Citrulline: from metabolism to therapeutic use.: citrulline: metabolism and therapeutic

International audienceCitrulline possesses a highly specific metabolism that bypasses splanchnic extraction because it is not used by the intestine or taken up by the liver. The administration of citrulline may be used to deliver available nitrogen for protein homeostasis in peripheral tissues and as an arginine precursor synthesized de novo in the kidneys and endothelial and immune cells. Fresh research has shown that citrulline is efficiently transported across the intestinal luminal membrane by a set of transporters belonging to the B⁰,⁺, L, and b⁰,⁺ systems. Several pharmacokinetic studies have confirmed that citrulline is efficiently absorbed when administered orally. Oral citrulline could be used to deliver arginine to the systemic circulation or as a protein anabolic agent in specific clinical situations, because recent data have suggested that citrulline, although not a component of proteins, stimulates protein synthesis in skeletal muscle through the mammalian target of rapamycin signaling pathway. Hence, citrulline could play a pivotal role in maintaining protein homeostasis and is a promising pharmaconutrient in nutritional support strategies for malnourished patients, especially in aging and sarcopenia

Impairment of arginine metabolism in rats after massive intestinal resection: effect of parenteral nutrition supplemented with citrulline compared with arginine

A B S T R A C T Arginine homoeostasis is impaired in short bowel syndrome, but its supplementation in short bowel syndrome patients remains controversial. Recently, we demonstrated the benefits of citrulline supplementation by the enteral route in resected rats. Since the first step in managing short bowel syndrome is to initiate total parenteral nutrition, we hypothesized that parenteral citrulline supplementation would be more appropriate in this situation than arginine supplementation. In the present study, 24 rats were assigned to four groups. The sham group underwent transection whereas the three other groups underwent resection (R) of 80 % of the small intestine. All rats were then fed exclusively by total parenteral nutrition as follows: supplementation with citrulline (R + CIT), with arginine (R + ARG) or no supplementation (R). All of the rats received isocaloric and isonitrogenous nutrition for 4 days. Nitrogen balance was measured daily. Rats were then killed and the blood was collected and the intestinal mucosa and extensor digitorum longus muscle were removed for amino acid and protein analysis. Citrulline and arginine increased mucosal protein content in the ileum (compared with sham and R, P < 0.05). However, only citrulline prevented extensor digitorum longus atrophy (R + CIT, 130 + − 3 mg compared with R, 100 + − 6 mg and R + ARG, 110 + − 2 mg, P < 0.05). In addition, arginine worsened nitrogen balance (R + ARG, 104 + − 46 mg/72 h compared with R, 249 + − 69 mg/72 h, P < 0.05). Only citrulline was able to prevent muscle atrophy and it was achieved independently from any noticeable effect on the gut in particular because citrulline and arginine share the same effect on mucosal ileal protein content. These results suggest that citrulline should be considered as a potential supplement for total parenteral nutrition of short bowel syndrome patients

Assessing Adherence to Healthy Dietary Habits Through the Urinary Food Metabolome:Results From a European Two-Center Study

BACKGROUND: Diet is one of the most important modifiable lifestyle factors in human health and in chronic disease prevention. Thus, accurate dietary assessment is essential for reliably evaluating adherence to healthy habits. OBJECTIVES: The aim of this study was to identify urinary metabolites that could serve as robust biomarkers of diet quality, as assessed through the Alternative Healthy Eating Index (AHEI-2010). DESIGN: We set up two-center samples of 160 healthy volunteers, aged between 25 and 50, living as a couple or family, with repeated urine sampling and dietary assessment at baseline, and 6 and 12 months over a year. Urine samples were subjected to large-scale metabolomics analysis for comprehensive quantitative characterization of the food-related metabolome. Then, lasso regularized regression analysis and limma univariate analysis were applied to identify those metabolites associated with the AHEI-2010, and to investigate the reproducibility of these associations over time. RESULTS: Several polyphenol microbial metabolites were found to be positively associated with the AHEI-2010 score; urinary enterolactone glucuronide showed a reproducible association at the three study time points [false discovery rate (FDR): 0.016, 0.014, 0.016]. Furthermore, other associations were found between the AHEI-2010 and various metabolites related to the intake of coffee, red meat and fish, whereas other polyphenol phase II metabolites were associated with higher AHEI-2010 scores at one of the three time points investigated (FDR < 0.05 or β ≠ 0). CONCLUSION: We have demonstrated that urinary metabolites, and particularly microbiota-derived metabolites, could serve as reliable indicators of adherence to healthy dietary habits. CLINICAL TRAIL REGISTRATION: www.ClinicalTrials.gov, Identifier: NCT03169088

Quelle place pour les adventices dans l’épidémiosurveillance ? Rapport au Comité National d’Epidémiosurveillance

La gestion des adventices est à juste titre considérée comme un frein majeur à l’adoption deméthodes intégrées de conduite des cultures peu dépendantes en produits phytosanitaires.Leur dynamique d’infestation se construisant sur plusieurs saisons culturales du fait du stock desemences dans le sol, les plantes adventices ne peuvent être gérées comme le seraient d’autresravageurs dépendant des seuls paramètres saisonniers pour déclencher leur épidémie. Pourautant notre groupe conclut que l’épidémiosurveillance des adventices peut être utile à unerationalisation des moyens de lutte. Elle peut permettre, sur le pas de temps court, d’optimiseren saison le choix tactique et le timing des interventions de tout ordre ayant un impact sur lesadventices et doit pour cela apparaître clairement dans les Bulletins de Santé du Végétal (BSV).Sa compilation sur plusieurs saisons permettra de mieux saisir l’évolution de la flore et depointer du doigt les facteurs responsables sous-jacents. Ceux-ci constituent autant d’éléments àintégrer dans l’analyse du risque et les préconisations stratégiques qui peuvent en découler. (...

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Citrulline: from biology to therapeutic

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