Journal of Applied Physiology AJP: Renal Physiology
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J Appl Physiol (November 30, 2006). doi:10.1152/japplphysiol.01011.2006
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Submitted on September 11, 2006
Accepted on November 27, 2006

Carbohydrate ingestion augments L-carnitine retention in humans

Francis B Stephens1*, Claire E Evans1, Dumitru Constantin-Teodosiu2, and Paul L. Greenhaff3

1 School of Biomedical Sciences, University of Nottingham, Nottingham, United Kingdom
2 School of Biomedical Sciences, University of Nottingham, United Kingdom
3 Centre for Integrated Systems Biology and Medicine, School of Biomedical Sciences, University of Nottingham Medical School, Nottingham, United Kingdom

* To whom correspondence should be addressed. E-mail: francis.stephens{at}nottingham.ac.uk.

Maintaining hyperinsulinaemia ({approx}150mU·L-1) during steady-state hypercarnitinaemia ({approx}550µmol·L-1) increases skeletal muscle total carnitine (TC) content by {approx}15% within 5h. The present study aimed to investigate whether an increase in whole-body carnitine retention can be achieved through L-carnitine feeding in conjunction with a dietary-induced elevation in circulating insulin. On two randomized visits (Study A), 8 men ingested 3g·d-1 L-carnitine followed by 4 x 500mL solutions, each containing flavored water (CON) or 94g simple sugars (glucose syrup; CHO). In addition, 14 men ingested 3g·d-1 L-carnitine followed by 2 x 500mL of either CON or CHO for 2 weeks (Study B). Carbohydrate ingestion in Study A resulted in a 4-fold greater serum insulin AUC when compared with the CON (P<0.001), and lower plasma TC concentration throughout the CHO visit (P<0.05). Twenty-four h urinary TC excretion in the CHO visit was lower than the CON visit in Study A (155.0 ± 10.7 vs. 212.1 ± 17.2mg, respectively; P<0.05). In Study B, daily urinary TC excretion increased after 3d (65.9 ± 18.0 to 281.0 ± 35.0mg; P<0.001) and remained elevated throughout the CON trial. During the CHO trial, daily urinary TC excretion increased from a similar basal value of 53.8 ± 9.2 to 166.8 ± 17.3mg after 3d (P<0.01), which was less than during the CON trial (P<0.01) and remained lower over the course of the study (P<0.001). The difference in plasma TC concentration in Study A and 24h urinary TC excretion in both studies suggests insulin augmented the retention of carnitine in the CHO trials.







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