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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability (1997)
Institute of Medicine (IOM)

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. "17 Metabolic Regulation of Gene Expression." Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability. Washington, DC: The National Academies Press, 1997.

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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability

quantitated. Even less information is available on the levels of other water-soluble vitamins that may be desirable for performance enhancement. Certainly essential roles for vitamin B6 in protein utilization and for riboflavin in general oxidative metabolism can be appreciated on the basis of known biochemical reactions, but the amounts of these and other vitamins that optimize performance with no compromise of long-term health in humans are not certain.

The gaps in information on the impact of stress or exertion on the ultimate disposition of natural derivatives of vitamins are especially great. There are few if any data on the efficiency of digestion of coenzymes within the tissues consumed as food in the face of shifting physical demands. Nothing is known about such effects on the release and recovery of vitamins from glycosides, esters, and peptides, which could account for a significant fraction of potential vitaminic material in many foods. The relationship of performance capability to micronutrient bioavailability has yet to be adequately researched.

What is known is that the metabolic pathways utilized in the molecular dissolution of nutrient compounds by E. coli and the human are generally similar, and among mammals even semiquantitative comparisons are usually valid. This is fortunate since it allows one to answer some questions at the cellular level with material obtained from animals (e.g., rats) that cannot ethically be accessed from humans. Cells that are freshly isolated after appropriate collagenase perfusion in situ of organs such as liver or kidney maintain viability for sufficient time in modified, oxygenated buffer to permit meaningful measurements of nutrient uptake and utilization. This technique allows separation of the cellular component in the overall fate of a nutrient that must undergo systemic absorption, circulatory transport, and organ dissemination. Moreover, there is no risk of cell transformation, which often occurs with the repeated transfers necessary in cell tissue culture techniques.

Considerable information has been gained regarding the mechanisms by which liver and kidney cells import and subsequently assimilate water-soluble vitamins such as riboflavin, B6, biotin, and C (Bowman et al., 1989; McCormick and Zhang, 1993; Rose et al., 1986). Coupled with the extensive work of this laboratory on the metabolism of these vitamins and the cofactor lipoic acid (Chastain and McCormick, 1991; McCormick, 1975, 1979, 1989; McCormick and Wright, 1970), these investigators were poised to compare the means by which cells take in and differentially utilize certain natural derivatives. To illustrate this, isolated-cell and metabolic techniques recently have been used to augment understanding of the bioavailability of the glucosides of pyridoxine (Zhang et al., 1993) and of riboflavin (Joseph and McCormick, 1995).

RESULTS WITH VITAMIN GLUCOSIDES

The occurrence of natural glucosides of both vitamins B2 (riboflavin) and B6 has been known for some time, but their roles were less clear. The extent to

Page
390
Front Matter (R1-R18)
I Committee Summary and Recommendations (1-2)
1 Project Overview and Committee Summary (3-50)
2 Committee Responses to Questions, Conclusions and Recommendations (51-68)
II The Current Army Program and Its Future Needs (69-70)
3 Emerging Technologies in Nutrition Research for the Military: Overview of the Issues (71-78)
III Techniques of Body Composition Assessment (79-80)
4 Military Application of Body Composition Assessment Technologies (81-126)
5 Imaging Techniques of Body Composition: Advantages of Measurement and New Uses (127-150)
6 Dual-Energy X-Ray Absorptiometry: Research Issues, and Equipment (151-168)
7 Bioelectrical Impedance: A History, Research Issues, and Recent Consensus (169-192)
Part III Discussion (193-198)
IV Tracer Techniques for the Study of Metabolism (199-200)
8 Stable Isotope Tracers: Technological Tools That Have Emerged (201-214)
9 Measurement of Energy Substrate Metabolism Using Stable Isotopes (215-230)
10 Combined Stable Isotope-Positron Emission Tomography for In Vivo Assessment of Protein Metabolism (231-258)
11 Nuclear Magnetic Resonance Studies of Liver and Muscle Glycogen Metabolism in Humans (259-272)
Part IV Discussion (273-278)
V Ambulatory Techniques for Measurement of Energy Expenditure (279-280)
12 Doubly Labeled Water for Energy Expenditure (281-296)
13 Measurement of Oxygen Uptake with Portable Equipment (297-314)
14 Advances in Ambulatory Monitoring: Using Foot Contact Time to Estimate the Metabolic Cost of Locomotion (315-344)
15 Noninvasive Measurement of Plasma Metabolites Using Near-Infrared Spectroscopy (359-360)
Part V Discussion (361-362)
VI Molecular and Cellular Approaches to Nutrition (363-374)
16 The Role of Metals in Gene Expression (375-388)
17 Metabolic Regulation of Gene Expression (389-400)
18 Use of Isolated-Cell and Metabolic Techniques Applied to Vitamin Transport and Disposition (401-414)
19 Assessment of Cellular Dysfunction During Physiologic Stress (415-416)
VII Assessment of Immune Function (417-430)
20 The Validity of Blood and Urinary Cytokine Measurements for Detecting the Presence of Inflammation (431-450)
21 New Approaches to the Study of Abnormal Immune Function (451-500)
Part VI and VII Discussion (501-504)
VIII Functional and Behavioral Measures of Nutritional Status (505-506)
23 Involuntary Muscle Contraction to Assess Nutritional Status (507-518)
24 Application of Cognitive Performance Assessment Technology to Military Nutrition Research (519-532)
25 New Techniques for Assessment of Mental Performance in the Field (533-550)
26 The Iowa Driving Simulator: Using Simulation for Human Performance Measurement (551-568)
Part VIII Discussion (569-576)
Appendixes (577-578)
Appendix A: Workshop Agenda (579-584)
Appendix B: Biographical Sketches (585-604)
Appendix C: Abbreviations (605-608)
Appendix D: Emerging Technologies for Nutrition Research - A Selected Biography (609-680)
Index (681-711)