Evidence-Based Benefits
- Gut barrier integrity — van der Hulst et al. (1993, n=20) demonstrated glutamine supplementation preserved intestinal permeability in surgical patients, preventing barrier breakdown
- Tight junction support — glutamine upregulates expression of tight junction proteins claudin-1 and occludin, sealing gaps between epithelial cells (Li & Bhatt, 2006)
- Anti-inflammatory effects — glutamine inhibits NF-kB activation in intestinal epithelial cells, reducing production of pro-inflammatory cytokines (Coeffier et al., 2003)
- Chemotherapy-induced mucositis — a meta-analysis (Sayles et al., 2016, 15 studies) found oral glutamine reduced severity and incidence of chemotherapy-induced oral mucositis