Literature DB >> 12879097

Gastrointestinal handling of glycosyl [13C]ureides.

D J Morrison1, B Dodson, T Preston, L T Weaver.   

Abstract

OBJECTIVES: Lactose [(13)C]ureide has been proposed as a noninvasive marker for oro-caecal transit time in adults and children. The present study investigates the handling of lactose [(13)C]ureide ((13)C LU) and glucose [(13)C]ureide ((13)C GU) by the gastrointestinal tract and describes the metabolic fates of these substrates and describes the extent of tracer excretion by different routes. STUDY DESIGN AND
SUBJECTS: Four subjects underwent five studies in which they ingested a test meal plus (1) no substrate, (2) (13)C LU, (3) (13)C GU, (4) (13)C LU after predosing with unlabelled lactose ureide and (5) (13)C LU after predosing with glucose ureide. Subjects were studied at home with at least 1 week between tests and they all completed the study. Breath was analysed for (13)CO(2) recovery and urine was analysed for total (13)C recovery, (13)C urea recovery and (13)C GU recovery.
RESULTS: The profiles and extent of tracer recovery in breath and urine were similar when either (13)C GU or (13)C LU was used, suggesting similar handling of these substrates by the gut. (13)C GU was the major (13)C-enriched species recovered in the urine even when (13)C LU was consumed. Predosing with either lactose ureide or glucose ureide increased the rate of appearance of tracer, but did not alter transit times.
CONCLUSIONS: (13)C LU is hydrolysed to (13)C GU in the small intestine with the fraction of (13)C GU appearing in the urine probably limited by small intestinal permeability. Either (13)C LU or (13)C GU can be used to measure oro-caecal transit time.

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Year:  2003        PMID: 12879097     DOI: 10.1038/sj.ejcn.1601637

Source DB:  PubMed          Journal:  Eur J Clin Nutr        ISSN: 0954-3007            Impact factor:   4.016


  4 in total

1.  Use of stable isotopes to measure the metabolic activity of the human intestinal microbiota.

Authors:  Nicole Reichardt; Andrew R Barclay; Lawrence T Weaver; Douglas J Morrison
Journal:  Appl Environ Microbiol       Date:  2011-09-23       Impact factor: 4.792

2.  Use of the lactose-[13C]ureide breath test for diagnosis of small bowel bacterial overgrowth: comparison to the glucose hydrogen breath test.

Authors:  Heiner K Berthold; Patrick Schober; Christian Scheurlen; Günter Marklein; Regine Horré; Ioanna Gouni-Berthold; Tilman Sauerbruch
Journal:  J Gastroenterol       Date:  2009-06-24       Impact factor: 7.527

3.  13C-sucrose breath test for the non-invasive assessment of environmental enteropathy in Zambian adults.

Authors:  Robert J Schillinger; Simutanyi Mwakamui; Chola Mulenga; Mizinga Tembo; Phoebe Hodges; Ellen Besa; Kanta Chandwe; Victor O Owino; Christine A Edwards; Paul Kelly; Douglas J Morrison
Journal:  Front Med (Lausanne)       Date:  2022-07-29

Review 4.  European guideline on indications, performance and clinical impact of 13 C-breath tests in adult and pediatric patients: An EAGEN, ESNM, and ESPGHAN consensus, supported by EPC.

Authors:  Jutta Keller; Heinz F Hammer; Paul R Afolabi; Marc Benninga; Osvaldo Borrelli; Enrique Dominguez-Munoz; Dan Dumitrascu; Oliver Goetze; Stephan L Haas; Bruno Hauser; Daniel Pohl; Silvia Salvatore; Marc Sonyi; Nikhil Thapar; Kristin Verbeke; Mark R Fox
Journal:  United European Gastroenterol J       Date:  2021-06-14       Impact factor: 4.623

  4 in total

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