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  • 1
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Patients with pancreatic cancer frequently develop the syndrome of cancer cachexia. Pro-inflammatory cytokines have been strongly implicated in the pathogenesis of this syndrome. In patients with pancreatic cancer an acute-phase response (an index of pro-inflammatory cytokine activity) is associated with accelerated weight loss, hypermetabolism, anorexia, and a shortened duration of survival. However, little is known about the primary significance of the acute-phase response in terms of altered hepatic export protein synthesis rates and its potential impact on the body's nitrogen economy. In a recent series of studies on weight-losing pancreatic cancer patients with hypoalbuminemia we have demonstrated albumin synthesis to be unaltered whereas fibrinogen synthesis is increased two- to threefold compared with healthy controls. Because of the mismatch in amino acid composition between the body's main labile amino acid reserve (skeletal muscle) and that of acute-phase proteins, these results lend support to the concept that in pancreatic cancer the reprioritization of body protein metabolism during an acute-phase response may well be a significant factor in the loss of lean tissue in these patients.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1076-5174
    Keywords: Chemistry ; Analytical Chemistry and Spectroscopy
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: A gas chromatographic/mass spectrometric (GC/MS) method has been developed for the precise and accurate analysis of high enrichment (1-10 mol.% excess) and very low enrichment (0.005-0.12 mol.% excess) 2H5-labelled phenylalanine. Tracer enrichment in free phenylalanine was measured by GC/electron impact MS analysis of the tert-butyldimethylsilyl (TBDMS) derivative. The measurement of very low tracer enrichment, typical of that found in protein hydrolysates, was accomplished by careful control of sample yield during preparation and analysis of the TBDMS derivative of purified β-phenylethylamine, produced by enzymatic decarboxylation and solvent extraction. The new method was illustrated by measurement of albumin synthesis in healthy patients using a rapid protocol which showed good patient acceptability and was straightforward to manage in the clinical setting. The mean (SEM) albumin fractional synthetic rate was 9.54% (0.81%) per day, in agreement with previous studies that used more complex clinical protocols and analytical procedures. Use of the same derivative for analysis of amino acid precursor and protein samples facilitated consecutive analysis on the same instrument without interruption, permitting rapid feedback of results to the clinician and the possibility of using the method in intervention studies. The method should prove useful in the study of the synthetic rate of other proteins and mixed tissue protein, which will help our understanding and management of protein metabolism in health and disease. The possibility of extending the use of multiple-atom tracers combined with GC/MS analysis to other substrate metabolism studies was identified.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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