Studies attempting to evaluate protein assimilation in humans have hitherto
relied on either ileostomy subjects or intubation techniques. The availabi
lity of stable isotope-labeled protein allowed us to determine the amount a
nd fate of dietary protein escaping digestion and absorption in the small i
ntestine of healthy volunteers using noninvasive tracer techniques. Ten hea
lthy volunteers were studied once after ingestion of a cooked test meal, co
nsisting of 25 g of C-13-, N-15-, and H-2-labeled egg protein, and once aft
er ingestion of the same but raw meal. Amounts of 5.73% and 35.10% (P < 0.0
05) of cooked and raw test meal, respectively, escaped digestion and absorp
tion in the small intestine. A significantly higher percentage of the malab
sorbed raw egg protein was recovered in urine as fermentation metabolites.
These results 1) confirm that substantial amounts of even easily digestible
proteins may escape assimilation in healthy volunteers and 2) further supp
ort the hypothesis that the metabolic fate of protein in the colon is affec
ted by the amount of protein made available.