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© 2004 The American Society for Nutritional Sciences J. Nutr. 134:806-810, April 2004


Nutritional Methodology

Validation of a New Test Meal for a Protein Digestion Breath Test in Humans

Karen P. Geboes1, Bert Bammens*, Anja Luypaerts, Ramon Malheiros{dagger},2, Johan Buyse{dagger}, Pieter Evenepoel*, Paul Rutgeerts and Kristin Verbeke

Department of Gastroenterology; * Department of Nephrology, University Hospital Gasthuisberg; and {dagger} Laboratory of Physiology and Immunology of Domestic Animals, Faculty of Agricultural and Applied Biological Sciences, Catholic University of Leuven, 3000 Leuven, Belgium

1To whom correspondence should be addressed. E-mail: karen.geboes{at}uz.kuleuven.ac.be.

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-[1-13C]-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-[1-13C]-leucine (99%, mol:mol). High enrichment levels of protein with adequate labeling patterns were obtained in eggs from laying hens fed the L-[1-13C]-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 13C recovery/6 h = 17.22 ± 4.74%, with a maximal 13C 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-[1-13C]-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.


KEY WORDS: • breath test • protein digestion • stable isotopes




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Impairment of small intestinal protein assimilation in patients with end-stage renal disease: extending the malnutrition-inflammation-atherosclerosis concept
Am. J. Clinical Nutrition, December 1, 2004; 80(6): 1536 - 1543.
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