Serum Levels of Branched Chain Amino Acids Predict Duration of Cardiovascular Organ Failure in Septic Shock

Shock ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michael A. Puskarich ◽  
Cora McHugh ◽  
Thomas L. Flott ◽  
Alla Karnovsky ◽  
Alan E. Jones ◽  
...  
2019 ◽  
Vol 77 ◽  
pp. 12-16 ◽  
Author(s):  
Francesca Arfuso ◽  
Anna Assenza ◽  
Francesco Fazio ◽  
Maria Rizzo ◽  
Claudia Giannetto ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3106
Author(s):  
Alexander Christian Reisinger ◽  
Florian Posch ◽  
Gerald Hackl ◽  
Gunther Marsche ◽  
Harald Sourij ◽  
...  

Sepsis biomarkers and potential therapeutic targets are urgently needed. With proton nuclear magnetic resonance (1H NMR) spectroscopy, several metabolites can be assessed simultaneously. Fifty-three adult medical ICU sepsis patients and 25 ICU controls without sepsis were prospectively enrolled. 1H NMR differences between groups and associations with 28-day and ICU mortality were investigated. In multivariate metabolomic analyses, we found separate clustering of ICU controls and sepsis patients, as well as septic shock survivors and non-survivors. Lipoproteins were significantly different between sepsis and control patients. Levels of the branched-chain amino acids (BCAA) valine (median 43.3 [29.0–53.7] vs. 64.3 [47.7–72.3] normalized signal intensity units; p = 0.005), leucine (57.0 [38.4–71.0] vs. 73.0 [54.3–86.3]; p = 0.034) and isoleucine (15.2 [10.9–21.6] vs. 17.9 [16.1–24.4]; p = 0.048) were lower in patients with septic shock compared to those without. Similarly, BCAA were lower in ICU non-survivors compared to survivors, and BCAA were good discriminators for ICU and 28-day mortality. In uni- and multivariable logistic regression analyses, higher BCAA levels were associated with decreased ICU- and 28-day mortality. In conclusion, metabolomics using 1H NMR spectroscopy showed encouraging potential for personalized medicine in sepsis. BCAA was significantly lower in sepsis non-survivors and may be used as early biomarkers for outcome prediction.


Metabolomics ◽  
2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Allison L. O’Kell ◽  
Clive Wasserfall ◽  
Joy Guingab‑Cagmat ◽  
Bobbie‑Jo M. Webb‑Robertson ◽  
Mark A. Atkinson ◽  
...  

1976 ◽  
Vol 120 (2) ◽  
pp. 191-195 ◽  
Author(s):  
KAZUIE IINUMA ◽  
TAKASHI SAITO ◽  
YOSHIRO WADA ◽  
AKIRA ONUMA ◽  
NORIMITSU TAKAMATSU ◽  
...  

Metabolomics ◽  
2021 ◽  
Vol 17 (11) ◽  
Author(s):  
Allison L. O’Kell ◽  
Clive Wasserfall ◽  
Joy Guingab-Cagmat ◽  
Bobbie-Jo M. Webb-Roberston ◽  
Mark A. Atkinson ◽  
...  

2018 ◽  
Vol 88 (1-2) ◽  
pp. 80-89 ◽  
Author(s):  
Zahra Shakibay Novin ◽  
Saeed Ghavamzadeh ◽  
Alireza Mehdizadeh

Abstract. Branched chain amino acids (BCAA), with vitamin B6 have been reported to improve fat metabolism and muscle synthesis. We hypothesized that supplementation with BCAA and vitamin B6 would result in more weight loss and improve body composition and blood markers related to cardiovascular diseases. Our aim was to determine whether the mentioned supplementation would affect weight loss, body composition, and cardiovascular risk factors during weight loss intervention. To this end, we performed a placebo-controlled randomized clinical trial in 42 overweight and obese women (BMI = 25–34.9 kg/m2). Taking a four-week moderate deficit calorie diet (–500 kcal/day), participants were randomized to receive BCAA (6 g/day) with vitamin B6 (40 mg/day) or placebo. Body composition variables measured with the use of bioelectrical impedance analysis, homeostatic model assessment, and plasma insulin, Low density lipoprotein, High density lipoprotein, Total Cholesterol, Triglyceride, and fasting blood sugar were measured. The result indicated that, weight loss was not significantly affected by BCAA and vitamin B6 supplementation (–2.43 ± 1.02 kg) or placebo (–1.64 ± 1.48 kg). However, significant time × treatment interactions in waist to hip ratio (P = 0.005), left leg lean (P = 0.004) and right leg lean (P = 0.023) were observed. Overall, supplementation with BCAA and vitamin B6 could preserve legs lean and also attenuated waist to hip ratio.


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