title: Aluminum does not accumulate in teenagers and adults on prolonged parenteral nutrition containing free amino acids.
abstract: Prolonged total parenteral nutrition (TPN) with solutions containing hydrolyzed casein has been associated with aluminum accumulation in patients with bone disease. We investigated the effects of free amino acids in TPN solution on plasma, urine, and bone aluminum in six patients, five of whom had symptoms of bone disease or documented demineralization. No evidence of aluminum accumulation was found. TPN with free amino acids, containing 42 micrograms aluminum per liter or less, does not lead to aluminum loading in adolescents or adults.
authors.forename: M B
authors.initials: MB
authors.lastname: Heyman
authors.forename: G L
authors.initials: GL
authors.lastname: Klein
authors.forename: A
authors.initials: A
authors.lastname: Wong
authors.forename: R R
authors.initials: RR
authors.lastname: Recker
authors.forename: J B
authors.initials: JB
authors.lastname: Tyrrell
authors.forename: A C
authors.initials: AC
authors.lastname: Alfrey
authors.forename: D J
authors.initials: DJ
authors.lastname: Sherrard
authors.forename: D C
authors.initials: DC
authors.lastname: Hohn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000535:Aluminum / Q000378:metabolism* / Q000633:toxicity; D000596:Amino Acids / Q000627:therapeutic use*; D001847:Bone Diseases / Q000139:chemically induced; D001842:Bone and Bones / Q000032:analysis; D005260:Female; D005526:Food, Formulated; D006801:Humans; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D013997:Time Factors
chemical_list: D000596:Amino Acids; D000535:Aluminum