CHAPTER II

ABSORPTION, ASSIMILATION, AND THE PROCESSES OF METABOLISM

TOPICS: Physiological peculiarities in absorption. Chemical changes

in epithelial walls of intestine. Two pathways for absorbed

material. Function of the liver as a regulator of carbohydrate.

Absorption of proteid products. Assimilation of food products.

Anabolism. Katabolism. Metabolism. Processes of metabolism. Older

views regarding oxidation. Discoveries of Lavoisier. The views of

Liebig. Theory of luxus consumption. Oxidation in the body not simple

combustion. Oxygen not the _cause_ of the decompositions. Oxidation

not confined to any one place. Intracellular enzymes. Living cells

the guiding power in katabolism. Some intermediary products of tissue

metabolism. Chemical structure of different proteids. Decomposition

products of nucleoproteids. Relation to uric acid. Action of specific

intracellular enzymes. Creatin and creatinin. Relation to urea.

Proteid katabolism a series of progressive chemical decompositions.

Intracellular enzymes as the active agents.

Digestion being completed, and the available portion of the foodstuffs

thereby converted into forms suitable for absorption, the question

naturally arises, In what manner are these products transported

from the alimentary tract to the tissues and organs of the body? In

attempting to answer this question, we shall find many illustrations

of the precise and undeviating methods which prevail in the processes

of nutrition. For example, it would seem plausible to assume that the

different forms of sugar entering into man’s ordinary diet, all of

them being soluble, would be directly absorbed and at once utilized,

but such is far from being the case. Milk-sugar and cane-sugar, both

appearing in greater or less degree in our daily dietaries, if

introduced directly into the blood, are at once excreted through the

kidneys unchanged. The body cannot use them, and they are gotten rid

of as speedily as possible, much as if they were poisons. When taken

by way of the mouth, however, they are utilized, simply because in

the intestine two enzymes are present there, known as lactase and

invertase, which break each of the sugars apart into two smaller

molecules. In other words, milk-sugar and cane-sugar are disaccharides,

and if they are to be absorbed in forms capable of being made use

of by the body they must be split apart into simpler sugars, viz.,

monosaccharides, such as dextrose, levulose, etc. The great bulk of the

carbohydrate food consumed by man is in the form of starch, and this,

as we have seen, is converted into maltose by the action of saliva and

pancreatic juice. Maltose, however, like cane-sugar, is a disaccharide,

and the body has no power to burn it or utilize it directly; but in the

intestine and elsewhere is an enzyme termed maltase, which breaks up

maltose into two molecules of the monosaccharide dextrose, and this the

body can use. Man frequently consumes starch to the extent of a pound a

day, and if utilized it must all undergo transformation into maltose,

and then into dextrose. There is no apparent reason why maltose should

not be absorbed and assimilated as readily as dextrose, but so urgent

is the necessity for this conversion into dextrose that in the blood

itself there is present maltase, to effect the transformation of any

maltose that may gain entrance there. We are here face to face with

a simple fact in nutrition. The body cannot utilize disaccharides

directly. Why it is so we cannot say, but the fact is a good

illustration of the principle that nothing can be taken for granted in

our study of nutrition.

For years, physiologists assumed that the ordinary physical laws of

osmosis, imbibition, and diffusion were quite adequate to explain

the passage of digested food materials into the blood and lymph.

If a substance was soluble and diffusible, that was sufficient; it

would quite naturally be absorbed in harmony with its diffusion

velocity. This, however, is not wholly true, since experiment shows

that the rapidity of absorption of diffusible substances through

the wall of the intestine is by no means always proportional to the

diffusion velocity of the substance. The lining membrane of the

small intestine, where absorption mainly takes place, is not to be

compared to a dead parchment membrane. On the contrary, it is made

up of living protoplasmic cells; absorption is not a physical, but a

physiological, process, in which the living epithelium cells stand as

guardians of the portals, ready to challenge and, if need be, modify

the rate of passage. Osmosis and diffusion undoubtedly play some part

in absorption, but they alone are not sufficient to account for what

actually takes place in the absorption of digestion products, and other

substances from the living intestine.

The primary products formed in the digestion of proteid foods--the

proteoses and peptones--afford another illustration of physiological

peculiarity in absorption. These bodies are readily soluble and

quite diffusible, yet they are never found to any extent in the

circulating blood and lymph during health. It is of course possible,

as has been previously suggested, that as soon as formed they undergo

transformation into simpler decomposition products in the small

intestine; but this is by no means certain. If proteoses and peptones

are injected directly into the blood, they cause a marked disturbance,

influencing at once blood-pressure, affecting the coagulability of

the blood, and in many other ways exhibiting a pronounced deleterious

action which at once indicates they are out of their normal

environment. They are not at home in the circulating blood, and the

latter medium gets rid of them as speedily as possible; they behave

like veritable poisons, and yet they are the primary products formed

in the digestion of all proteid foodstuffs. On the basis of all

physical laws governing diffusion they should be absorbed, and help to

renew the proteids of the blood and later the proteids of the tissues.

Yet, as we have said, they are not normally present in the blood or

lymph. Apparently, in the very act of absorption, as they pass through

the epithelial cells of the intestinal wall, before they gain entrance

to the blood stream, they undergo transformation into serum-albumin

and globulin, the characteristic blood proteids. The other alternative

is that, as previously mentioned, they are completely broken down

in the intestine into amino-acids, etc., and these simpler products

synthesized, as they pass through the intestinal wall toward the blood,

into serum-albumin and globulin. Certainly as yet, there is no evidence

that the amino-acids, as such, go through the epithelial cells of the

intestine; they are not found in the blood or lymph to any appreciable

extent, yet the proteids of the blood are reinforced in some manner by

the products of proteid digestion. Whichever view is correct, one thing

is perfectly obvious, viz., that in the act of absorption the products

resulting from the gastric and pancreatic digestion of proteid foods

are exposed to some influence, presumably in the epithelial cells of

the intestinal wall, by which there is a reconstruction of proteid.

Further, the proteid substances so formed are of the type peculiar to

the blood of that particular species of animal. The proteids of beef,

mutton, chicken, oatmeal, or bread go to make the proteids of human

blood.

From these statements, it is obvious that what we term absorption is

something more than a simple diffusion of soluble substances from

the alimentary tract into the blood current. The process is much

more complex than appears on the surface, and our lack of definite

knowledge, in spite of numerous efforts to unravel the mystery,

merely strengthens the view that we are dealing here with an obscure

physiological problem, and not a simple physical one. Digestion induces

a splitting up of the food proteid into fragments, large or small,

while incidental to absorption there is apparently a reconstruction,

or synthesis, of proteid from the fragments so formed. The process

seems somewhat costly, physiologically speaking, yet when one considers

the variety of proteids consumed as food, it is easy to comprehend

how essential it is that in some manner, as in absorption, there be

opportunity for construction of the specific proteids of the blood and

lymph.

We find an analogous process in the absorption of fats. As we have

seen, the fats of the food are broken apart in the small intestine into

glycerin and free fatty acid, a portion of the latter, and perhaps all,

combining with the alkali of the intestinal juices to form soluble

soaps, or sodium salts of the respective fatty acids. The neutral fats

present in animal and vegetable foods are all alike in containing

the glyceryl radicle, but they differ in the character of the fatty

acids present. Further, one form of animal fat, like that from beef,

may contain quite a different proportion of stearin, palmitin, and

olein than is present in the fat of another animal, like mutton. By

digestion, however, they are all broken apart into fatty acid and

glycerin. These acids and their salts can be readily detected in the

intestine, but they are not found in the blood or lymph, yet shortly

after fatty food is taken the lymph is seen to be milky from fat.

Obviously, the fatty acids liberated in the intestine are absorbed,

either as soluble soaps or as free fatty acids dissolved in bile, but

as they pass through the epithelial cells of the intestine into the

lacteal radicles, there is a synthesis or reconstruction of fat; and

as a result, neutral fats and not soaps are found in the lymph. Here,

then, we have a process quite analogous to what apparently occurs in

the absorption of proteid, though less complex; and it is possible that

this is one of the factors which aids in the formation of a specific

fat mixture corresponding, in a measure, to the type of fat present

in the particular species. It is well understood that the fat of an

animal’s tissues may be modified somewhat by the character of the

fat fed, yet in spite of this there is a certain degree of constancy

in composition which calls for explanation. Sheep and oxen feeding

in the same pasture have fat widely different in the proportion of

stearin, palmitin, etc. The fat of man’s tissues is fairly definite

in composition, yet he eats a great variety of fatty foods. One man

may consume large amounts of hard mutton fat with its relatively large

content of stearin, while another individual may take his fat mainly in

the form of the soft butter fats, with their relatively large content

of olein and palmitin. In both cases, the fat of the man’s tissues will

be essentially the same. To be sure, the changes that take place in the

tissue cells, reinforced by the construction of fat from other sources,

may be partly responsible for this constancy of composition, but the

transformations incidental to absorption are quite possibly, in some

measure, helpful thereto.

The great bulk of the digested food material is absorbed from the small

intestine, and there are two pathways open through which the absorbed

material can gain access to the blood. The one path leads directly to

the liver, and substances taking this course are exposed to the action

of this organ, before they enter into the general circulation. The

other path is through the lacteal or lymphatic system, and constitutes

a roundabout way for substances to enter the blood stream, since

they must first pass through the thoracic duct before entering the

main circulation. As a general truth, it may be stated that fats are

absorbed through the latter channel, while carbohydrates and proteids

follow the first path. The innumerable blood capillaries in the villi

of the intestine take up the products resulting from the digestion

of proteids and carbohydrates, through which they are passed into

the portal vein, and thereby distributed throughout the liver. This

means that both carbohydrates and proteids--or their decomposition

products--are exposed to a variety of possible changes in this large

glandular organ, before they can enter into the tissues of the body.

As we have seen, practically all carbohydrate food is converted into

a monosaccharide, principally dextrose, in the alimentary tract; and

it is in this form of a simple sugar that the carbohydrate passes into

the blood. This might easily mean a pound of sugar absorbed during

the twenty-four hours, and would obviously give to the blood a high

degree of concentration, unless the excess was quickly disposed of.

Sugar is very diffusible, and if it accumulates to any extent in the

blood it is quickly gotten rid of by excretion through the kidneys.

This, however, is wasteful, physiologically and otherwise, and does not

ordinarily occur except in diseased conditions. Further, physiologists

have learned that a certain small, but definite, amount of sugar in the

blood is a necessary requirement in nutrition, and it is the function

of the liver to maintain the proper carbohydrate level.

We must again emphasize the great importance of carbohydrate food;

there is a far larger amount of starchy food consumed than of any

other foodstuff, and it is more readily available as a source of

energy. Its presence in the blood, in the form of sugar, is constantly

demanded, but it must be kept within the proper limits for the uses

of the different tissues and organs of the body. The liver serves as

an effective regulator, maintaining, in spite of all fluctuations

in the supply and demand, a definite percentage of sugar such as is

best adapted to keep the tissues of the body in a normal and healthy

condition. This regulation by the liver is rendered possible through

the ability of the hepatic cells to transform the sugar brought to

the gland into glycogen, so-called animal starch, which is stored

up in the liver until such time as it is needed by the body. The

process is one of dehydration, the reverse of what takes place in the

intestine when ordinary starch is converted into maltose and dextrose.

The efficiency of this regulating mechanism depends also upon the

ability of the liver to transform glycogen into sugar, presumably

through the agency of an enzyme in the hepatic cells. Hence, glycogen

may be looked upon as a temporary reserve supply of carbohydrate,

manufactured and stored in the liver during digestion, when naturally

large amounts of sugar are passing into the portal blood, and to be

drawn upon whenever from any cause the content of sugar in the blood

threatens to fall below normal. Obviously, there must be some delicate

machinery for the adjustment of these opposite changes in the liver,

and we may well believe that it is associated with the composition

of the blood itself, which in some fashion stimulates and inhibits,

as may be required, the functional activity of the liver, or its

component cells. In any event, we have in this so-called glycogenic

function of the liver a most effective means for accomplishing the

complete and judicious utilization of all the sugar formed from the

carbohydrates of the food, after it has once passed beyond the confines

of the alimentary tract into the blood; preventing all loss, and at

the same time guarding against all danger, from undue accumulation

of sugar in the circulation. We see, too, how wise the provision

that all sugar should pass from the alimentary canal into the portal

circulation and not by way of the lymphatics, since by the latter

channel the regulating action of the liver would be mainly lost.

Further, recalling how soluble and diffusible sugar is, we may well

marvel that it practically all passes from the intestine by way of

the blood, and escapes entry into the lymphatics. Surely, this marked

shunning of the other equally accessible pathway affords a striking

illustration of selective action such as might be expected in a

physiological process, but not in harmony with the ordinary physical

laws of osmosis or diffusion. In conformity with this statement, it may

be mentioned that appropriate experiments have clearly demonstrated

that the different sugars available as food are not absorbed from the

intestine in harmony with their diffusion velocity, but show deviations

therefrom which can be explained only on the ground that the intestinal

wall exercises some selective action, due to the living cells composing

it. Likewise interesting in their bearing on nutrition are the

observations of Hofmeister,[13] who finds by experiments on dogs that

the assimilation limit of the different sugars shows marked variation.

Thus, dextrose, levulose, and cane-sugar have the highest assimilation,

while milk-sugar is far less easily and completely assimilated. If this

is equally true of man, it indicates that starchy foods, with their

ultimate conversion into dextrose, are to be ranked as having a high

assimilation limit, thus affording additional evidence of their high

nutritive value.

[13] Franz Hofmeister: Ueber Resorption und Assimilation der

Nährstoffe. Archiv f. d. exper. Pathol. u. Pharm., Band 25, p. 240.

In the absorption of proteid products, their passage from the intestine

by way of the portal circulation insures exposure to the action of the

hepatic cells, before they are distributed by the general circulation

throughout the body. It is only under conditions of an excessive

intake of proteid foods that their products are absorbed by way of the

lymphatics. These points are clearly established, and there is every

ground for believing that substantial reasons exist to account for

this single line of departure. Just what the liver does, however, is

uncertain. In fact, as already indicated, there is lack of definite

knowledge as to how far the proteid foods are broken down in digestion,

prior to absorption. The combined action of pepsin, trypsin, and

erepsin, if sufficiently long continued, can accomplish a complete

disruption of the proteid molecule. We are inclined to assume in a

general way that the “proteids taken as food cannot find a place in

the economy of the animal body till they have been, as it were, melted

down and recast.”[14] How far this melting down or disruption extends

in normal digestion, we do not at present know. As already stated,

neither proteoses and peptones, nor the amino-acids, are found in

the blood stream in sufficient amounts, or with that frequency, to

suggest absorption in these forms. Possibly, as some physiologists have

suggested, the amount of any of these products to be found at any one

time in a given quantity of blood is too small for certain recognition,

yet in the twenty-four hours the amount passing from intestine to

liver might be sufficiently large to equal the total proteid absorbed.

We can, however, at present only conjecture, and must rest content

with the simple statement that in the digestion of the proteid

foodstuffs, proteoses, peptones, and amino-acids are formed, and that

by transformation or total reconstruction of these products, special

types of proteid are manufactured either in the epithelial cells of

the intestinal walls during absorption, or elsewhere in the body after

absorption. If this latter is the case, the liver might readily be

regarded as a likely spot for the synthesis to occur.

[14] J. B. Leathes: Problems in Animal Metabolism. Blakiston’s Son

and Co., 1906, p. 123.

Bearing in mind what has been said regarding the production of specific

types of proteid by every species of animal, we can the more readily

conceive of a synthesis “out of fragments of the original molecules

rearranged and put together in new combinations, by processes in

which the intestine can hardly be supposed to play a part.” This,

the liver might well be assumed as capable of accomplishing, and if

we were disposed to accept this view we might use as an argument the

fact that the products of proteid digestion are taken directly to

this organ, before being cast loose in the tissues and organs of the

body. There is perhaps as good ground for assuming that a synthesis

or reconstruction of proteid takes place all over the body; that, as

suggested by Leathes, “the synthesis of proteids is a function of every

cell in the body, each one for itself, and that the material out of

which all proteids in the body are made is not proteid in any form,

but the fragments derived from proteids by hydrolysis, probably the

amido-acids, which in different combinations and different proportions

are found in all proteids, and into which they are all resolved by the

processes, autolytic or digestive, which can be carried out in every

cell in the body.” It is certainly a reasonable hypothesis, and since

we lack positive knowledge it cannot at present be disproved. All that

we can affirm in the light of established fact is that the products of

proteid digestion are absorbed from the intestine by way of the portal

circulation, and that either in their passage through the intestinal

wall, or later on in the liver or elsewhere, there is a construction of

new proteid to meet the wants of the body. The liver, indeed, may be

effective in both construction and destruction of proteid, but there is

no way of telling at present just how far it acts in either direction.

Regarding the absorption of fats, a single statement will suffice, in

addition to what has already been said. Fats gain access to the general

circulation by passing from the intestine into the lacteal radicles,

thence into the lymphatics, whence they move onward into the thoracic

duct, and from there are emptied into the great veins at the neck. A

small amount is apparently absorbed in the form of soap by the portal

circulation, but by far the larger amount of fat gains access to the

blood stream without going through the liver.

* * * * *

In these ways, the blood and lymph are continually supplied with

proteid, fat, and carbohydrate from the ingested food, and as these

fluids surround and permeate the organized elements of the tissues, the

latter are enabled to gain what they need to maintain their nutritive

balance. Living matter is essentially unstable; it is the seat of

chemical changes of various kinds, anabolic or constructive, and

katabolic or destructive. The more comprehensive term “metabolic” is

applied to all of these changes that take place in living matter. In

anabolism, the dead, inert proteids, fats, and carbohydrates are more

or less assimilated and made a part of the living matter of the tissue

cells, while at the same time a certain amount of the food material,

probably the larger amount, is simply stored as such, or left to

circulate in the blood and lymph, without being raised to the higher

level of living protoplasm. In katabolism, this accumulated material,

and in some degree the living substance itself, is broken down or

disintegrated with liberation of the stored-up energy, which manifests

itself in the form of heat and mechanical work. At times, the anabolic

processes predominate and there is a relatively large accumulation

of stored-up materials; while at other times, katabolism, with its

attendant chemical decompositions, predominates, and the body loses

correspondingly. The point to be emphasized here is that the living

body, with its multitude of living cells, is the seat of incessant

change. Construction and destruction are continually going forward

side by side; sometimes the one and sometimes the other predominating,

according to existing conditions. The living protoplasm with its

attendant storage material is, under ordinary conditions, constantly

being made good from the assimilated food, a part of which is raised to

the dignity of living matter and becomes an integral part of the living

cells, while the larger portion is simply stored for future uses, or

circulates in the blood and lymph which bathe them. Doubtless, this

storage or circulating material is the main source of the energy which

constantly flows from the cells in the form of heat and of work, as a

result of the disruptive changes that constitute katabolism.

Worthy of special notice is the fact that cell protoplasm is

essentially proteid in nature; water and proteid make up the larger

part of its substance, to which are added small proportions of

carbohydrate, fat, and mineral matter. Proteid is the basis of cell

protoplasm; it is the chemical nucleus of living matter, and owing to

the large size of its molecule, with its large number of contained

atoms, is capable of many combinations and many alterations. Most of

the reactions characteristic of katabolism centre around this proteid,

but the disruptive changes that occur undoubtedly involve more largely

the circulating materials present in the blood and lymph, and which

bathe the cells, rather than the so-called fixed, or organ proteid, of

the cell substance itself. Still, while the circulating blood and lymph

furnish largely the substances which are made to undergo disintegration

in katabolism, the living protoplasmic cell is the controlling power

which regulates the extent and character of the decompositions,

and proteid matter is the chemical basis of protoplasm. From these

statements, we again have suggested the significant importance of the

proteid foods in nutrition, since they alone can furnish the material

which constitutes the chemical basis of living cells. The human body,

which represents the highest form of animal life, is merely, as stated

by another, “literally a nation of cells derived from a single cell

called the ovum, living together, but dividing the work, transformed

variously into tissues and organs, and variously surrounded by

protoplasm products” (Waller).

The processes involved in metabolism are not easily unravelled. The

word itself is simple, but it is employed to designate that complex of

“chemical changes in living organisms which constitute their life, the

changes by which their food is assimilated and becomes part of them,

the changes which it undergoes while it shares their life, and finally

those by which it is returned to the condition of inanimate matter.

Gathered together under this one phrase are some of the most intricate

and inaccessible of natural phenomena. It implies also, and gently

insists on the idea, that all the phenomena of life are at bottom

chemical reactions” (Leathes). Regarding the processes of anabolism, as

in the construction of living protoplasm out of inert food materials,

we can say nothing. This is altogether beyond our ken at present, and

doubtless will remain so, since it involves a chemical alteration, or

change, akin to that of bringing the dead to life. With the processes

of katabolism, however, we may hope for more satisfactory results; and,

indeed, to-day we have considerable information of value as to some of

the methods, at least, which are the cause of this phase of nutrition.

This knowledge, however, has been slow of attainment.

In the earlier years of the sixteenth century, when anatomy and

physiology were beginning to make progress, the savants of that day,

hampered as they were by grave misconceptions and by the lack of

any understanding of chemical phenomena, could not take advantage,

naturally, of the suggestion that as wood burns or oxidizes in the air

with liberation of heat, so might the food substances, absorbed by the

body, undergo oxidation in the tissues and thus give rise to animal

heat. Such suggestions were at that time as a closed book, and so we

find Vesalius, in 1543, teaching the Galenic doctrines in physiology

then prevalent. The conception of heat production, as it existed at

that time, may be inferred from the following quotation:[15] “The parts

of the food absorbed from the alimentary canal are carried by the

portal blood to the liver, and by the influence of that great organ

are converted into blood. The blood thus enriched by the food is by

the same great organ endued with the nutritive properties summed up

in the phrase ‘natural spirits.’ But blood thus endowed with natural

spirits is still crude blood, unfitted for the higher purposes of the

blood in the body. Carried from the liver by the vena cava to the right

side of the heart, some of it passes from the right ventricle through

innumerable invisible pores in the septum to the left ventricle. As the

heart expands it draws from the lungs through the vein-like artery air

into the left ventricle. And in that left cavity, the blood which has

come through the septum is mixed with the air thus drawn in, and by the

help of that heat, which is innate in the heart, which was placed there

as the source of the heat of the body by God in the beginning of life,

and which remains there until death, is imbued with further qualities,

is laden with ‘vital spirits,’ and so fitted for its higher duties. The

air thus drawn into the left heart by the pulmonary vein, at the same

time tempers the innate heat of the heart and prevents it from becoming

excessive.” In other words, heat was considered as a divine gift, and

as can readily be seen, there was an utter lack of appreciation of the

use of air in breathing. Even van Helmont, who lived in 1577–1644, and

was in a sense an alchemist, still gave credence to the spirits, viz.,

that the food absorbed from the stomach and intestine is in the liver

endued with natural spirits, while in the heart the natural spirits

are converted into vital spirits, and in the brain the vital spirits

are transformed into animal spirits.[16] Later, Malpighi discovered

the true structure of the lungs, and Borelli, in 1680, exposed the

erroneous views then prevalent regarding the purpose of breathing.

It is not true, says Borelli, that the use of breathing is to cool

the excessive heat of the heart or to ventilate the vital flame, but

we must believe that this great machinery of the lungs, with their

accompanying blood vessels, is for some grand purpose. In a long and

vigorous argument, he contends that the “air taken in by breathing is

the chief cause of the life of animals, far more essential than the

working of the heart and the circulation of the blood.” He quotes the

experiments of Boyle, who showed in 1660 “that even in a partial vacuum

brought about by his air pump, flame was extinguished and life soon

came to an end; the candle went out and the mouse or the sparrow died.”

[15] Taken from Sir Michael Foster’s “Lectures on the History

of Physiology during the Sixteenth, Seventeenth, and Eighteenth

Centuries.” Cambridge, 1901, p. 12.

[16] See Foster’s Lectures, p. 136.

At this time, and for long afterwards, the belief was prevalent

that the air taken up by the blood in the lungs was the air of the

atmosphere in its entirety. No one appears to have thought of the

possibility of only a part of the air being used, for at that time

there was no suspicion that air was a mixture of substances. Mayow,

however, in 1668, showed that it was not the whole air which was

employed for respiration, but a particular part only. At this time,

great attention was being given to a study of nitre or saltpetre; its

wonderful properties in combustion were being recognized, and Mayow,

who was a chemist of repute, claimed that it had its origin partly

in the air and partly in the earth. The air “which surrounds us, and

which, since by its tenuity escapes the sharpness of our eyes, seems

to those who think about it to be an empty space, is impregnated

with a certain universal salt, of a nitro-saline nature, that is to

say, with a vital, fiery, and in the highest degree fermentative

spirit,” to which the name of “igneo-aereus” was applied. Nitre was

shown to be composed of a _sal fixum_ or sal alkali,--potash as it

is now called,--and was obviously derived from the earth, while the

other part of nitre was made up of the _spiritus acidus_, or nitric

acid. For a time it was supposed that the whole of this _spiritus

acidus_ was contained in the atmosphere, but it was soon recognized

that this could not be the case, since nitric acid was found to be a

corrosive liquid, destructive to life and quite incapable of supporting

combustion. Hence, Mayow concluded that only a part of the acid

exists in the atmosphere, viz., that part which he termed _spiritus

nitro-aereus_. In combustion, there is something in the air which is

necessary for the burning of every flame, unless perchance igneo-aereal

particles should pre-exist in the thing to be burnt. These igneo-aereal

particles form “the more active and subtle part of air which is thus

necessary for combustion, exist in nitre and indeed constitute its

‘more active and fiery part.’” Mayow fully recognized that burning

and breathing involved in a measure the same process; both consisted

in the consumption of the igneo-aereal particles present in the air.

“If a small animal and a lighted candle be shut up in the same vessel,

the entrance into which of air from without be prevented, you will see

in a short time the candle go out, nor will the animal long survive

its funeral torch. Indeed, [says Mayow] I have found by observation

that an animal shut up in a flask together with a candle will continue

to breathe for not much more than half the time than it otherwise

would, that is, without the candle.” Something contained in the air,

necessary alike for supporting combustion and for sustaining life,

passes from the air into the blood. Mayow expressed his thoughts in

these words: “And indeed it is very probable that certain particles

of a nitro-saline nature, and those very subtle, nimble, and of very

great fermentative power, are separated from the air by the aid of the

lungs and introduced into the mass of the blood. And so necessary for

life of every kind is that aereal salt (constituent) that not even

plants can grow in earth the access of air to which is shut off. But

if that same earth be exposed to air and so forthwith impregnated with

that fecundating salt, it at once becomes fit again for growing.”[17]

Mayow fully appreciated the importance of his nitro-aereal particles in

the processes of life; he had indeed a fairly accurate conception of a

sound theory of animal heat; he saw that they were equally necessary

for burning, or combustion, and for respiration, and so was enabled to

draw a parallelism between the two processes; he pointed out that they

were essential for the ordinary activity of the muscles of the body,

that as muscle work was increased more particles from the air were

required; indeed, he clearly foresaw the need which the body had for

these igneo-aereal particles in all the chemical processes of life. And

thus was foreshadowed a conception of oxidation, a hundred years before

Priestley evolved his phlogiston theories and Lavoisier discovered

oxygen.

[17] Quoted from Foster’s Lectures, p. 195.

The discoveries of Lavoisier, published in 1789, led to a clear

understanding of combustion as a process of oxidation, and paved the

way for a fuller knowledge of the part played by the oxygen of the

air in the chemical reactions going on in the animal body. Lavoisier

showed that the oxygen drawn into the lungs with the air breathed was

used in the body for the oxidation of certain substances, carbon being

transformed thereby into carbon dioxide, and hydrogen into water.

Further, he noted that these oxidations were carried forward on a

large scale, and he emphasized the importance of oxygen as being the

true cause of the varied decompositions taking place in the living

body. The larger the amount of oxygen inspired, the more extensive

the oxidation, and consequently the rate of respiration as modifying

the intake of oxygen served in his opinion as a regulator to control

the extent of the oxidative processes. He pointed out that a definite

relationship existed between the amount of work done by the body and

the oxygen consumed; greater muscular activity, lower temperature of

the surrounding air, the activities attending the digestive functions,

all seemed to be associated with a greater utilization of oxygen.

Oxidation was the pivot around which all the chemical reactions of the

body seemed to centre. Lavoisier, however, was not a physiologist, and

he was, quite naturally perhaps, led into some errors. For example,

he considered that the process of combustion or oxidation took place

in the lungs, certain fluids rich in carbon and hydrogen formed in

the different organs of the body being brought there for exposure to

the inspired oxygen. Further, his views implied a simple and complete

combustion, in which complex substances rich in carbon were directly

and completely oxidized to carbon dioxide and water, in much the same

manner as combustion occurs outside the body. Again, he assumed that

the amount of oxygen taken into the lungs determined the extent of

oxidation, just as the use of the bellows, by increasing the draft of

air, causes the fire to burn more brightly.

To Liebig (1842) the next great advance was due. This phenomenally

clear-minded man, while recognizing at their full value the fundamental

theories advanced by Lavoisier, saw and fully appreciated their

incompleteness, and he likewise understood their failure to explain

many of the phenomena of life more familiar to the physiological mind

than to that of a simple chemist like Lavoisier. Liebig had made a

special study of the chemical composition of foodstuffs, and likewise

of the tissues and organs of the body. He had, moreover, given great

attention to the decomposition products formed in the body, especially

the nitrogenous substances excreted through the kidneys, as well as the

carbon dioxide and water passed out through the lungs and skin. It was

not strange, therefore, that he should take exception to Lavoisier’s

view that oxidation in the body consisted in the combustion of a

fluid, rich in carbon and hydrogen, which was brought to the lungs.

On the contrary, Liebig contended that it was the organic compounds,

proteids, fats, and carbohydrates, that underwent oxidation, and not

necessarily in the lungs, but all over the body, wherever organs and

tissues were active. Especially noteworthy was the view advanced by

Liebig, and upheld for many years, that of these three classes of

compounds the proteids alone served for the construction of organized

tissues, like muscle, and that in the activity of this tissue, as

in muscle contraction or muscle work, the energy for the work was

derived solely from the breaking down or oxidation of this organized

proteid. On this ground he termed the proteid foodstuffs “plastic,” or

tissue-building foods. Liebig further pointed out that the substances

of the body have the power of combining with and holding on to the

inspired oxygen, and that fats and carbohydrates, _i. e._, the

non-nitrogenous compounds, easily undergo oxidation or combustion, and

thereby furnish the heat of the body. For this reason he termed the

corresponding foodstuffs “respiratory” foods. Proteids, on the other

hand, according to Liebig’s view, are capable of combustion only in

slight degree. The cause of the decomposition of proteid substances in

the body was to be traced solely to muscle work, _i. e._, the energy

of muscle contraction, or muscle work, was derived from the breaking

down of the proteids of the muscle tissue, and work was the stimulus

which brought about proteid decomposition. Non-nitrogenous substances

played no part in these reactions; muscle work was without influence

on these compounds, oxygen being the sole stimulus which led to their

combustion, and heat was the sole product of the combustion.

If Liebig’s theory is correct, that the proteids of the body are

decomposed only as the result or the accompaniment of muscle work, and

the proteids of the food are used up only as they take the place of the

organized proteid so metabolized, it follows that with a like degree of

muscular activity a given body will always decompose the same amount

of proteid. If excess of proteid food is taken, the surplus will be

stored in the tissues, or, in other words, the excretion of nitrogen

will not be influenced by the amount of proteid consumed in the food.

This was the line of argument made use of by various physiologists[18]

who were disposed to criticise Liebig’s view, and quite naturally the

question was soon made the subject of many experiments. It will suffice

here merely to say that many concordant results were obtained, showing

that an abundance of proteid food leads to an increase in the excretion

of nitrogen, muscle activity remaining at a constant level. Hence, as

Voit states, some other ground than muscle work must be sought as the

true cause of proteid katabolism. Consequently, we find this hypothesis

of Liebig replaced by the theory of “luxus consumption,” in which it

is maintained that while whatever proteid is used up by the work of

the muscle must be made good from the proteid of the food, any excess

of proteid absorbed from the intestinal canal is to be considered as

“luxus,” and like the non-nitrogenous foods may be burned up in the

blood, by the oxygen therein, without being previously organized.

Hence, we see suggested two causes for the decomposition of proteid in

the body, viz., the work of the muscle and the oxygen of the blood.

Further, as stated by C. Voit,[19] the nitrogen excretion of the hungry

or fasting animal affords, according to these views, a measure of the

extent to which tissue proteid must be broken down in the maintenance

of life, and of the amount of proteid food necessary to be consumed in

order to make good the loss; viz., the minimum proteid requirement.

Again, since any excess of proteid food beyond this minimal

requirement, according to the theory, is destined to be burned up in

the blood, or elsewhere, to furnish heat the same as non-nitrogenous

foods, it follows that the excess of proteid food can be replaced by

non-nitrogenous aliment.

[18] See C. Voit: Hermann’s Handbuch der physiologie des

Gesammt-Stoffwechsels. Band 6, Theil 1, p. 269, 1881.

[19] Loc. cit., p. 270.

Oxidation, however, is the keynote in any explanation of the processes

of metabolism, whether nitrogenous or non-nitrogenous matter is

involved. Both alike undergo oxidation, but it is not simple oxidation

or combustion that we have to deal with. In the time of Lavoisier, as

already stated, it was thought that oxygen alone was the cause of the

decomposition going on in the body, but simply increasing the intake

of air or oxygen, as in quickened breathing or deeper inspiration,

does not increase correspondingly the rate of oxidation. In other

words, it is not a direct combination of oxygen with the carbon and

hydrogen of the foodstuffs, or tissue elements, that takes place in

the body, but rather a gradual, progressive decomposition of complex

organic compounds into simpler products; made possible, however, by the

agency of the oxygen carried from the lungs by the circulating blood.

It was demonstrated years ago that animals breathing pure oxygen do

not consume any more of the gas than when breathing ordinary air, and

likewise no more carbon dioxide is produced in the one case than in

the other. Fifty years ago, Liebig and other physiologists showed that

frogs’ muscle placed in an atmosphere free of oxygen could be made to

contract or do work for some considerable time, and with liberation

of heat. This fact implies a breaking down of muscle substance into

simpler bodies, but there is here no free oxygen to act as the inciting

cause; indeed, what actually occurs is a cleavage or splitting up

of substances in the muscle tissue, but at the expense of oxygen in

some form of combination in the muscle. This oxygen must have been

taken from the blood at some previous time and stored in the tissue

for future use. Again, as C. Voit has expressed it, if oxygen were

really the immediate cause of the decompositions taking place in the

organism, we should expect combustion to occur in harmony with the

well-known relationship of the three classes of organic foodstuffs to

oxygen. In other words, fats would undergo combustion most readily,

carbohydrates next, and lastly the nitrogenous or albuminous compounds.

In reality, however, proteid matter is decomposed in largest quantity;

a generous addition of proteid food is always accompanied by an

increased consumption of oxygen. Yet oxygen is not the inciting cause

of the proteid decomposition, as is seen from the fact that in muscle

work, where the intake of oxygen is greatly increased, there is no

noticeable change in the amount of proteid material broken down.

Plainly, in the body we have to deal not with a direct oxidation of

the complex compounds of the tissues or of the food, but rather with

a gradual cleavage of these higher compounds into simpler substances,

these latter undergoing progressively a still further breaking down

with intake of oxygen. To repeat, oxygen is not the _cause_ of the

decompositions within the body, but the extent of the breaking down of

the tissue or food material is the determining factor in the amount

of oxygen taken on and used up. The products of decomposition contain

more oxygen than the original substances undergoing the breaking down

process, which means that oxygen is taken from the blood and used in

the physiological combustion that is going on. It is not, however,

strictly a combustion process; it is more complicated and more gradual

than ordinary combustion, involving first of all a series of what may

be termed oxidative cleavages, in which large molecules are gradually,

step by step, broken down into simpler molecules, and these latter then

oxidized to still simpler forms. Hence, we find the oxidative changes

preceded by a variety of alterations in which oxygen may take no part

whatever; such as hydrolytic cleavage, where the elements of water are

taken on as a necessary step in the cleavage process; dissociation of

a simple sort, as when a large molecule breaks up directly into smaller

molecules, etc.

These statements by no means detract from the importance of oxygen in

the katabolic processes of the body, but it is physiological oxidation

that we have to do with, and not simple combustion. Oxygen is not the

direct cause of the transformations taking place in the body. As one

looks over the history of progress in our knowledge of nutrition from

the time of Lavoisier to the present, it is easy to note the gradual

change of view regarding oxidation in the living organism. Step by

step, it has been demonstrated that there are many factors involved in

this breaking down of complex substances; that while oxygen is an ever

present requirement, there are other equally important factors to be

taken into account. The contrast between the older views and those now

current is clearly shown by the difference in attitude regarding the

_place_ in the body where oxidation occurs. Thus, in the earlier days,

when the view was gradually gaining ground that nutritional changes

were mainly the result of oxidation, and that the oxygen drawn into the

lungs in inspiration was a primary factor, then, as we have seen, the

lungs were considered as the laboratory where the transformation takes

place. This view, however, was soon exploded, and next we find the

blood, the lymph, and other fluids, but especially the blood, looked on

as the locality where oxidation occurs. This was indeed quite a natural

view to hold, since the blood is the carrier of oxygen, but we now

know, in harmony with the fact that the breaking down of complex food

material is a complicated process, involving various kinds of chemical

change, that these katabolic processes are not located in any one

place, but occur all over the body wherever there are active tissues.

As has been previously stated, the human body is a “nation” of cells,

all of which are more or less active, and it is in these miniature

laboratories mainly that oxidation and all the other nutritional

changes coincident to life take place. Muscle tissue and nerve tissue,

the large secreting glands, such as the liver, stomach, and pancreas,

all are the seat of oxidative and other changes which we class under

the broad term of nutritional. To these cells, therefore, we must

look for an explanation of the causes of oxidation, and the other

transformations of a kindred nature that take place in the body.

In our brief survey of digestion, and of the methods there followed

for the proper utilization of the organic foodstuffs, it was seen

that the unorganized ferments or enzymes are the active agents in

accomplishing the breaking down of proteids, and the less profound

alteration of fats and carbohydrates. Is it not possible that the

tissues of the body are likewise supplied with enzymes of various

types, and that upon these powerful agents rests the responsibility

for the different kinds of decomposition, oxidation and other changes,

that take place in the body? Some years ago much interest was aroused

by the observation that certain glands in the body, if simply warmed

at body temperature with water, in the presence of some germicidal

agent sufficient to prevent putrefactive changes, underwent what is

now termed autodigestion, _i. e._, a process of self-digestion, with

formation of various products, notably such as would naturally result

from the breaking down of proteid material by ordinary proteolytic

enzymes. This would seem to imply the presence in the glands of

a proteid-splitting enzyme, the products formed being proteoses,

peptones, amino-acids, etc., just such products as result from the

action of trypsin. To-day, we know that practically all tissues and

organs can, under suitable conditions, undergo autolysis, and in many

instances the enzymes themselves can be separated from the tissues by

appropriate treatment. Liver, muscle, lymph glands, spleen, kidneys,

lungs, thymus, etc., all contain what are very appropriately called

intracellular enzymes. These enzymes are of various kinds. Especially

conspicuous are the hydrolytic, proteid-splitting enzymes, which

behave in a manner quite similar to, if not identical with, that of

the digestive enzymes of the gastro-intestinal tract, _i. e._, pepsin,

trypsin, and erepsin. Further, there are other hydrolytic cleavages

taking place in tissue cells, such as the cleavage of fats, due as we

now know to intracellular enzymes of the lipase type, and by which

neutral fats are split apart into glycerin and fatty acid. Again, there

are in many organs intracellular enzymes which act upon the complex

nucleoproteids of the tissue, causing them to break apart into proteid

and nucleic acid, the latter being further broken down by other enzymes

with liberation of the contained nuclein or purin bases. Many other

chemical reactions are brought about by specific enzymes of various

kinds, present in the cells of particular glandular organs. Thus,

intracellular enzymes have been found, as in the liver, which are able

to transform amino-acids into amides, and still others capable of

splitting up amides.

Equally important, and even more suggestive, are the data which have

been collected recently regarding oxidative processes in the tissues

of the body. Specific ferments, known as oxidases, are found widely

distributed in many organs and tissues, and it is difficult to escape

the conclusion that as intracellular enzymes they have an important

part to play in some, at least, of the transformations characteristic

of tissue katabolism.[20] As a single example, mention may be made of

aldehydase, which accomplishes the oxidation of substances having the

structure of aldehydes into corresponding acids. Ferments or enzymes

of this class are found in the liver, spleen, salivary glands, lungs,

brain, kidneys, etc., and they may well be considered as important

agents in the chemical transformations going on in the tissues of

the body. It would take us too far afield to enter into a detailed

consideration of these intracellular enzymes; it must suffice to

emphasize the general fact that in all the tissues and organs of the

body there are present a large number of enzymes of different types,

endowed with different lines of activity, and consequently capable

of accomplishing a great variety of results in metabolism. Oxidation

may still be a dominant feature in nutrition, oxidative changes may

characterize more or less every tissue and organ in the body, but the

processes are subtle and are not to be defined in harmony with simple

chemical or physical laws. The living cell, with its intracellular

enzymes, is the guiding and controlling power by which the processes of

katabolism are regulated in harmony with the needs of the body. Complex

organic matter is broken down step by step in the various tissues, with

gradual liberation of the contained energy; processes of hydrolytic

cleavage alternate with processes of oxidation, the molecules acted

upon growing smaller with each downward step, until at last the final

end-products are reached, viz., carbon dioxide, water, and urea, which

the body eliminates through various channels as true physiological

waste-products.

[20] See M. Jacoby: Ueber die Bedeutung der intracellulären Fermente

für die Physiologie und Pathologie. Ergebnisse der Physiologie,

Erster Jahrgang, 1. Abtheilung, p. 230.

It will be advisable for us to consider briefly some of these

intermediary products of tissue metabolism, since in any discussion

of nutritive changes it is quite essential to have some understanding

of the chemical relationship existing between the various products

which result from the breaking down of proteid and other materials in

tissue katabolism. This is especially true of proteid material, since

in the gradual disintegration of this substance in tissue metabolism

many intermediary bodies are formed, which undoubtedly exercise some

physiological influence prior to their transformation into simpler

bodies, with ultimate formation of the final product, urea. As has

been pointed out so many times, the proteid foods are peculiar in that

they alone contain the necessary nitrogen, and in the peculiar form

able to meet the physiological requirements of the body. Variations in

the proteid intake are of necessity accompanied by variations in the

formation of nitrogenous intermediary products, and both quality and

quantity of these substances must be given due attention in any study

of nutrition. Further, it is only by an understanding of the general

or ground structure of proteids that we can hope to attain knowledge

of the processes going on in the different tissues and organs in

connection with metabolism, while a true appreciation of the chemical

peculiarities of the individual proteids will help to explain the

different nutritional value of vegetable as contrasted with animal

proteids.

Our understanding of the chemical structure of any organic substance

is based primarily upon a study of the decomposition products which

result from its breaking down, under the influence of various chemical

agencies. Simple proteid substances when acted upon by pancreatic

juice reinforced by the enzyme erepsin, or when boiled with dilute

acids, undergo hydrolytic cleavage with ultimate formation of a large

number of relatively simple bodies, mostly amino-acids, the chemical

structure of which throws some light upon the nature of the proteid.

Thus, in the pancreatic digestion of proteid in the intestine we may

adopt the following scheme as showing in a general way the progressive

transformation that occurs, understanding at the same time that like

transformations may be accomplished by corresponding intracellular

enzymes in the tissues and organs of the body; and further, that by the

long-continued action of hydrolytic agents there is a complete breaking

down into amino-acids and other simple products.

Native Proteid

/\

/ \

/ \

Protoproteose Heteroproteose : Primary proteoses

| |

Deuteroproteose Deuteroproteose : Secondary proteoses

| |

Peptone Peptone

| |

Amino-acids Amino-acids

Among these end-products, or amino-acids, are leucin, tyrosin, aspartic

acid, glutaminic acid, glycocoll, arginin, lysin, histidin, and

likewise the peculiar aromatic body tryptophan. The chemical make-up

of these substances may be indicated by the following structural

formulæ, which, if even only partially understood, will suggest to the

non-chemical mind some idea of close chemical relationship:

CH(NH_{2})COOH

/ CH(NH_{2})COOH

CH_{2} |

\ CH_{2}-COOH

CH_{2}-COOH

Glutaminic acid Aspartic acid

CH_{3}

CH_{2}-NH_{2} \

| CH-CH_{2}-CH(NH_{2})-COOH

COOH /

CH_{3}

Glycocoll Leucin

OH

/

C_{6}H_{4}

\

CH_{2}-CH(NH_{2})COOH

Tyrosin

C·CH_{2}·CH·(NH_{2})·COOH

/ \\

C_{6}H_{4} CH

\ /

NH

Tryptophan

CH_{2}-NH CH_{2}-NH_{2} CH--N

| \ | || \\

CH_{2} C--NH_{2} CH_{2} || CHµ

| // | || /

CH_{2} NH CH_{2} C--NH

| | |

CH·NH_{2} CH_{2} CH_{2}

| | |

COOH CH-NH_{2} CH-NH_{2}

| |

COOH COOH

Arginin Lysin Histidin

In these various decomposition products there is apparent certain

definite lines of resemblance, on which is based one or more

suggestions regarding possible ways in which these chemical groups are

linked, or bound together, in the proteid molecule. Thus, there is

apparently present a complex or nucleus which may be indicated as

| |

HC-NH-CO- also HC-NH-C(NH)-

| |

The proteid molecule is presumably built up of amino-acids variously

joined together, this synthesis being accomplished, doubtless, by the

condensation of different types of amino-acids, in which the first

of the above groups represents the more common method of union. We

may indeed conjecture that such methods of condensation take place in

the human body, in the epithelial cells of the intestine, and in the

tissues in general; and that by such methods, construction of proteid

is accomplished out of the various fragments split off by digestion,

etc. In a tentative way, the principle may be illustrated by the fusion

of leucin and glutaminic acid,--following Hofmeister’s suggestion,--in

which a still larger complex is formed:

: :

--CO-:-NH--CH--CO--NH--CH--CO-:-NH--

: | | :

C_{4}H_{9} (CH_{2})_{2}

|

CO·OH

Leucin Glutaminic acid

In this way, step by step, the proteid molecule is built up, and

naturally in katabolism the proteid breaks down along certain definite

lines of cleavage, with formation of katabolic products containing

those groups, or chemical nuclei, which characterize the different

proteid molecules. For it is to be clearly understood that there are

many different forms of proteid, perhaps superficially alike, but

possessed of physiological individuality. This is well illustrated

by the two primary proteoses formed in digestion. As will be

recalled, there are at first two proteoses produced, protoproteose

and heteroproteose. These are, superficially at least, not radically

unlike; they possess essentially the same percentage composition, but

when broken down by vigorous chemical methods they show a totally

different make-up. In other words, at the very beginning of digestion

there is a splitting up of the proteid into two parts, which have

quite a different chemical structure, as is clearly indicated by the

difference in the character and amount of the decomposition products

yielded by hydrolytic cleavage. Thus, heteroalbumose as derived from

blood-fibrin contains 39 per cent of its total nitrogen in basic form,

_i. e._, in a form which goes over into the basic bodies, arginin,

lysin, and histidin, etc. On the other hand, protoalbumose from the

same source yields hardly 25 per cent of basic nitrogen. Further,

heteroalbumose yields only a very small amount of tyrosin, while

protoalbumose gives on decomposition a large amount of this substance.

Again, heteroalbumose furnishes a large yield of leucin and glycocoll,

while protoalbumose gives no glycocoll and only a little leucin.

Obviously, these two proteoses have an inner structure quite divergent

one from the other, and owing to this fact they must play a quite

different rôle in metabolism.

Even greater differences in inner chemical structure are found among

native proteids. By way of illustration, we may take egg-albumin,

the casein of cow’s milk, gliadin of wheat, and the edestin of hemp

seed. These are all typical proteids; they are all useful as food, but

they are radically different in their inner chemical structure, as is

clearly indicated by the following data,[21] which show the percentage

yield of the different amino-acids and ammonia:

[21] These data were furnished the writer by Dr. Thomas B. Osborne,

and represent in large measure the results of his own chemical work.

+--------+-------+--------+----------+--------+------+---------+--------+

| | | |Glutaminic| | | | |

| |Leucin.|Tyrosin.| Acid. |Arginin.|Lysin.|Histidin.|Ammonia.|

+--------+-------+--------+----------+--------+------+---------+--------+

|Egg- | | | | | | | |

| albumin| 6.1 | 1.1 | 9.0 | ... | ... | ... | 1.6 |

|Casein | 10.5 | 4.5 | 10.7 | 4.8 | 5.8 | 2.6 | 1.9 |

|Gliadin | 5.7 | 1.2 | 37.3 | 3.2 | 0 | 0.6 | 5.1 |

|Edestin | 19.9 | 2.7 | 14.0 | 14.2 | 1.6 | 2.2 | 2.3 |

+--------+-------+--------+----------+--------+------+---------+--------+

These are not mere technical differences, but they represent

divergences of structure which cannot help counting as material factors

in nutritional processes. Especially noticeable is the large yield of

glutaminic acid from wheat proteid, as contrasted with the proteid

(casein) of animal origin. As a rule, glutaminic acid forms a larger

proportion of the decomposition products of vegetable than of animal

proteids. Similarly, arginin is present in much larger proportion

in most vegetable proteids than in most animal proteids. While many

other data more or less trustworthy might be added, these figures

will suffice to emphasize the main point under discussion, viz., that

individual proteids show marked variation in the amount of the several

amino-acids which serve as corner-stones or nuclei in the building

up of the molecule, and consequently they must yield correspondingly

different katabolic products when serving the body as food.

Turning now to another phase of tissue metabolism, we may consider

briefly the nucleoproteids and their characteristic decomposition

products; bodies which are widely distributed as cleavage products

formed in the disintegration of most cell protoplasm, and having

special interest in nutrition because of their chemical relationship

to that well-known substance, uric acid. Nucleoproteids of some type

are found in all cells; consequently they are present in all tissues,

in all glandular organs, and their widespread distribution constitutes

evidence of their great physiological importance. Nucleoproteids are

compound substances made up of some form of proteid and nucleic acid.

By simple hydrolysis with dilute mineral acids they are broken down

into proteid, phosphoric acid, and one or more bodies known as nuclein

bases. Of these latter substances, there are four well-defined bodies,

viz., adenin, hypoxanthin, guanin, and xanthin, which from their

peculiar chemical constitution are known as “purin bases.” In the

body, there is present in many cells a peculiar intracellular enzyme

termed _nuclease_, which has the power of liberating these purin bases

from their combination as a component part of tissue nucleoproteids,

or of the contained nucleic acid. In autolysis or self-digestion of

many glands, such as the spleen, thymus, etc., this chemical reaction

is easily induced by action of the contained nuclease. Further, the

liberated purin bases then undergo change because of the presence of

certain deamidizing enzymes, and as a result guanin is transformed into

xanthin, and adenin is converted into hypoxanthin. These ferments are

true intracellular enzymes, and are termed respectively _guanase_ and

_adenase_. The real essence of the reaction they accomplish is clearly

indicated by the following formulæ, which likewise show the chemical

nature and relationship of the four substances:

HN--CO HN--CO

| | | |

H_{2}N·C C--NH + H_{2}O = CO C--NH + NH_{3}

|| || \ || || \

|| || CH || || CH

|| || // || || //

N--C--N HN--C--N

Guanin Xanthin

N==C·NH_{2} HN--CO

| | | |

HC C--NH + H_{2}O = HC C--NH + NH_{3}

|| || \ || || \

|| || CH || || CH

|| || // || || //

N--C--N N--C--N

Adenin Hypoxanthin

These two enzymes are typical hydrolyzing enzymes, but it is to be

noted that there is not only a taking on of water with a retention of

the oxygen, but there is also a giving off of ammonia, by which the

transformation is made possible. Adenin is known as an amino-purin

and guanin as an amino-oxypurin, while hypoxanthin is an oxypurin and

xanthin a dioxypurin. In other words, the two intracellular enzymes

are able to transform the two amino-purins into the corresponding

oxypurins; _i. e._, the enzymes are deamidizing ferments, liberating

the NH_{2} group of the adenin and guanin and thus forming two new

compounds. These reactions, though more or less technical, are

emphasized in this way not merely because they illustrate the action

of intracellular enzymes in intermediary metabolism, thus affording a

striking example of the gradual changes that take place in ordinary

katabolic processes, but especially because they throw light upon the

production of another substance common in body metabolism, viz., uric

acid. It has long been known that nucleoproteids, nucleins, and other

compounds containing these purin radicles, when taken as food, cause

at once an increased output of uric acid, and it has been clearly

recognized that in some way this latter substance, as a product of

metabolism, must come from the transformation of nuclein bases. To-day,

we understand that in many tissues, as in the liver, spleen, lungs,

and muscle, there is present a peculiar oxidizing ferment, an oxidase,

by the action of which hypoxanthin can be converted into xanthin, and

the latter directly oxidized to uric acid. This conversion into uric

acid is purely a process of oxidation, brought about by a typical

intracellular oxidase, known specifically as “xanthin oxidase,” the

reaction involved being as follows:

HN--CO HN--CO

| | | |

CO C--NH + O = CO C--NH

| || \ | || \

| || CH | || CO

| || // | || /

HN--C--N HN--C--NH

Xanthin Uric acid

From these several reactions, it is clear how various intracellular

enzymes working one after the other are able gradually to evolve uric

acid from tissue nucleoproteids. Further, it is to be noted that there

is another tissue oxidase--contained principally in the kidneys,

muscle, and liver--which has the power of oxidizing and thus destroying

uric acid, with formation, among other substances, of urea. Remembering

that urea has the following chemical constitution

NH_{2}

/

C==O

\

NH_{2}

it is easy to see, by comparison of the formulæ, how uric acid might

easily yield two molecules of urea through simple oxidation. In this

way, excess of uric acid produced in the body can be converted into

urea, and in this harmless form be excreted from the system.

Finally, reference should be made here to several other products of

tissue metabolism, products of the breaking down of proteid matter in

the body, since they are liable to prove of interest to us in other

connections. Thus creatin, abundant in the muscle and other places; the

related substance creatinin, present in the urine; methyl guanidin,

a decomposition product of creatin; and urea, all call for a word of

description. The chemical relationship of these bodies is clearly

indicated by the following formulæ:

NH_{2} NH-------

/ / \

C==NH C==NH CO

\ \ /

N(CH_{3})CH_{2}COOH N(CH_{3})CH_{2}

Creatin Creatinin

NH_{2} NH_{2}

/ /

C==NH C==O

\ \

NH(CH_{3}) NH_{2}

Methyl guanidin Urea

Creatinin is chemically the anhydride of creatin, _i. e._, it can be

formed from creatin by the simple extraction of one molecule of water,

H_{2}O. Creatin, by hydrolytic cleavage, will break down into one

molecule of urea and one molecule of sarcosin or methyl glycocoll, as

shown in the following equation:

NH_{2} NH_{2}

/ CH_{2}·NH·(CH_{3}) /

C==NH + H_{2}O = | + C==O

\ COOH \

N (CH_{3}) CH_{2}COOH NH_{2}

Creatin Sarcosin Urea

Methyl guanidin is a decomposition product of creatin, while guanidin,

as can be seen from the formula, is like urea, excepting that the

group NH replaces the oxygen of urea. These simple statements will

suffice for our present purpose, viz., to indicate the more or less

close chemical relationships existing between many of these nitrogenous

decomposition products resulting from proteid katabolism; also to

suggest how by slight chemical alteration one decomposition product

may be resolved into another related substance in the processes of

katabolism. Our conception of the processes involved in proteid

katabolism is that of a series of progressive chemical decompositions,

in which intracellular enzymes play the all-important part. The

intermediary products formed are definite bodies because of the

specific nature of the active enzymes, and, secondly, because of the

chemical nature of the substances acted upon. In other words, oxidation

in the animal body takes the shape of a series of well-defined chemical

reactions, in which chemical constitution and specific enzyme action

are the predetermining cause. In the absence of the particular chemical

groups, the oxidase is unable to bring about oxidation, or, given the

proper compound or mother substance in the absence of the specific

oxidase, there is no oxidation. Hence, oxidation in the animal body

is not the result of simple combustion, but, on the contrary, it

consists of a series of orderly chemical processes, each one of which

is presided over by an intracellular enzyme, specific in its nature,

in that it is capable of acting only upon substances having a certain

definite constitution, and leading invariably to a certain definite

result. The processes which years ago were considered as due to the

peculiar vital properties of the tissue cells, and which were supposed

to be entirely dependent upon their morphological and functional

integrity, are now seen to be due primarily to a great variety of

enzymes, manufactured indeed by the living cells, but capable of

manifesting their activity even when free from the influence of the

living protoplasm. The varied processes of tissue katabolism are the

result of orderly and progressive chemical changes, in which cleavage,

hydrolysis, reduction, oxidation, deamidization, etc., alternate with

each other under the influence of specific enzymes, where chemical

constitution and the structural make-up of the various molecules are

determining factors in the changes produced.

The nutrition of man · 第 2 / 8 章