Urinary excretion of sulfur amino acids and sulfur metabolites in burned patients receiving parenteral nutrition. 1982

J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo

The urinary excretion of sulfur-containing compounds was studied in 11 burned patients during the first 10 days after injury. They were all given carbohydrate and fat by parenteral nutrition. Two patients also received large amounts of amino acids including methionine, whereas five patients were given amino acids including moderate amounts of methionine and cysteine. A sustained high excretion of mercaptolactate occurred in most patients. The excretion was not influenced by the type of parenteral nutrition, but related to the area of burned skin. A normal excretion of methionine, cyst(e)ine, inorganic sulfate, taurine, mercaptoacetate, thiosulfate, and thiocyanate was found at the end of the observation period in patients without amino acid therapy. Increased amounts of inorganic sulfate and methionine were excreted in patients receiving high doses of methionine, whereas an increased cyst(e)ine and taurine excretion was the most prominent finding in patients receiving moderate amounts of methionine and cysteine. These results indicate that burned patients have an unimpaired ability to metabolize sulfur amino acids. Patients not receiving amino acids or receiving moderate amounts of cysteine and methionine showed a negative sulfur balance, whereas patients given high doses of methionine maintained sulfur balance at near-zero levels. However, since signs of hepatic dysfunction appeared in the latter group, parenteral nutrition with amino acid mixtures containing high amounts of methionine is not recommended during the catabolic phase for burned patients.

UI MeSH Term Description Entries
D008297 Male Males
D008715 Methionine A sulfur-containing essential L-amino acid that is important in many body functions. L-Methionine,Liquimeth,Methionine, L-Isomer,Pedameth,L-Isomer Methionine,Methionine, L Isomer
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010288 Parenteral Nutrition The administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered by a route other than the alimentary canal (e.g., intravenously, subcutaneously). Intravenous Feeding,Nutrition, Parenteral,Parenteral Feeding,Feeding, Intravenous,Feeding, Parenteral,Feedings, Intravenous,Feedings, Parenteral,Intravenous Feedings,Parenteral Feedings
D002056 Burns Injuries to tissues caused by contact with heat, steam, chemicals (BURNS, CHEMICAL), electricity (BURNS, ELECTRIC), or the like. Burn
D003545 Cysteine A thiol-containing non-essential amino acid that is oxidized to form CYSTINE. Cysteine Hydrochloride,Half-Cystine,L-Cysteine,Zinc Cysteinate,Half Cystine,L Cysteine
D005217 Fat Emulsions, Intravenous Emulsions of fats or lipids used primarily in parenteral feeding. Intravenous Fat Emulsion,Intravenous Lipid Emulsion,Lipid Emulsions, Intravenous,Emulsion, Intravenous Fat,Emulsion, Intravenous Lipid,Emulsions, Intravenous Fat,Emulsions, Intravenous Lipid,Fat Emulsion, Intravenous,Intravenous Fat Emulsions,Intravenous Lipid Emulsions,Lipid Emulsion, Intravenous
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
December 1982, Clinical nutrition (Edinburgh, Scotland),
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
January 1979, JPEN. Journal of parenteral and enteral nutrition,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
August 1988, The American journal of clinical nutrition,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
February 1978, Clinica chimica acta; international journal of clinical chemistry,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
January 2000, JPEN. Journal of parenteral and enteral nutrition,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
February 1993, The Annals of pharmacotherapy,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
January 1982, JPEN. Journal of parenteral and enteral nutrition,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
August 1990, Pediatric research,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
March 2017, Nutrients,
J Larsson, and S O Liljedahl, and J Mårtensson, and H Nordström, and B Schildt, and B Sörbo
January 1978, Der Internist,
Copied contents to your clipboard!