Document Detail


Altered amino acid homeostasis and the development of fatigue by breast cancer radiotherapy patients: A pilot study.
MedLine Citation:
PMID:  20950596     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To examine altered amino acid homeostasis as a predisposing factor of fatigue in female radiotherapy breast cancer patients.
DESIGN AND METHODS: Participants underwent breast-conserving surgery and adjuvant breast irradiation and were free from significant fatigue pre-radiotherapy. The Functional Assessment of Cancer Therapy fatigue subscale was used to assess fatigue pre- and post-radiotherapy. Blood biochemistry factors and urinary and plasma amino acid levels were measured.
RESULTS: One third of 27 patients developed fatigue and were designated as the fatigued cohort. It was possible to differentiate between fatigued subjects pre- and post-radiotherapy based upon their urinary amino acid profiles. Univariate analysis supported altered amino acid homeostasis within the fatigued cohort. Urinary levels of histidine and alanine were increased pre-radiotherapy whilst threonine, methionine, alanine, serine, asparagine and glutamine levels were higher after 5weeks of radiotherapy for the fatigued cohort.
CONCLUSIONS: Fatigue was accompanied by altered amino acid homeostasis with increased amino acid excretion suggestive of a catabolic response.
Authors:
R Hugh Dunstan; Diane L Sparkes; Margaret M Macdonald; Tim K Roberts; Christopher Wratten; Mahesh B Kumar; Surinder Baines; J W Denham; Sarah A Gallagher; Tony Rothkirch
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Publication Detail:
Type:  Journal Article     Date:  2010-10-13
Journal Detail:
Title:  Clinical biochemistry     Volume:  44     ISSN:  1873-2933     ISO Abbreviation:  Clin. Biochem.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0133660     Medline TA:  Clin Biochem     Country:  United States    
Other Details:
Languages:  eng     Pagination:  208-15     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 The Canadian Society of Clinical Chemists. All rights reserved.
Affiliation:
School of Environmental & Life Sciences, University of Newcastle, Callaghan, NSW 2308, Australia.
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