肽类肠内营养制剂的益处

Benefits of peptide-based enteral nutrition

Theories of protein digestion have classically asserted thatproteins are completely hydrolyzed to free amino acids within the intestine before absorption occurs.Further,it has been taught that only free amino acids enter the circulation.However,current evidence indicates that hydrolyzed protein fragments(i.e.peptides)also cross the small intestine and reach peripheral tissue via the systemic circulation,Nitrogen sources for enteral nutrition are free amino acids,peptides,or intact proteins.Current experimental evidence indicates that diets which possess the capability of producing luminal peptides are superior to diets lacking this capacity.The parent protein used for enteral nutrition generates specific peptides which may dictate a variety of metabolic responses. Many small peptides derived from the diet possess bioligic activity and may also play a role in regulating physiologic processes.Dietary peptides can have specific actions either locally,on the gastrointestinal tract,or at more distant sites.These peptides may alter cellular metabolism and may act as vasoregulators,growth factors,releasing hormones,,or neurotransmitters.The concept of dietary bioactive peptides offers an explanation for varying effects of diet on physiologic responses.These concepts have spurred research efforts into the possibility of enteral administration of biogenic amines.