pregnancy. CONCLUSIONS Uncomplicated pregnancy in humans is associated with a higher rate of transsulfuration early in gestation and a higher rate of transmethylation of methionine in late gestation. These data may have implications for understanding the role of methionine and homocysteine in complications of pregnancy and for the nutritional care of pregnant women.
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Affiliation(s)
- Jaividhya Dasarathy
- Department of Family Medicine, Case Western Reserve University School of Medicine at MetroHealth Medical Center, Cleveland, OH, USA
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Dasarathy S, Kasumov T, Edmison JM, Gruca LL, Bennett C, Duenas C, Marczewski S, McCullough AJ, Hanson RW, Kalhan SC. Glycine and urea kinetics in nonalcoholic steatohepatitis in human: effect of intralipid infusion. Am J Physiol Gastrointest Liver Physiol 2009; 297:G567-75. [PMID: 19571235 PMCID: PMC2739817 DOI: 10.1152/ajpgi.00042.2009] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The rates of oxidation of glycine and ureagenesis were quantified in the basal state and in response to an intravenous infusion of intralipid with heparin (IL) in healthy subjects (n = 8) and in subjects with nonalcoholic steatohepatitis (NASH) (n = 6). During fasting, no significant difference in weight-specific rate of appearance (R(a)) of glycine, glycine oxidation, and urea synthesis was observed. Intralipid infusion resulted in a significant increase in plasma beta-hydroxybutyrate in both groups. The correlation between free fatty acids and beta-hydroxybutyrate concentration in plasma was 0.94 in NASH compared with 0.4 in controls, indicating greater hepatic fatty acid oxidation in NASH. Intralipid infusion resulted in a significant decrease in urea synthesis and glycine R(a) in both groups and did not impact glycine oxidation. The fractional contribution of glycine carbon to serine was lower in subjects with NASH before and after IL infusion. In contrast, the fractional contribution of serine carbon to cystathionine was higher in NASH before and following IL infusion. These results suggest that hepatic fatty acid oxidation is higher in NASH compared with controls and that glycine oxidation and urea synthesis are not altered. An increase in oxidative stress, induced by a higher rate of fatty acid oxidation in NASH, may have caused an increase in the contribution of serine to cystathionine to meet the higher demands for glutathione.
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Affiliation(s)
- Srinivasan Dasarathy
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Takhar Kasumov
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - John M. Edmison
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Lourdes L. Gruca
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Carole Bennett
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Clarita Duenas
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Susan Marczewski
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Arthur J. McCullough
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Richard W. Hanson
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Satish C. Kalhan
- Departments of Gastroenterology and Hepatology, and Pathobiology, Cleveland Clinic, Lerner Research Institute, Cleveland; Department of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio
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