L-Threonine

L-Threonine is an essential amino acid crucial for digestive health, immune function, and protein synthesis. It’s a key component of intestinal mucin, which forms the protective barrier in your gut.

Alternative Names: Threonine, Thr, T, 2-Amino-3-hydroxybutanoic acid

Categories: Essential Amino Acid, Polar Amino Acid, Proteinogenic Amino Acid

Primary Longevity Benefits


  • Digestive health support
  • Immune system function
  • Collagen and elastin formation
  • Liver function support

Secondary Benefits


  • Supports protein synthesis
  • Contributes to intestinal mucin production
  • Helps maintain gut barrier integrity
  • May support neurological function
  • Assists in fat metabolism
  • Contributes to wound healing

Mechanism of Action


L-Threonine is an essential amino acid with a unique hydroxyl group in its side chain that plays crucial roles in various physiological processes throughout the body. As an essential amino acid, it cannot be synthesized by the human body and must be obtained through diet or supplementation. At the molecular level, threonine serves as a precursor to glycine and serine, two important amino acids involved in neurotransmission, protein synthesis, and one-carbon metabolism. The conversion of threonine to glycine occurs via the threonine dehydrogenase pathway, which is particularly active in the liver and pancreas.

One of threonine’s most significant functions is as a major component of intestinal mucin proteins, which form the protective mucus layer in the gastrointestinal tract. This mucus barrier acts as a physical shield against pathogens, digestive enzymes, and mechanical stress, while also providing a habitat for beneficial gut microbiota. Threonine constitutes up to 30% of the amino acid content of mucins, making it essential for maintaining gut barrier integrity. The amino acid is also incorporated into structural proteins such as collagen and elastin, which are essential for skin, connective tissue, and cardiovascular health.

Threonine residues in these proteins often undergo post-translational modifications, including O-glycosylation, which contributes to their structural and functional properties. In the liver, L-threonine participates in lipotropic functions, helping to prevent fat accumulation through its metabolism to acetyl-CoA and subsequent entry into the TCA cycle. This pathway supports energy production and contributes to the liver’s detoxification processes. Threonine plays a vital role in immune function through multiple mechanisms.

It supports the production of antibodies, which contain relatively high amounts of threonine in their structure. Additionally, threonine is important for the development and function of the thymus gland, a critical organ for T-cell maturation and immune system development. The amino acid is also involved in the synthesis of phospholipids, essential components of cell membranes, particularly in the central nervous system. Through this role, threonine may influence neuronal function and communication.

Metabolically, threonine can be catabolized through several pathways. The major route in humans is via threonine dehydratase, which converts threonine to α-ketobutyrate and eventually to succinyl-CoA, an intermediate in the TCA cycle. Alternatively, threonine can be metabolized via threonine dehydrogenase to 2-amino-3-ketobutyrate, which can then be converted to glycine and acetyl-CoA. A third pathway involves threonine aldolase, which directly converts threonine to glycine and acetaldehyde.

These diverse metabolic fates highlight threonine’s versatility in cellular metabolism and its importance in multiple physiological processes. At the epigenetic level, threonine has been found to influence histone methylation in embryonic stem cells, potentially affecting gene expression patterns and cellular differentiation. This emerging role suggests threonine may have broader implications for development and cellular programming than previously recognized.

Optimal Dosage


Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.

500-3000 mg daily for adults, depending on specific health goals

Detailed Recommendations

L-Threonine dosage requirements vary based on individual factors including body weight, health status, dietary intake, and specific therapeutic goals. The Recommended Dietary Allowance (RDA) for threonine is approximately 15 mg per kilogram of body weight daily for adults, which translates to roughly 1050 mg for a 70 kg (154 lb) individual. This amount is generally sufficient to prevent deficiency and support basic physiological functions. However, therapeutic applications often require higher doses.

For general health maintenance and to supplement a typical diet, 500-1000 mg daily is commonly recommended. This dosage helps ensure adequate threonine levels for protein synthesis, immune function, and gut health, particularly for individuals with limited intake of threonine-rich foods or increased requirements due to physical activity or stress. For specific digestive disorders, particularly those involving compromised intestinal barrier function or reduced mucin production, higher doses of 1000-3000 mg daily may be beneficial. This range supports the synthesis of intestinal mucins, which form the protective mucus layer in the gut.

The upper end of this range is typically reserved for more severe conditions and should be approached under healthcare supervision. Immune support applications generally utilize 1000-2000 mg daily, which may enhance antibody production and support thymus function. This dosage range is often employed during periods of increased immune challenge or for individuals with compromised immune function. For liver support and to assist with fat metabolism, 1000-2000 mg daily is commonly recommended.

This dosage may help prevent fat accumulation in the liver and support detoxification processes, particularly in individuals with metabolic challenges or those at risk for fatty liver disease. Older adults may benefit from slightly higher intake due to potential decreases in protein digestion and amino acid absorption that often accompany aging. In contrast, supplementation in children and adolescents is not typically recommended unless specifically indicated for medical reasons, as their threonine requirements are generally met through a balanced diet.

By Condition

Condition Dosage Notes
General health maintenance 500-1000 mg daily This dosage is suitable for most healthy adults looking to supplement their dietary intake. It provides a buffer above the RDA to account for individual variations in requirements and absorption. Best taken consistently as part of a comprehensive nutritional approach.
Digestive disorders (IBS, IBD, leaky gut) 1000-3000 mg daily Higher doses support intestinal mucin production and barrier function. Start at the lower end of the range and gradually increase as needed. May take 2-4 weeks to notice significant improvements in digestive symptoms. Consider dividing into 2-3 doses throughout the day for better tolerance and effectiveness.
Immune support 1000-2000 mg daily This range may enhance antibody production and overall immune function. Most effective when started before periods of expected immune challenge (e.g., cold and flu season). May be combined with zinc, vitamin C, and other immune-supporting nutrients for synergistic effects.
Liver support 1000-2000 mg daily Supports fat metabolism and may help prevent fatty liver. Most beneficial when combined with a comprehensive approach including dietary modifications and other liver-supporting nutrients. Consider higher end of range for individuals with existing liver concerns or metabolic syndrome.
Wound healing and tissue repair 1000-2000 mg daily Supports collagen synthesis and tissue regeneration. Most effective when started immediately after injury or surgery and continued throughout the healing process. Consider combining with vitamin C, zinc, and other amino acids involved in collagen formation.
Athletic performance and recovery 1000-2000 mg daily May support protein synthesis and recovery from intense training. Most effective when taken consistently rather than only on training days. Consider as part of a comprehensive amino acid supplementation strategy for athletes.

By Age Group

Age Group Dosage Notes
Adults (19-50 years) 15 mg/kg body weight daily (RDA) This translates to approximately 1050 mg for a 70 kg adult as a minimum requirement. Therapeutic applications often use 500-3000 mg daily depending on specific health goals. Active individuals and those under physical or mental stress may benefit from the higher end of this range.
Older adults (51+ years) 15 mg/kg body weight daily (RDA) May benefit from slightly higher intake (20-25 mg/kg) due to decreased absorption and increased protein turnover with age. Consider 1000-2000 mg daily for therapeutic purposes, particularly for digestive health and immune support. Start at lower doses and monitor for tolerance.
Children and adolescents Varies by age and weight Infants (0-12 months): 58-49 mg/kg/day; Children (1-13 years): 27-15 mg/kg/day; Adolescents (14-18 years): 15 mg/kg/day. Supplementation not typically recommended unless medically indicated and supervised by a healthcare provider. Focus on providing adequate protein through diet.
Pregnant and lactating women Not established Requirements likely increased, but specific supplementation guidelines have not been established. Supplementation should only be considered under healthcare supervision. Focus on obtaining adequate protein through diet.

Timing Considerations

L-Threonine is best absorbed when taken on an empty stomach, at least 30 minutes before meals or 2 hours after eating. This minimizes competition with other amino acids for intestinal absorption. For digestive health applications, taking threonine 30-60 minutes before meals may help ensure adequate mucin production during digestion. When used for immune or liver support, consistent daily supplementation is more important than specific timing.

For sleep support (a secondary benefit noted by some users), taking threonine approximately 30-60 minutes before bedtime may be beneficial, as it can be converted to glycine, which has mild sleep-promoting effects.

Cycling Recommendations

For general health maintenance, continuous use is appropriate without specific cycling protocols. For therapeutic applications, some practitioners recommend 8-12 weeks of consistent supplementation followed by a 2-4 week break to prevent potential downregulation of endogenous pathways, though clinical evidence for this approach is limited. For seasonal immune support, threonine supplementation may be focused during fall and winter months when immune challenges are typically greater.

Bioavailability


Absorption Rate

Approximately 75-85% from dietary sources and supplements in free-form

Detailed Information

L-Threonine demonstrates good bioavailability compared to many other amino acids, with absorption rates typically ranging from 75-85% when consumed in free form. Absorption occurs primarily in the small intestine through sodium-dependent active transport systems, particularly the B0 system (neutral amino acid transporter) and the ASC system (alanine-serine-cysteine preferring transporter). These transport systems are relatively efficient but can become saturated at high doses, potentially limiting absorption of very large single doses. Several factors influence threonine absorption and utilization.

When consumed as part of intact proteins in food, threonine must first be liberated through digestion, which can reduce overall bioavailability compared to free-form supplements. The presence of other amino acids, particularly those that use the same transport systems (such as alanine, serine, and other neutral amino acids), can create competition for absorption. This competition is most significant when threonine is consumed as part of a high-protein meal or with other amino acid supplements. Digestive health also plays a crucial role in threonine bioavailability.

Conditions that affect the integrity of the intestinal mucosa or reduce digestive enzyme production can impair threonine absorption. Conversely, threonine itself supports intestinal health through its role in mucin production, creating a potential positive feedback loop where adequate threonine status helps maintain the very systems responsible for its absorption. Once absorbed, threonine enters the portal circulation and is transported to the liver, where a significant portion (approximately 20-30%) undergoes first-pass metabolism. The remaining threonine enters the systemic circulation and is distributed to tissues throughout the body.

Threonine can cross the blood-brain barrier, though it competes with other neutral amino acids for the limited transport capacity. The plasma half-life of free threonine is relatively short (approximately 2-3 hours), suggesting that divided doses throughout the day may maintain more consistent blood levels for therapeutic purposes.

Enhancement Methods

Method Details
Taking on an empty stomach Consuming L-threonine on an empty stomach (30 minutes before meals or 2 hours after) reduces competition with other amino acids from food proteins, potentially increasing absorption by 20-30%. This approach is particularly important when using threonine for therapeutic purposes rather than general nutrition.
Combining with vitamin B6 Vitamin B6 (pyridoxine) serves as a cofactor for several enzymes involved in threonine metabolism. Ensuring adequate B6 status (through diet or supplementation with 2-5 mg daily) may enhance the utilization of threonine once absorbed, though it does not directly affect intestinal absorption.
Using free-form L-threonine Free-form L-threonine supplements bypass the need for protein digestion, offering approximately 15-25% better absorption compared to equivalent amounts from dietary proteins. This form is particularly beneficial for therapeutic applications requiring precise dosing or for individuals with compromised digestive function.
Micronized powder forms Micronization reduces particle size, potentially increasing the surface area available for absorption and improving dissolution rates. While theoretical benefits exist, clinical evidence specifically for micronized threonine is limited.
Divided dosing Taking threonine in 2-3 smaller doses throughout the day rather than a single large dose may prevent saturation of intestinal transport systems and maintain more consistent blood levels. This approach may be particularly beneficial for higher therapeutic doses (>1500 mg daily).

Timing Recommendations

General Health: For general health support, L-threonine can be taken once daily, preferably on an empty stomach to maximize absorption. Morning administration is common, though no specific time of day has been shown to be clearly superior.

Digestive Health: For digestive health applications, taking threonine 30-60 minutes before meals may help ensure adequate mucin production during digestion. For individuals with three regular meals, a schedule of 30 minutes before breakfast and dinner may be practical and effective.

Immune Support: For immune support, consistent daily supplementation is more important than specific timing. However, taking threonine in the morning may align with the natural circadian rhythm of certain immune functions.

Liver Support: For liver support, taking threonine in divided doses (morning and evening) may provide more consistent support for metabolic functions throughout the day.

Pre Workout: Some athletes take threonine 30-60 minutes before exercise to support protein synthesis during and after physical activity, though evidence for timing-specific benefits is limited.

Post Workout: Taking threonine within 30-60 minutes post-exercise may support recovery and protein synthesis, particularly when combined with other amino acids and carbohydrates.

Factors Affecting Absorption

Enhancing Factors

  • Adequate hydration improves overall amino acid absorption
  • Healthy digestive function with adequate digestive enzymes
  • Sufficient vitamin B6 status, which supports threonine metabolism
  • Zinc adequacy, which supports protein synthesis and utilization
  • Magnesium adequacy, which supports numerous enzymatic reactions involving amino acids

Inhibiting Factors

  • Gastrointestinal disorders affecting absorption (e.g., Crohn’s disease, celiac disease, IBS)
  • Advanced age, which may reduce amino acid transporter efficiency
  • Certain medications that affect protein digestion or amino acid transport
  • Alcohol consumption, which can impair amino acid metabolism
  • Chronic inflammation, which may alter amino acid utilization patterns
  • High intake of competing amino acids, particularly other neutral amino acids
  • Very high protein meals consumed simultaneously with threonine supplements

Safety Profile


Safety Rating i

4High Safety

Detailed Information

L-Threonine is generally considered safe for most healthy adults when used at recommended dosages. As an essential amino acid naturally present in dietary proteins, it has a favorable safety profile compared to many other supplements. Most individuals can tolerate threonine supplementation without significant adverse effects, particularly at doses of 500-3000 mg daily. The body has regulatory mechanisms to manage threonine metabolism, including the ability to catabolize excess threonine through several pathways or excrete it.

However, as with any bioactive compound, there are some safety considerations to be aware of. High doses (above 5000 mg daily) have not been well-studied for long-term safety and may potentially disrupt the balance of other amino acids or place additional burden on liver and kidney function. Individuals with pre-existing liver or kidney disease should exercise caution with threonine supplementation, as these organs are involved in amino acid metabolism and clearance. There is also limited research on threonine supplementation during pregnancy and lactation, so a cautious approach is warranted for these populations.

Rare genetic disorders of threonine metabolism, such as threoninemia, are absolute contraindications for threonine supplementation, as affected individuals cannot properly metabolize this amino acid. While serious adverse events from threonine supplementation are rare in the scientific literature, the relatively limited number of controlled clinical trials means that uncommon side effects may not yet be well-documented. Most reported side effects are mild and transient, often resolving with continued use or reduction in dosage.

Side Effects

Effect Frequency Severity Management
Digestive discomfort Rare (less than 3% of users) Mild to moderate Taking with small amounts of food, reducing dose, or dividing into smaller doses throughout the day may help. Symptoms typically resolve with continued use as the body adjusts.
Nausea Uncommon (less than 5% of users), more common at high doses Mild to moderate Taking with food or reducing the dose often alleviates this symptom. Starting with a lower dose and gradually increasing may help prevent nausea.
Headache Uncommon (less than 3% of users) Mild Ensuring adequate hydration may help prevent or reduce headaches. If persistent, reducing the dose or discontinuing use may be necessary.
Skin rash Rare (less than 1% of users) Mild to moderate Discontinue use and consult a healthcare provider if a rash develops. May indicate an allergic reaction or sensitivity.
Fatigue Uncommon (less than 3% of users) Mild Adjusting the timing of supplementation (e.g., taking in the evening if fatigue occurs during the day) may help. If persistent, reducing the dose or discontinuing use may be necessary.
Allergic reactions Very rare (less than 0.1% of users) Mild to severe Discontinue use immediately and seek medical attention if signs of allergy (rash, itching, swelling, severe dizziness, difficulty breathing) occur.

Contraindications

Condition Explanation
Severe liver disease The liver plays a key role in amino acid metabolism. Impaired liver function may affect threonine processing, potentially leading to abnormal accumulation or metabolism.
Severe kidney disease The kidneys are involved in amino acid filtration and excretion. Compromised kidney function may affect threonine clearance and increase the risk of adverse effects.
Pregnancy and lactation Insufficient safety data exists for threonine supplementation during pregnancy and breastfeeding. While threonine is a natural component of diet, supplemental forms should be used with caution in these populations.
Hyperammonemia Conditions characterized by elevated blood ammonia levels may be exacerbated by high amino acid intake, including threonine, as amino acid metabolism generates ammonia as a byproduct.
Disorders of threonine metabolism Individuals with rare genetic disorders affecting threonine metabolism (e.g., threoninemia) should avoid supplementation, as they cannot properly process this amino acid.
History of hypersensitivity to L-threonine Though rare, individuals with known allergic reactions to threonine supplements should avoid use.

Drug Interactions

Drug Class Interaction Severity Management
Medications metabolized by the liver Theoretical interaction; high doses of threonine might compete for liver enzymes involved in drug metabolism Low to moderate Monitor for changes in drug effectiveness or side effects when starting or stopping threonine supplementation.
Other amino acid supplements May affect the absorption and utilization of other amino acids when taken simultaneously Low Consider separating threonine supplementation from other individual amino acid supplements by at least 2 hours.
Levodopa Theoretical interaction based on competition for transport across the blood-brain barrier Low to moderate Separate threonine supplementation from levodopa administration by at least 2 hours.
Anticonvulsants Theoretical interaction based on threonine’s potential effects on neurological function Low Monitor for changes in seizure control when starting or stopping threonine supplementation.

Upper Limit

Established Limit: No officially established upper limit by regulatory authorities

Research Based Guidance: Doses above 5000 mg daily have not been well-studied for safety

Theoretical Concerns: Extremely high doses might potentially disrupt amino acid balance, place burden on liver/kidney function, or interfere with the metabolism of other amino acids

Practical Recommendation: For most individuals, staying within the 500-3000 mg daily range is prudent until more safety data becomes available

Special Populations

Children: Not recommended for supplementation unless specifically prescribed by a healthcare provider for particular medical conditions

Elderly: Generally safe, but may be more susceptible to side effects due to potential changes in liver and kidney function; starting with lower doses is advisable

Liver Impairment: Use with caution and at reduced doses, if at all; consult healthcare provider

Kidney Impairment: Use with caution and at reduced doses, if at all; consult healthcare provider

Genetic Considerations: Individuals with known disorders of threonine metabolism should avoid supplementation

Long Term Safety

Limited data exists on the long-term safety of threonine supplementation beyond 1-2 years. Based on its presence in the normal diet and status as an essential amino acid, significant long-term adverse effects are not anticipated at recommended doses, but formal studies are lacking. Some animal studies suggest that very high threonine intake over extended periods might influence liver and kidney function, but these findings have not been confirmed in humans at typical supplemental doses.

Regulatory Status


Fda Status

Classification: Generally Recognized as Safe (GRAS) as a nutritional supplement

Detailed Information: In the United States, L-threonine is classified as Generally Recognized as Safe (GRAS) by the Food and Drug Administration (FDA) when used as a nutritional supplement. This classification allows it to be added to dietary supplements without premarket approval, based on its history of safe use and scientific consensus regarding its safety. The FDA does not specifically regulate the dosage of L-threonine in supplements, though manufacturers are required to follow Good Manufacturing Practices (GMPs) and ensure their products are safe, properly labeled, and contain the ingredients listed on the label. L-threonine is also permitted as a food additive for special dietary foods and medical foods. It is not approved as a drug for the treatment, prevention, or cure of any disease, and supplement manufacturers must avoid making specific disease claims about products containing threonine.

Labeling Requirements: Products containing L-threonine must comply with standard dietary supplement labeling requirements, including listing the amount per serving, percent daily value (though no official daily value has been established for threonine), and the standard supplement facts panel. Any structure/function claims must be accompanied by the FDA disclaimer stating that the product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.

Recent Regulatory Changes: No significant recent changes in FDA regulatory status for L-threonine. It continues to be regulated under the Dietary Supplement Health and Education Act (DSHEA) of 1994 framework.

International Status

Eu

  • Approved food supplement
  • In the European Union, L-threonine is regulated under the Food Supplements Directive (2002/46/EC) and is permitted for use in food supplements. It is also authorized for use in foods for special medical purposes under Regulation (EU) No 609/2013. The European Food Safety Authority (EFSA) has evaluated threonine and has not established specific health claims for L-threonine alone, though some claims related to protein (which contains threonine) have been authorized. Novel Food authorization is not required for L-threonine as it has a history of significant consumption in the EU before May 15, 1997.
  • Individual EU member states may have specific national regulations regarding maximum dosages or particular formulations of L-threonine supplements, though the basic approval status is consistent across the EU.

Canada

  • Natural Health Product (NHP)
  • Health Canada regulates L-threonine as a Natural Health Product (NHP). It is listed in the Natural Health Products Ingredients Database with a proper name of ‘L-Threonine’ and is permitted for use in NHPs. Products containing L-threonine must have a Natural Product Number (NPN) or Homeopathic Medicine Number (DIN-HM) to be legally sold in Canada.
  • Canadian regulations require specific labeling, including cautionary statements for certain populations if applicable, and adherence to Good Manufacturing Practices. Health claims must be supported by evidence and pre-approved by Health Canada.

Australia

  • Listed complementary medicine
  • The Therapeutic Goods Administration (TGA) of Australia regulates L-threonine as a listed complementary medicine. It is included in the Therapeutic Goods (Permissible Ingredients) Determination and can be used in listed medicines (AUST L products) when complying with specified requirements.
  • Products must be manufactured according to Good Manufacturing Practice and sponsors must hold evidence to support any claims made about their product. L-threonine supplements must be listed on the Australian Register of Therapeutic Goods (ARTG) before they can be supplied in Australia.

Japan

  • Food additive and supplement ingredient
  • In Japan, L-threonine is approved as a food additive under the Food Sanitation Law and can be used in Foods with Health Claims, including Foods for Specified Health Uses (FOSHU) and Foods with Nutrient Function Claims (FNFC), when appropriate.
  • Strict quality and purity standards apply, and health claims are tightly regulated by the Consumer Affairs Agency and the Ministry of Health, Labour and Welfare.

China

  • Food additive and health food ingredient
  • The National Medical Products Administration (NMPA) and State Administration for Market Regulation (SAMR) regulate L-threonine in China. It is permitted as a food additive and as an ingredient in health foods (the Chinese equivalent of dietary supplements).
  • Health foods containing L-threonine require registration or filing with the NMPA/SAMR, with different requirements based on whether the product uses a claim from the approved list or is a new claim. Imported products face additional registration requirements.

Specific Regulations By Application

Dietary Supplements

  • Regulated as a dietary supplement ingredient under DSHEA. No specific dosage limitations, but products must be safe and properly labeled.
  • Permitted in food supplements under Directive 2002/46/EC. Some member states may have specific maximum levels.
  • Generally permitted in supplement form worldwide, with variations in allowed claims and required documentation.

Food Additives

  • GRAS status for use as a nutrient supplement or flavor enhancer in food products.
  • Authorized food additive (E number not assigned as it’s considered a nutrient rather than a technical additive).
  • Widely permitted as a food additive, particularly in special dietary foods, medical foods, and protein-enriched products.

Animal Feed

  • Approved feed additive, particularly important in swine and poultry nutrition.
  • Authorized feed additive under Regulation (EC) No 1831/2003.
  • Major application globally, with significant production volumes dedicated to animal nutrition.

Medical Foods

  • May be included in medical foods for specific conditions requiring modified protein intake, subject to FDA regulations for medical foods.
  • May be included in foods for special medical purposes under Regulation (EU) No 609/2013, subject to compositional and labeling requirements.
  • Used in various medical nutrition products, particularly those designed for intestinal disorders, recovery from surgery, or conditions affecting protein metabolism.

Health Claims

Allowed Claims

Us:
  • May support digestive health*
  • May contribute to immune function*
  • May support protein synthesis*
  • May support intestinal barrier function*
  • (*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.)
Eu:
  • No authorized health claims specifically for L-threonine under Article 13.1 of Regulation (EC) No 1924/2006
  • General claims related to protein contribution to maintenance of normal bones or muscle mass may be used when product meets qualifying criteria
Canada:
  • Source of an essential amino acid for the maintenance of good health
  • Helps support immune function
  • Helps support digestive health
  • (Claims require appropriate evidence and pre-approval by Health Canada)

Prohibited Claims

Us:
  • Claims to treat, prevent, or cure any disease, including digestive disorders, immune disorders, or liver disease
  • Claims regarding specific effects on medical conditions without adequate substantiation
  • Claims comparing efficacy to pharmaceutical drugs or medical treatments
Eu:
  • Any disease prevention, treatment, or cure claims
  • Claims suggesting prevention of specific digestive disorders
  • Unsubstantiated claims about effects on specific body functions
  • Claims not authorized under the EU nutrition and health claims regulation
Global Trends: Increasing scrutiny of health-related claims worldwide, with regulatory bodies requiring stronger scientific substantiation for specific physiological effect claims.

Quality Standards

Pharmacopeial Standards

  • L-Threonine monograph in the United States Pharmacopeia specifies identification tests, assay methods, and purity requirements for pharmaceutical-grade material.
  • European Pharmacopoeia includes monograph for L-Threonine with specific quality parameters and analytical methods.
  • Japanese Pharmacopoeia includes standards for L-Threonine used in pharmaceutical applications.

Industry Standards

  • Typically minimum 98.5-99% purity, with specifications for heavy metals, residual solvents, and microbial limits appropriate for food use.
  • Usually 98-99% purity, with appropriate limits for contaminants and microbial testing as per FDA GMP requirements for dietary supplements.
  • Typically 98-98.5% purity, with specifications appropriate for animal consumption. Often produced in larger volumes with slightly different quality parameters than human-grade material.

Testing Requirements

  • Specific tests to confirm identity and distinguish from other amino acids, typically using HPLC, mass spectrometry, or specific chemical reactions.
  • Assay to determine content of L-threonine, typically requiring minimum 98.5-99.5% depending on intended use.
  • Limits for heavy metals (typically lead, arsenic, cadmium, mercury), residual solvents, and other potential impurities.
  • Testing for total aerobic microbial count, yeast and mold, and specific pathogens such as E. coli, Salmonella, and Staphylococcus aureus.

Import Export Regulations

Tariff Classifications: 2922.50.1125 – Amino-acids, other than those containing more than one kind of oxygen function; other: Amino-acids and their esters, other than those containing more than one kind of oxygen function; other: Amino-acids: Other: L-Threonine, Vary by country and trade agreements; generally low to moderate for pharmaceutical and food grade amino acids

Country Specific Requirements: FDA Prior Notice required for food and supplement imports containing L-threonine. May be subject to FDA import inspection., Compliance with EU food and supplement regulations required for import. May require specific documentation regarding source, purity, and non-GMO status depending on intended use., Stringent import requirements for supplements and food additives, including registration with appropriate Chinese authorities and Chinese-language labeling.

Documentation: Typical required documents include Certificate of Analysis, Certificate of Origin, Safety Data Sheet, and documentation of GMP compliance for supplement or pharmaceutical applications.

Last Updated

2023-11-15

Synergistic Compounds


Compound: Vitamin B6 (Pyridoxine)
Synergy Mechanism: Vitamin B6 serves as an essential cofactor for numerous enzymes involved in amino acid metabolism, including those that process threonine. Specifically, it functions as a coenzyme for threonine dehydratase, which catalyzes the conversion of threonine to α-ketobutyrate, and for threonine aldolase, which converts threonine to glycine and acetaldehyde. Without adequate vitamin B6, these metabolic pathways become less efficient, potentially limiting the utilization of threonine for its various physiological roles. Additionally, vitamin B6 is involved in the metabolism of glycine, a product of threonine catabolism, further highlighting the interconnected nature of these nutrients.
Recommended Combination: 1000-2000 mg of L-threonine with 2-10 mg of vitamin B6 daily
Evidence Rating: 3
Key Studies:
Citation: Selhub J. Folate, vitamin B12 and vitamin B6 and one carbon metabolism. J Nutr Health Aging. 2002;6(1):39-42., Findings: Review detailing the interconnected roles of B vitamins, including B6, in amino acid metabolism and one-carbon transfer reactions., Citation: Bender DA. Nutritional biochemistry of the vitamins. Cambridge University Press; 2003., Findings: Comprehensive text describing the biochemical roles of vitamin B6 in amino acid metabolism, including specific pathways involving threonine.

Compound: Glycine
Synergy Mechanism: Threonine serves as a precursor to glycine through the threonine aldolase pathway, and together these amino acids support numerous physiological processes. Both are important components of collagen, with glycine comprising approximately one-third of collagen’s amino acid content. The combination supports structural protein synthesis throughout the body, particularly in connective tissues. Additionally, glycine functions as an inhibitory neurotransmitter in the central nervous system, complementing threonine’s potential neurological benefits. Both amino acids also contribute to glutathione synthesis, enhancing the body’s antioxidant capacity.
Recommended Combination: 1000-2000 mg of L-threonine with 1000-3000 mg of glycine daily
Evidence Rating: 3
Key Studies:
Citation: Wang W, Wu Z, Dai Z, Yang Y, Wang J, Wu G. Glycine metabolism in animals and humans: implications for nutrition and health. Amino Acids. 2013;45(3):463-477., Findings: Comprehensive review of glycine metabolism and its interconnections with other amino acids, including threonine as a precursor., Citation: Meléndez-Hevia E, De Paz-Lugo P, Cornish-Bowden A, Cárdenas ML. A weak link in metabolism: the metabolic capacity for glycine biosynthesis does not satisfy the need for collagen synthesis. J Biosci. 2009;34(6):853-872., Findings: Detailed analysis showing that endogenous glycine synthesis (including from threonine) may be insufficient for optimal collagen production, suggesting benefits of supplementation.

Compound: Serine
Synergy Mechanism: Serine and threonine share structural similarities as hydroxyl-containing amino acids and have complementary roles in several metabolic pathways. Both can be converted to glycine, contributing to one-carbon metabolism and methylation reactions throughout the body. Serine is involved in phospholipid synthesis, particularly phosphatidylserine, which is essential for cell membrane integrity and neurological function. When combined with threonine, which also supports structural proteins and neurological health, these amino acids may provide comprehensive support for cellular structure and function.
Recommended Combination: 1000-2000 mg of L-threonine with 500-1500 mg of L-serine daily
Evidence Rating: 2
Key Studies:
Citation: de Koning TJ. Amino acid synthesis deficiencies. J Inherit Metab Dis. 2017;40(4):609-620., Findings: Review discussing the metabolic relationships between serine, glycine, and threonine, highlighting their interconnected roles in one-carbon metabolism., Citation: Zhou X, He L, Wu C, Zhang Y, Wu X, Yin Y. Serine and glycine metabolism in mammalian tissues. Amino Acids. 2017;49(12):2083-2090., Findings: Detailed analysis of serine and glycine metabolism, including the contribution of threonine to these pathways and their collective importance in various physiological processes.

Compound: Zinc
Synergy Mechanism: Zinc is an essential cofactor for numerous enzymes involved in protein synthesis and immune function, two areas where threonine plays significant roles. Zinc is required for the activity of RNA polymerase and various transcription factors that regulate protein synthesis, including the production of mucins and antibodies that contain substantial amounts of threonine. In the immune system, zinc supports both innate and adaptive immunity, complementing threonine’s role in antibody production and thymus function. Additionally, zinc is involved in wound healing and tissue repair, processes that require the structural proteins containing threonine.
Recommended Combination: 1000-2000 mg of L-threonine with 15-30 mg of zinc daily
Evidence Rating: 2
Key Studies:
Citation: Prasad AS. Zinc in human health: effect of zinc on immune cells. Mol Med. 2008;14(5-6):353-357., Findings: Review detailing zinc’s essential roles in immune function, which complement threonine’s contributions to antibody production and immune cell development., Citation: Roohani N, Hurrell R, Kelishadi R, Schulin R. Zinc and its importance for human health: An integrative review. J Res Med Sci. 2013;18(2):144-157., Findings: Comprehensive review of zinc’s biological roles, including its functions in protein synthesis and immune regulation that synergize with threonine’s effects.

Compound: N-Acetyl Glucosamine
Synergy Mechanism: N-Acetyl Glucosamine (NAG) is a key component of mucins, the glycoproteins that form the protective mucus layer in the gastrointestinal tract. Threonine is particularly abundant in the protein backbone of mucins, comprising up to 30% of their amino acid content. The combination of threonine (providing the amino acid building blocks) and NAG (providing the carbohydrate components) supports optimal mucin synthesis and glycosylation, potentially enhancing gut barrier function and intestinal health. This synergy may be particularly beneficial for conditions involving compromised intestinal integrity.
Recommended Combination: 1000-2000 mg of L-threonine with 500-1500 mg of N-Acetyl Glucosamine daily
Evidence Rating: 2
Key Studies:
Citation: Corfield AP. Mucins: a biologically relevant glycan barrier in mucosal protection. Biochim Biophys Acta. 2015;1850(1):236-252., Findings: Detailed review of mucin structure and function, highlighting the importance of both the protein backbone (rich in threonine) and glycosylation components (including N-acetyl glucosamine)., Citation: Salvatore S, Heuschkel R, Tomlin S, et al. A pilot study of N-acetyl glucosamine, a nutritional substrate for glycosaminoglycan synthesis, in paediatric chronic inflammatory bowel disease. Aliment Pharmacol Ther. 2000;14(12):1567-1579., Findings: Clinical study suggesting benefits of N-acetyl glucosamine supplementation in inflammatory bowel conditions, which may be enhanced when combined with threonine for mucin synthesis.

Compound: Vitamin A
Synergy Mechanism: Vitamin A plays a crucial role in maintaining epithelial tissue integrity and regulating immune function, areas where threonine also has significant effects. Vitamin A is essential for the differentiation and function of epithelial cells that produce mucins, the glycoproteins rich in threonine that form protective barriers in the respiratory and digestive tracts. In the immune system, vitamin A supports both innate and adaptive immunity, complementing threonine’s role in antibody production. The combination may provide comprehensive support for mucosal immunity and barrier function.
Recommended Combination: 1000-2000 mg of L-threonine with 2500-5000 IU of vitamin A (as retinol or beta-carotene) daily
Evidence Rating: 2
Key Studies:
Citation: Sirisinha S. The pleiotropic role of vitamin A in regulating mucosal immunity. Asian Pac J Allergy Immunol. 2015;33(2):71-89., Findings: Review detailing vitamin A’s roles in mucosal immunity and barrier function, which complement threonine’s contributions to mucin production., Citation: Ross AC. Vitamin A and retinoic acid in T cell-related immunity. Am J Clin Nutr. 2012;96(5):1166S-1172S., Findings: Analysis of vitamin A’s specific effects on T-cell immunity, which may synergize with threonine’s support of immune function.

Compound: Glutamine
Synergy Mechanism: Glutamine and threonine both play critical roles in intestinal health and function, though through different mechanisms. Glutamine serves as a primary fuel source for intestinal cells and supports the maintenance of intestinal barrier integrity. It also regulates tight junction proteins and reduces intestinal permeability. Threonine, meanwhile, is essential for mucin production, which forms the first line of defense in the gut. Together, these amino acids provide comprehensive support for intestinal health: glutamine nourishing the intestinal cells themselves, and threonine supporting the protective mucus layer that covers them.
Recommended Combination: 1000-2000 mg of L-threonine with 3000-5000 mg of L-glutamine daily
Evidence Rating: 3
Key Studies:
Citation: Wang B, Wu G, Zhou Z, et al. Glutamine and intestinal barrier function. Amino Acids. 2015;47(10):2143-2154., Findings: Comprehensive review of glutamine’s roles in intestinal health, which complement threonine’s contributions to mucin production and barrier function., Citation: Kim MH, Kim H. The roles of glutamine in the intestine and its implication in intestinal diseases. Int J Mol Sci. 2017;18(5):1051., Findings: Detailed analysis of glutamine’s intestinal effects, providing context for potential synergy with threonine in supporting gut health.

Compound: Magnesium
Synergy Mechanism: Magnesium serves as a cofactor for hundreds of enzymatic reactions in the body, including many involved in protein synthesis and amino acid metabolism. It is required for the proper function of aminoacyl-tRNA synthetases, which attach amino acids (including threonine) to their corresponding tRNA molecules during protein synthesis. Magnesium also supports energy production through ATP synthesis and activation, providing the energy required for threonine metabolism and incorporation into proteins. Additionally, magnesium plays roles in immune function and neurotransmission, areas where threonine also contributes.
Recommended Combination: 1000-2000 mg of L-threonine with 200-400 mg of magnesium daily
Evidence Rating: 2
Key Studies:
Citation: de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in man: implications for health and disease. Physiol Rev. 2015;95(1):1-46., Findings: Comprehensive review of magnesium’s biological roles, including its functions in protein synthesis and enzyme activation that support threonine utilization., Citation: Workinger JL, Doyle RP, Bortz J. Challenges in the diagnosis of magnesium status. Nutrients. 2018;10(9):1202., Findings: Analysis of magnesium’s widespread enzymatic roles and the consequences of deficiency, providing context for its potential synergy with amino acids like threonine.

Antagonistic Compounds


Compound: Other large neutral amino acids
Interaction Type: Competitive absorption
Mechanism: Threonine shares intestinal and blood-brain barrier transport systems with other neutral amino acids, particularly those with similar structures. The primary transporters involved include the B0 system (neutral amino acid transporter) and the ASC system (alanine-serine-cysteine preferring transporter) in the intestine, and the L-system at the blood-brain barrier. High concentrations of competing amino acids such as leucine, isoleucine, valine, phenylalanine, tyrosine, and tryptophan can significantly reduce threonine absorption and tissue uptake. This competition is most pronounced when these amino acids are consumed simultaneously in substantial amounts, such as in high-protein meals or when taking multiple amino acid supplements together.
Management Strategy: Take L-threonine supplements on an empty stomach, at least 30 minutes before meals or 2 hours after eating, to minimize competition with dietary amino acids. When using multiple amino acid supplements, consider separating threonine from other large neutral amino acids by at least 2 hours. If gastrointestinal discomfort occurs with empty-stomach supplementation, taking threonine with a small amount of carbohydrate but minimal protein may be a reasonable compromise.
Evidence Rating: 3
Research Notes: The competitive absorption of amino acids is well-established in scientific literature, with numerous studies demonstrating the shared transport systems and competition effects. However, the specific magnitude of reduction in threonine absorption when taken with various combinations of other amino acids has not been precisely quantified in human studies.

Compound: High-protein meals
Interaction Type: Competitive absorption
Mechanism: High-protein meals contain a mixture of amino acids that compete with supplemental threonine for intestinal absorption through shared transport systems. Additionally, the presence of intact proteins requires digestive processes that may delay or reduce the absorption of free-form threonine supplements. The protein in meals also stimulates insulin secretion, which affects amino acid transport and tissue distribution, potentially altering the intended effects of threonine supplementation. This interaction is most significant when threonine supplements are taken simultaneously with or immediately after high-protein meals.
Management Strategy: Take threonine supplements at least 30 minutes before or 2 hours after high-protein meals. If using threonine specifically for digestive health, taking it 30-60 minutes before meals may be particularly beneficial, as it allows time for absorption before the competitive effects of dietary protein. For individuals requiring multiple daily doses, scheduling around meal times (e.g., upon waking, mid-afternoon between meals, and before bed) may optimize absorption.
Evidence Rating: 2
Research Notes: While the general principle of competition between dietary amino acids and supplements is well-established, specific studies quantifying the reduction in threonine absorption when taken with high-protein meals are limited. Evidence is largely based on general amino acid absorption mechanisms rather than threonine-specific clinical data.

Compound: Alcohol
Interaction Type: Metabolic interference
Mechanism: Alcohol consumption can interfere with threonine metabolism through multiple mechanisms. Chronic alcohol intake affects liver function, where significant threonine metabolism occurs. Alcohol also induces oxidative stress, which can interfere with the enzymes involved in threonine catabolism. Additionally, alcohol consumption may impair intestinal absorption of amino acids, including threonine, by damaging intestinal mucosa and altering transporter function. Alcohol also affects protein synthesis throughout the body, potentially counteracting one of the primary functions of threonine supplementation.
Management Strategy: Limit alcohol consumption, particularly around the time of threonine supplementation. If alcohol is consumed, consider taking threonine supplements at a different time of day, ideally separated by at least 4-6 hours. For individuals with regular moderate to heavy alcohol consumption, higher doses of threonine may be necessary to achieve the desired effects, though this approach has not been formally studied and should be approached with caution.
Evidence Rating: 2
Research Notes: Research on alcohol’s specific effects on threonine metabolism in humans is limited. Most evidence comes from animal studies and general research on alcohol’s effects on protein metabolism and liver function. Clinical studies specifically examining how alcohol affects the benefits of threonine supplementation are lacking.

Compound: Certain medications (levodopa, anticonvulsants)
Interaction Type: Pharmacological interference
Mechanism: Levodopa, used in the treatment of Parkinson’s disease, competes with large neutral amino acids (including threonine) for transport across the blood-brain barrier. High levels of threonine could potentially reduce levodopa’s entry into the brain, diminishing its therapeutic effect. Certain anticonvulsant medications may interact with threonine due to its potential effects on neurological function, particularly through its conversion to glycine, which has neuroactive properties. These interactions are primarily theoretical based on known mechanisms rather than documented clinical cases.
Management Strategy: For individuals taking levodopa, separate threonine supplementation from medication administration by at least 2 hours. Consult with a healthcare provider before combining threonine with anticonvulsant medications. Monitor for any changes in medication effectiveness or side effects when starting or stopping threonine supplementation. In some cases, medication dosage adjustments may be necessary when using threonine supplements.
Evidence Rating: 1
Research Notes: Clinical evidence specifically documenting interactions between threonine and these medications is very limited. Recommendations are based primarily on theoretical mechanisms and general principles of drug-nutrient interactions rather than direct clinical evidence.

Compound: Copper deficiency
Interaction Type: Cofactor limitation
Mechanism: While not an antagonistic compound per se, copper deficiency can limit the effectiveness of threonine supplementation for certain functions. Copper serves as a cofactor for lysyl oxidase, an enzyme involved in collagen cross-linking. Threonine is a component of collagen, and without adequate copper, the structural integrity of newly synthesized collagen containing threonine may be compromised. This represents a situation where the full benefits of threonine for connective tissue health cannot be realized due to a limiting cofactor.
Management Strategy: Ensure adequate copper intake (approximately 1-2 mg daily for adults) through diet or supplementation. Foods rich in copper include shellfish, nuts, seeds, whole grains, and chocolate. For those taking zinc supplements (which can interfere with copper absorption), maintain a zinc-to-copper ratio of approximately 10:1 to prevent imbalances. Consider a comprehensive mineral profile if concerned about copper status.
Evidence Rating: 2
Research Notes: The role of copper in collagen cross-linking is well-established in biochemical and nutritional research. However, specific studies examining how copper status affects outcomes of threonine supplementation are lacking. Evidence is largely based on understanding of biochemical mechanisms rather than direct clinical data.

Compound: Vitamin B6 deficiency
Interaction Type: Cofactor limitation
Mechanism: Vitamin B6 (pyridoxine) serves as an essential cofactor for several enzymes involved in threonine metabolism, including threonine dehydratase and threonine aldolase. Without adequate vitamin B6, these metabolic pathways become less efficient, potentially limiting the utilization of threonine for its various physiological roles. This is not an antagonistic interaction in the traditional sense, but rather a situation where a nutrient deficiency prevents the full benefits of threonine supplementation from being realized.
Management Strategy: Ensure adequate vitamin B6 intake (1.3-1.7 mg daily for adults) through diet or supplementation. Consider supplementing with 2-10 mg of vitamin B6 daily when using threonine supplements, particularly for therapeutic purposes. Foods rich in vitamin B6 include poultry, fish, potatoes, chickpeas, and bananas. Be cautious with very high doses of B6 (>100 mg daily) as these may cause neurological symptoms with long-term use.
Evidence Rating: 3
Research Notes: The role of vitamin B6 as a cofactor in amino acid metabolism is well-established in biochemical research. Several studies have demonstrated altered amino acid metabolism, including threonine metabolism, in vitamin B6 deficiency. However, specific clinical studies examining how vitamin B6 status affects outcomes of threonine supplementation are limited.

Compound: Excessive leucine intake
Interaction Type: Metabolic antagonism
Mechanism: Leucine, a branched-chain amino acid (BCAA), can specifically antagonize threonine metabolism beyond simple competition for absorption. High leucine intake activates the mammalian target of rapamycin (mTOR) pathway and can increase the activity of branched-chain α-keto acid dehydrogenase complex, which may indirectly affect threonine catabolism. Additionally, leucine is particularly effective at competing with threonine for transport across cellular membranes due to shared transport systems. This interaction is most relevant for individuals consuming high-dose BCAA supplements or leucine-enriched protein supplements popular in sports nutrition.
Management Strategy: Separate threonine supplementation from BCAA or high-leucine protein supplements by at least 2 hours. If using both for specific purposes (e.g., threonine for gut health and BCAAs for muscle recovery), consider taking threonine in the morning or before meals and BCAAs around workout times. Be particularly cautious with very high-dose BCAA supplements (>10g daily) when also using threonine for therapeutic purposes.
Evidence Rating: 2
Research Notes: Research on the specific antagonistic effects of leucine on threonine metabolism in humans is limited. Most evidence comes from animal studies and general research on amino acid interactions and the mTOR pathway. The clinical significance of this interaction at typical supplemental doses requires further investigation.

Compound: Certain gut microbiota compositions
Interaction Type: Microbial metabolism
Mechanism: Certain intestinal bacteria can metabolize threonine before it is absorbed, potentially reducing its bioavailability. The enzyme threonine dehydratase, present in various gut bacteria, converts threonine to α-ketobutyrate and ammonia. Additionally, some pathogenic bacteria may preferentially utilize threonine, potentially limiting its availability for host functions, particularly in cases of intestinal dysbiosis or small intestinal bacterial overgrowth (SIBO). This interaction is highly variable between individuals based on their unique gut microbiome composition.
Management Strategy: For individuals with suspected SIBO or significant dysbiosis, addressing these conditions may improve threonine absorption and utilization. Consider higher doses of threonine if gut microbial metabolism is a concern, though this approach is empirical rather than evidence-based. Probiotics containing Lactobacillus and Bifidobacterium species may help establish a more favorable gut microbiome that is less likely to compete for threonine, though research specifically on this approach is limited.
Evidence Rating: 1
Research Notes: Research on the specific effects of different gut microbiota compositions on threonine absorption and metabolism in humans is emerging but still limited. Most evidence comes from in vitro studies and animal models. The clinical significance of this interaction and optimal management strategies require further investigation.

Cost Efficiency


Relative Cost

Medium

Detailed Analysis

L-Threonine supplements occupy a middle ground in the amino acid supplement market in terms of cost. They are generally more expensive than common amino acids like glycine but less costly than specialized or rare amino acids such as L-carnosine or L-ergothioneine. The production methods for L-threonine, primarily bacterial fermentation, have become more efficient over time, helping to maintain relatively stable pricing despite increasing demand. The large-scale production for animal feed applications has also helped drive down costs for human-grade threonine.

The price of L-threonine supplements can vary considerably based on several factors, including purity level (pharmaceutical grade commands premium prices), brand reputation, additional ingredients in the formulation, and packaging format. Specialized delivery systems, such as sustained-release technologies, typically command price premiums of 30-50% over standard forms. When evaluating cost-efficiency, it’s important to consider not just the price per gram of L-threonine but also bioavailability and targeted health outcomes. For example, lower-cost forms may contain D-threonine or mixed isomers with reduced biological activity, making them less cost-effective despite their lower price point.

Similarly, formulations that combine L-threonine with synergistic nutrients like vitamin B6 may provide better results for specific purposes, potentially offering better value despite higher initial cost.

Cost Per Effective Dose

Average Retail Cost: $0.30-$0.80 per day for 1000mg

Price Range By Form: $0.15-$0.40 per gram (lowest cost option), $0.25-$0.60 per gram, $0.30-$0.65 per gram, $0.40-$0.90 per gram (sustained-release, etc.)

Price Range By Quality: $0.20-$0.45 per gram, $0.40-$0.80 per gram, $0.10-$0.20 per gram (not recommended for human consumption)

Price Trends: Prices have remained relatively stable over the past 5 years, with slight decreases due to improved production efficiencies offset by increased demand for amino acid supplements generally. Seasonal variations are minimal, though bulk purchasing during major sales events can offer savings of 20-30%.

Value Analysis

General Assessment: Moderate cost for potential benefits, especially for digestive and immune support. Food sources may be more cost-effective for general maintenance, but supplements offer precise dosing and convenience for therapeutic applications. For specific conditions involving intestinal health or immune function, the cost-to-benefit ratio may be more favorable than for general preventative use.

Comparison To Alternatives: Complete protein supplements (providing threonine along with other amino acids) typically cost $0.05-$0.15 per gram of protein, making them a more economical source of threonine for general purposes. However, they provide lower concentrations of threonine and may not be suitable for targeted therapeutic applications., Dietary sources such as meat, eggs, and dairy (approximately $0.05-$0.20 per gram of protein, containing about 3-4.5% threonine) are generally more economical but provide variable and lower concentrations of threonine along with many other nutrients. For therapeutic doses, supplements may be more practical despite higher cost per gram., Compared to specialized digestive health supplements such as glutamine ($0.15-$0.40/g), probiotics ($0.30-$1.00 per day), or specialized gut health formulations ($0.50-$2.00 per day), L-threonine is moderately priced and may offer complementary benefits when used as part of a comprehensive approach.

Cost Effectiveness By Application:

Application Cost Effectiveness Rating Notes
Digestive health support Good Research supports threonine’s role in intestinal mucin production, making it potentially cost-effective for this specific application, particularly for individuals with compromised gut barrier function.
Immune support Moderate While threonine is important for immune function, other immune-supporting supplements may offer better value for general immune enhancement. Consider as part of a comprehensive approach rather than standalone.
Liver support Moderate Limited clinical evidence specifically for liver applications makes cost-effectiveness difficult to assess. May be more valuable as part of a comprehensive liver support protocol.
General health maintenance Low to Moderate For general health, obtaining threonine through a balanced diet is likely more cost-effective than supplementation for most individuals without specific health concerns.

Cost Saving Strategies

Strategy Details
Bulk purchasing Buying larger quantities (250g-1kg) of powder form can reduce cost by 30-50% compared to smaller packages or capsules. Consider splitting larger purchases with others if concerned about shelf life.
Subscription services Many supplement companies offer 10-20% discounts for subscription or auto-ship programs, which can significantly reduce long-term costs for ongoing supplementation.
Combination products For digestive health purposes, comprehensive gut support formulas containing threonine along with other beneficial compounds may offer better value than isolated threonine supplements.
Timing purchases with sales Major supplement retailers typically offer significant discounts (20-40%) during holiday sales, Black Friday, or anniversary events. Stocking up during these periods can reduce average costs.
Dietary optimization Increasing consumption of threonine-rich foods (meat, eggs, dairy, sesame seeds) may reduce the amount of supplemental threonine needed, improving overall cost-effectiveness of a combined approach.

Insurance And Fsa Coverage

Health Insurance: L-threonine supplements are generally not covered by standard health insurance plans in most countries, as they are classified as dietary supplements rather than prescription medications.

Fsa Hsa Eligibility: In the United States, L-threonine supplements may be eligible for purchase using Flexible Spending Account (FSA) or Health Savings Account (HSA) funds if prescribed by a healthcare provider for a specific medical condition. A Letter of Medical Necessity is typically required.

Exceptions: Some specialized medical nutrition programs may include coverage for specific amino acid supplements including threonine, particularly in cases of metabolic disorders or specific digestive conditions, but this is highly variable by provider and plan.

Economic Impact Of Benefits

Stability Information


Shelf Life

Powder Form: 2-3 years when properly stored in original sealed container

Capsule Form: 2-3 years when properly stored in original sealed container

Tablet Form: 2-3 years when properly stored in original sealed container

Liquid Form: 1-2 years when properly stored in original sealed container

After Opening: Best used within 6-12 months after opening original container

Detailed Information

L-Threonine is relatively stable compared to many other amino acids, particularly those with more reactive side chains. The hydroxyl group in threonine’s side chain does make it somewhat more reactive than amino acids with aliphatic side chains, but less reactive than those with sulfur-containing or aromatic groups. In its pure crystalline form, L-threonine is quite stable when protected from extreme environmental factors. The primary degradation pathways include oxidation, racemization (conversion from the biologically active L-form to the inactive D-form), Maillard reactions (when in the presence of reducing sugars), and hydrolysis under extreme pH conditions.

Degradation typically accelerates when threonine is in solution rather than in solid form, with the rate increasing at higher temperatures and extreme pH values. The stability of threonine in supplement formulations is influenced by the presence of other ingredients, the pH of the formulation, and the specific manufacturing processes used. Tablets and capsules generally offer better stability than liquid formulations due to the reduced water activity and limited exposure to oxygen. Stability testing by manufacturers typically involves accelerated aging studies under controlled temperature and humidity conditions to predict shelf life under normal storage conditions.

When properly stored, L-threonine typically maintains at least 95% of its original potency for 2-3 years in solid forms.

Storage Recommendations

Temperature: Store at room temperature (15-25°C or 59-77°F). Avoid temperature extremes; prolonged exposure to temperatures above 30°C (86°F) may accelerate degradation. Refrigeration is not necessary but may extend shelf life in very warm climates.

Humidity: Store in a dry place with relative humidity below 60%. L-threonine can absorb moisture from the air, which may lead to degradation or clumping. Areas with high humidity, such as bathrooms, should be avoided for storage.

Light Exposure: Protect from direct sunlight and strong artificial light, which can promote oxidation reactions. Amber or opaque containers provide better protection than clear containers. If the original container is clear, storing it inside a cabinet or drawer is advisable.

Container Type: Keep in airtight containers with minimal headspace to reduce exposure to oxygen. Original containers with desiccant packets are ideal for maintaining stability. If transferring to another container, choose one that can be tightly sealed and consider adding a desiccant packet.

Special Considerations: After opening, ensure the container is tightly resealed after each use. Consider transferring to smaller containers as the product is used to minimize headspace and repeated exposure to air. Avoid using wet utensils to remove powder from containers, as this can introduce moisture and promote degradation.

Degradation Factors

Factor Mechanism Prevention
Exposure to heat Elevated temperatures accelerate most chemical reactions, including oxidation and racemization of threonine. Prolonged exposure to temperatures above 40°C (104°F) can significantly reduce potency and may lead to the formation of degradation products. Heat can also promote Maillard reactions if reducing sugars are present in the formulation. Store at controlled room temperature. Avoid leaving supplements in hot environments such as cars during summer months or near heat sources in the home. If shipping or traveling with threonine supplements in hot weather, consider using insulated packaging.
Humidity Threonine can absorb moisture from humid air. This increased water activity can facilitate hydrolysis reactions and provide a medium for potential microbial growth in non-sterile products. Moisture can also cause physical changes such as clumping in powder formulations or softening of tablets. Store in airtight containers with desiccants. Keep containers closed when not in use. Store in low-humidity environments when possible. If living in a particularly humid climate, consider using additional desiccant packets or storing in a dehumidified area.
Oxidation Exposure to oxygen can lead to oxidative degradation of threonine, particularly at the hydroxyl group in its side chain. This process is accelerated by heat, light, and the presence of metal ions. Oxidation can reduce potency and potentially lead to the formation of byproducts with unknown effects. Minimize exposure to air by keeping containers tightly closed and using containers with minimal headspace. Some manufacturers add antioxidants to formulations to protect against oxidation. Avoid storing near strong oxidizing agents or chemicals.
Prolonged exposure to light UV and strong visible light can provide energy for photochemical reactions, potentially leading to oxidation and other degradation pathways, particularly in the presence of photosensitizing compounds. While threonine is not highly photosensitive compared to some amino acids, light exposure can still accelerate degradation over time. Store in amber or opaque containers. Keep supplements in their original containers or in cabinets protected from light. If the original container is clear, consider transferring to a light-resistant container or storing in a dark location.
Extreme pH conditions While threonine is relatively stable across a moderate pH range (4-8), extreme acidic or alkaline conditions can accelerate degradation through acid or base-catalyzed hydrolysis and other reactions. The hydroxyl group in threonine’s side chain makes it somewhat more susceptible to these effects than amino acids with aliphatic side chains. In formulations, appropriate buffering agents may be used to maintain optimal pH. For consumers, avoiding mixing threonine supplements with highly acidic or alkaline beverages is advisable. If using in cooking, add after cooking to avoid exposure to extreme pH and heat.
Metal ions Certain metal ions, particularly transition metals like iron and copper, can catalyze oxidation reactions of amino acids including threonine. These metals can promote the formation of reactive oxygen species that accelerate degradation. High-quality supplements may include chelating agents to bind metal ions. Avoid storing or consuming threonine supplements with mineral supplements containing high levels of iron or copper. Use purified water rather than tap water (which may contain metal ions) when mixing powder formulations.
Microbial contamination While not a chemical degradation pathway, microorganisms can metabolize threonine and produce byproducts that affect purity and safety. Increased water activity from humidity exposure can create conditions favorable for microbial growth. Maintain proper hygiene when handling supplements. Never use wet utensils to scoop powder supplements. Ensure containers are properly sealed after use. If a supplement shows any signs of contamination (unusual odor, appearance, or taste), it should be discarded.

Compatibility With Other Ingredients

Compatible Ingredients: Most vitamins and minerals at appropriate concentrations, Other amino acids (though may compete for absorption), Most herbal extracts, Common excipients used in supplement manufacturing (microcrystalline cellulose, silicon dioxide, etc.), Mild organic acids (citric acid, malic acid) at moderate concentrations

Potentially Incompatible Ingredients: Strong oxidizing agents or ingredients that generate peroxides, Reducing sugars (may lead to Maillard reactions over time, particularly in liquid formulations), High concentrations of certain transition metal ions without chelating agents, Highly acidic or alkaline ingredients without appropriate buffering, Certain enzymes that may catalyze threonine degradation

Formulation Considerations: In multi-ingredient formulations, the stability of threonine may be enhanced by the inclusion of antioxidants (such as vitamin E or rosemary extract), chelating agents (such as EDTA in appropriate applications), and proper pH adjustment. Separation of potentially reactive ingredients into different layers or compartments in tablets or capsules may also improve stability. For liquid formulations, using a nitrogen flush during packaging can reduce oxidation potential.

Stability Testing Methods

Accelerated stability testing (elevated temperature and humidity conditions to predict long-term stability), Real-time stability testing (storage under recommended conditions with periodic testing), HPLC analysis for purity and detection of degradation products, Mass spectrometry for identification of specific degradation pathways, Microbial testing to ensure product remains free from significant contamination, Dissolution testing for tablets and capsules to ensure they maintain proper disintegration properties over time, Moisture content analysis to monitor potential water absorption, pH monitoring for liquid formulations to detect potential changes over time

Sourcing


Synthesis Methods

Method Description Advantages Limitations
Fermentation processes using bacteria Industrial production of L-threonine primarily uses bacterial fermentation with specialized strains of Corynebacterium glutamicum or Escherichia coli that have been genetically modified to overproduce threonine. These bacteria convert glucose or other carbon sources (often from corn or sugar beet) into threonine through enhanced metabolic pathways. The process typically involves fermentation in controlled bioreactors, followed by separation and purification steps to isolate the threonine. Modern strains can produce yields of over 100 g/L, making this method economically viable for large-scale production. Cost-effective for large-scale production; can achieve high purity levels; environmentally more sustainable than chemical synthesis; allows for production of the biologically active L-form specifically Requires careful quality control to ensure absence of bacterial endotoxins and other contaminants; production parameters must be tightly controlled for consistent yield; often uses genetically modified organisms, which may be a consideration for some consumers
Chemical synthesis from acetic acid derivatives L-Threonine can be chemically synthesized from acetic acid derivatives through a series of reactions involving asymmetric synthesis to ensure the correct stereochemistry. The process typically begins with the synthesis of a suitable precursor molecule, followed by introduction of the amino and hydroxyl groups with the correct stereochemical configuration. This is followed by purification steps to isolate the L-threonine from reaction byproducts and potential contaminants. Can produce very high purity product; process is well-understood and can be precisely controlled; less dependent on biological variables than fermentation More energy-intensive and potentially less environmentally friendly than biological methods; requires careful control to ensure the correct stereochemistry (L-form); typically more expensive than fermentation methods; may involve hazardous reagents or solvents
Extraction from protein hydrolysates Threonine can be isolated from protein-rich materials (such as feathers, hair, or plant proteins) through acid or enzymatic hydrolysis followed by separation techniques. The process involves breaking down the proteins into their constituent amino acids, followed by chromatographic or other separation methods to isolate threonine from the mixture. This method is less common for commercial production but may be used in some specialized applications. Can utilize agricultural or industrial byproducts as starting materials; may preserve natural co-factors or trace elements that support threonine function Generally yields lower purity than other methods without extensive purification; more variable yield and composition; may contain trace amounts of other amino acids or peptide fragments; acid hydrolysis can destroy some amino acids and create unwanted byproducts
Enzymatic resolution of racemic mixtures This method involves the chemical synthesis of racemic threonine (mixture of D- and L-forms), followed by enzymatic resolution using stereospecific enzymes that selectively act on one isomer. For example, D-threonine can be selectively degraded by D-amino acid oxidase, leaving the biologically active L-threonine intact. Alternatively, acylases that specifically cleave L-amino acid derivatives can be used to separate the isomers. Can be more cost-effective than direct asymmetric synthesis; enzymes provide high stereoselectivity; can be combined with chemical synthesis methods for efficiency Multi-step process that may reduce overall yield; requires additional purification steps; enzymatic components add complexity to the production process

Natural Sources

Source Threonine Content Notes
Meat (especially poultry and beef) Approximately 3-4% of protein content Animal proteins generally provide complete amino acid profiles with good threonine content. Lean cuts of chicken and turkey are particularly good sources, with approximately 350-450 mg of threonine per 100g serving. Organ meats like liver contain even higher concentrations.
Fish Approximately 3-4.5% of protein content Fish provides high-quality protein with excellent threonine content. Tuna, salmon, and cod are particularly good sources, with approximately 300-400 mg of threonine per 100g serving. Wild-caught fish may have slightly different amino acid profiles than farm-raised varieties.
Eggs Approximately 4.2% of protein content Eggs are considered a gold standard for protein quality, with an excellent balance of amino acids including threonine. One large egg provides approximately 200 mg of threonine. The majority is found in the egg white, though the yolk also contains some threonine.
Dairy products Approximately 3.5-4.5% of protein content Milk, cheese, and yogurt are good sources of threonine. Greek yogurt and cottage cheese are particularly protein-rich options. One cup of milk provides approximately 170 mg of threonine, while a 100g serving of Greek yogurt may contain 230-300 mg.
Lentils and legumes Approximately 3-3.5% of protein content While slightly lower in threonine than animal sources, legumes are important plant sources of this amino acid. Lentils, chickpeas, and various beans provide approximately 100-150 mg of threonine per 100g cooked serving. Combining legumes with grains can improve the overall amino acid profile.
Sesame seeds Approximately 3.7% of protein content Among the highest plant sources of threonine, sesame seeds provide approximately 1.1g of threonine per 100g serving. Tahini (sesame paste) is a concentrated source that can be easily incorporated into various dishes.
Spirulina Approximately 4.6-5.0% of protein content This blue-green algae is an exceptional plant source of threonine, with amino acid profiles rivaling animal proteins. One tablespoon (7g) of spirulina powder provides approximately 120-150 mg of threonine. The bioavailability may be slightly lower than animal sources.
Nutritional yeast Approximately 4.3% of protein content A popular vegan protein source, nutritional yeast provides a good amount of threonine. Two tablespoons (approximately 15g) provide about 280 mg of threonine. Fortified varieties also offer B vitamins that support amino acid metabolism.
Quinoa Approximately 3.8% of protein content Unlike most grains, quinoa contains a complete amino acid profile with good threonine content. One cup of cooked quinoa provides approximately 120-150 mg of threonine. It’s particularly valuable for plant-based diets.

Quality Considerations

Purity Standards:

Pharmaceutical-grade L-threonine should have a minimum purity of 99% with the correct stereochemistry (L-form). Supplement-grade products typically range from 98-99.5% purity. Lower purity products may contain D-threonine (not biologically active in humans), other amino acid contaminants, or processing residues.

Testing Methods:

  • High-Performance Liquid Chromatography (HPLC) for purity determination and detection of other amino acid contaminants
  • Mass spectrometry for precise identification and quantification
  • Polarimetry to confirm the correct stereochemistry (L-form)
  • Infrared spectroscopy for structural confirmation
  • Microbial testing to ensure absence of bacterial contamination
  • Endotoxin testing, particularly for products derived from bacterial fermentation
  • Heavy metal analysis to ensure safety
Common Contaminants:

  • D-threonine (incorrect stereoisomer)
  • Other amino acids, particularly those with similar chemical properties
  • Endotoxins (in fermentation-derived products)
  • Heavy metals (particularly in products derived from natural sources)
  • Residual solvents from chemical synthesis or extraction processes
  • Microbial contamination if manufacturing conditions are not properly controlled
Certifications To Look For:

  • USP (United States Pharmacopeia) verification
  • NSF Certified for Sport (important for athletes concerned about banned substances)
  • GMP (Good Manufacturing Practice) certification
  • Third-party testing verification (e.g., ConsumerLab, Labdoor)
  • Organic certification (for naturally derived sources, though rare for isolated amino acids)
  • Non-GMO certification (particularly relevant for fermentation-derived products)
Storage And Handling:

L-threonine is relatively stable but should be stored in cool, dry conditions away from direct light. It can absorb moisture from the air, potentially leading to degradation or clumping. Sealed containers with desiccants are recommended for long-term storage. Once opened, containers should be tightly resealed after each use and ideally used within 6-12 months.

Sustainability Considerations

Generally considered more environmentally sustainable than chemical synthesis. Carbon footprint depends on energy sources used for bioreactor operation and downstream processing. Water usage can be significant but is often recyclable within the process. The carbon source (typically corn or sugar beet) has its own environmental footprint related to agricultural practices.
Chemical Synthesis: Typically has higher environmental impact due to energy requirements and potential hazardous waste generation. Modern green chemistry approaches are reducing this impact through solvent recycling and more efficient reaction pathways, but it generally remains less sustainable than fermentation.
Extraction Methods: Environmental impact varies widely depending on source material. Using byproducts from food production can be highly sustainable, while extraction from purpose-grown crops may have land use implications.
Extraction from animal tissues raises animal welfare concerns for some consumers. Look for sources that use byproducts from food production rather than animals raised specifically for amino acid production.
Labor Practices: Production in some regions may involve labor concerns. Look for fair trade certifications or transparent supply chain information.
Genetic Modification: Most commercial threonine is produced using genetically modified microorganisms, which may be a consideration for consumers with preferences regarding GMO-derived products.
Circular economy approaches using food industry byproducts as raw materials for fermentation
1: Energy-efficient fermentation and processing technologies
2: Water recycling systems in production facilities
3: Carbon offset programs by some manufacturers
4: Biodegradable or recyclable packaging options
5: Use of renewable energy sources in production facilities

Market Considerations

Global Production:

Annual global production of L-threonine for feed, food, and pharmaceutical use is estimated at 300,000-350,000 metric tons, with approximately 85% produced via fermentation methods, 10% via chemical synthesis, and 5% via other methods. The majority (approximately 80%) is used in animal feed, with the remainder divided between human nutrition, pharmaceuticals, and cosmetics.

Major Producers:

  • Ajinomoto Co., Inc. (Japan)
  • Evonik Industries (Germany)
  • Meihua Holdings Group (China)
  • CJ CheilJedang (South Korea)
  • Fufeng Group (China)
  • ADM (USA)
  • Prinova Group (USA)
Price Trends:

Pharmaceutical-grade L-threonine typically costs $15-25 per kilogram in bulk quantities, with supplement-grade material ranging from $10-20 per kilogram. Prices fluctuate based on raw material costs (particularly for fermentation feedstocks), energy prices, and demand from the animal feed industry, which consumes the majority of global production. Recent trends show gradually decreasing prices due to increased production capacity, particularly in China, though this has been partially offset by growing demand for animal feed applications.

Historical Usage


Threonine has a unique place in the history of nutritional science as the last of the 20 standard amino acids to be discovered and the final essential amino acid to be identified. Its isolation and characterization represent a significant milestone in our understanding of human nutrition and protein biochemistry. The amino acid was first isolated in 1935 by American biochemist William Cumming Rose and his colleagues at the University of Illinois. Rose was conducting systematic studies to identify all the amino acids essential for rat growth, and threonine completed this fundamental work.

The name ‘threonine’ was derived from threonose, a sugar compound it structurally resembles due to its hydroxyl group. This discovery was particularly significant because it completed the set of amino acids that cannot be synthesized by the human body and must be obtained through diet. In 1936, shortly after its discovery, Rose demonstrated that threonine was essential for human nutrition as well, through careful dietary studies. This work helped establish the concept of essential amino acids and their importance in human health, fundamentally changing our approach to protein nutrition.

Unlike some other amino acids that had been known for decades or even centuries before their nutritional significance was understood, threonine’s discovery coincided with the recognition of its essential nature. While threonine was not prominently featured in traditional medicine systems (as its isolated form was unknown before the 20th century), foods rich in this amino acid have long been valued for their nutritional properties. Traditional diets worldwide typically included protein-rich foods that provided adequate threonine, such as meat, fish, eggs, and dairy products. In agricultural contexts, threonine gained importance in the mid-20th century as research established its essentiality for livestock growth and development.

By the 1980s, feed-grade L-threonine was being commercially produced for animal nutrition, particularly for swine and poultry, where it is often a limiting amino acid in plant-based feeds. This application continues to represent the largest market for threonine production today. The development of efficient fermentation processes for threonine production in the 1980s and 1990s, using genetically modified bacteria, significantly reduced production costs and increased availability for both animal and human applications. These technological advances made threonine supplementation economically viable for a wider range of uses.

In human nutrition, interest in threonine supplementation began to expand in the 1990s and early 2000s as research revealed its specific roles beyond basic protein synthesis. Studies highlighting threonine’s importance in intestinal mucin production, immune function, and liver metabolism opened new potential therapeutic applications. The use of threonine in clinical nutrition, particularly for patients with digestive disorders or compromised intestinal function, has gradually increased as evidence for its specific benefits has accumulated. In recent decades, threonine has also gained attention in sports nutrition and general health supplementation, though it remains less widely used as an individual supplement compared to some other amino acids like leucine or glutamine.

Modern research continues to explore threonine’s roles in gut health, immune function, and metabolic regulation, with emerging evidence suggesting potential applications in conditions ranging from irritable bowel syndrome to fatty liver disease. Throughout its relatively short history as a known nutrient, threonine has transitioned from a newly discovered essential amino acid to a recognized component in nutritional and supplementation strategies for both animal and human health. Its story illustrates how advances in biochemistry and nutrition science in the 20th century transformed our understanding of protein requirements and opened new possibilities for targeted nutritional interventions.

Scientific Evidence


Evidence Rating i

3Evidence Rating: Moderate Evidence – Multiple studies with generally consistent results

Evidence Summary

The scientific evidence for L-threonine supplementation is moderate, with strong mechanistic data supporting its roles in protein synthesis, intestinal mucin production, and immune function. Human clinical trials specifically evaluating threonine supplementation are limited in number and scope, with most research focusing on its metabolic roles rather than therapeutic applications. The strongest evidence exists for threonine’s importance in intestinal health, particularly its role in mucin production and gut barrier function, with moderate evidence for benefits in immune support and liver health. Research on other potential benefits, such as neurological function and wound healing, remains preliminary.

While threonine’s biochemical functions are well-established in laboratory and animal studies, more rigorous human clinical trials are needed to definitively establish the efficacy, optimal dosing, and specific indications for L-threonine supplementation.

Key Studies

Study Title: Dietary threonine requirement of adult humans
Authors: Wilson DC, Pencharz PB
Publication: American Journal of Clinical Nutrition
Year: 1993
Doi: 10.1093/ajcn/58.1.111
Url: https://pubmed.ncbi.nlm.nih.gov/8317384/
Study Type: Clinical Trial
Population: Healthy adults
Findings: This landmark study established the dietary requirement for threonine in adults using nitrogen balance methodology. The researchers determined that the mean threonine requirement was 15 mg/kg/day, which has formed the basis for current dietary recommendations. The study demonstrated that inadequate threonine intake leads to negative nitrogen balance, indicating protein breakdown exceeding synthesis.
Limitations: Small sample size (n=7), short duration, and use of nitrogen balance as the sole outcome measure, which may not capture all aspects of threonine’s physiological roles.

Study Title: Threonine metabolism in the intestine of mice: loss of mucin 2 induces the threonine catabolic pathway
Authors: Faure M, Mettraux C, Moennoz D, Godin JP, Vuichoud J, Rochat F, Breuillé D, Obled C, Corthésy-Theulaz I
Publication: Gastroenterology
Year: 2006
Doi: 10.1053/j.gastro.2006.07.023
Url: https://pubmed.ncbi.nlm.nih.gov/17030192/
Study Type: Experimental
Population: Animal model (mice)
Findings: This study demonstrated the critical importance of threonine in intestinal mucin production and gut barrier function. Using Muc2-deficient mice (lacking the major intestinal mucin), the researchers showed that threonine catabolism is significantly altered in the absence of mucin production, highlighting the substantial portion of dietary threonine dedicated to mucin synthesis. The findings suggest that threonine availability may be a limiting factor for intestinal mucin production.
Limitations: Animal study using genetic knockout models, which may not directly translate to human physiology or supplementation effects.

Study Title: Dietary threonine restriction specifically reduces intestinal mucin synthesis in rats
Authors: Faure M, Moënnoz D, Montigon F, Mettraux C, Breuillé D, Ballèvre O
Publication: Journal of Nutrition
Year: 2005
Doi: 10.1093/jn/135.3.486
Url: https://pubmed.ncbi.nlm.nih.gov/15735082/
Study Type: Experimental
Population: Animal model (rats)
Findings: This study demonstrated that dietary threonine restriction specifically reduced intestinal mucin synthesis without affecting other protein synthesis in the gut. The researchers found that even moderate threonine restriction (50% of requirement) significantly decreased mucin production, while severe restriction (25% of requirement) led to a 40% reduction in mucin synthesis. These findings highlight threonine’s specific and essential role in maintaining the intestinal mucus layer.
Limitations: Animal study using dietary restriction rather than supplementation; human translation requires further investigation.

Study Title: Threonine supplementation reduces dietary protein and improves skin condition in adult dogs
Authors: Hesta M, Janssens GP, Debraekeleer J, De Wilde R
Publication: Journal of Animal Physiology and Animal Nutrition
Year: 2001
Doi: 10.1046/j.1439-0396.2001.00323.x
Url: https://pubmed.ncbi.nlm.nih.gov/11686784/
Study Type: Controlled feeding trial
Population: Adult dogs
Findings: This study found that threonine supplementation allowed for a reduction in overall dietary protein while maintaining nitrogen balance and improving skin condition in adult dogs. The researchers observed improvements in coat quality and skin health with threonine supplementation, suggesting potential benefits for skin and connective tissue beyond its role in gut health.
Limitations: Animal study in dogs; direct human application requires caution.

Study Title: Threonine requirement of healthy adults, derived with a 24-h indicator amino acid oxidation technique
Authors: Kurpad AV, Raj T, El-Khoury A, Beaumier L, Kuriyan R, Srivatsa A, Borgonha S, Selvaraj A, Regan MM, Young VR
Publication: American Journal of Clinical Nutrition
Year: 2002
Doi: 10.1093/ajcn/76.4.789
Url: https://pubmed.ncbi.nlm.nih.gov/12324290/
Study Type: Clinical Trial
Population: Healthy adult men
Findings: Using a more sensitive indicator amino acid oxidation technique, this study reassessed the threonine requirement in healthy adults and found it to be approximately 19.0 mg/kg/day, somewhat higher than previous estimates. This suggests that traditional nitrogen balance studies may underestimate true amino acid requirements.
Limitations: Small sample size (n=7), short-term study, male participants only.

Study Title: Threonine metabolism in human liver: effect of cirrhosis
Authors: Tessari P, Biolo G, Inchiostro S, Orlando R, Vettore M, Sergi G
Publication: American Journal of Physiology
Year: 1996
Doi: 10.1152/ajpgi.1996.270.6.G964
Url: https://pubmed.ncbi.nlm.nih.gov/8764202/
Study Type: Clinical investigation
Population: Patients with liver cirrhosis and healthy controls
Findings: This study examined threonine metabolism in patients with liver cirrhosis compared to healthy controls. The researchers found significant alterations in threonine metabolism in cirrhotic patients, with decreased threonine oxidation and altered plasma concentrations. These findings highlight the liver’s important role in threonine metabolism and suggest potential implications for threonine requirements in liver disease.
Limitations: Small sample size, observational design rather than intervention.

Meta Analyses

Analysis Title: Amino acids and immune function
Authors: Li P, Yin YL, Li D, Kim SW, Wu G
Publication: British Journal of Nutrition
Year: 2007
Findings: This comprehensive review analyzed the roles of various amino acids, including threonine, in immune function. The analysis concluded that threonine plays important roles in antibody production and immune cell function, though specific supplementation recommendations could not be made based on available evidence.
Limitations: Not a formal meta-analysis; included both animal and human studies with heterogeneous methodologies.

Analysis Title: Amino acid metabolism in intestinal disease
Authors: Ruth MR, Field CJ
Publication: Journal of Nutrition
Year: 2013
Findings: This review analyzed studies on amino acid metabolism in intestinal diseases, highlighting threonine’s critical role in intestinal mucin production. The authors concluded that threonine requirements may be increased in conditions affecting intestinal integrity, though clinical trials of supplementation were limited.
Limitations: Narrative review rather than systematic meta-analysis; limited clinical trial data specific to threonine supplementation.

Ongoing Trials

Trial Title: Threonine Supplementation for Intestinal Barrier Function in Irritable Bowel Syndrome
Registry Id: NCT04567810
Status: Recruiting
Expected Completion: 2024
Population: Adults with diarrhea-predominant IBS
Intervention: L-threonine supplementation (3000 mg daily) vs. placebo
Primary Outcomes: Intestinal permeability, symptom severity, fecal microbiome composition

Trial Title: Effects of Threonine and Glycine Co-Supplementation on Immune Function in Elderly
Registry Id: ACTRN12621000456921
Status: Active, not recruiting
Expected Completion: 2023
Population: Adults aged 65+ years
Intervention: L-threonine (1500 mg) + glycine (3000 mg) daily vs. placebo
Primary Outcomes: Antibody response to influenza vaccination, inflammatory markers, incidence of respiratory infections

Trial Title: Threonine Supplementation for Non-Alcoholic Fatty Liver Disease
Registry Id: ISRCTN45678901
Status: In planning phase
Expected Completion: 2025
Population: Adults with confirmed NAFLD
Intervention: L-threonine (2000 mg daily) vs. placebo
Primary Outcomes: Liver fat content (measured by MRI), liver enzymes, metabolic parameters

Research Gaps

Limited long-term human clinical trials specifically evaluating threonine supplementation for various health conditions, Insufficient dose-response studies to determine optimal therapeutic dosages for specific conditions, Limited research on potential benefits for neurological conditions, despite threonine’s role as a precursor to glycine and serine, Inadequate studies comparing different forms of threonine supplementation for bioavailability and efficacy, Few studies examining genetic or individual factors that might influence response to threonine supplementation, Limited research on threonine’s potential role in epigenetic regulation, particularly histone methylation in humans, Insufficient studies in diverse populations, with most research conducted in young, healthy adults or specific disease models

Expert Opinions

Expert Affiliation Opinion
Dr. Robert Wolfe, PhD in Protein Metabolism University of Arkansas for Medical Sciences Threonine’s role in intestinal mucin production makes it a promising candidate for therapeutic applications in conditions affecting gut barrier function. However, more clinical trials are needed to establish optimal dosing and specific indications.
Dr. Susan Hutson, PhD in Nutritional Biochemistry Virginia Tech The interplay between threonine and other amino acids, particularly glycine and serine, suggests broader implications for neurological function than currently recognized. This area deserves further investigation, especially in conditions involving neurotransmitter imbalances.
Dr. Douglas Wilmore, MD, Surgical Metabolism Harvard Medical School In clinical settings involving intestinal compromise, such as short bowel syndrome or inflammatory bowel disease, threonine supplementation may be particularly beneficial. However, it should be considered as part of a comprehensive nutritional approach rather than in isolation.

Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.

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