Validation of a new test meal for a protein digestion breath test in humans

J Nutr. 2004 Apr;134(4):806-10. doi: 10.1093/jn/134.4.806.

Abstract

Previously, overall protein assimilation after the ingestion of a pure protein meal was studied. In this study, the kinetics of protein assimilation in humans were investigated after the ingestion of a complex meal, which more closely represents a physiologically normal situation. Overall protein assimilation in humans after the ingestion of a pancake meal, containing 12 g of fat, 27 g of carbohydrate, and 19 g of protein, was evaluated in 26 normal volunteers. Both the egg white and yolk of L-[1-(13)C]-leucine-substituted eggs were used to make the batter. The labeled eggs were produced by feeding laying hens a standard chicken diet supplemented with 3 g/kg of L-[1-(13)C]-leucine (99%, mol:mol). High enrichment levels of protein with adequate labeling patterns were obtained in eggs from laying hens fed the L-[1-(13)C]-leucine-substituted diet. The isotopic enrichment of leucine at plateau was equal in egg white and yolk. The overall tracer recovery in egg proteins was 22.5%. The overall protein assimilation parameters in subjects that consumed the pancake meal did not differ from those obtained in subjects that consumed a single protein meal (mean cumulative (13)C recovery/6 h = 17.22 +/- 4.74%, with a maximal (13)C recovery/h of 5.65 +/- 1.48%, which was attained 145 +/- 25 min after ingestion of the meal). The pancake test meal prepared with eggs intrinsically labeled with L-[1-(13)C]-leucine is ideal for the study of protein assimilation. The incorporation of differently labeled substrates into a single test meal allows the assessment of different gastrointestinal processes in the overall assimilation of proteins.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breath Tests*
  • Carbon Isotopes
  • Dietary Carbohydrates / administration & dosage
  • Dietary Carbohydrates / pharmacokinetics
  • Dietary Proteins / administration & dosage
  • Dietary Proteins / pharmacokinetics*
  • Digestion*
  • Egg White / analysis
  • Egg Yolk / chemistry
  • Eggs
  • Female
  • Food*
  • Gastric Emptying
  • Gastrointestinal Transit
  • Humans
  • Isotope Labeling
  • Kinetics
  • Leucine / analysis
  • Male

Substances

  • Carbon Isotopes
  • Dietary Carbohydrates
  • Dietary Proteins
  • Leucine