title: Umbilical threonine uptake during maternal threonine infusion in sheep.
abstract: OBJECTIVE
  The infusion into the maternal circulation of amino acid solutions failed to increase umbilical threonine (THR) uptake above normal even when THR was present in the infusate at a relatively high concentration. The purpose of the present study was to determine whether umbilical THR uptake can be increased by infusing a THR solution that does not contain any other amino acids.
  
  
  METHODS
  Five pregnant sheep (130+/-1.0 days after conception) were infused for 2h with a threonine solution (4.4+/-0.2 micromol.kg(-1).min(-1)). Plasma amino acids, glucose and lactate, hematocrit, blood O(2) content in maternal arterial, uterine venous, umbilical arterial and venous blood were measured. Uterine and umbilical blood flows were measured before and during the infusion and were used to calculate uterine and umbilical uptakes. Maternal and foetal plasma insulin and glucagon concentrations were also measured.
  
  
  RESULTS
  The THR infusion increased maternal plasma THR (904 vs 236 microM, P< 0.001), foetal plasma THR (539 vs 334 microM, P< 0.01), and both uterine (20.4 vs 4.7 micromol.min(-1).kg(-1)(fetalweight), P< 0.05) and umbilical (8.6 vs 3.8 micromol.min(-1).kg(-1)(fetalweight), P< 0.001) THR uptakes. The uterine-umbilical THR uptake difference increased significantly (11.8 vs 0.9 micromol.min(-1).kg(-1)(fetalweight), P< 0.05). There were significant (P< 0.001) decreases in the foetal arterial plasma concentrations of tyrosine and the branched chain amino acids, as well as in isoleucine umbilical uptake (P< 0.05). There was a significant increase in maternal plasma glucagon (P< 0.01).
  
  
  CONCLUSIONS
  A maternal THR infusion that causes a 3.8-fold increase in maternal plasma THR concentration above normal, with no significant increase in the concentration of other amino acids, leads to a 2.3-fold increase in umbilical THR uptake. This contrasts with the absence of a significant increase in umbilical THR uptake when THR was infused as part of an amino acid mixture in previous studies. The evidence supports the hypothesis that, in vivo, THR flux from placenta to foetus is mediated by a saturable, rate limiting transport system which is subject to inhibition by other neutral amino acids.
authors.affiliation: Department of Obstetrics & Gynecology, DMSD San Paolo, University of Milano, Italy.
authors.forename: C L
authors.initials: CL
authors.lastname: Paolini
authors.forename: C
authors.initials: C
authors.lastname: Teng
authors.forename: M
authors.initials: M
authors.lastname: Jóźwik
authors.forename: G
authors.initials: G
authors.lastname: Meschia
authors.forename: R B
authors.initials: RB
authors.lastname: Wilkening
authors.forename: F C
authors.initials: FC
authors.lastname: Battaglia
mesh_terms: D000596:Amino Acids / Q000032:analysis; D000818:Animals; D001692:Biological Transport / Q000502:physiology; D005260:Female; D005333:Fetus / Q000378:metabolism*; D007262:Infusions, Intravenous; D008431:Maternal-Fetal Exchange; D011247:Pregnancy; D012756:Sheep; D013912:Threonine / Q000008:administration & dosage / Q000493:pharmacokinetics*
chemical_list: D000596:Amino Acids; D013912:Threonine