Skeletal muscle protein turnover responses to parenteral nutrition in patients with alcoholic liver cirrhosis and sarcopenia

Author:

Iepsen Ulrik Winning12ORCID,Rinnov Anders Rasmussen1ORCID,Munch Gregers Winding1,Rugbjerg Mette1,Winding Kamilla Munch1,Lauridsen Carsten34,Berg Ronan M. G.1567ORCID,Pedersen Bente Klarlund1,Gluud Lise Lotte8,van Hall Gerrit910

Affiliation:

1. The Centre for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark

2. Department of Anaesthesiology and Intensive Care, Copenhagen University Hospital—Hvidovre Hospital, Copenhagen, Denmark

3. Department of Diagnostic Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark

4. Department of Technology, Copenhagen University College, Copenhagen, Denmark

5. Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

6. Department of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark

7. Neurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom

8. Gastro Unit, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark

9. Clinical Metabolomics Core Facility, Clinical Biochemistry, Copenhagen University Hospital, Copenhagen, Denmark

10. Department of Biomedical Sciences, Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

Abstract

Muscle protein turnover responses to parenteral nutritional (PN) supplementation have not previously been studied in stable alcoholic liver cirrhosis (ALC). We applied stable isotope tracers of amino acids to directly quantify net muscle protein turnover responses to PN in sarcopenic males with ALC and healthy controls. We found a higher net muscle protein gain in ALC during PN, thereby providing the physiological rationale for future clinical trials of PN as a potential countermeasure to sarcopenia.

Funder

A.P. Møller Fonden | Fonden til Lægevidenskabens Fremme

Aase og Ejnar Danielsens Fond

Augustinus Fonden

Direktør Jacob Madsen og Hustru Olga Madsens Fond

P. A. Messerschmidt og Hustrus Fond

TrygFonden

Danish National Research Foundation

Publisher

American Physiological Society

Subject

Physiology (medical),Gastroenterology,Hepatology,Physiology

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