Protein dynamics during refeeding of protein-depleted rats: effects of increasing amino acid intake by TPN or enteral continuous feeding

J Nutr. 1984 Jan;114(1):75-88. doi: 10.1093/jn/114.1.75.

Abstract

The effect of increasing nitrogen intake with constant calorie supply was studied in protein-depleted rats. Animals were randomized into three paired groups to receive either total parenteral nutrition (TPN) or enteral (EF) isocaloric feedings (240 kcal X kg-1 X day-1) differing only in their amount of amino acids. The diets, composed of dextrose, a safflower oil emulsion and crystalline amino acids, were infused continuously for 5 days. Daily nitrogen intakes were for controls (EF, n = 7; TPN, n = 6) 0.25 g/kg; for groups 1 (EF, n = 7; TPN, n = 8) 1.4 g/kg and for groups 2 (EF, n = 7; TPN, n = 7) 2.5 g/kg. The rats in groups 1 and 2 obtained significant protein repletion in terms of body weight, nitrogen retention, liver protein and serum albumin regardless of the route of nutrient delivery. However, rats in groups 2 (higher nitrogen intake) presented a more rapid and greater recovery despite a reduction in nitrogen utilization. Whole-body leucine kinetics studied at the end of controlled feeding periods were similar for EF and TPN rats. However, increasing nitrogen intake (1 and 2) increased whole-body leucine flux and incorporation into protein resulting in a better balance, since leucine release from protein breakdown was comparable to controls. Liver protein fractional synthetic rates were reduced in EF while remaining at a high rate in TPN group 2 and still more elevated in TPN group 1, suggesting a preferential support of liver protein by enteral feeding or the effect of TPN as a non-physiologic route.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amino Acids / administration & dosage*
  • Animals
  • Body Weight
  • Energy Intake
  • Enteral Nutrition*
  • Female
  • Leucine / metabolism
  • Liver / metabolism
  • Muscles / metabolism
  • Nitrogen / administration & dosage
  • Nitrogen / metabolism
  • Parenteral Nutrition*
  • Parenteral Nutrition, Total*
  • Protein Deficiency / metabolism*
  • Protein Deficiency / therapy
  • Proteins / metabolism*
  • Rats
  • Rats, Inbred Strains

Substances

  • Amino Acids
  • Proteins
  • Leucine
  • Nitrogen