Three adult human subjects were maintained for 7 days (period I) on a protein-free formula diet containing the minimum daily requirements of the eight essential amino acids plus 40 g glycine. During the last 5 days of this period, the average daily nitrogen balances for the three subjects were +0.52, +0.71, and +0.30 g, respectively. During the next 7 days (period II), valine was withdrawn from the diet, and the glycine ration increased by an equimolar amount. During the last 5 days of period II, average daily nitrogen balances declined to -1.82, -1.61, and -1.87 g, respectively. In the final period of 7 days (period III), the keto analogue of valine, α-ketoisovaleric acid, was added to the diet in a quantity equimolar to the minimum daily requirement of valine. During the last 5 days of this period, average daily nitrogen balances improved to -0.02, -0.18, and -0.83 g, respectively. Analogous experiments in three subjects involved the withdrawal from the diet of phenylalanine (period II) and replacement by its keto analogue, phenylpyruvic acid (period III). The average daily nitrogen balances were as follows: period I: +1.04, +0.96, and +0.53 g; period II: -1.45, -1.83, and -1.94 g; period III: +0.07, +0.11, and -0.52 g.
Daniel Rudman
Title and authors | Publication | Year |
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Is There a Role for Ketoacid Supplements in the Management of CKD?
AP Shah, K Kalantar-Zadeh, JD Kopple |
American Journal of Kidney Diseases | 2015 |
Role of branched-chain ketoacids in protein metabolism
M Walser |
Kidney International | 1990 |
Amino acid metabolism in uremia
P Fürst |
Journal of the American College of Nutrition | 1989 |
Nephrologie
HJ Gurland, KM Koch, W Schoeppe, P Scigalla |
Néphrologie | 1989 |
Utilization of alpha-ketoisocaproate for protein synthesis in uremic rats
K Tungsanga, CW Kang, M Walser |
Kidney International | 1986 |
Therapy of Renal Diseases and Related Disorders
WN Suki, SG Massry |
1984 | |
Prevention of Kidney Disease and Long-Term Survival
MM Avram |
1982 | |
Der Nahrungsbedarf des Menschen
H Kraut, E Kofrányi, E Mohr, W Wirths |
1981 | |
Fatigue of human polymorphonuclear leukocyte function associated with bacterial ingestion
JS Matheisz, JC Allen |
Clinical Immunology and Immunopathology | 1979 |
Transamination of branched-chain keto acids by isolated perfused rat kidney
WE Mitch, W Chan |
American journal of physiology. Endocrinology and metabolism | 1978 |
Impaired Neutrophil Function and Myeloperoxidase Deficiency in Myeloid Metaplasia
H El-Maallem, J Fletcher |
British Journal of Haematology | 1977 |
Effects of oral neomycin and kanamycin in chronic uremic patients: I. Urea metabolism
WE Mitch, PS Lietman, M Walser |
Kidney International | 1977 |
The Glutamine Transaminase-ω-Amidase Pathwa
AJ Cooper, A Meister, EE Snell |
Critical Reviews in Biochemistry and Molecular Biology | 1977 |
Utilization of calcium L-phenyllactate as a substitute for phenylalanine by uremic patients
WE Mitch, M Walser |
Metabolism | 1977 |
Phenylalanine ammonia-lyase. Induction and purification from yeast and clearance in mammals
RR Fritz, DS Hodgins, CW Abell |
The Journal of biological chemistry | 1976 |
Alcohol and Abnormal Protein Biosynthesis
M Oratz, MA Rothschild |
Alcohol and Abnormal Protein Biosynthesis | 1975 |
Utilization of α-Keto and α-Hydroxy Analogues of Valine by the Growing Rat
RK Chawla, D Rudman |
Journal of Clinical Investigation | 1974 |
Nitrogen Sparing Induced by a Mixture of Essential Amino Acids Given Chiefly as Their Keto-Analogues during Prolonged Starvation in Obese Subjects
DG Sapir, OE Owen, T Pozefsky, M Walser |
Journal of Clinical Investigation | 1974 |
The Use of Amino Acid Precursors in Nitrogen-Accumulation Diseases
JH Close |
New England Journal of Medicine | 1974 |
The Effect of Keto-analogues of Essential Amino Acids in Severe Chronic Uremia
M Walser, AW Coulter, S Dighe, FR Crantz |
Journal of Clinical Investigation | 1973 |
Therapeutic Aspects of Nutrition
JH Jonxis, HK Visser, JA Troelstra |
1973 | |
UTILISATION OF KETOACID ANALOGUES OF VALINE AND PHENYLALANINE IN HEALTH AND URÆMIA
C Giordano, CD Pascale, ME Phillips, NG Santo, P Fürst, CL Brown, BJ Houghton, P Richards |
The Lancet | 1972 |
SYNTHESIS OF PHENYLALANINE AND VALINE BY HEALTHY AND URÆMIC MEN
P Richards, BJ Houghton, CL Brown, E Thompson |
The Lancet | 1971 |