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Common Name: L- Glutamine
Synonyms: Glutamine
Overview:
L-glutamine is one of the amino acids found in the double helix of
the DNA molecule. It is considered a semi-essential amino acid. Under
normal conditions, the body can make enough L-glutamine to meet its
needs. In times of great metabolic stress, steroidal hormones such as
cortisol are released into the blood stream. This elevation in cortisol
levels depletes the body’s store of L-glutamine. The body’s need for
glutamine outstrips its ability to produce it. L-glutamine then becomes
an essential amino acid and glutamine supplementation is essential to
restoring the damage caused by injury, surgery, infections and
conditions that produce prolonged periods of physical stress such as
athletic training.
L-glutamine is involved in many reactions in the body. It helps
maintain the acid-base balance. It also helps protect the body against
ammonia toxicity by transporting it from the peripheral tissue to the
kidneys by the kidneys or turned into urea in the liver. This
semi-essential amino acid is also responsible for nitrogen transport
within the body.
Benefits
L-glutamine has been extensively researched and:
- Studies conducted by Tomas Welbourne at Louisiana State
University College of Medicine showed that even small amounts of
L-glutamine caused a quadruple increase in the HGH levels when compared
to the placebo group. It was also found that this response of HGH to
L-glutamine did not diminish with age. The volunteers in this study
ranged from 32 to 64 years of age.
- Shown to significantly
strengthen the immune system. It has been shown to be an effective
adjunct in reducing infections in multiple trauma patients and
critically ill patients. A deficiency of this amino acid can
significantly slow the nealing process. Glutamine supplements have been
shown to reduce the infection rate following surgery and may aid in the
recovery from severe burns
- Found to be important in the
health of the gastro- intestinal mucosa. Because L-glutamine helps to
protect the lining of the digestive tract, it has been speculated that
a glutamine deficiency may be at the root of developing IBD
(inflammatory bowel disease). Preliminary research has suggested that
L-glutamine
- supplementation may improve the health of the
intestinal mucosa damaged in this syndrome. It promotes healing of the
cells that line the intestines and improves the diarrhea that is
associated with this syndrome
- Supplementation with
glutamine along with vitamin C, vitamin E, beta-carotene, selenium and
N-acetylcysteine has been shown to help prevent the severe loss of
muscle mass associated with advanced HIV.
- Animal studies have shown that L-glutamine may help as an appetite suppressant.
- That
athelets who over stress their muscles are more prone to infections and
slow recovery time without adequate L-glutamine intake. This is because
most of the body’s glutamine is stored in muscle tissue. In adequate
glutamine levels are associated with lower immune status and longer
recovery time.
- Supplementation with L-glutamine has proven
to be extrememely beneficial in treating the malnourishment that
accompanies chemotherapy and radiation treatments.
Recommended Dosage:
L-glutamine should be taken with cold or room temperature food or liquids as heat will destroy this amino acid.
Children who need supplementation with L-glutamine should do so
only under the supervision of a qualified health care provider.
Adult dosage ranges from 500-1,000mg per day. Doses has high as
5,000 to 15,000mg may be prescribed by a health care provider.
Precautions
Although L-glutamine is generally regarded as safe:
- People with kidney disease, liver disease, or Reye's
syndrome (a rare, sometimes fatal disease of childhood that is
generally associated with use of aspirin in conjunction with chicken
pox or an upper respiratory illness) should not take glutamine.
- Those with decreased kidney function should reduce the amount of glutamine supplements taken.
- Women who are pregnant or breastfeeding should consult a health care provider before using any supplements.
Interactions
Glutamine may increase the effectiveness and reduce the side effects
of chemotherapy treatments with doxorubicin, methotrexate, and
5-fluorouracil in people with colon cancer. Similarly, preliminary
studies suggest that glutamine supplements may prevent nerve damage
associated with a medication called paclitaxel, used for breast and
other types of cancers.
Printed Reference Material
- Abcouwer SF, Souba WW. Glutamine and arginine. In: Shils, ME, Olson JA, Shike M, Ross AC, eds. Modern Nutrition in Health and Disease. 9th ed. Baltimore, MD: Williams & Wilkins; 1999:559-569.
- Abcouwer SF. The effects of glutamine on immune cells [editorial]. Nutrition. 2000;16(1):67-69.
- Akobeng
AK, Miller V, Stanton J, Elbadri AM, Thomas AG. Double-blind randomized
controlled trial of glutamine-enriched polymeric diet in the treatment
of active Crohn's disease. J Pediatr Gastroenterol Nutr. 2000;30(1):78-84.
- Alexander JW, Ogle CK, Nelson JL. Diets and infection: composition and consequences. World J Surg. 1998;22(2):209-212.
- Amores-Sanchez MI, Medina MA. Glutamine, as a precursor of glutathione, and oxidative stress. Mol Genet Metab. 1999;67(2):100-105.
- Antoon AY, Donovan DK. Burn Injuries. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia, Pa: W.B. Saunders Company; 2000:287-294.
- Bellows CF, Jaffe BM. Glutamine is essential for nitric oxide synthesis by murine macrophages. J Surg Res. 1999;86(2):213-219.
- Berger
M, Spertini F, Shenkin A, et al. Trace element supplementation
modulates pulmonary infection rates after major burns: a double-blind,
placebo-controlled trial. Am J Clin Nutr. 1998;68:365-371.
- Bozzetti
F, Biganzoli L, Gavazzi C, et al. Glutamine supplementation in cancer
patients receiving chemotherapy: a double-blind randomized study. Nutrition. 1997;13:748-751.
- Buchman AL. Glutamine: commercially essential or conditionally essential? A critical appraisal of the human data. Am J Clin Nutr. 2001;74(1):25-32.
- Cao Y, Kennedy R, Klimberg VS. Glutamine protects against doxorubicin-induced cardiotoxicity. J Surg Res. 1999;85:178-182.
- Castell LM, Newsholme EA. The effects of oral glutamine supplementation on athletes after prolonged, exhaustive exercise. Nutrition. 1997;13:738–742.
- Charland SL, Bartlett DL, Torosian MH. A significant methotrexate-glutamine pharmacokinetic interaction. Nutr. 1995;11:154-158.
- Clark
RH, Feleke G, Din M, et al. Nutritional treatment for acquired
immunodeficiency virus-associated wasting using
beta-hydroxy-beta-methylbutyrate, glutamine, and arginine: a
randomized, double-blind placebo-controlled study. JPEN: J Parenter Enteral Nutr. 2000;24(3):133-139.
- Daniele
B, Perrone F, Gallo C, et al. Oral glutamine in the prevention of
fluorourcil induced intestinal toxicity: a double blind, placebo
controlled, randomized trial. Gut. 2001;48:28-33.
- Decker GM. Glutamine: indicated in cancer care? Clin J Oncol Nurs. 2002;6(2):112-115.
- Decker-Baumann
C, Buhl K. Reduction of chemotherapy-induced side-effects by parenteral
glutamine supplementation in patients with metastatic colorectal
cancer. Eur J Cancer. 1999;35:202-207.
- Den Hond
E. Hiele M, Peeters M, Ghoos Y, Rutgeerts P. Effect of long-term oral
glutamine supplements on small intestinal permeability in patients with
Crohn's disease. JPEN: J Parenter Enteral Nutr. 1999;23:7–11.
- De-Souza DA, Greene LJ. Pharmacological nutrition after burn injury. J Nutr. 1998;128:797-803.
- Dieleman LA, Heizer WD. Nutritional issues in inflammatory bowel disease. Gastroenterol Clin North Am.1998;27(2):435-451.
- Duffy MM, Regan MC, Ravichandran P, et al. Mucosal metabolism in ulcerative colitis and Crohn's disease. Dis Colon Rectum. 1998;41(11):1399-1405.
- Erickson R, Ross D, Medina J. Effects of glutamine on head and neck squamous cell carcinoma. Otolaryngol Head Neck Surg. 1999;121(4):348-354.
- Field CJ, Johnson IR, Schley PD. Nutrients and their role in host resistance to infection. J Leukoc Biol. 2002 Jan;71(1):16-32.
- Fujita T, Sakurai K. Efficacy of glutamine-enriched enteral nutrition in an experimental model of mucosal ulcerative colitis. Br J Surg. 1995;82(6):749-751.
- Furukawa S, Saito H, Fukatsu K, et al. Glutamine-enhanced bacterial killing by neutrophils from postoperative patients. Nutrition. 1997;13(10):863-869.
- Furukawa
S, Saito H, Inaba T, et al. Glutamine-enriched enteral diet enhances
bacterial clearance in protracted bacterial peritonitis, regardless of
glutamine form. JPEN: J Parenter Enteral Nutr. 1997;21(4):208-214.
- Furukawa
S. Saito H, Inoue T, et al. Supplemental glutamine augments
phagocytosis and reactive oxygen intermediate production by neutrophils
and monocytes from postoperative patients in vitro. Nutrition. 2000;1695):323-329.
- Garlick PJ. Assessment of the safety of glutamine and other amino acids. [Review]. J Nutr. 2001 Sep;131(9 Suppl):2556S-61S.
- Gianotti
L, Alexander JW, Pyles T, Fukushima R. Arginine-supplemented diets
improve survival in gut-derived sepsis and peritonitis by modulating
bacterial clearance. Ann Surg. 1993;217(6):644-654.
- Grimm
H, Kraus A. Immunonutrition--supplementary amino acids and fatty acids
ameliorate immune deficiency in critically ill patients. Langenbecks Arch Surg. 2001 Aug;386(5):369-376.
- Jebb
SA, Osborne RJ, Maughan TS. 5-fluorouracil and folinic acid-induced
mucositis: no effect of oral glutamine supplementation. Br J Cancer. 1994;70: 732-735.
- Levy J. Immunonutrition: the pediatric experience. Nutrition. 1998;14(7-8):641-647.
- Medina MA. Glutamine and cancer. J Nutr. 2001;131(9 Suppl):2539S-2542S; discussion 2550S-2551S.
- Meyer NA, Muller MJ, Herndon DN. Nutrient support of the healing wound. New Horizons. 1994;2(2):202-214.
- Miller AL. Therapeutic considerations of L-glutamine: a review of the literature. Altern Med Rev. 1999;4(4):239-248.
- Naka
S, Saito H, Hashiguchi Y, et al. Alanyl-glutamine-supplemented total
parenteral nutrition improves survival and protein metabolism in rat
protracted bacterial peritonitis model. J Parenter Enteral Nutr. 1996;20(6):417-423.
- Napoli M. Chemo effect alleviated. Health Facts. October 1998;23:6.
- Neu J, DeMarco V, Li N. Glutamine: clinical applications and mechanism of action. Curr Opin Clin Nutr Metab Care. 2002;5(1):69-75
- Noyer
CM, Simon D, Borczuk A, Brandt LJ, Lee MJ, Nehra V. A double-blind
placebo-controlled pilot study of glutamine therapy for abnormal
intestintal permeability in patients with AIDS. Am J Gastroenterol. 1998;93:972–975.
- Okuno
SH, Woodhouse CO, Loprinzi CL. Phase III controlled evaluation of
glutamine for decreasing stomatitis in patients receiving fluorouracil
(5-FU)-based chemotherapy. Am J Clin Oncol. 1999;22:258-261.
- Opara
EC, Petro A, Tevrizian A, et al. L-glutamine Supplementation of a high
fat diet reduces body weight and attenuates hyperglycemia and
hyperinsulinemia in C57BL/6J mice. J Nutr. 1996;126:273-279.
- Pizzorno JE, Murray MT. Textbook of Natural Medicine. Vol 1. 2nd ed. Edinburgh: Churchill Livingstone; 1999:527-528.
- Reeds PJ, Burrin DG. Glutamine and the bowel. J Nutr. 2001;131(9 Suppl):2505S-8S.
- Rouse
K, Nwokedi E, Woodliff JE, et al. Glutamine enhances selectivity of
chemotherapy through changes in glutathione metabolism. Ann Surg. 1995;221: 420-426.
- Rowbottom
DG, Keast D, Morton AR. The emerging role of glutamine as an indicator
of exercise stress and overtraining. [Review]. Sports Med. 1996;21(2):80-97.
- Rubio IT, Cao Y, Hutchins LF, et al. Effect of glutamine on methotrexate efficacy and toxicity. Ann Surg. 1998;227:772-780.
- Shabert
JK, Winslow C, Lacey JM, Wilmore DW. Glutamine antioxidant
supplementation increases body cell mass in AIDS patients with weight
loss: a randomized, double-blind controlled trial. Nutrition. 1999;11:860-864.
- Shabert JK, Wilmore DW. Glutamine deficiency as a cause of human immunodeficiency virus wasting. Med Hypotheses. March 1996; 46:252–256.
- Skubitz KM, Anderson PM. Oral glutamine to prevent chemotherapy induced stomatitis: a pilot study. J Lab Clin Med. 1996;127:223-228.
- Tavares
DC, Cecchi AO, Antunes LM, et al. Protective effects of the amino acid
glutamine and of ascorbic acid against chromosomal damage induced by
doxorubicin in mammalian cells. Teratog Carcinog Mutagen. 1998;18:153-161.
- Turowski
GA, Rashid Z, Hong F, Madri J, Basson MD. Glutamine modulates phenotype
and stimulates proliferation in human colon cancer cell lines. Cancer Res. 1994;54:5974-5980.
- Vahdat L, Papadopoulos K, Lange D, et al. Reduction of paclitaxel-induced peripheral neuropathy with glutamine. Clin Cancer Res. 2001;7(5):1192-1197.
- Wilmore DW. The effect of glutamine supplementation in patients following elective surgery and accidental injury. [Review]. J Nutr. 2001;131(9 Suppl):2543S-9S; discussion 2550S-1S.
- Yoshida S, Matsui M, Shirouzu Y, Fujita H, Yamana H, Shirouzu K. Effects of glutamine supplements and radiochemotherapy
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