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(Journal of Nutrition. 2000;130:1005S-1006S.)
© 2000 The American Society for Nutritional Sciences


Supplement

Plasma Amino Acid Patterns and Visceral Protein Status in Users and Nonusers of Monosodium Glutamate1 ,2

Vichai Tanphaichitr3, Preeya Leelahagul and Kannika Suwan

Division of Nutrition and Biochemical Medicine, Department of Medicine and Research Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

3To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Free amino acids in plasma and total protein, albumin, transferrin and retinol-binding protein (RBP) in serum were determined in two groups of healthy adults consisting of 10 female nonusers and 10 female users of monosodium glutamate (MSG). Users or nonusers of MSG were those consuming or not consuming MSG regularly at their homes for at least 1 y. On the bases of body mass index and serum protein concentrations, each of the two groups appeared to have an adequate protein-energy status. Fasting plasma glutamate concentrations in female nonusers and users of MSG were 22.4 ± 3.2 and 21.8 ± 2.0 nmol/mL (means ± SEM), respectively; these values were not significantly different. These findings indicate that there is no glutamate accumulation in the plasma of MSG users and imply the safety of long-term MSG intake.


KEY WORDS: • monosodium glutamate • glutamic acid • amino acids • plasma • diet • humans


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Monosodium glutamate (MSG)4 is widely used as a flavor enhancer in Thai diets. Pothisiri et al. (1983)Citation reported that the average daily intake of MSG in Thai adults was 1.5 g. It has previously been shown in adults that the ingestion of meals containing added MSG (3 g) and the consumption of MSG (2.8 g) with meals for 5 d are not associated with Chinese Restaurant Syndrome (Tanphaichitr et al. 1983Citation and 1985Citation ). Nonetheless, the public is still concerned about the safety of long-term dietary MSG use. Therefore, we examined plasma glutamate (GLU) concentrations in adult Thais identified on the basis of their chronic use of MSG in the diet.


    SUBJECTS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Subjects.

The strict criteria for this study were based on the definition of MSG nonusers as individuals who had not consumed MSG regularly in their homes for at least 1 y, and who refused to take meals outside their homes that contained added MSG. The selection of MSG users was straightforward. Only 10 healthy female Thai adults, aged 20–53 y, met the nonuser criteria. They were therefore studied with another group of 10 female MSG users. Height and body weight were measured in each subject, and the body mass index (BMI) was calculated (Tanphaichitr 1994Citation ).

Dietary assessment.

Dietary intakes in each subject were obtained for the 3-d period preceding venipuncture. Daily intakes of energy, protein, fat, carbohydrate and amino acids were then calculated for each subject with the use of standard food composition tables (The Nutrient Data Laboratory 1997Citation ).

Biochemical determinations.

Venous blood samples were obtained from each subject in the morning after a 12- to 14-h fast. Plasma was separated from a heparinized sample and used for the determination of amino acids by HPLC (Cohen et al. 1989Citation ) within 2 wk after storage at -70°C. Serum was separated from a clotted sample and used to determine total protein by biuret assay (Bender 1972Citation ), albumin by the bromocresol green dye-binding technique (General Diagnostic 1974Citation ), transferrin by the immunochemical reaction with a specific antibody (Turbiquant, Behringworke AG, Marburg, Germany), and retinol-binding protein (RBP) by a single radial immunodiffusion technique (LC-Partigen, Behringworke AG).

Statistical analysis.

Statistical analysis was performed using the SPSS for Windows Release 7.5.1 (Chicago, IL). Results were expressed as means ± SEM Comparisons were made between the two groups by a two-tailed Student’s t test. Linear and multiple regressions were used to evaluate the relative importance of the correlations among the various parameters.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Nutrient intake.

The daily energy intakes of female non-MSG users and MSG users were 7150 ± 680 and 7180 ± 780 kJ (means ± SEM), respectively. Their total daily protein intakes were 51.5 ± 4.0 and 53.6 ± 4.9 g, respectively [0.97 and 1.01 g/(kg·d)], and their daily protein intakes from animal sources were 31.2 ± 4.3 and 36.9 ± 4.4 g, respectively. Daily GLU intakes (free + protein-bound) from natural sources by female non-MSG users and female MSG users were 8.50 ± 0.64 and 8.65 ± 0.71 g, respectively [160 and 162 mg/(kg·d)]. The intake of added MSG was not determined because of the assumptions and inaccuracies inherent in attempting to make such calculations.

BMI and biochemical assessment.

Table 1Citation shows protein-energy status in the two groups assessed by BMI and serum protein levels including total protein, albumin, transferrin and RBP levels. Table 2Citation presents fasting plasma amino acid levels.


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Table 1. Age, body mass index (BMI), and serum protein levels in female users and non-users of MSG1

 

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Table 2. Plasma amino acid levels in female users and nonusers of monosodium glutamate (MSG)1

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The protein-energy status of each group of subjects was satisfactory, on the bases of the BMI ranges (20.0–24.9 kg/m2) and serum concentrations of total protein (>=65.0 g/L), albumin (>=35.0 g/L,), transferrin (>=2.0 g/L) and RBP (>=35 mg/dL) (Tanphaichitr 1994Citation ). The significantly higher serum RBP concentrations in the female MSG users, compared with those in the female non-MSG users, however, cannot be related to a difference in either protein or energy intakes. At present, we lack an explanation for this difference.

The major form in which GLU is ingested in the diet is as a constituent of protein. If our MSG users had a daily MSG intake of 1.5 g (Pothisiri et al. 1983Citation ) (equivalent to 1.17 g free GLU), this amount would contribute only ~11.9% of the total daily GLU intakes by female MSG users. Small, transient increases in plasma GLU concentrations have been observed when MSG is ingested with meals (Stegink 1984Citation , Tanphaichitr et al. 1983Citation ). The current data confirm that long-term MSG intake does not lead to a chronic elevation in fasting plasma GLU concentrations (when user values are compared with those of nonusers; see Table 2Citation ). They suggest further that there was no significant correlation between GLU intakes and fasting plasma GLU concentrations. These findings are consistent with recent studies involving intragastric infusions of isotopically labeled glutamate, which have revealed that >90% of enteral glutamate is catabolized by the tissues of the splanchnic bed (Battezzati et al. 1995Citation , Matthews et al. 1993Citation ), largely by the intestine (Reeds et al. 1996Citation ).

The significantly lower plasma glutamine concentrations in the MSG users compared with that in non-MSG users (Table 2)Citation could be due to the decrease in synthesis or increase in catabolism of this amino acid in these women.

In conclusion, these findings indicate that long-term intake of MSG is not associated with a chronic elevation of fasting plasma GLU concentrations; thus, the inference of toxicity based on assumptions of prolonged elevations in plasma glutamate is untenable. Further, these data add further indirect support to the large body of data affirming the safety of MSG for human consumption.


    FOOTNOTES
 
1 Presented at the International Symposium on Glutamate, October 12–14, 1998 at the Clinical Center for Rare Diseases Aldo e Cele Daccó, Mario Negri Institute for Pharmacological Research, Bergamo, Italy. The symposium was sponsored jointly by the Baylor College of Medicine, the Center for Nutrition at the University of Pittsburgh School of Medicine, the Monell Chemical Senses Center, the International Union of Food Science and Technology, and the Center for Human Nutrition; financial support was provided by the International Glutamate Technical Committee. The proceedings of the symposium are published as a supplement to The Journal of Nutrition. Editors for the symposium publication were John D. Fernstrom, the University of Pittsburgh School of Medicine, and Silvio Garattini, the Mario Negri Institute for Pharmacological Research. Back

2 Supported by a research grant from International Glutamate Technical Committee. Back

4 Abbreviations used: BMI, body mass index; GLU, glutamate; MSG, monosodium glutamate; RBP, retinol-binding protein. Back


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 SUBJECTS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Battezzati A., Brillon D. J., Matthews D. E. Oxidation of glutamic acid by the splanchnic bed in humans. Am. J. Physiol. 1995;269:E269-E276[Abstract/Free Full Text]

2. Bender G. T. Chemical Instrumentation: A Laboratory Manual: Based on Clinical Chemistry 1972:14-16 W..B. Saunders Co Philadelphia, PA.

3. Cohen S. A., Meys M., Tarvin T. L. The Pico 1989 Tag Method. Millipore Company Bedford, MA.

4. General Diagnostic Albustrate serum albumin reagent for manual automated analysis 1974 Warner-Lambert Morris Plains, NJ.

5. Matthews D. E., Marano M. ., Campbell R. G. Splanchnic bed utilization of glutamine and glutamic acid in humans. Am. J. Physiol. 1993;264:E848-E854[Abstract/Free Full Text]

6. Pothisiri P., Lawonprasert Y., Tanphaichitr V., Srianujata S. An investigation of apparent susceptibility of Chinese Restaurant Syndrome due to monosodium glutamate intake. Program and Abstracts of Fourth Asian Congress of Nutrition 1983:332 Saeng Printing Bangkok, Thailand abs.

7. Reeds P. J., Burrin D. G., Jahoor F., Wykes L., Henry J., Frazer E. M. Enteral glutamate is almost completely metabolized in first-pass by the gastrointestinal tract of infant pigs. Am. J. Physiol. 1996;270:E413-E418[Abstract/Free Full Text]

8. Stegink L.D. Aspartate and glutamate metabolism. Stegink L. D. Filer L. J., Jr eds. Physiology and Biochemistry 1984:47-75 Marcel Decker New York, NY.

9. Tanphaichitr V. Evaluation of nutritional status. Wahlqvist M. L. Vobecky J. S. eds. Medical Practice of Preventive Nutrition 1994:333-343 Smith-Gordon and Co., Ltd London, UK.

10. Tanphaichitr V., Srianujata S., Leelahagul P., Kulapongse S., Patchamisiri S., Pothisiri P. Effect of monosodium L-glutamate intake on protein-calorie status in healthy Thai adults. Nutr. Rep. Int. 1985;32:1073-1080

11. Tanphaichitr V., Srianujata S., Pothisiri P., Sammasut R., Kulapongse S. Postprandial responses to Thai foods with and without added monosodium L-glutamate. Nutr. Rep. Int. 1983;28:783-792

12. The Nutrient Data Laboratory (NDL) Composition of Foods: Raw Processed Prepared, USDA Nutrient Database for Standard Reference, Release No. 12 1997 Agricultural Research Service (ARS), Beltsville Human Nutrition Research Center, U.S. Department of Agriculture Beltsville, MD.





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