The Intestinal Renal Axis For Arginine Synthesis Is Present And Functional In The Neonatal Pig
AJP Endocrinology and Metabolism
Published online on June 13, 2017
Abstract
The intestinal-renal axis for endogenous arginine synthesis is an interorgan process in which citrulline produced in the small intestine is utilized by the kidney for arginine synthesis. The function of this axis in neonates has been questioned because during this period the enzymes needed for arginine synthesis argininosuccinate synthase and lyase (ASS1 and ASL) are present in the gut. However, evidence of high plasma citrulline concentrations in neonates suggests otherwise. We quantified in vivo citrulline production in premature (10 d preterm), neonatal (7 d old) and young pigs (35 d old) using citrulline tracers. Neonatal pigs had higher fluxes (69 µmol•kg-1•h-1; P <0.001) than premature and young pigs (43 and 45 µmol•kg-1•h-1, respectively). Plasma citrulline concentration was also greater in neonatal pigs than in the other age groups. We also determined the site of synthesis and utilization of citrulline in neonatal and young pigs, measuring organ balances across the gut and the kidney. Citrulline was released from the gut and utilized by the kidney in both neonatal and young pigs. The abundance and localization of the enzymes involved in the synthesis and utilization were determined in intestinal and kidney tissue. Despite the presence of ASS1 and ASL in the neonatal small intestine, the lack of co-localization with the enzymes that produce citrulline results in the release of citrulline by the portal drained viscera and its utilization by the kidney to produce arginine. In conclusion, the intestinal-renal axis for arginine synthesis is present in the neonatal pig.