Literature DB >> 8998125

Both growth hormone and exogenous glutamine increase gastrointestinal glutamine uptake in trauma.

K Unneberg1, M Mjaaland, L Balteskard, T G Jenssen, T Bjøro, A Revhaug.   

Abstract

OBJECTIVE: The authors studied the effect of exogenous glutamine (GLN), with and without growth hormone (GH), pretreatment, on gastrointestinal, hepatic, femoral, and renal GLN fluxes. SUMMARY BACKGROUND DATA: Growth hormone treatment increases gastrointestinal uptake of GLN despite a reduced skeletal muscle and whole body release.
METHODS: Piglets were randomized to a GH + GLN group (n = 8), a GLN group (n = 8), a GH group (n = 8), and a control group (CON; n = 8). Genotropin (Pharmacia, Stockholm, Sweden; 24 international units; correspondingly saline in the GLN and the CON group) was given daily 3 days before and at the onset of trauma (surgery). Organ fluxes and whole body release of GLN were determined 1 and 5 hours after surgery. An infusion of GLN 36 micrograms/kg per minute was started after the first measurement in the GH + GLN and the GLN groups.
RESULTS: Both GH treatment and exogenous GLN increased gastrointestinal GLN uptake (p = 0.001 and p = 0.02, respectively). Growth hormone treatment reduced hepatic GLN uptake (p = 0.001). Hepatic GLN uptake was lower in the GH + GLN group versus the GH group (p = 0.02), but not in the GLN group versus the CON group (p = 0.98). Growth hormone treatment reduced femoral and whole-body GLN release (p = 0.0001 and p = 0.02, respectively). Renal GLN uptake was higher in the two GH-treated groups (p = 0.003).
CONCLUSION: Both exogenous GLN and GH increased gastrointestinal GLN uptake, and the combination was additive. In contrast to exogenous GLN, GH reduced hepatic uptake and consequently facilitated the increased gastrointestinal GLN uptake that occurred despite reduced femoral and whole-body release.

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Year:  1997        PMID: 8998125      PMCID: PMC1190611          DOI: 10.1097/00000658-199701000-00011

Source DB:  PubMed          Journal:  Ann Surg        ISSN: 0003-4932            Impact factor:   12.969


  13 in total

1.  Uptake and metabolism of plasma glutamine by the small intestine.

Authors:  H G Windmueller; A E Spaeth
Journal:  J Biol Chem       Date:  1974-08-25       Impact factor: 5.157

2.  Nitrogen retention caused by growth hormone in patients undergoing gastrointestinal surgery with epidural analgesia and parenteral nutrition.

Authors:  M Mjaaland; K Unneberg; R Hotvedt; A Revhaug
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3.  Low-dose growth hormone and hypocaloric nutrition attenuate the protein-catabolic response after major operation.

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Review 4.  The role of glutamine in maintaining a healthy gut and supporting the metabolic response to injury and infection.

Authors:  W W Souba; V S Klimberg; D A Plumley; R M Salloum; T C Flynn; K I Bland; E M Copeland
Journal:  J Surg Res       Date:  1990-04       Impact factor: 2.192

5.  Experimental study to show that growth hormone treatment before trauma increases glutamine uptake in the intestinal tract.

Authors:  M Mjaaland; K Unneberg; T G Jenssen; A Revhaug
Journal:  Br J Surg       Date:  1995-08       Impact factor: 6.939

6.  Growth hormone enhances amino acid uptake by the human small intestine.

Authors:  Y Inoue; E M Copeland; W W Souba
Journal:  Ann Surg       Date:  1994-06       Impact factor: 12.969

7.  Postoperative alteration of arteriovenous exchange of amino acids across the gastrointestinal tract.

Authors:  W W Souba; D W Wilmore
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8.  Growth hormone after abdominal surgery attenuated forearm glutamine, alanine, 3-methylhistidine, and total amino acid efflux in patients receiving total parenteral nutrition.

Authors:  M Mjaaland; K Unneberg; J Larsson; L Nilsson; A Revhaug
Journal:  Ann Surg       Date:  1993-04       Impact factor: 12.969

9.  Glutamine metabolism in lymphocytes of the rat.

Authors:  M S Ardawi; E A Newsholme
Journal:  Biochem J       Date:  1983-06-15       Impact factor: 3.857

10.  The stimulus-secretion coupling of glucose-induced insulin release. XLVI. Physiological role of L-glutamine as a fuel for pancreatic islets.

Authors:  W J Malaisse; A Sener; A R Carpinelli; K Anjaneyulu; P Lebrun; A Herchuelz; J Christophe
Journal:  Mol Cell Endocrinol       Date:  1980-11       Impact factor: 4.102

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  2 in total

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Authors:  N P Walsh; A K Blannin; P J Robson; M Gleeson
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2.  Growth hormone and insulinlike growth factor 1 promote intestinal uptake and hepatic release of glutamine in sepsis.

Authors:  L Balteskard; K Unneberg; M Mjaaland; T G Jenssen; A Revhaug
Journal:  Ann Surg       Date:  1998-07       Impact factor: 12.969

  2 in total

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