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Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2 (COX-2),...
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Assessment of Glutamine as a Fuel Source for Alveolar Macrophages Exposed to Chronic Ethanol Using an Extracellular Flux Bioanalyzer
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Corticosteroids increase glutamine utilization in human splanchnic bed.

Ronan Thibault1, Susan Welch, Nelly Mauras

  • 1INRA, UMR 1280, Physiologie des Adaptations Nutritionnelles, Université de Nantes, 44093 Nantes cedex 1, France.

American Journal of Physiology. Gastrointestinal and Liver Physiology
|December 29, 2007
PubMed
Summary
This summary is machine-generated.

Glucocorticosteroids like prednisone increase the body's need for glutamine in the splanchnic bed. This study shows prednisone alters glutamine metabolism, highlighting potential impacts for patients on long-term steroid therapy.

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Assessment of Glutamine as a Fuel Source for Alveolar Macrophages Exposed to Chronic Ethanol Using an Extracellular Flux Bioanalyzer
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Fecal Glucocorticoid Analysis: Non-invasive Adrenal Monitoring in Equids
08:02

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Published on: April 25, 2016

Area of Science:

  • Metabolic research
  • Endocrinology
  • Nutritional science

Background:

  • Glutamine is the most abundant amino acid, crucial for gut and liver metabolism in healthy individuals.
  • Glucocorticosteroids are potent anti-inflammatory drugs with known metabolic effects.
  • The impact of glucocorticosteroids on splanchnic glutamine metabolism is not fully understood.

Purpose of the Study:

  • To investigate how prednisone, a glucocorticosteroid, affects splanchnic glutamine metabolism in healthy adults.
  • To quantify changes in glutamine synthesis, appearance, and extraction in response to prednisone treatment.

Main Methods:

  • Healthy adults underwent 5-hour intravenous infusions of labeled leucine and glutamine.
  • Oral tracer doses of labeled glutamine were administered to assess splanchnic extraction.
  • Prednisone treatment (0.8 mg/kg/day for 6 days) was compared to a baseline control period.
  • Isotope tracer methods were used to measure amino acid appearance rates and oxidation.

Main Results:

  • Prednisone did not alter leucine metabolism (appearance or oxidation).
  • Prednisone significantly increased plasma glutamine appearance rate, primarily due to enhanced de novo synthesis.
  • Prednisone increased the splanchnic bed's extraction of glutamine without changing the fraction oxidized.

Conclusions:

  • High-dose glucocorticosteroids, exemplified by prednisone, increase glutamine requirements in the splanchnic bed.
  • These findings suggest altered glutamine dynamics under glucocorticosteroid influence.
  • Further research is needed to determine the clinical relevance for patients on chronic corticoid therapy or with severe illnesses.