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Comparison of urinary 5-L-oxoproline (L-pyroglutamate) during normal pregnancy in women in England and Jamaica

Published online by Cambridge University Press:  09 March 2007

Alan A Jackson
Affiliation:
Institute of Human Nutrition, University of Southampton, Bassett Crescent East, Southampton SO16 7PX
Chandarika Persaud
Affiliation:
Institute of Human Nutrition, University of Southampton, Bassett Crescent East, Southampton SO16 7PX
Geoff Werkmeister
Affiliation:
Department of Obstetrics and Gynaecology, University of Southampton, Princess Anne Hospital, Coxford Road, Southampton SO16 5YA
Irene S. M McClelland
Affiliation:
Institute of Human Nutrition, University of Southampton, Bassett Crescent East, Southampton SO16 7PX
Asha Badaloo
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona, Kingston 7, Jamaica
Terrence Forrester
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona, Kingston 7, Jamaica
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Abstract

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Urinary 5-L-oxoproline was measured during normal pregnancies in Southampton, England and Kingston, Jamaica. The CV of 5-L-oxoproline excretion in urine, determined over 7 d in a non-pregnant woman and three pregnant women, was 10–36%. Compared with non-pregnant women, urinary 5-L-oxoproline increased three to four times from early pregnancy in women in Southampton, a highly significant difference, and remained elevated at similar levels during mid and late pregnancy. For women in Kingston, the excretion of 5-L-oxoproline was similar to that of Southampton women in the non-pregnant group and during early pregnancy. However, there was a progressive increase in the excretion of 5-L-oxoproline as pregnancy advanced and by late pregnancy excretion was from three to ten times greater than the average for the non-pregnant women. There was a significant difference between the women in Southampton and the women in Kingston during mid and late pregnancy, with women in Kingston excreting twice as much 5-L-oxoproline during late pregnancy. If the excretion of 5-L-oxoproline is a measure of glycine insdciency, the results would indicate that in some pregnancies the ability of the mother to provide glycine for herself and the developing fetus is marginal or inadequate and the constraint appears more marked in Jamaica than in England.

Type
Human and Clinical Nutrition
Copyright
Copyright © The Nutrition Society 1997

References

REFERENCES

Abraham, G. N. & Podell, D. N. (1981). Pyroglutamic acid: non-metabolic formation, function in proteins and peptides, and characteristics of the enzyme effecting its removal. Molecular and Cellular Biochemistry 38, 181190.CrossRefGoogle ScholarPubMed
Arnstein, H. R. V. (1952). The metabolism of glycine. Advances in Protein Chemistry 9, 191.Google Scholar
Arnstein, H.R.V. & Stankovic, V. (1956). The effect of certain vitamin deficiencies on glycine biosynthesis. Biochemical Journal 62, 190198.CrossRefGoogle ScholarPubMed
Bonham, J. R., Rattenbury, J. M., Meeks, A. & Pollitt, R. J. (1989). Pyroglutamicaciduria from vigabatrin. Lancet i, 14521453.Google Scholar
Bonsnes, R. W. & Taussky, H.H. (1945). On the colorimetric determination of creatinine by Jaffe's reaction. Journal of Biological Chemistry 158, 581584.CrossRefGoogle Scholar
Branda, R. F. & Eaton, J. W. (1978). Skin colour and nutrient photolysis: an evolutionary hypothesis. Science 201, 625626.Google Scholar
Chanarin, I., Rothman, D., Ward, A. & Perry, J. (1968). Folates status and requirements in pregnancy. British Medical Journal ii, 390394.CrossRefGoogle Scholar
Chmielewska, I., Bulhak, B. & Toczko, K. (1967). Diketopiperazines and pyroglutamic acid utilization in the human organism. Bulletin de I'Academie Polonaise des Sciences 12, 719721.Google Scholar
Committee on Medical Aspects of Food Policy (1991). Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects no. 41. London: H.M.Stationery Office.Google Scholar
de Benoist, B., Jackson, A. A., Hall, J. S. E. & Persaud, C. (1985). Whole-body protein turnover in Jamaican women during normal pregnancy. Human Nutrition: Clinical Nutrition 39C, 167179.Google Scholar
Department of Health (1992). Folic Acid and the Prevention of Neural Tube Defects: Report from an Expert Advisory Group, Abstr. London: H.M. Stationery Office.Google Scholar
di Ilio, C., del Boccico, G., Casalone, E., Aceto, A. & Sacchetta, P. (1986). Activities of enzymes associated with the metabolism of glutathione in fetal rat liver and placenta. Biology ofthe Neonate 49, 96101.CrossRefGoogle Scholar
di Ilio, C., Sacchetta, P., del Boccico, G. & Polidoro, G. (1985). Glutathione-related enzymes in pregnant rat liver. Experientia 41, 6667.Google Scholar
Duff, E. M. W. & Cooper, E. S. (1994). Neural tube defects in Jamaica following Hurricane Gilbert. American Journal of Public Health 84, 473476.CrossRefGoogle ScholarPubMed
Duff, E. M. W., Cooper, E. S., Danbury, C. M., Johnson, B. E. & Serjeant, G. R. (1991). Neural tube defects in hurricane aftermath. Lancet 337, 120121.CrossRefGoogle ScholarPubMed
Food and Agriculture Organization/World Health Organization/United Nations University (1985). Energy and Protein Requirements. WHO Technical Report Series no. 552. Geneva: WHO.Google Scholar
Forrester, T., Badaloo, A. V., Persaud, C. & Jackson, A. A. (1994). Urea production and salvage during pregnancy in normal Jamaican women. American Journal of Clinical Nutrition 60, 341346.CrossRefGoogle ScholarPubMed
Gersovitz, M., Bier, D., Matthews, D., Udall, J., Munro, H. & Young, V. R. (1980). Dynamic aspects of whole body glycine metabolism: influence of protein intake in young adult and elderly males. Metabolism 29, 10871094.Google Scholar
Ghauri, F. Y. K., McLean, A. E. M., Beales, D., Wilson, I. D. & Nicholson, J. K. (1993). Induction of 5-oxoprolinuria in the rat following chronic feeding with N-acetyl 4-aminophenol (paracetamol). Biochemical Pharmacology 46, 953957.CrossRefGoogle ScholarPubMed
Hall, J. S. (1990). Zinc status during pregnancy in Jamaican women. MD Thesis, University of Sheffield.Google Scholar
Herbert, V., Colman, N., Spivack, M., Ocasio, E., Ghanta, V., Kimmel, K. & Scott, T. (1975). Folic acid deficiency in the United States. Folates assay in prenatal clinic. American Journal of Obstetrics and Gynecology 123, 175189.CrossRefGoogle ScholarPubMed
Hubbard, B. M. (1964). The role of folic acid in pregnancy. Journal of Obstetrics and Gynaecology of the British Commonwealth 71, 529542.Google Scholar
Hytten, F. E. & Chyne, G. A. (1971). The amino aciduria of pregnancy. Journal of Obstetrics and Gynaecology of the British Commonwealth 79, 424432.CrossRefGoogle Scholar
Jablonski, N. G. (1992). Sun, skin colour and spina bifida: an exploration of the relationship between ultraviolet light and neural tube defects. Proceedings of the Australasian Society for Human Biology 5, 455462.Google Scholar
Jackson, A. A. (1991). The glycine story. European Journal of Clinical Nutrition 4, 5965.Google Scholar
Jackson, A. A., Badaloo, A. V., Forrester, T., Hibbert, J. M. & Persaud, C. (1987). Urinary excretion of 5-oxoproline (pyroglutamic aciduria) as an index of glycine insufficiency in normal man. British Journal of Nutrition 58, 207214.Google Scholar
Jackson, A. A., Persaud, C., Meakins, T. S. & Bundy, R. (1996). Increased urinary excretion of 5-L-oxoproline (pyroglutamic acid) in normal adults consuming vegetarian or low protein diets. Journal of Nutrition 126 (In the Press).Google ScholarPubMed
Jackson, A. A., Shaw, J. C. L., Barber, A. & Golden, M. H. N. (1981). Nitrogen metabolism in preterm infants fed human donor breast milk: the possible essentiality of glycine. Pediatric Research 15, 14541461.CrossRefGoogle ScholarPubMed
Kitkay, D. Z. & Harbot, R. A. (1975). Iron and folic acid deficiency in pregnancy. Clinics in Perinatology 2, 225230.Google Scholar
Laidlaw, S. A. & Kopple, J. D. (1987). Newer concepts of the indispensable amino acids. American Journal of Clinical Nutrition 46, 593605.CrossRefGoogle ScholarPubMed
Landman, J. P. & Hall, J. S. (1988). Dietary patterns and nutrition in pregnancy in Jamaica. Journal of Tropical Pediatrics 35, 1015.Google Scholar
Larsson, A. (1981). 5-Oxoprolinuria. In Transport and Other Inborn Errors Related to the y-Glutamyl Cycle. Transporf and Inherited Diseases, p.277306. [Toothill, C., editor]. Lancaster: MTP Press.Google Scholar
Lund, P. (1984). UV-method with glutaminase and glutamate dehydrogenase. In Methods in Enzymology vol. 7, Metabolites 3. Lipids, Amino Acids and Related Compounds, pp. 357363 [Bergmeyer, H. U., editor] Oxford: Oxford Press.Google Scholar
McClelland, I.S.M., & Jackson, A. A. (1996). Urea kinetics in healthy young women: minimal effect of stage of menstrual cycle, contraceptive pill and protein intake. British Journal of Nutrition 76, 199209.CrossRefGoogle ScholarPubMed
McClelland, I.S.M., Persaud, C. & Jackson, A.A. (1997). Urea kinetics in healthy women during normal pregnancy. British Journal of Nutrition 77, 165181.CrossRefGoogle ScholarPubMed
McPartlin, J., Halligan, A., Scott, J. M., Darling, M. & Weir, D. G. (1991). Accelerated folate breakdown in pregnancy. Lancet 341, 148149.CrossRefGoogle Scholar
McPherson, H. T. & Slater, J. S. (1959). γ-amino-n-butyric, aspartic, glutamic and pyrrolidone carboxylic acid, and their determination and occurrence in grass conservation. Biochemical Journal 71, 654660.CrossRefGoogle Scholar
Meister, A. (1974). The γ-glutamyl cycle. Disease associated with specific enzyme deficiencies. Annals of Internal Medicine 81, 247253.CrossRefGoogle ScholarPubMed
MRC Vitamin Study Research Group (1991). Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 338, 131136.CrossRefGoogle Scholar
Neuberger, A. (1981). The metabolism of glycine and serine. Comprehensive Biochemistry 19A, 257303.Google Scholar
Oberholzer, V.G., Wood, C.B.S., Palmer, T. & Harrison, B. M. (1975). Increased pyroglutamic acid levels in Patients on artifical diets. Clinical Chemistry, 62, 299304CrossRefGoogle Scholar
Persaud, C. & Jackson, A. A. (1991). 5-Oxoprolinuria and glycine insufficiency. Clinical Chemistry 37, 16601661CrossRefGoogle Scholar
Persaud, C., McDermott, J., de Benoist, B. & Jackson, A. A. (1989). The excretion of 5-oxoproline in urine as an index of glycine status, during normal pregnancy. British Journal of Obstetrics and Gynaecology 96, 440444.CrossRefGoogle ScholarPubMed
Pitt, J. J. (1990). Association between paracetamol and pyroglutamic aciduria. Clinical Chemistry 36, 173174.CrossRefGoogle ScholarPubMed
Pitt, J. J., Brown, G. K., Clift, V. & Christodoulou, J. (1990). Atypical pyroglutamic aciduria: possible role of paracetamol. Journal of Inherited Metabolic Diseases 13, 755756.CrossRefGoogle ScholarPubMed
Quick, A. (1931). The conjugation of benzoic acid in man. Journal of Biological Chemistry 92, 6585.CrossRefGoogle Scholar
Ramakrishna, M., Krishnaswamy, P. R. & Rajagopal Rao, D. (1970). Metabolism of pyrrolidonecarboxylic acid in the rat. Biochemical Journal 118, 895897.CrossRefGoogle ScholarPubMed
Shinka, T., Inoue, Y., Kuhara, T., Matsumoto, M. & Matsumoto, I. (1985). Benzoylalanine: detection and identification of an alanine conjugate with benzoic acid in hyperammonemic patients treated with sodium benzoate. Clinica Chimica Acta 151, 293300.CrossRefGoogle ScholarPubMed
Taggart, N. (1977). Food habits in pregnancy. Proceedings ofthe Nutrition Society 20, 3540.Google Scholar
Thompson, G. N. & Halliday, D. (1992). Protein turnover in pregnancy. European Journal of Clinical Nutrition 46, 411417.Google Scholar
van der Wed, P. & Meister, A. (1975). The metabolic formation and utilization of 5-L-oxoproline (L-pyroglutamate, L-pyrolidone carboxylate). Advances in Enzymology 43, 519566.Google Scholar
van der Werf, P., Stephani, R. & Meister, A. (1974). Accumulation of 5-oxoproline in mouse tissue after inhibition of 5-oxoprolinase and administration of amino acids: evidence for function of the γ-glutamyl cycle. Proceedings of the National Academy of Sciences USA 71, 10261029.Google Scholar
Walraff, E. B., Brodie, E. C. & Bordon, A. L. (1950). Urinary excretion of amino acids in pregnancy. Journal of Clinical Investigation 29, 15421544.CrossRefGoogle Scholar
Widdowson, E.M., Southgate, D.A.T. & Hey, E. M. (1979). Body composition of the fetus and infant. In Nutrition and Metabolism of the Fetus and Infant, pp. 169177 [Visser, H. A. K., editor]. The Hague: Martinus Nijhoff.CrossRefGoogle Scholar
Yu, Y. M., Yang, R. D., Matthews, D. E., Wen, Z. M., Burke, J. F., Bier, D. M. & Young, V. R. (1985). Quantitative aspects of glycine and alanine nitrogen metabolism in postabsorptive young men: effect of level of nitrogen and dispensable amino acid intake. Journal of Nutrition 115, 399410.Google Scholar