Skip to main content
Gut logoLink to Gut
. 1990 Apr;31(4):454–457. doi: 10.1136/gut.31.4.454

15N-urea metabolism in the functioning human colon: luminal hydrolysis and mucosal permeability.

B J Moran 1, A A Jackson 1
PMCID: PMC1378423  PMID: 2338273

Abstract

The biopsy channel of the colonoscope was used in a novel approach to the study of in vivo colonic nitrogen metabolism in 12 subjects. A tracer dose of 15N15N-urea was placed in the caecum in six and distal to the splenic flexure in six. The urine and stool were collected for 72 hours and isotopic enrichment was measured in a mass spectrometer. A similar proportion of the dose was recovered in the urine as 15N15N-urea from the right colon, 6%, as was recovered from the left, 4%, showing that the urea was absorbed intact. Urinary 15N14N-urea from the right colon was 18% of the dose compared to 13% from the left colon. This represents urea that has been hydrolysed and absorbed as ammonia. Less than 4% of the dose was recovered in the stool. The greatest proportion of the label, 74% from the right and 82% from the left, could not be accounted for in the urine or the stool and is presumed to have entered the metabolic pool of nitrogen. We conclude that; the colon is permeable to urea, intraluminal hydrolysis occurs and that urea nitrogen enters the metabolic pool of nitrogen in functionally significant quantities.

Full text

PDF
456

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown R. L., Gibson J. A., Fenton J. C., Snedden W., Clark M. L., Sladen G. E. Ammonia and urea transport by the excluded human colon. Clin Sci Mol Med. 1975 Apr;48(4):279–287. doi: 10.1042/cs0480279. [DOI] [PubMed] [Google Scholar]
  2. Gibson J. A., Park N. J., Sladen G. E., Dawson A. M. The role of the colon in urea metabolism in man. Clin Sci Mol Med. 1976 Jan;50(1):51–59. doi: 10.1042/cs0500051. [DOI] [PubMed] [Google Scholar]
  3. Heine W., Wutzke K. D., Richter I., Walther F., Plath C. Evidence for colonic absorption of protein nitrogen in infants. Acta Paediatr Scand. 1987 Sep;76(5):741–744. doi: 10.1111/j.1651-2227.1987.tb10558.x. [DOI] [PubMed] [Google Scholar]
  4. Houpt T. R., Houpt K. A. Transfer of urea nitrogen across the rumen wall. Am J Physiol. 1968 Jun;214(6):1296–1303. doi: 10.1152/ajplegacy.1968.214.6.1296. [DOI] [PubMed] [Google Scholar]
  5. Jackson A. A. Aminoacids: essential and non-essential? Lancet. 1983 May 7;1(8332):1034–1037. doi: 10.1016/s0140-6736(83)92656-9. [DOI] [PubMed] [Google Scholar]
  6. Jackson A. A., Golden M. H., Jahoor P. F., Landman J. P. The isolation of urea nitrogen and ammonia nitrogen from biological samples for mass spectrometry. Anal Biochem. 1980 Jun;105(1):14–17. doi: 10.1016/0003-2697(80)90415-7. [DOI] [PubMed] [Google Scholar]
  7. Jackson A. A., Picou D., Landman J. The non-invasive measurement of urea kinetics in normal man by a constant infusion of 15N15N-urea. Hum Nutr Clin Nutr. 1984 Sep;38(5):339–354. [PubMed] [Google Scholar]
  8. Nissim I., Yudkoff M., Yang W., Terwilliger T., Segal S. Rapid gas chromatographic-mass spectrometric analysis of [15N]urea: application to human metabolic studies. Clin Chim Acta. 1981 Feb 5;109(3):295–304. doi: 10.1016/0009-8981(81)90315-6. [DOI] [PubMed] [Google Scholar]
  9. Richards P. Nutritional potential of nitrogen recycling in man. Am J Clin Nutr. 1972 Jun;25(6):615–625. doi: 10.1093/ajcn/25.6.615. [DOI] [PubMed] [Google Scholar]
  10. Schafer D. F. In hepatic coma, the problem comes from the colon, but will the answers come from there? J Lab Clin Med. 1987 Sep;110(3):253–254. [PubMed] [Google Scholar]
  11. WALSER M., BODENLOS L. J. Urea metabolism in man. J Clin Invest. 1959 Sep;38:1617–1626. doi: 10.1172/JCI103940. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Waterlow J. C. Observations on the mechanism of adaptation to low protein intakes. Lancet. 1968 Nov 23;2(7578):1091–1097. doi: 10.1016/s0140-6736(68)91576-6. [DOI] [PubMed] [Google Scholar]
  13. Wolpert E., Phillips S. F., Summerskill W. H. Transport of urea and ammonia production in the human colon. Lancet. 1971 Dec 25;2(7739):1387–1390. doi: 10.1016/s0140-6736(71)90667-2. [DOI] [PubMed] [Google Scholar]
  14. Wrong O. M., Vince A. J., Waterlow J. C. The contribution of endogenous urea to faecal ammonia in man, determined by 15N labelling of plasma urea. Clin Sci (Lond) 1985 Feb;68(2):193–199. doi: 10.1042/cs0680193. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES