scholarly journals RAIDING OF BODY TISSUE PROTEIN TO FORM PLASMA PROTEIN AND HEMOGLOBIN

1947 ◽  
Vol 85 (3) ◽  
pp. 277-286 ◽  
Author(s):  
G. H. Whipple ◽  
L. L. Miller ◽  
F. S. Robscheit-Robbins
Keyword(s):  
Weight Loss ◽  
Plasma Protein ◽  
The Body ◽  
Blood Protein ◽  
Rapid Weight Loss ◽  
Blood Proteins ◽  
Body Protein ◽  
Tissue Protein ◽  
Protein Output ◽  
Urinary Nitrogen

Dogs with sustained anemia and hypoproteinemia due to bleeding and a continuing low protein or protein-free diet with abundant iron will continue to produce much new hemoglobin and plasma protein for many weeks. The stimulus of double depletion (anemia and hypoproteinemia) leads to raiding of body and tissue protein to fill the demand for new hemoglobin and plasma protein. The blood proteins in these experiments take priority over the organ and tissue proteins. This is another illustration of the "ebb and flow" or dynamic equilibrium between organ or tissue protein and blood proteins. The average dog cannot tolerate this drain of double depletion for more than 7 to 11 weeks and during this time may lose 30 to 40 per cent of body weight. Some dogs are much more resistant to this raiding than others. Some dogs show a high blood protein output during every week up to the danger point. With the largest blood protein output one usually observes the most rapid weight loss. For every kilogram of weight loss we observe 50 to 140 gm. blood protein output. The weekly blood protein production ranges from 40 to 66 gm. These experiments make heavy demands on the body protein and we expected to record a "premortal rise" in urinary nitrogen. No such observations are noted, rather a most frugal use of all protein and minimum figures for urinary nitrogen. We suspect that "premortal rise" in many experiments means a terminal infection with the related catabolism of tissue protein and high urinary nitrogen.

scholarly journals HEMOGLOBIN AND PLASMA PROTEIN

1943 ◽  
Vol 77 (4) ◽  
pp. 375-396 ◽  
Author(s):  
F. S. Robscheit-Robbins ◽  
L. L. Miller ◽  
G. H. Whipple
Keyword(s):  
Amino Acids ◽  
Amino Acid ◽  
Plasma Protein ◽  
The Body ◽  
Acid Mixture ◽  
Blood Proteins ◽  
Body Protein ◽  
Growth Mixture ◽  
Amino Acid Mixtures ◽  
Hemoglobin Production

Given healthy dogs, fed abundant iron and protein-free or low protein diets, with sustained anemia due to bleeding, we can study the capacity of these animals to produce simultaneously new hemoglobin and plasma protein. The reserve stores of blood protein producing materials in this way are very largely depleted, and levels of 6 to 8 gm. per cent for hemoglobin and 4 to 5 gm. per cent for plasma protein can be maintained for considerable periods of time. These dogs are very susceptible to infection and to injury by many poisons. Under such conditions, these anemic and hypoproteinemic dogs will use very efficiently a variety of digests (serum, hemoglobin, and casein) and the growth mixture (Rose) of pure amino acids. Nitrogen balance is maintained and considerable new blood proteins are produced. Dog plasma by vein is used freely in these doubly depleted dogs to make new hemoglobin in abundance (Table 1). Serum digests by vein are well utilized to make new hemoglobin and plasma protein in the same dogs (Table 1). Serum digests by mouth are effectively used to make new blood proteins (Table 5). Dog or sheep hemoglobin given in large amounts intraperitoneally are remarkably well utilized to form hemoglobin and plasma protein (Table 6). It must be obvious that the globin of the hemoglobin is saved in these protein-depleted dogs and used to make large amounts of hemoglobin and plasma protein. Hemoglobin digests are also well utilized whether given by mouth (Table 7) or by vein (Table 8) and liberal amounts of plasma protein are manufactured from digests presumably ideally suited for hemoglobin production. Casein digests are well used (Table 8) and form as much new plasma protein as any material tested—even serum digests. Amino acid mixtures are of especial interest. The growth mixture of 10 amino acids (Rose) is well utilized by mouth or by vein and favors new hemoglobin production more than any material tested (Table 2). Cystine replacing methionine in the amino acid mixture increases the plasma protein—hemoglobin output ratio, that is it favors plasma protein production. Digests of various sorts and amino acid mixtures or combinations of digests and amino acid mixtures can be used rapidly and effectively to build new hemoglobin or plasma protein, to maintain nitrogen equilibrium, and to replete reserve protein stores. These experiments point to clinical problems. The unexplained preference given to hemoglobin production in these hypoproteinemic dogs is observed under all conditions, even when whole plasma or serum digests are given by vein. In general, 2 to 4 gm. of hemoglobin are formed for every gram of plasma protein. This all adds up to a remarkable fluidity in the use of plasma protein or hemoglobin which can contribute directly to the body protein pool from which are evolved, without waste of nitrogen, the needed proteins, whether hemoglobin, plasma protein, or tissue proteins.

scholarly journals DOG PLASMA PROTEIN GIVEN BY VEIN UTILIZED IN BODY METABOLISM OF DOG

1935 ◽  
Vol 61 (2) ◽  
pp. 283-297 ◽  
Author(s):  
W. T. Pommerenke ◽  
H. B. Slavin ◽  
D. H. Kariher ◽  
G. H. Whipple
Keyword(s):  
Plasma Protein ◽  
Plasma Proteins ◽  
Cell Concentration ◽  
The Body ◽  
Red Cell ◽  
Tissue Protein ◽  
Repair Tissue ◽  
Dog Plasma ◽  
Nitrogen Elimination ◽  
Urinary Nitrogen

Foreign plasma protein (horse) introduced parenterally into the protein fasting dog is not utilized in the body economy. Its fate appears to be disintegration and elimination as excess urinary nitrogen. This is totally different from the fate of dog plasma protein under similar conditions. Dog hemoglobin given parenterally to the protein fasting dog is not utilized as is dog plasma protein to keep the animal in nitrogen equilibrium but the globin is largely broken down and discarded as excess urinary nitrogen. A small part of the injected hemoglobin is probably utilized to maintain the red cell concentration in the blood at high levels. Dog plasma given parenterally in a protein fasting dog will maintain the dog in nitrogen equilibrium and there is no surplus nitrogen elimination in the after periods. It is apparent that the introduced plasma protein is utilized efficiently in body metabolism to replace or repair tissue protein. It is suggested that although this is an emergency reaction the same reactions may go on in normal internal metabolism. The observation that foreign plasma and dog hemoglobin cannot be utilized when given parenterally actually strengthens this last argument for a normal contribution from plasma proteins to body proteins.

scholarly journals ANEMIA PLUS HYPOPROTEINEMIA IN DOGS

1951 ◽  
Vol 94 (3) ◽  
pp. 223-242 ◽  
Author(s):  
G. H. Whipple ◽  
F. S. Robscheit-Robbins
Keyword(s):  
Plasma Protein ◽  
Plasma Proteins ◽  
Blood Protein ◽  
Blood Proteins ◽  
Food Proteins ◽  
Total Blood ◽  
Egg Protein ◽  
Protein Output ◽  
Hemoglobin Production ◽  
Beef Muscle

Dogs with sustained anemia plus hypoproteinemia due to bleeding and a continuing low protein or protein-free diet containing abundant iron have been used in the present work to test food proteins and supplements as to their See PDF for Structure capacity to produce new hemoglobin and plasma proteins. The reserve stores of blood protein-producing materials are thus largely depleted in such animals and sustained levels of 6 to 8 gm. per cent hemoglobin and 4 to 5 gm. per cent plasma protein can be maintained for considerable periods of time. The stimulus of double depletion drives the body to use all protein building materials with the utmost conservation. This represents a severe biological test for food and body proteins and its assay value must have significance. Measured by this biological test in these experiments, casein stands well up among the best food proteins. The ratio of plasma protein to hemoglobin is about 40 to 50 per cent, which emphasizes the fact that these dogs produce on most diets about 2 gm. hemoglobin to 1 gm. plasma protein. The reason for this preference for hemoglobin production is obscure. The mass of circulating hemoglobin is greater even in this degree of anemia and the life cycle of hemoglobin is much longer than that of the plasma protein. Egg protein, egg albumin, and lactalbumin all favor the production of more plasma protein and less hemoglobin as compared with casein. The plasma protein to hemoglobin ratio is increased, sometimes above 100 per cent. Supplements to the above proteins of casein digests or several amino acids may return the response toward that which is standard for casein. Histidine as a supplement to egg protein increases the total blood protein output and brings the ratio of plasma protein to hemoglobin toward that of casein. Beef muscle goes to the other extreme and favors new hemoglobin production up to 4 gm. hemoglobin to 1 gm. plasma protein—a ratio of 25 per cent. The total amounts of new blood proteins are high. Lactalbumin as compared with casein shows a lower total blood protein output and a plasma protein to hemoglobin ratio of 70 to 90 per cent. Amino acid supplements are less effective. See PDF for Structure Fibrin is a good food protein in these experiments—much like casein. When fed over these 5 week periods it causes a sustained increase in blood fibrinogen. Folic acid in the doses given has no effect on the expected response to various diets. Peanut flour is a very poor diet for the production of new hemoglobin and plasma proteins. Small supplements of casein and beef show a significant response with improved output of blood proteins. Soy bean flour gives a poor response and wheat gluten a good response with adequate output of blood proteins. Visceral products show some variety. Beef heart is not as effective as beef muscle. Beef spleen, kidney, and pancreas give good responses but not up to casein. Pig stomach, beef brain, and calf thymus are below average. The plasma protein to hemoglobin ratio shows a narrow range (40 to 60 per cent) in experiments with visceral products.

scholarly journals PROTEIN METABOLISM AND EXCHANGE AS INFLUENCED BY CONSTRICTION OF THE VENA CAVA

1948 ◽  
Vol 87 (6) ◽  
pp. 457-471 ◽  
Author(s):  
Frank W. McKee ◽  
Paul R. Schloerb ◽  
John A. Schilling ◽  
Garson H. Tishkoff ◽  
George H. Whipple
Keyword(s):  
Ascitic Fluid ◽  
Plasma Proteins ◽  
Vena Cava ◽  
High Protein Diet ◽  
Negative Influence ◽  
The Body ◽  
High Protein ◽  
Protein Diet ◽  
Body Protein ◽  
Protein Output

Constriction of inferior vena cava above the diaphragm is used to produce experimental ascites in the dog. This type of experimental ascites drains the body protein reserves, reduces the level of circulating plasma proteins, and in effect is an internal plasmapheresis. As the ascitic fluid is withdrawn and the proteins measured, we observe a production of ascitic protein (80–90 gm. per week) comparable to that removed by plasmapheresis (bleeding and replacement of red cells in saline). High protein diet tends to decrease the ascites but the protein content of the ascitic fluid may increase. Sodium chloride increases notably the volume of the ascites which accumulates and the total ascitic protein output increases. Sodium-free salt mixtures have a negative influence. High protein diet low in sodium salts gives minimal ascitic accumulation under these conditions. The question of circulation of the ascitic fluid is raised—how rapid is the absorption and the related accumulation?

scholarly journals DIETARY EFFECTS ON ANEMIA PLUS HYPOPROTEINEMIA IN DOGS

1949 ◽  
Vol 89 (3) ◽  
pp. 359-368 ◽  
Author(s):  
F. S. Robscheit-Robbins ◽  
G. H. Whipple
Keyword(s):  
Weight Loss ◽  
Plasma Protein ◽  
Protein Production ◽  
Wheat Gluten ◽  
Peanut Flour ◽  
Blood Protein ◽  
Base Line ◽  
Total Blood ◽  
Dietary Effects ◽  
Hemoglobin Production

Casein (purified or commercial) in this type of experiment falls in the top bracket as a protein consistently favorable for maximal new hemoglobin and plasma protein production in doubly depleted dogs (anemic and hypo-proteinemic). Lactalbumin is less favorable for total blood protein production and the ratio of plasma protein to hemoglobin is high—that is lactalbumin favors plasma protein production as compared with casein, or is less favorable for hemoglobin production. Peanut flour (purified or commercial) is less than half as effective as casein in promoting new blood protein production. The ratio of plasma protein to hemoglobin is about the same as casein. Wheat gluten as tested is distasteful to dogs. It is neither very good nor very poor for blood protein production when it is eaten. There is nothing unusual about the response. Weight loss usually confuses the picture. Liver stands as a control base line for the above experiments. Its capacity to further hemoglobin and plasma protein production is well established. The production of hemoglobin was about 3 times that of plasma protein in the experiments.

Injuries and Rapid Weight Loss in Elite Adolescent Taekwondo Athletes: A Korean Prospective Cohort Study

2020 ◽  
Author(s):  
ChanWoo Kim ◽  
Ki Jun Park
Keyword(s):  
Weight Loss ◽  
Injury Severity ◽  
Female Athletes ◽  
Injury Rate ◽  
The Body ◽  
Rapid Weight Loss ◽  
Weight Class ◽  
Injury Rates ◽  
Body Regions ◽  
The Mean

Abstract Objectives To report injury patterns associated with training activities of elite adolescent Taekwondo athletes who are expected to represent South Korea in the future. Methods Beginning in 2019, we prospectively collected data on elite adolescent Taekwondo athletes at the Korean Training Center. The athletes were assessed by sports medicine doctors, and data were stratified according to sex, weight class, injury location, injuries during the weight loss period, and weight loss method. We used χ2 tests were used to compare groups. Injury rates were expressed as Poisson rates with 95% confidence intervals. Results There were 117 male and 102 female elite adolescent Taekwondo athletes. The mean weight loss among athletes was 3.37 (±1.23) kg, and the mean duration of weight loss was 7.53 (±3.40) days. In general, all athletes used similar weight loss methods. We recorded 846 injuries (annual average, 3.98 injuries/athlete). In general, female athletes had higher injury rates than their male counterparts. Additionally, the athletes had significantly higher injury rates during weight loss periods than during other periods of training. When all athletes were considered, most injuries occurred in the lower extremities (63.2%), followed by the trunk (14.2%), upper extremities (16.3%), and the head and neck area (6.3%). The injury severity significantly influenced the body regions in weight categories. Conclusion Rapid weight loss is related to the incidence of sports damage in athletes. Most injuries occur during weight loss periods in South Korean elite adolescent Taekwondo athletes. Moreover, the injury rate and injury severity depends on weight class.

scholarly journals HEMOGLOBIN AND PLASMA PROTEIN PRODUCTION

1946 ◽  
Vol 83 (6) ◽  
pp. 463-475 ◽  
Author(s):  
F. S. Robscheit-Robbins ◽  
L. L. Miller ◽  
G. H. Whipple
Keyword(s):  
Plasma Protein ◽  
Protein Production ◽  
Protein Supplementation ◽  
Blood Protein ◽  
Supporting Evidence ◽  
Food Proteins ◽  
Low Protein ◽  
Loss Of Appetite ◽  
Protein Diets ◽  
Protein Output

Given healthy dogs, fed abundant iron and protein-free or low protein diets, with sustained anemia and hypoproteinemia due to bleeding, we can study the capacity of these animals to produce simultaneousiy new hemoglobin and plasma protein. The reserve stores of blood protein-producing materials in this way are largely depleted, and levels of 6 to 8 gm. per cent for hemoglobin and 4 to 5 gm. per cent for plasma protein can be maintained for considerable periods of time. These dogs are very susceptible to infection and to injury by many poisons. Dogs tire of these diets and loss of appetite terminates many experiments. These incomplete experiments are not recorded in the present paper but give supporting evidence in harmony with those tabulated. Under these conditions (double depletion) the dogs use effectively the proteins listed above—egg, lactalbumin, meat, beef plasma, and digests of various food proteins and hemoglobin. Egg protein at times seems to favor slightly the production of plasma protein when compared with the average response (Tables 1 and 2). Various digests and concentrates compare favorably with good food proteins in the production of new hemoglobin and plasma protein in these doubly depleted dogs. Whole beef plasma by mouth is well utilized and the production of new hemoglobin is, if anything, above the average—certainly plasma protein production is not especially favored. "Modified" beef plasma by vein causes fatal anaphylaxis (Table 4). Hemoglobin digests are well used by mouth to form both hemoglobin and plasma protein. Supplementation by amino acids is recorded. Methionine in one experiment may have been responsible for a better protein output and digest utilization (Table 7).

scholarly journals PLASMA SUBSTITUTES

1946 ◽  
Vol 83 (5) ◽  
pp. 355-371 ◽  
Author(s):  
F. S. Robscheit-Robbins ◽  
L. L. Miller ◽  
E. L. Alling ◽  
G. H. Whipple
Keyword(s):  
Weight Loss ◽  
Plasma Protein ◽  
Peripheral Circulation ◽  
Intermediary Metabolism ◽  
Blood Proteins ◽  
Plasma Substitutes ◽  
Tryptic Digest

Hemoglobin and globin alone, supplemented, or modified in various ways are seriously considered as plasma substitutes. Human globin given to doubly depleted (anemic and hypoproteinemic) dogs by vein contributes to the production of new hemoglobin and plasma protein, but there is some toxicity and weight loss. Dog hemoglobin given intraperitoneally is better tolerated and somewhat more completely utilized with more blood proteins formed and less weight loss. Dog globin (tryptic digest) given by vein in anemic dogs is associated with a moderate production of new hemoglobin. Horse globin by mouth contributes to the formation of new hemoglobin in the standard anemic dog. Dog hemoglobin given intraperitoneally in protein fasting, non-anemic dogs is well utilized to maintain nitrogen and weight balance. A dl-isoleucine supplement fails to improve this utilization of hemoglobin for maintenance in the dog. A small supplement of dl-methionine greatly improves the utilization of dog hemoglobin for maintenance in the dog and further addition of isoleucine is without effect. The intermediary metabolism of dog hemoglobin is not yet worked out. Electrophoretic analyses (Table 6) suggest that globin appears in the peripheral circulation after intraperitoneal injections of hemoglobin.

scholarly journals PLASMA PROTEIN PRODUCTION INFLUENCED BY AMINO ACID MIXTURES AND LACK OF ESSENTIAL AMINO ACIDS

1945 ◽  
Vol 82 (2) ◽  
pp. 77-92 ◽  
Author(s):  
S. C. Madden ◽  
F. W. Anderson ◽  
J. C. Donovan ◽  
G. H. Whipple
Keyword(s):  
Amino Acids ◽  
Amino Acid ◽  
Plasma Protein ◽  
Protein Production ◽  
Daily Intake ◽  
Essential Amino Acids ◽  
Nitrogen Excretion ◽  
Acid Mixture ◽  
Rapid Weight Loss ◽  
Urinary Nitrogen

When blood plasma proteins are depleted by bleeding with return of red cells suspended in saline (plasmapheresis) it is possible to bring dogs to a steady state of hypoproteinemia and a constant level of plasma protein production if the diet nitrogen intake is controlled and limited. Such dogs are outwardly normal but have a lowered resistance to infection and intoxication and probably to vitamin deficiency. When the diet nitrogen is provided by certain mixtures of the ten growth essential amino acids plus glycine, given intravenously at a rapid rate, plasma protein production is good. The same mixture absorbed subcutaneously at a slower rate may be slightly better utilized. Fed orally the same mixture is better utilized and associated with a lower urinary nitrogen excretion. An ample amino acid mixture for the daily intake of a 10 kilo dog may contain in grams dl-threonine 1.4, dl-valine 3, dl-leucine 3, dl-isoleucine 2, l(+)-lysine·HCl·H2O 2.2, dl-tryptophane 0.3, dl-phenylalanine 2, dl-methionine 1.2, l(+)-histidine·HCl·H2O 1, l(+)-arginine·HCl 1, and glycine 2. Half this quantity is inadequate and not improved by addition of a mixture of alanine, serine, norleucine, proline, hydroxyproline, and tyrosine totalling 1.4 gm. Aspartic acid appears to induce vomiting when added to a mixture of amino acids. The same response has been reported for glutamic acid (8). Omission from the intake of leucine or of leucine and isoleucine results in negative nitrogen balance and rapid weight loss but plasma protein production may be temporarily maintained. It is possible that leucine may be captured from red blood cell destruction. Tryptophane deficiency causes an abrupt decline in plasma protein production. No decline occurred during 2 weeks of histidine deficiency but the urinary nitrogen increased to negative balance. Plasma protein production may be impaired during conditions of dietary deficiency not related to the protein or amino acid intake. Skin lesions and liver function impairment are described. Unidentified factors present in liver and yeast appear to be involved.

scholarly journals CONVERSION OF PLASMA PROTEIN TO TISSUE PROTEIN WITHOUT EVIDENCE OF PROTEIN BREAKDOWN

1951 ◽  
Vol 93 (6) ◽  
pp. 539-557 ◽  
Author(s):  
C. L. Yuile ◽  
B. G. Lamson ◽  
L. L. Miller ◽  
G. H. Whipple
Keyword(s):  
Plasma Protein ◽  
Plasma Proteins ◽  
Acid Level ◽  
Amino Acid Level ◽  
Extracellular Fluid ◽  
The Body ◽  
Protein Breakdown ◽  
Tissue Protein ◽  
Small Loss ◽  
Complete Breakdown

Labeled plasma proteins obtained from donor dogs, previously fed ϵ-C14-dl-lysine, have been given intravenously to recipient dogs. The disappearance of labeled globulin from the plasma at a rate considerably faster than albumin has been confirmed. Evidence suggesting that the mass of protein in solution in the extravascular, extracellular fluid is approximately equal to the plasma proteins in circulation has been derived from a study of the dilution of labeled plasma protein by repeated injections of non-labeled plasma protein. In a period of 7 days the transfer of C14 from plasma to tissue proteins amounted to between 30 and 40 per cent of the activity in the labeled plasma protein injected intravenously. The conversion was accompanied by a very small loss of activity in the urine and expired air and the activity remained in the lysine residue of the liver and probably of other tissues. The data presented favor the view that plasma proteins are utilized in the body economy after partial catabolism within the cell area and provide no evidence of complete breakdown to the amino acid level.

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