We have recently demonstrated dose dependent suppression of proteolysis with graded amino acid (aa) infusion in healthy term neonates (Am J Physiol, 1997). Rates of proteolysis are higher in preterm individuals, perhaps related to a greater need for aa supply for tissue remodeling and rapid growth. We hypothesized that preterm neonates would be resistant to suppression of proteolysis in response to aa infusion. To assess this, we measured the endogenous rates of appearance (Ra) of the essential aa's leucine (LEU) and phenylalanine (PHE) (reflecting proteolysis), LEU oxidation (LEU OX) and phenylalanine hydroxylation (PHE OH) (reflecting irreversible losses), and utilization of LEU and PHE for protein synthesis (PS) in 7 clinically stable preterm infants (32±0.5 wks gestation, 1.5±0.1 kg birth wt, 1.4±0.1 kg study wt, 6±1 days of age) during a basal glucose infusion (6mg/kg/min) and in response to a graded infusion of aa's (Aminosyn PF-1.2 & 2.5gm/kg/day).

RESULTS: (Mean±SE, kinetics in μmol/kg/hr, p<0.05*compared to basal state, **compared to basal and AA1)Table

Table 1
Full size table

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