Metabolism of threonine in newborn infants

Prabhu S Parimi1, Lourdes L Gruca, Satish C Kalhan

  • 1Schwartz Center for Metabolism & Nutrition, Bell Greve Bldg., Room G-735, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA. pparimi@metrohealth.org

Insights

Newborn infants show higher threonine kinetics than adults. Threonine metabolism is linked to protein turnover, with oxidation increasing after feeding.

Area of Science:

  • Biochemistry
  • Human Physiology
  • Nutritional Science

Background:

  • Threonine is an essential amino acid crucial for protein synthesis and metabolism.
  • Understanding threonine kinetics in newborns is vital for assessing nutritional status and growth.
  • Limited data exists on threonine metabolism and its relationship to protein turnover in early infancy.

Purpose of the Study:

  • To quantify threonine kinetics, its oxidative pathway, and its relationship with whole-body protein turnover in healthy term infants within the first 48 hours of life.
  • To investigate the impact of fasting and formula feeding on threonine metabolism.
  • To elucidate the primary pathway for threonine degradation in neonates.

Main Methods:

  • Utilized stable isotope tracers ([U-(13)C(4),(15)N]threonine, [(2)H(5)]phenylalanine, and [(15)N]glycine) to measure threonine kinetics.
  • Quantified threonine oxidation by measuring expired carbon dioxide (CO(2)) and (13)C enrichment.
  • Assessed protein turnover by measuring the rate of appearance (R(a)) of threonine and phenylalanine.

Main Results:

  • Threonine R(a) was significantly higher in newborns compared to adults (136 +/- 37 micromol.kg(-1).h(-1)).
  • Formula feeding decreased threonine R(a) (P < 0.05), while increasing threonine oxidation (20% fasting vs. 26% fed, P < 0.05).
  • A strong positive correlation existed between threonine and phenylalanine R(a) (r(2) = 0.65), suggesting linked protein turnover.

Conclusions:

  • Newborns exhibit a higher threonine flux relative to phenylalanine, indicating increased turnover of threonine-enriched proteins.
  • Threonine is primarily degraded via the glycine-independent serine/threonine dehydratase pathway.
  • These findings provide critical insights into neonatal amino acid metabolism and nutritional requirements.

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