| Protein synthesis is severely diminished following a simulated upper GI bleed in patients with cirrhosis. | |
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MedLine Citation:
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PMID: 18602715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: An upper gastrointestinal (GI) bleed in cirrhotic patients has been hypothesised to induce catabolism due to the absence of the essential branched chain amino acid (BCAA) isoleucine and an abundance of the BCAA leucine in haemoglobin. We tested whether an upper GI bleed produces hypoisoleucinemia via BCAA antagonism and impairs protein synthesis. METHODS: Isoleucine turnover and oxidation was studied in 5 metabolically stable patients with cirrhosis during a 4-h period of intragastric saline infusion followed by a 4-h period in which an upper GI bleed was simulated by an amino acid solution mimicking haemoglobin. RESULTS: The simulated upper GI bleed induced hypoisoleucinemia (26% of initial values) and an increase in leucine (400%) and valine (350%) concentrations. Isoleucine flux and isoleucine oxidation decreased to a third of initial values following a simulated bleed, but the fraction of isoleucine flux used for oxidation did not change. Consequently, the non-oxidative portion of isoleucine flux, representing protein synthesis, decreased similarly. CONCLUSIONS: The present study shows that a simulated upper GI bleed induces hypoisoleucinemia and decreases protein synthesis markedly. The fact that the percentage of isoleucine flux that was oxidized was not influenced by the hypoisoleucinemic state can only be explained by BCAA antagonism. |
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Authors:
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Steven W M Olde Damink; Rajiv Jalan; Nicolaas E P Deutz; Peter C Hayes; Peter B Soeters |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-06-02 |
Journal Detail:
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Title: Journal of hepatology Volume: 49 ISSN: 0168-8278 ISO Abbreviation: J. Hepatol. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-10-20 Completed Date: 2009-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503886 Medline TA: J Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 726-31 Citation Subset: IM |
Affiliation:
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Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands. steven.oldedanmink@ah.unimaas.nl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amino Acids, Branched-Chain / antagonists & inhibitors, metabolism Female Gastrointestinal Hemorrhage / complications, metabolism* Humans Isoleucine / metabolism Liver Cirrhosis / complications, metabolism* Liver Cirrhosis, Alcoholic / complications, metabolism Male Middle Aged Models, Biological Oxidation-Reduction Protein Biosynthesis* |
| Grant Support | |
ID/Acronym/Agency:
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//Wellcome Trust |
| Chemical | |
Reg. No./Substance:
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0/Amino Acids, Branched-Chain; 73-32-5/Isoleucine |
| Comments/Corrections | |
Comment In:
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J Hepatol. 2008 Nov;49(5):686-7
[PMID:
18804308
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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