Ammonia, a weak base, may play an important role in the pathogenesis of H. pylori disease because it affects cellular function and the viability of gastric epithelial cells. In the brain, liver and kidney, glutamine-metabolic pathways are crucial for scavenging ammonia to protect against cellular injury and death. It is not known, however, whether glutamine can activate similar scavenging pathways in the gastric mucoea. Here, we show that glutamine completely protects against ammonia-induced cell death in gastric mucosal cells. Methods: Viability (crystal violet assay), cell vacuolation (neutral red uptake), and ATP production (luciferase assay) were measured in confluent monolayers of rat gastric mucosal (RGM1) cells in the presence or absence of NH4CI (30 mM). [JH]glutamine and [C]metbytamine uptake into the cells was determined by liquid scintillation. Remits: Treatment with NH,CI caused extensive vacuolation, ATP depletion, and cell death in RGM1 cells. Glutamine, in concentrations from 0.2-20 raM, protected cells against NH,CI-induced cell death. At 20mM glutamine, there was complete inhibition of cell death, a significant reduction in cell vacuolation, and a significant reduction in the amount of ATP depletion. [JH]Glutamine was transported into RGM1 cells. Modification of glutamine metabolism by methionine sulfoximine, a glutamine syothetase inhibitor (lOmM), or aminooxyacetate, an aminotransferase inhibitor (lOmM), protected cells against NH4CI-induced cell death. In contrast, 6-diazo-5-oxo-L-norleucine, a glotaminase inhibitor (2mM) or acivicin, a gamma-glutamyltranspeptidase inhibitor (5raM), had no protective effect on cell death induced by NH4CI. Uptake of a non-metabolized weak base, such as [14C]methylamine, was inhibited in the presence of 20 mU glutamine, suggesting that glutamine also functions to prohibit entry (or facilitate extrusion) of weak bases. Ceecthsiem: Glutamine protects RGM1 cells against death induced by NH~CI in two ways. First, a glutamine-dependent scavenging pathway is used to reduce the intracellular concentration of NH~/NH,* in cells. Second, glutamine acts to inhibit the uptake of NH~'NH4 + into cells. Our results suggest that dietary supplementation with glutamine may be a simple and effective way to protect the gastric mucosa against ammonia-induced injury during H. pylod disease.
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