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Influence of dietary protein intake on whole-body protein turnover in chicks.

1. Experiments were conducted to investigate whether or not varying dietary protein intake affects whole-body protein turnover rates in young chicks. 2. Seven-d-old single comb White Leghorn male chicks were fed on diets with protein concentrations of 0, 100, 200 or 400 g/kg diet under conditions of ad libitum or equalised feeding. At the end of the experiments, the rate of protein synthesis and protein degradation in the whole body were measured in vivo. 3. The results showed that both fractional and absolute rates of protein synthesis increased with increasing dietary protein up to 200 g/kg; above this concentration they remained almost constant when feeding was ad libitum. 4. Similar responses were found with equalized feeding except that a significant reduction in protein synthesis was found when dietary protein was increased from 200 to 400 g/kg diet. 5. Less sensitive and almost parallel changes in protein degradation rates were found. 6. It was concluded that adaptation to varied dietary protein intake occurred primarily through changes in protein synthesis, accompanied by parallel alterations in protein degradation in the whole body.

Animal Nutritional Physiological Phenomena↗

Renal remodelling in dietary protein modified rat polycystic kidney disease.

Dietary protein restriction slows progression of the Han:SPRD-cy rat model of polycystic kidney disease. We undertook studies to examine the relative changes in interstitial and tubular pathology as a result of feeding an 8% casein (LP) diet to Han:SPRD-cy rats. Archival tissue from a previous study comparing LP and 20% casein (NP) diets was examined morphometrically after immunohistochemical or histochemical staining for apoptosis, proliferation antigens, interstitial fibrosis, and macrophage infiltration. Expression of common extracellular matrix genes was measured by Northern analysis. Animals fed LP diet demonstrated reduced tubular epithelial remodelling compared with animals fed NP diet by both proliferating cell nuclear antigen-positive cells (57.5 vs. 71.6 cells/mm epithelium, P=0.007) or apoptosis (31.2 vs. 35.6 cells/mm epithelium, P=0.006). Interstitial pathology demonstrated that LP feeding was associated with proportionately greater reductions in interstitial fibrosis (0.3 vs. 1.3 ml/kg body weight, P=0.003), interstitial cellularity (361 vs. 604 cells/high-power field, P=0.0002), and interstitial macrophages (67 vs. 149 cells/high-power field, P=0. 0002). Northern analysis only revealed significantly lower levels of monocyte chemoattractant protein mRNA (P=0.04) in animals fed the LP diet. Dietary protein restriction modifies both tubule and interstitium, with significant impact upon interstitial inflammation and fibrosis in the Han:SPRD-cy rat.

Animals↗

Effect of dietary protein on glomerular filtration rate in pregnancy.

High dietary protein intake is known to increase glomerular filtration rate in the nonpregnant state. The effects of dietary protein on renal function in human pregnancy are not well known. We studied 392 patients with singleton uncomplicated pregnancies at gestational ages of 7-40 weeks. Creatinine clearance was correlated with protein intake estimated from 24-hour dietary recall during the same period. Creatinine clearances were significantly higher when dietary protein was more than 50 g than when it was less than 50 g (P less than .005). The short- or long-term significance of this finding is unclear.

Dietary Proteins↗

Effects of dietary protein on uranyl-nitrate-induced acute renal failure.

The effects of dietary protein both before and after uranyl-nitrate-induced acute renal failure were investigated. Male Sprague-Dawley rats were maintained on high-protein (60%), normal-protein (20%), low-protein (5%) and no-protein diets for 8 days prior to intravenous administration of uranyl nitrate (10 mg/kg). Immediately following uranyl nitrate injection, some rats on normal-protein diets were switched to no-protein, low-protein or high-protein diets, while some of the rats on high-protein diets were switched to low-protein diets. Serum and urine creatinine levels and urine volumes were monitored for 2 weeks following uranyl nitrate treatment. Rats conditioned to no-protein and low-protein diets exhibited significantly lower mortalities than rats maintained on normal-protein diets. Rats maintained on high protein diets exhibited better renal function than rats maintained on lower dietary protein regimes, but these rats had mortality rates similar to rats maintained on normal-protein diets. Shifting the rats on normal-protein diets to low- or no-protein diets immediately after uranyl nitrate administration did not improve their renal function or survival rates. However, shifting the rats on normal-protein diets to high-protein diets immediately following uranyl nitrate injection resulted in significantly higher mortalities (93%) than in rats maintained on either normal or high dietary protein throughout the experimental period. Finally, shifting rats on high dietary protein to low-protein diets immediately following uranyl nitrate administration resulted in both improved renal function and survival compared with rats shifted from normal to restricted dietary protein (5%) immediately following uranyl nitrate injection.(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Kidney Injury↗

The effect of quantity and quality of dietary protein on drug metabolism.

Dietary protein deficiency is known to modify the response to the pharmacotoxicological activities of drugs and foreign compounds, due in part to altered rates of metabolism. Prediction of whether in vivo susceptibilities to foreign compounds are increased or decreased in protein deficient animals has been said to be related to the relative toxicites of the metabolic products. We have shown that weanling rats fed semipurified casein diets for 15 days show a 75% depression of hepatic microsomal mixed function oxidase activities. About one-fourth of this decrease is due to a retardation of the normal rate of liver cell proliferation and less microsomal protein; the remaining three-fourths is due to a reduction of the specific enzyme activity. This latter decrease is closely correlated with similar decreases in cytochrome P-450 and cytochrome c reductase activities and cytochrome P-450 contents. Although protein deficiency affects the relative contents of phosphatidylcholine and cytochrome P-450, this does not result in modifications of the Km for metabolism, as is seen with phenobarbital administration in the various dietary groups. The depression of mixed function oxidase enzyme activities caused by feeding the protein deficient diet for 15 days can be restored to normal by feeding the 20% casein diets for an additional 30 days in the case of aniline hydroxylase but only partially in the case of ethylmorphine N-demethylase. The complexities of determining the role of metabolism as a modulator of protein deficiency effects on foreign compound toxicity are discussed.

Aniline Hydroxylase↗

Significance of peptic digestion in rat pancreatic secretory response to dietary protein.

The importance of peptic digestion of dietary protein in pancreatic enzyme secretion and cholecystokinin (CCK) release was investigated in conscious rats. Native casein and native bovine serum albumin (BSA) were infused intragastrically and intra-intestinally, and the effect of peptic predigestion on the pancreatic secretory and plasma CCK responses to BSA were determined (all infused at 450 mg/h). When dietary proteins were infused intraduodenally, native casein was a much stronger stimulant of CCK release (5.8 +/- 0.6 vs. 1.6 +/- 0.2 pM) and pancreatic protein secretion [5,592 +/- 736 vs. 750 +/- 461 (0-180)mg.kg-1.min] than native BSA. Infusion by the intragastric route markedly increased pancreatic protein secretion for BSA but not for casein. HCl-pepsin treatment of BSA significantly increased its ability to increase pancreatic secretion and plasma CCK. Pancreatic protease binding to native BSA was inferior compared with casein. Peptic digestion of BSA increased its protease binding activity more than threefold. The results indicate that peptic digestion of dietary proteins enhances the proteins' ability to elicit the pancreatic feedback stimulatory response.

Animals↗

Effect of varying quantity and quality of dietary protein intake in experimental renal disease in rats.

Dietary protein restriction is known to be beneficial in the preservation of renal function when renal mass is reduced. This study investigates the effects of two different dietary proteins, casein and soya, upon renal function in normal rats and rats subjected to subtotal nephrectomy. The diets were isocaloric, with identical sodium, potassium and phosphorus contents. Normal rats ingesting a 24% soya protein diet demonstrate lower effective renal plasma flow rates and lower glomerular filtration rates than rats ingesting a 24% casein diet. Experimental animals were subjected to a unilateral nephrectomy and contralateral partial renal infarction and were fed either casein or soya, at 24 or 12% levels, for 3 months. Those animals ingesting the soya diets demonstrated improved survival (p less than 0.05), less proteinuria (p less than 0.02), less renal hypertrophy (p less than 0.005) and less renal histological damage. The nature of the dietary protein appears to influence both normal renal function and the progression of experimentally induced renal disease.

Animals↗

Dietary protein effects on cholesterol and lipoprotein concentrations: a review.

Different dietary proteins exert different effects on plasma cholesterol concentrations. Animal studies have shown that animal proteins, most notably casein, increase plasma total cholesterol concentrations compared with vegetable proteins, such as soy. Soy protein has been shown to be hypocholesterolemic in rats, swine, primates, and rabbits. Epidemiologic studies have disclosed that vegetarians have lower mean plasma cholesterol concentrations than populations consuming diets of mixed proteins, but it is unclear whether this effect results specifically from the animal or vegetable nature of the protein. In human clinical experiments, substituting soy protein for mixed protein reduces plasma total cholesterol concentration in hypercholesterolemic subjects, but it causes only a small, nonsignificant change in persons with normal plasma cholesterol concentrations. The mechanism responsible for the effects of different proteins on plasma cholesterol concentrations has not been established. One hypothesis suggests that animal proteins, which have a greater content of phosphorylated amino acids than vegetable proteins, interfere with bile acid reabsorption. Another hypothesis suggests that the amino acid content of the protein affects cholesterol absorption, tissue storage, synthesis, and excretion. The dietary protein may also alter cholesterol metabolism by affecting plasma hormone concentrations, either postprandially or over weeks to months. Among the hormones thought to be affected by dietary protein source are insulin, glucagon, and thyroid hormones. Gastrointestinal hormones, such as gastrointestinal inhibitory polypeptide, may also be affected by dietary protein.

Amino Acids↗

Protein selection, food intake, and body composition in response to the amount of dietary protein.

Though not universally observed, moderately low-protein diets have been found to increase caloric intake and body fat. It appears that animals overeat in calories in order to obtain more dietary protein. For animals to control protein intake, they must be able to distinguish between two isocaloric diets containing different percentages of protein and make the appropriate dietary selection on the basis of their previous history of protein intake. Experiment 1 examined the 24-h diet selection (5 vs. 35% casein) of Sprague-Dawley rats that had been previously fed diets containing various percentages of dietary protein (5, 10, 20, 35, or 60% casein). Animals fed 5, 10, or 20% dietary protein showed a preference for the higher protein selection diet. In contrast, no significant diet preference was found in animals pre-fed the two higher levels of dietary protein (35 or 60% casein). In this study, daily food intake and body fat of rats fed the low-protein diets (5 and 10% casein) were similar to rats fed the 20% casein diet. Experiment 2 examined the effects of the level of methionine supplementation on rats fed 10% casein. In this study, food intake and body fat were increased by approximately 20% in rats fed 10% casein diets, regardless of the level of methionine supplementation (0.3 vs. 0.15%). Together, the results suggest that the presence of low-protein-induced hyperphagia helps maintain body protein levels in the face of moderately low dietary protein and promotes an increase in the amount of body fat and energy.

Adipose Tissue↗

Influence of dietary protein on glomerular angiotensin II-receptor binding in normotensive and spontaneously hypertensive rats.

1. The binding of angiotensin II to glomerular receptors was studied in spontaneously hypertensive and normotensive Wistar-Kyoto rats in response to 7, 16 and 32% isocaloric, isonatraemic protein diets. 2. Increased dietary protein elevated the systemic angiotensin II levels of both spontaneously hypertensive and Wistar-Kyoto rats [F0.05(2,26) = 4.758, P less than 0.05; n = 36], and this was not associated with changes in either systemic blood pressure or cortical renin activity. 3. Furthermore, no significant changes in the affinity or density of angiotensin II receptors were associated with changes of dietary protein intake in either strain. 4. These results indicate a dissociation between the system renin-angiotensin system and the tissue renin-angiotensin system in response to protein intake.

Angiotensin II↗

Elderly women need dietary protein to maintain bone mass.

Excess dietary protein is considered a risk factor for osteoporosis owing to the potential for renal acid load. Researchers who conducted a recent prospective study of older adults reported that animal protein had a protective role for bone, especially in elderly women, whereas plant protein was negatively associated with bone mineral density. An interaction between protein and calcium suggested protein alone was not the important factor. Other studies confirm the beneficial effect of increasing dietary protein intake in older women to reduce bone mineral density loss and risk of fracture, suggesting that emphasis should be placed on promoting adequate protein intake in elderly women.

Aged↗

Response surface analyses of the effects of dietary protein on feeding and growth patterns in mice from weaning to maturity.

Responses of food intake, protein intake, gross energy intake and body weight of mice from weaning to maturity to dietary protein level were studied. Thirteen groups of ddY male mice were fed purified diets covering the entire range (0-100%) of protein concentration on a gross energy basis for 68 d. The food intake and body weight data in each group were analyzed by nonlinear regression to obtain values of the six parameters in Parks' feeding and growth equations. These parameters, found as a function of the protein content of diet, were then used to construct the response surfaces of food intake and body weight over the dietary protein versus age space. At every protein level the daily energy intake rose rapidly with age to a plateau at about 7-14 d after weaning and was maintained throughout the experiment. Daily energy intake was independent of the dietary protein content except at very low dietary protein contents. Consequently, from 21 to 89 d of age daily protein intake was directly proportional to dietary protein level. These results imply that mice ate for energy rather than protein when fed diets varying in protein content in the range of 10-80%. Body weight as a function of time after weaning increased to a plateau at every dietary protein level, but the details of the pattern of growth were affected by the dietary protein level. Further, the response surface of body weight versus dietary protein level and age was analyzed to find the protein requirement of mice for maximal growth during a given interval from weaning.

Aging↗

Diabetic nephropathy: is dietary protein harmful?

The suggested harmful effect of dietary protein on renal function in diabetic nephropathy was tested in three groups of insulin-dependent diabetic patients: 1) 10 patients without signs of nephropathy in spite of at least 30 years of diabetes; 2) 11 patients with nephropathy and reduced but stable glomerular filtration rate (GFR) (decline less than 4 ml/min per year [mean 1.8] during the last 2 years); 3) 10 patients with progressive nephropathy with GFR declining by an average of 11 ml/min per year. Dietary protein intake was estimated from a dietary history interview, as well as from urinary excretion of nitrogen (mean = 4.7 samples). Both methods showed a wide range of protein intake in all three groups of patients (0.6-2.3 g/kg body weight [BW]). The mean values did not differ between the groups, 1.30, 1.34, and 1.24 g/kg BW by interview, and 1.20, 1.10, and 1.13 g based on urinary nitrogen levels. There was no correlation between rate of decline of GFR and protein intake, even in those patients with no or minimal decline. These results do not support the hypothesis that dietary protein is a factor of importance in the development or progression of human diabetic nephropathy.

Adult↗

The relation between dietary protein, calcium and bone health in women: results from the EPIC-Potsdam cohort.

BACKGROUND/AIMS: The role of dietary protein in bone health is controversial. The objective of the present study was to examine the association between protein intake, dietary calcium, and bone structure measured by broadband ultrasound attenuation (BUA). METHODS: Our analysis includes 8,178 female study participants of the European Prospective Investigation into Cancer and Nutrition (EPIC) Potsdam Study. Ultrasound bone measurements were performed on the right os calcis, and BUA was determined. Dietary intake was assessed by a standardized food frequency questionnaire. We applied linear regression models to estimate the association between dietary protein and BUA. RESULTS: After multivariate adjustment, high intake of animal protein was associated with decreased BUA values (beta = -0.03; p = 0.010) whereas high vegetable protein intake was related to an increased BUA (beta = 0.11; p = 0.007). The effect of dietary animal protein on BUA was modified by calcium intake. CONCLUSION: High consumption of protein from animal origin may be unfavourable, whereas a higher vegetable protein intake may be beneficial for bone health. Our results strengthen the hypothesis that high calcium intake combined with adequate protein intake based on a high ratio of vegetable to animal protein may be protective against osteoporosis.

Adult↗

Modulation of albuminuria by dietary protein and converting enzyme inhibition.

Both dietary protein restriction and angiotensin converting enzyme inhibitors (CEI) reduce proteinuria in experimental renal disease. To determine whether the effects of dietary protein on albuminuria (UalbV) in nephrotic rats are modified by CEI, we measured UalbV and glomerular filtration rate (GFR) in rats with passive Heymann nephritis fed 40 (HP) or 8.5% (LP) protein diets. Half of each group received enalapril beginning 2 days after injection of antibody. Enalapril prevented the greater UalbV and fractional clearance of albumin (FCalb) observed in HP (HP + enalapril, 136 +/- 44 mg/day and 0.88 +/- 0.54 X 10(-2), vs. HP, 368 +/- 60 mg/day and 4.40 +/- 2.90 X 10(-2), P less than 0.05 and P less than 0.05, respectively) but did not alter GFR significantly. Enalapril did not alter UalbV or FCalb in LP. To determine if CEI would reduce UalbV in rats after proteinuria was already present, rats fed 21% protein were studied 1 wk after the onset of proteinuria. Enalapril decreased UalbV (423 +/- 35 to 169 +/- 18 mg/day, P less than 0.001) and FCalb (3.19 +/- 0.36 X 10(-2) to 0.71 +/- 0.11 X 10(-2), P less than 0.001) after 3 days. Thus CEI reduced albuminuria in nephrotic rats fed high- or normal-protein diets without modifying GFR or serum albumin. This effect may be due to changes in glomerular hemodynamics or permselectivity.

Albuminuria↗