Studies on the tryptophan load test in man

Studies on the tryptophan load test were carried out by measuring the urinary excretion of 10 tryptophan metabolites via the kynurenine pathway in 25 healthy men and 20 women after oral L-tryptophan loading with dosages of 2 g. 50 mg/kg or 75 mg/kg body weight. With increasing doses of the amino acid, a difference was found between the male and female groups in the pattern of excretion of the tryptophan metabolites. In both groups, kynurenine and kynurenic acid were the metabolites excreted in the greatest amounts. The results indicate that the most useful loading dose of L-tryptophan for both men and women is 50 mg/kg body weight, as with 2 g L-tryptophan the excretion of the metabolites is too low and varies too much between the two groups of male and female subjects. On the other hand, the load with 75 mg/kg body weight can cause an overloading, particularly in women. No significant variations in the levels of the metabolites were found in the urine of two female subjects at different stages of the menstrual cycle after loading doses of 2 g and 50 mg/kg body weight. On the basis of the determination of the serum tryptophan levels, the period of urine collection was established as 10 h.