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Urea Cycle01:23

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The urea cycle describes how liver cells convert ammonia to urea. Ammonia is a toxic waste product of protein catabolism. Land animals must convert ammonia into the less toxic urea which can be safely eliminated by the kidneys through urine. Marine animals excrete ammonia directly, and the surrounding water dilutes the ammonia to safe levels.
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The Citric Acid Cycle: Overview

In aerobic organisms, the citric acid cycle is the second stage of cellular respiration wherein molecules derived from the breakdown of carbohydrates, proteins, and fats are oxidized into carbon dioxide and energy. This process is also known as the tricarboxylic acid (TCA) cycle as the first product of the cycle, citric acid, contains three carboxyl groups in its structure. Alternatively, this cycle is also referred to as the Krebs cycle, in honor of its discoverer Sir Hans Krebs.
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Important Endpoints and Proliferative Markers to Assess Small Intestinal Injury and Adaptation using a Mouse Model of Chemotherapy-Induced Mucositis
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Citrulline and the gut.

Emmanuel Curis1, Pascal Crenn, Luc Cynober

  • 1Laboratoire de Biomathématiques, Faculté de Pharmacie, Université Paris Descartes, Paris, France. emmanuel.curis@univ-paris5.fr

Current Opinion in Clinical Nutrition and Metabolic Care
|August 19, 2007
PubMed
Summary

Citrulline, an amino acid produced in the gut, serves as a biomarker for short bowel function and is efficiently absorbed orally. Oral citrulline supplementation is more effective than arginine for increasing arginine levels.

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Area of Science:

  • Gastroenterology
  • Nutritional Science
  • Biochemistry

Background:

  • Citrulline is a nonprotein amino acid and a key precursor to endogenous arginine.
  • The gastrointestinal tract is the primary site of citrulline production in humans.
  • Citrulline plays a dual role in gut physiology: as a biomarker and as a nutrient source.

Purpose of the Study:

  • To review the role of citrulline as a biomarker of short bowel function.
  • To discuss the significance of gut citrulline uptake for oral supplementation.
  • To explore recent advancements in understanding citrulline metabolism.

Main Methods:

  • Review of existing literature on citrulline metabolism, biomarkers, and gut absorption.
  • Analysis of pharmacokinetic studies related to oral citrulline supplementation.
  • Evaluation of clinical data on citrullinemia as a prognostic marker.

Main Results:

  • Citrullinemia effectively indicates compromised bowel function and can predict parenteral nutrition weaning.
  • Blood citrulline levels aid in decisions regarding parenteral versus enteral nutrition.
  • Citrulline is readily absorbed by the gut via multiple transporters in enterocytes.

Conclusions:

  • Oral citrulline supplementation is a highly efficient strategy for increasing arginine levels.
  • Citrulline's efficacy in oral supplementation surpasses that of arginine.
  • Citrulline holds significant potential as both a biomarker and a therapeutic agent in gastrointestinal health.