Evidence map›Paper›PMID 33077272›Full record

ArticleClinical nutrition (Edinburgh, Scotland)2021

Plasma citrulline correlates with basolateral amino acid transporter LAT4 expression in human small intestine.

Stefano Maric, Pascal Flüchter, Laura Chiara Guglielmetti, Ralph Fabian Staerkle, Tom Sasse, Tanja Restin, Christoph Schneider, Stefan Gerhard Holland-Cunz, Pascal Crenn, Raphael Nicolas Vuille-Dit-Bille

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Article in Clinical nutrition (Edinburgh, Scotland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Stefano MaricUniversity of Basel, School of Medicine, Basel, Switzerland.
Pascal FlüchterInstitute of Physiology, University of Zurich, Switzerland.
Laura Chiara GuglielmettiDepartment of Visceral und Thoracic Surgery, Cantonal Hospital of Winterthur, Switzerland.
Ralph Fabian StaerkleClarunis, University Center for Gastrointestinal and Liver Diseases, Basel, Switzerland.
Tom SasseDepartment of Cardiology, University Hospital of Zurich, Switzerland.
Tanja RestinInstitute of Physiology, University of Zurich, Switzerland; Newborn Research Zurich, Department of Neonatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Christoph SchneiderInstitute of Physiology, University of Zurich, Switzerland.
Stefan Gerhard Holland-CunzDepartment of Pediatric Surgery, University Children's Hospital of Basel, Switzerland.
Pascal CrennHepato-gastroenterology and Nutrition, Hôpital Ambroise Paré, APHP-Université Paris Saclay, Boulogne Billancourt, France.
Raphael Nicolas Vuille-Dit-BilleInstitute of Physiology, University of Zurich, Switzerland; Department of Pediatric Surgery, University Children's Hospital of Basel, Switzerland. Electronic address: rnvuille@gmail.com.
University of Zurich · CHKantonsspital Winterthur · CHUniversité Paris-Saclay · FRUniversity Children’s Hospital Basel · CHUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsPlasma citrulline, a non-protein amino acid, is a biochemical marker of small intestine enterocyte mass in humans. Indeed, citrulline is highly correlated with residual bowel length in patients with short bowel syndrome. It is known to be synthesised in epithelial cells of the small intestine from other amino acids (precursors). Citrulline is then released into systemic circulation and interconverted into arginine in kidneys. If plasma citrulline concentration depends on abundance of intestinal amino acid transporters is not known. The aim of the present study was to explore whether plasma citrulline concentration correlates with the expression of intestinal amino acid transporters. Furthermore, we assessed if arginine in urine correlates with plasma citrulline.

methodsDuodenal samples, blood plasma and urine were collected from 43 subjects undergoing routine gastroduodenoscopy. mRNA expression of seven basolateral membrane amino acid transporters/transporter subunits were assessed by real-time PCR. Plasma and urine amino acid concentrations of citrulline, its precursors and other amino acids were analysed using High Performance Liquid Chromatography measurements. Amino acid transporter mRNA expression was correlated with blood plasma and urine levels of citrulline and its precursors using Spearman's rank correlation. Likewise, urine arginine was correlated with plasma citrulline.

resultsPlasma citrulline correlated with the mRNA expression of basolateral amino acid transporter LAT4 (Spearman's r = 0.467, p = 0.028) in small intestine. None of the other basolateral membrane transporters/transporter subunits assessed correlated with plasma citrulline. Plasma citrulline correlated with urinary arginine, (Spearman's r = 0.419, p = 0.017), but not with urinary citrulline or other proteinogenic amino acids in the urine.

conclusionsIn this study, we showed for the first time that small intestinal basolateral LAT4 expression correlates with plasma citrulline concentration. This finding indicates that LAT4 has an important function in mediating citrulline efflux from enterocytes. Furthermore, urine arginine correlated with plasma citrulline, indicating arginine in the urine as possible additional marker for small intestine enterocyte mass. Finally, basolateral LAT4 expression along the human small intestine was shown for the first time.

Indexed as

AdultAgedArginineBody Mass IndexCitrullineEnterocytesFemaleGene ExpressionHumansIntestine, SmallMaleMiddle AgedRNA, MessengerYoung AdultArginineCitrullineRNA, MessengerArginineCitrullineEnterocyte massLAT4Transport

Identifiers

PMID33077272
PMCPMC7546687
OpenAlexW3092115009

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.