In the liver, glutamine plays an important role in ammonia detoxication and
the regulation of pH homeostasis ("Intercellular glutamine cycle"). In add
ition, this amino acid regulates liver metabolism and transport by mechanis
ms that cannot be attributed to its metabolism. Examples include the stimul
ation of protein and glycogen synthesis and bile acid secretion and the inh
ibition of proteolysis in liver. The major trigger for such effects is an i
ncreased hepatocyte hydration due to the cumulative uptake of glutamine int
o the cells, which activates osmosignaling pathways involving mitogen-activ
ated protein kinases (MAPK). Glutamine- and hypoosmolarity-induced cell swe
lling activates extracellular signal-regulated kinases (ERK) and p38(MAPK).
Activation of these MAPK results in an increased capacity of bile acid exc
retion into bile due to a rapid translocation of canalicular transport ATPa
ses from a subcanalicular storage compartment to the canalicular membrane.
Similarly, glutamine augments biliary excretion of cysteinyl leukotrienes i
n endotoxin-treated rat livers. Also, the antiproteolytic effect of glutami
ne is largely due to glutamine-induced cell swelling, which activates osmos
ignaling pathways. Here, the glutamine-induced p38(MAPK) activation mediate
s the inhibition of autophagic proteolysis at the level of autophagosome fo
rmation.