Carbohydrates urine

FIGURE 2.7 SEC elution profiles of dextran in clinical samples, serum ( ) and urine ( ). The first peak represent dextran and the second peak inulin (used as a reference for clearance). The content of carbohydrates was determined in collected fractions with the anthrone method. [Reproduced from Hagel ef of. (1993), with permission.]... 

Diabetes mellitus. A defect in carbohydrate metabolism leading to the appearance of sugar in the urine. 

As with urine, saliva (spumm) is easy to collect. The levels of protein and lipids in saliva or spumm are low (compared to blood samples). These matrices are viscous, which is why extraction efficiency of xenobioties amoimts to only 5 to 9%. By acidifying the samples, extraction efficiencies are improved as the samples are clarified, and proteinaceous material and cellular debris are precipitated and removed. Some xenobioties and their metabohtes are expressed in hair. Hair is an ideal matrix for extraction of analytes to nonpolar phases, especially when the parent xenobioties are extensively metabolized and often nondetectable in other tissues (parent molecules of xenobioties are usually less polar than metabolites). Hair is a popular target for forensic purposes and to monitor drug compliance and abuse. Human milk may be an indicator of exposure of a newborn to compounds to which the mother has been previously exposed. The main components of human milk are water (88%), proteins (3%), lipids (3%), and carbohydrates in the form of lactose (6%). At present, increasing attention is devoted to the determination of xenobioties in breath. This matrix, however, contains only volatile substances, whose analysis is not related to PLC applications. 

The sinusoids transport both portal and arterial blood to the hepatocytes. The systemic blood delivered to the liver contains nutrients, drugs, and ingested toxins. The liver processes the nutrients (carbohydrates, proteins, lipids, vitamins, and minerals) for either immediate use or for storage, while the drugs and toxins are metabolized through a variety of processes known as first-pass metabolism. The liver also processes metabolic waste products for excretion. In cirrhosis, bilirubin (from the enzymatic breakdown of heme) can accumulate this causes jaundice (yellowing of the skin), scleral icterus (yellowing of the sclera), and tea-colored urine (urinary bilirubin excretion). 

In addition to these interconversions, the metabolism of fat and the metabolism of carbohydrate are inseparably related. This fact is most clearly demonstrated by the appearance of such abnormal products of fat oxidation as the so-called ketone bodies in the blood and urine whenever the supply of carbohydrate is deficient or in cases where the organism is unable to metabolize this foodstuff. Whether ketonuria results because the metabolism of fat must occur concomitantly with that of D-glucose (ketolysis), or whether the presence of D-glucose prevents any fat breakdown because it is preferentially oxidized (antiketogenesis) is still a moot question. 

If allowance is made for the fact that much of the carbohydrate formed from protein, which is oxidized in the non-diabetic, may escape metabolism by the diabetic and be excreted in the urine, the protein R. Q. for the diabetic should be 0.632 instead of the normal value of 0.802.134 The R. Q. for fat is also altered because of the failure of a complete combustion of this foodstuff, due to the attendant ketonuria. 

Blood Group A carbohydrate (from saliva, pepsin, urine, gastric mucin, pancreas, etc.)... 

A group of macromolecular polypeptides was also found in normal urine by Bode et al. (B5). These polypeptides, extracted from urine with a mixture of ethanol and ether followed by chloroform, contained also some lipid and carbohydrate components. 

Experimental. A second study was conducted with nine postmenopausal women age 51-65 yr. The subjects were fed standardized meals for 19 weeks. The mean composition for the 7-day menus of natural foods as % of total calories was 15% protein, 50% carbohydrate, 35% fat with a P/S ratio of 0.7, 10 g/day crude fiber, and less than 300 mg/day cholesterol. In addition, the diets supplied 1289 mg calcium, 1832 mg phosphorus, 2561 mg sodium and 5099 mg potassium daily. The diets met the RDA for all other nutrients. Calorie levels were adjusted to maintain body weight. The experimental meals were fed during the last six weeks of this 19-week period. No more than one liquid meal was consumed by each subject in one week. Fasting and postprandial samples of blood and urine were collected as in the previous study. Diuresis was induced by scheduled consumption of water. 

There may be non-carbohydrate substances present in a biological sample that will decompose on heating under the acidic conditions and will react in a similar manner to a carbohydrate. Glucuronic acid is an example and is often present in abundance in urine and may give a false positive reaction for carbohydrates. 

Alcohol consumption is very difficult to assess. There is widespread belief that individuals underreport their intake and there are no reliable laboratory tests available for definitive diagnosis of alcohol abuse. A combination of abnormalities in the plasma activity of gamma-glutamyl transferase (GGT or yGT), AST and reduction in erythrocyte mean cell volume (MCV) maybe useful and all are routine lab. tests. A potential marker of interest is carbohydrate-deficient transferrin (CDT) which is an abnormal isoform of serum transferrin arising due to defects in the attachment of carbohydrate chains to the protein core. Unfortunately, CDT is a somewhat specialized test, not performed by most laboratories. Other markers which have attracted some research interest are ethyl sulphate and ethyl glucuronide. Excretion in the urine of these metabolites occurs for up to 50 hours after binge drinking so they offer a useful index of recent heavy alcohol intake. 

The peptide hormone insulin (see Box 13.1) is produced by the pancreas and plays a key role in the regulation of carbohydrate, fat, and protein metabolism, hi particular, it has a hypoglycaemic effect, lowering the levels of glucose in the blood. A malfunctioning pancreas may produce a deficiency in insulin synthesis or secretion, leading to the condition known as diabetes mellitus. This results in increased amounts of glucose in the blood and urine, diuresis, depletion of carbohydrate stores, and subsequent breakdown of fat and protein. Incomplete breakdown of fat leads to the accumulation of ketones in the blood, severe acidosis, coma, and death. 

Proteins are constantly being lost via the intestine and, to a lesser extent, via the kidneys. To balance these inevitable losses, at least 30 g of protein have to be taken up with food every day. Although this minimum value is barely reached in some countries, in the industrial nations the protein content of food is usually much higher than necessary. As it is not possible to store amino acids, up to 100 g of excess amino acids per day are used for biosynthesis or degraded in the liver in this situation. The nitrogen from this excess is converted into urea (see p. 182) and excreted in the urine in this form. The carbon skeletons are used to synthesize carbohydrates or lipids (see p. 180), or are used to form ATP. 

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