Skip to main content
Erschienen in: Osteoporosis International 7/2007

01.07.2007 | Original Article

Comparative effects of oral aromatic and branched-chain amino acids on urine calcium excretion in humans

verfasst von: B. Dawson-Hughes, S. S. Harris, H. M. Rasmussen, G. E. Dallal

Erschienen in: Osteoporosis International | Ausgabe 7/2007

Einloggen, um Zugang zu erhalten

Abstract

Summary

In 30 adults, increasing intake of aromatic amino acids increased calcium excretion and serum IGF-1, but not indices of bone turnover, when compared with similar increases in intake of branched-chain amino acids. The mechanisms involved are not certain but these findings suggest a role for the calcium sensor receptor.

Introduction

In contrast to branched-chain amino acids (BCAAs), aromatic amino acids (AAAs) bind to the calcium sensing receptor (CaR) and thus have an increased potential to affect calcium homeostasis. In this study we compare the effects of increased intake of AAAs versus BCAAs on calcium excretion, serum IGF-1, markers of bone turnover, and 4-hr calcium excretion after an oral calcium load.

Methods

After two weeks on low-protein metabolic diets, 30 healthy subjects were randomized to a fivefold increase in intake of AAAs or BCAAs for two weeks. Changes in calcium excretion and other measures were compared in the two groups.

Results

With the increase in amino acid intake, 24-hr calcium excretion (P = 0.027), IGF-1 (P = 0.022), and 4-hr calcium excretion after an oral load (P = 0.023) increased significantly in the AAA relative to the BCAA group. Group changes in turnover markers did not differ significantly.

Conclusion

In comparison with BCAAs, AAAs promoted calcium excretion. The calciuria does not appear to result from increases in bone resorption and may occur by increasing calcium absorption. The AAAs also increased circulating levels of IGF-1. Collectively these findings raise the possibility that AAAs may selectively influence calcium homeostasis through their interactions with the CaR.
Literatur
1.
Zurück zum Zitat Hegsted M, Schuette SA, Zemel MB et al (1981) Urinary calcium and calcium balance in young men as affected by level of protein and phosphorus intake. J Nutr 111:553–562PubMed Hegsted M, Schuette SA, Zemel MB et al (1981) Urinary calcium and calcium balance in young men as affected by level of protein and phosphorus intake. J Nutr 111:553–562PubMed
2.
Zurück zum Zitat Frassetto LA, Todd KM, Morris RC Jr et al (1998) Estimation of net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Am J Clin Nutr 68:576–583PubMed Frassetto LA, Todd KM, Morris RC Jr et al (1998) Estimation of net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Am J Clin Nutr 68:576–583PubMed
3.
Zurück zum Zitat Sprague SM, Krieger NS, Bushinsky DA (1994) Greater inhibition of in vitro bone mineralization with metabolic than respiratory acidosis. Kidney Int 46:1199–1206PubMedCrossRef Sprague SM, Krieger NS, Bushinsky DA (1994) Greater inhibition of in vitro bone mineralization with metabolic than respiratory acidosis. Kidney Int 46:1199–1206PubMedCrossRef
4.
Zurück zum Zitat Arnett TR, Spowage M (1996) Modulation of the resorptive activity of rat osteoclasts by small changes in extracellular pH near the physiological range. Bone 18:277–279PubMedCrossRef Arnett TR, Spowage M (1996) Modulation of the resorptive activity of rat osteoclasts by small changes in extracellular pH near the physiological range. Bone 18:277–279PubMedCrossRef
5.
Zurück zum Zitat Bushinsky DA (1996) Metabolic alkalosis decreases bone calcium efflux by suppressing osteoclasts and stimulating osteoblasts. Am J Physiol 271:F216–F222PubMed Bushinsky DA (1996) Metabolic alkalosis decreases bone calcium efflux by suppressing osteoclasts and stimulating osteoblasts. Am J Physiol 271:F216–F222PubMed
6.
Zurück zum Zitat Kerstetter JE, O’Brien KO, Insogna KL (1998) Dietary protein affects intestinal calcium absorption. Am J Clin Nutr 68:859–865PubMed Kerstetter JE, O’Brien KO, Insogna KL (1998) Dietary protein affects intestinal calcium absorption. Am J Clin Nutr 68:859–865PubMed
7.
Zurück zum Zitat Kerstetter JE, O’Brien KO, Caseria DM et al (2005) The impact of dietary protein on calcium absorption and kinetic measures of bone turnover in women. J Clin Endocrinol Metab 90:26–31PubMedCrossRef Kerstetter JE, O’Brien KO, Caseria DM et al (2005) The impact of dietary protein on calcium absorption and kinetic measures of bone turnover in women. J Clin Endocrinol Metab 90:26–31PubMedCrossRef
8.
Zurück zum Zitat Conigrave AD, Quinn SJ, Brown EM (2000) L-amino acid sensing by the extracellular Ca2+-sensing receptor. Proc Natl Acad Sci USA 97:4814–4819PubMedCrossRef Conigrave AD, Quinn SJ, Brown EM (2000) L-amino acid sensing by the extracellular Ca2+-sensing receptor. Proc Natl Acad Sci USA 97:4814–4819PubMedCrossRef
9.
Zurück zum Zitat Cheng I, Qureshi I, Chattopadhyay N et al (1999) Expression of an extracellular calcium-sensing receptor in rat stomach. Gastroenterology 116:118–126PubMedCrossRef Cheng I, Qureshi I, Chattopadhyay N et al (1999) Expression of an extracellular calcium-sensing receptor in rat stomach. Gastroenterology 116:118–126PubMedCrossRef
10.
Zurück zum Zitat Geibel JP, Wagner CA, Caroppo R et al (2001) The stomach divalent ion-sensing receptor scar is a modulator of gastric acid secretion. J Biol Chem 276:39549–39552PubMedCrossRef Geibel JP, Wagner CA, Caroppo R et al (2001) The stomach divalent ion-sensing receptor scar is a modulator of gastric acid secretion. J Biol Chem 276:39549–39552PubMedCrossRef
11.
Zurück zum Zitat Ray JM, Squires PE, Curtis SB et al (1997) Expression of the calcium-sensing receptor on human antral gastrin cells in culture. J Clin Invest 99:2328–2333PubMed Ray JM, Squires PE, Curtis SB et al (1997) Expression of the calcium-sensing receptor on human antral gastrin cells in culture. J Clin Invest 99:2328–2333PubMed
12.
Zurück zum Zitat Busque SM, Kerstetter JE, Geibel JP et al (2005) L-type amino acids stimulate gastric acid secretion by activation of the calcium-sensing receptor in parietal cells. Am J Physiol-Gastrointest Liver Physiol 289:G664–G669PubMed Busque SM, Kerstetter JE, Geibel JP et al (2005) L-type amino acids stimulate gastric acid secretion by activation of the calcium-sensing receptor in parietal cells. Am J Physiol-Gastrointest Liver Physiol 289:G664–G669PubMed
13.
Zurück zum Zitat Isley WL, Underwood LE, Clemmons DR (1983) Dietary components that regulate serum somatomedin-C concentrations in humans. J Clin Investiga 71:175–182CrossRef Isley WL, Underwood LE, Clemmons DR (1983) Dietary components that regulate serum somatomedin-C concentrations in humans. J Clin Investiga 71:175–182CrossRef
14.
Zurück zum Zitat Schurch MA, Rizzoli R, Slosman D et al (1998) Protein supplements increase serum insulin-like growth factor-I levels and attenuate proximal femur bone loss in patients with recent hip fracture. A randomized, double-blind, placebo-controlled trial. Ann Int Med 128:801–809PubMed Schurch MA, Rizzoli R, Slosman D et al (1998) Protein supplements increase serum insulin-like growth factor-I levels and attenuate proximal femur bone loss in patients with recent hip fracture. A randomized, double-blind, placebo-controlled trial. Ann Int Med 128:801–809PubMed
15.
Zurück zum Zitat Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (2005) Dietary reference intakes: energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Institute of Medicine-Washington, DC 1060–1061 Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (2005) Dietary reference intakes: energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Institute of Medicine-Washington, DC 1060–1061
16.
Zurück zum Zitat Jorgensen K (1957) Titrimetric determination of the net excretion of acid/base in urine. Scand J Clin Lab Invest 9:28–291 Jorgensen K (1957) Titrimetric determination of the net excretion of acid/base in urine. Scand J Clin Lab Invest 9:28–291
17.
Zurück zum Zitat Chan JC (1972) The rapid determination of urinary titratable acid and ammonium and evaluation of freezing as a method of preservation. Clin Biochem 5:94–98PubMedCrossRef Chan JC (1972) The rapid determination of urinary titratable acid and ammonium and evaluation of freezing as a method of preservation. Clin Biochem 5:94–98PubMedCrossRef
18.
Zurück zum Zitat Maurer M, Riesen W, Muser J et al (2003) Neutralization of Western diet inhibits bone resorption independently of K intake and reduces cortisol secretion in humans. Am J Physiol-Renal 284:F32–F40 Maurer M, Riesen W, Muser J et al (2003) Neutralization of Western diet inhibits bone resorption independently of K intake and reduces cortisol secretion in humans. Am J Physiol-Renal 284:F32–F40
19.
Zurück zum Zitat Sebastian A, Morris RC Jr (1994) Improved mineral balance and skeletal metabolism in postmenopausal women treated with potassium bicarbonate. New Engl J Med 330:1776–1781PubMedCrossRef Sebastian A, Morris RC Jr (1994) Improved mineral balance and skeletal metabolism in postmenopausal women treated with potassium bicarbonate. New Engl J Med 330:1776–1781PubMedCrossRef
20.
Zurück zum Zitat Broadus AE, Dominguez M, Bartter FC (1978) Pathophysiological studies in idiopathic hypercalciuria: use of an oral calcium tolerance test to characterize distinctive hypercalciuric subgroups. J Clin Endocrinol Metab 47:751–760PubMedCrossRef Broadus AE, Dominguez M, Bartter FC (1978) Pathophysiological studies in idiopathic hypercalciuria: use of an oral calcium tolerance test to characterize distinctive hypercalciuric subgroups. J Clin Endocrinol Metab 47:751–760PubMedCrossRef
21.
Zurück zum Zitat Harvey JA, Zobitz MM, Pak CY (1988) Dose dependency of calcium absorption: a comparison of calcium carbonate and calcium citrate. J Bone Miner Res 3:253–258PubMedCrossRef Harvey JA, Zobitz MM, Pak CY (1988) Dose dependency of calcium absorption: a comparison of calcium carbonate and calcium citrate. J Bone Miner Res 3:253–258PubMedCrossRef
22.
Zurück zum Zitat Thissen JP, Ketelslegers JM, Underwood LE (1994) Nutritional regulation of the insulin-like growth factors. Endocrine Reviews 15:80–101PubMedCrossRef Thissen JP, Ketelslegers JM, Underwood LE (1994) Nutritional regulation of the insulin-like growth factors. Endocrine Reviews 15:80–101PubMedCrossRef
23.
Zurück zum Zitat Noguchi T (2000) Protein nutrition and insulin-like growth factor system. Br J Nutr 84(Suppl 2):S241–S244PubMedCrossRef Noguchi T (2000) Protein nutrition and insulin-like growth factor system. Br J Nutr 84(Suppl 2):S241–S244PubMedCrossRef
24.
Zurück zum Zitat Canaff L, Petit JL, Kisiel M et al (2001) Extracellular calcium-sensing receptor is expressed in rat hepatocytes. coupling to intracellular calcium mobilization and stimulation of bile flow. J Biol Chem 276:4070–4079PubMedCrossRef Canaff L, Petit JL, Kisiel M et al (2001) Extracellular calcium-sensing receptor is expressed in rat hepatocytes. coupling to intracellular calcium mobilization and stimulation of bile flow. J Biol Chem 276:4070–4079PubMedCrossRef
25.
Zurück zum Zitat Law WM Jr, Heath H III (1985) Familial benign hypercalcemia (hypocalciuric hypercalcemia). Clinical and pathogenetic studies in 21 families. Ann Int Med 102:511–519PubMed Law WM Jr, Heath H III (1985) Familial benign hypercalcemia (hypocalciuric hypercalcemia). Clinical and pathogenetic studies in 21 families. Ann Int Med 102:511–519PubMed
26.
Zurück zum Zitat Cecconi E, Bogazzi F, Cetani F et al (2003) Impaired GH secretion to provocative stimuli in two families with hypocalciuric hypercalcaemia. Clin Endocrinol 59:604–606CrossRef Cecconi E, Bogazzi F, Cetani F et al (2003) Impaired GH secretion to provocative stimuli in two families with hypocalciuric hypercalcaemia. Clin Endocrinol 59:604–606CrossRef
Metadaten
Titel
Comparative effects of oral aromatic and branched-chain amino acids on urine calcium excretion in humans
verfasst von
B. Dawson-Hughes
S. S. Harris
H. M. Rasmussen
G. E. Dallal
Publikationsdatum
01.07.2007
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 7/2007
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-006-0320-x

Weitere Artikel der Ausgabe 7/2007

Osteoporosis International 7/2007 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

15.05.2024 Knie-TEP Nachrichten

Der Einsatz von Operationsrobotern für den Einbau von Totalendoprothesen des Kniegelenks hat die Präzision der Eingriffe erhöht. Für die postoperative Zufriedenheit der Patienten scheint das aber unerheblich zu sein, wie eine Studie zeigt.

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

15.05.2024 Vordere Kreuzbandruptur Nachrichten

Mit dem Hebelzeichen-Test lässt sich offenbar recht zuverlässig feststellen, ob ein vorderes Kreuzband gerissen ist. In einer Metaanalyse war die Vorhersagekraft vor allem bei positivem Testergebnis hoch.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.