Journals / Eastern Journal of Medicine / 2021 / Cilt: 26 - Sayı: 1

Effects of Parenteral Glutamine Supplementation on Endocan Levels in Septic Patients

Pages
157–164
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Further prospective studies with larger sample size are needed in order to make conclusive comments that there is no beneficial effect of administering GLN.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The purpose of this study was to investigate the effect of parentera l Glutamine (Gln) supplementation on Endocan levels in patients with sepsis receiving parenteral nutrition.
📊
Key Findings & Data:A total of 60 patients with a diagnosis of sepsis were enrolled to the study.
💡
Conclusion & Impact:Further prospective studies with larger sample size are needed in order to make conclusive comments that there is no beneficial effect of administering GLN.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

The purpose of this study was to investigate the effect of parentera l Glutamine (Gln) supplementation on Endocan levels in patients with sepsis receiving parenteral nutrition. A total of 60 patients with a diagnosis of sepsis were enrolled to the study. Patients were randomly divided into two groups to receive either standard parenteral nutrition or standard parenteral nutrition plus the parenteral dipeptide Gln-Ala. The Gln-Ala dipeptide dosage was calculated to be 0.35 mg/kg. Demographic data, CRP, ESR, lactate, WBC, Endocan serum levels, APACHE II scores at admission to ICU, and SOFA scores at day 0, 3rd and 7th days were all recorded. The outcomes of the patients were also recorded after 28-day follow up. Results: There was no statistically significant difference between the Endocan values of patients receiving parente ral dipeptide Gln-Ala plus the standard parenteral nutrition vs standard parenteral nutrition. Also, there was no significant difference in mortality and septic shock development rates between the two groups. According to our results, there was not a significant difference regarding outcomes of the patients in both study groups, including mortality rates and there was no beneficial effect of indiscriminate GLN supplementation. Further prospective studies with larger sample size are needed in order to make conclusive comments that there is no beneficial effect of administering GLN.

🔖

Cite This Article

KİLİC, B., ÇİÇEK, H., METE, A. O., GANİDAGLİ, S., UĞUR, B. K. (2021). Effects of Parenteral Glutamine Supplementation on Endocan Levels in Septic Patients. Eastern Journal of Medicine, Cilt: 26 - Sayı: 1, 157–164. https://ajindex.com/articles/149151

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. De Backer D. Benefit-risk assessment of drotrecogin alfa (activated) in the treat- ment of sepsis, Drug Saf 2007; 30: 995-1010
  2. Qiao R., Wang H, Yan W, L.E. et al. Extracellular matrix hyaluronan is a determinant of the endothelial barrier, Am. J. Phys. Cell Phys 1995; 269: C103-C109
  3. Scherpereel A, Depontieu F, Grigoriu B, et al. Endocan, a new endothelial marker in human sepsis. Crit Care Med 2006; 34: 532-537
  4. Coeffier M, Dechelotte P. The role of glutamine in intensive care unit patients: mechanisms of action and clinical outcome. Nutrition reviews 2005; 63: 65-69
  5. Parry-Billings M, Evans J, Calder PC, Newsholme EA Does glutamine contribute to immunosuppression after major burns? Lancet 1990; 336: 523-525
  6. Wischmeyer PE. Glutamine: mode of action in critical illness. Critical care medicine 2007; 35; 541-544
  7. Wernerman J. Role of glutamine supplementation in critically ill patients. Current opinion in anaesthesiology 2008; 21: 155-159
  8. Addabbo F, Chen Q, Patel DP, et al. Glutamine supplementation alleviates vasculopathy and corrects metabolic profile in an in vivo model of endothelial cell dysfunction. PloS one 2013; 8; e65458
  9. Vermeulen MA, Brinkmann SJ, Stehle P, van Leeuwen PA. Consequences of the REDOXS and METAPLUS Trials: the end of an era of glutamine and antioxidant supplementation for critically ill patients? JPEN J Parenter Enteral Nutr 2016; 40: 12
  10. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 23: 315: 801-810 11. Harris JA, Benedict FG. A Biometric Study of Human Basal Metabolism. Proc Natl Acad Sci U S A. 1918; 4: 370-373
  11. Recknagel P, Gonnert FA, Westermann M, et al. Liver dysfunction and phosphatidylinositol3-kinase signalling in early sepsis: experimental studies in rodent models of peritonitis, PLoS Med 2012; 9: e1001338
  12. Ziegler TR, Benfell K, Smith RJ, et al. Safety and metabolic effects of L-glutamine administration in humans. JPEN Journal of parenteral and enteral nutrition 1990; 14: 137- 146
  13. Roth E. Nonnutritive effects of glutamine. The Journal of nutrition 2008; 138; 2025- 2031
  14. Brunengraber H, Roe CR. Anaplerotic molecules: current and future. Journal of inherited metabolic disease 2006; 29: 327-331
  15. Owen OE, Kalhan SC, Hanson RW. The key role of anaplerosis and cataplerosis for citric acid cycle function. The Journal of biological chemistry 2002; 277: 30409-30412
  16. O’Riordan E, M