1980
DOI: 10.1177/014860718000400225
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Amino Acid and Energy Metabolism in Septic and Traumatized Patients

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Cited by 169 publications
(27 citation statements)
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“…As an acute phase protein, fibrinogen is commonly observed to increase under stressed situations (21)(22)(23). Metabolic changes from trauma injury or stress are generalized by an increase in whole body protein turnover rate, with a net loss of host body protein (21)(22)(23).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…As an acute phase protein, fibrinogen is commonly observed to increase under stressed situations (21)(22)(23). Metabolic changes from trauma injury or stress are generalized by an increase in whole body protein turnover rate, with a net loss of host body protein (21)(22)(23).…”
Section: Discussionmentioning
confidence: 99%
“…Metabolic changes from trauma injury or stress are generalized by an increase in whole body protein turnover rate, with a net loss of host body protein (21)(22)(23). Specifically, there is an increase of amino acid release from the muscle and an increase of amino acid uptake in the splenic bed (22). This shift of amino acid sources from muscle to the liver is hypothesized to be beneficial because it facilitates the liver's synthesis of proteins, which are critical for survival (24).…”
Section: Discussionmentioning
confidence: 99%
“…Considering that the mean fraction of forearm made up of muscle tissue is about 0.6 (58), that forearm blood flow in forearm muscle is about 70% of total flow (58), that muscle is on the average 40% of body weight, that phenylalanine is about 4-5% of actin composition (59), and that muscle is composed by 20% proteins, the change in net phenylalanine release from the forearm after rhGH would account for a less negative muscle balance of about 18-20 g/d. This is in keeping with an increase in muscle mass of about 20 g/d observed in GH-deficient patients during GH repletion therapy (54).…”
Section: Discussionmentioning
confidence: 99%
“…Glutamine synthetase increases dramatically in atrophic muscle as a result of chronic exposure to glucocorticoids (26) or denervation (16). Glutamine synthetase catalyzes de novo glutamine synthesis from glutamate and ammonia, thus maintaining glutamine homeostasis under conditions of increased glutamine demand by other tissues (13) or as a result of its limited supply. Muscle atrophy induces glutamine efflux, thereby depleting muscle glutamine stores (28).…”
Section: Rna Processing Protein Biosynthesis and Modificationmentioning
confidence: 99%