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Am J Physiol Endocrinol Metab 281: E341-E348, 2001;
0193-1849/01 $5.00
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Vol. 281, Issue 2, E341-E348, August 2001

Sulfate production depicts fed-state adaptation to protein restriction in humans

Mazen J. Hamadeh, Alicia Schiffrin, and L. John Hoffer

Lady Davis Institute for Medical Research, and Division of Endocrinology, Jewish General Hospital, Montreal, H3T 1E2; and School of Dietetics and Human Nutrition, McGill University, Sainte Anne de Bellevue, Quebec, Canada H9X 3V9

One feature of the adaptation to dietary protein restriction is reduced urea production over the hours after consumption of a test meal of fixed composition. This adaptation is impaired in conventionally treated insulin-dependent diabetes mellitus (Hoffer LJ, Taveroff A, and Schiffrin A. Am J Physiol Endocrinol Metab 272: E59-E67, 1997). We have now tested the response to a test meal containing less protein and included as a main outcome variable the production of sulfate, a specific indicator of sulfur amino acid catabolism. Six normal men consumed a mixed test meal containing 0.25 g protein/kg and 10 kcal/kg while adapted to high (1.5 g · kg-1 · day-1) and low (0.3 g · kg-1 · day-1) protein intakes. They followed the identical protocol twice. Six subjects with insulin-dependent diabetes consumed the test meal while adapted to their customary high-protein diet. Adaptation to protein restriction reproducibly reduced 9-h cumulative postmeal urea N and S production by 22-29% and 49-52%, respectively (both P < 0.05). Similar results were obtained for a postmeal collection period of 6 h. The response of the diabetic subjects was normal. We conclude that reductions in postmeal urea and sulfate production after protein restriction are reproducible and are evident using a postmeal collection period as short as 6 h. Sulfate production effectively depicts fed-state adaptation to protein restriction.

urea; stable isotope; fed state; amino acid oxidation


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Am. J. Physiol. Endocrinol. Metab.Home page
M. J. Hamadeh and L. J. Hoffer
Effect of protein restriction on sulfur amino acid catabolism in insulin-dependent diabetes mellitus
Am J Physiol Endocrinol Metab, February 1, 2003; 284(2): E382 - E389.
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