chelotte. Enteral glutamine stimulates protein synthesis and decreases ubiquitin mRNA level in human gut mucosa. Am J Physiol Gastrointest Liver Physiol 285: 266-G273, 2003. First published April 17, 2003 10.1152/ ajpgi.00385.2002.-Effects of glutamine on whole body and intestinal protein synthesis and on intestinal proteolysis were assessed in humans. Two groups of healthy volunteers received in a random order enteral glutamine (0.8 mmol ⅐ kg body wt Ϫ1 ⅐ h Ϫ1 ) compared either to saline or isonitrogenous amino acids. Intravenous [ 2 H5]phenylalanine and [ 13 C]leucine were simultaneously infused. After gas chromatography-mass spectrometry analysis, whole body protein turnover was estimated from traced plasma amino acid fluxes and the fractional synthesis rate (FSR) of gut mucosal protein was calculated from protein and intracellular phenylalanine and leucine enrichments in duodenal biopsies. mRNA levels for ubiquitin, cathepsin D, and m-calpain were analyzed in biopsies by RT-PCR. Glutamine significantly increased mucosal protein FSR compared with saline. Glutamine and amino acids had similar effects on FSR. The mRNA level for ubiquitin was significantly decreased after glutamine infusion compared with saline and amino acids, whereas cathepsin D and m-calpain mRNA levels were not affected. Enteral glutamine stimulates mucosal protein synthesis and may attenuate ubiquitin-dependent proteolysis and thus improve protein balance in human gut. intestine; protein metabolism; nutrients GLUTAMINE IS THE MAJOR FUEL for enterocytes, and it promotes intestinal growth and metabolism and maintains the structure and function of intestinal mucosa, especially in situations of gut injury (38) or after gut resection in animals (37). In vitro, glutamine stimulated intestinal cell proliferation (33). Numerous studies have reported the benefits of a glutamine enteral or parenteral nutritional supplementation on gut barrier (20,42). In animal studies, glutamine supply decreased the alterations of gut mucosa induced by prolonged starvation (20) or an experimental enterocolitis (2) by increasing the weight of the mucosa, the height of villi, and DNA and protein content. In humans, glutamineenriched parenteral nutrition maintained villus height and limited the increase of gut permeability (42). Treatment of patients with glutamine, growth hormone, and diet modifications after gut resection was reported to be beneficial on water and electrolyte absorption in an early uncontrolled study (5), but this has not been confirmed by more recent controlled studies (36).Additionally, enteral infusion of a high glutamine load in volunteers altered whole body leucine fluxes in a manner indicating a reduced protein oxidation and an increased protein synthesis (16). The beneficial effects of glutamine on gut mucosa could be partly due to a stimulation of protein synthesis as shown in animal studies, in vitro (17) and in vivo (41). In previous studies, we have shown that glutamine was well absorbed in human intestine (13) and stimulated ϳ40% duoden...