分支链氨基酸与末期肝病患者的身体表现有关
Maria Camila Trillos-Almanza1, Hanna Wessel1, Magnolia Martínez-Aguilar1
1Department of Gastroenterology and Hepatology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700RB Groningen, The Netherlands.
Biomolecules
|May 27, 2023
概括
循环分支链氨基酸 (BCAA) 减少与更严重的末期肝病 (ESLD) 和较差的肌肉功能有关. 这些发现表明,BCAA水平可能作为肝病病期的预后标志物.
科学领域:
- 生物化学 生物化学
- 肝病学 肝病学是一种肝病学.
- 老年病的医生 老年病的医生
背景情况:
- 循环分支链氨基酸 (BCAA) 的减少是末期肝病 (ESLD) 的特征.
- 这些氨基酸的变化与萨尔科佩尼亚,肝脏脑病变以及患者预后不佳有关.
- 了解BCAA水平与疾病严重程度之间的关系对于患者管理至关重要.
研究的目的:
- 调查血BCAA水平与ESLD严重程度之间的关联.
- 检查肝移植候选人的BCAA水平与身体表现之间的相关性.
- 探索BCAA作为ESLD预后生物标志物的潜力.
主要方法:
- 对来自TransplantLines肝移植子组的92名患者的横截面分析.
- 用核磁共振光谱学量化的血BCAA水平.
- 身体表现通过手握强度,4米步行,坐立,计时上升和上升,平衡测试和脆弱度量表来评估.
主要成果:
- 查尔德-普格-图尔科特分类在最低的BCAA三位数中明显高于最高的.
- 在总BCAA水平和坐立测试时间 (r = -0.352,p < 0.05) 之间观察到逆相关性.
- 在总BCAA水平和定时升级和启动测试时间 (r = -0.472,p < 0.01) 之间观察到逆相关性.
结论:
- 较低的循环BCAA水平与ESLD严重程度的增加显著相关.
- 降低的BCAA水平与肌肉功能受损相关,包括较慢的坐立和时间上升和上升的表现.
- 循环中的BCAA可以作为一个有价值的预后标记,用于分期肝病的严重程度.
关键词:
慢性肝脏疾病 慢性肝脏疾病基本氨基酸是必需的氨基酸.脆弱 脆弱 脆弱 脆弱 脆弱功能性表现的功能性表现.肝硬化是肝硬化的一种疾病.肝脏脑病变 - 肝脏脑病变 - 肝脏脑病变肝移植 肝移植 肝移植磁共振光谱学 磁共振光谱学肌肉的发展 肌肉的发展 肌肉的发展这种类型的麻症是sarcopenia.更多相关视频
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