Supplementation of Branched-Chain Amino Acids Maintains the Serum Albumin Level in the Course of Hepatocellular Carcinoma Recurrence
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- Kakazu Eiji
- Division of Gastroenterology, Tohoku University Graduate School of Medicine Department of Community Medical Supports, Tohoku Medical Megabank Organization
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- Kondo Yasuteru
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Kogure Takayuki
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Ninomiya Masashi
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Kimura Osamu
- Division of Gastroenterology, Tohoku University Graduate School of Medicine Department of Community Medical Supports, Tohoku Medical Megabank Organization
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- Iwata Tomoaki
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Morosawa Tatsuki
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Iwasaki Takao
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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- Shimosegawa Tooru
- Division of Gastroenterology, Tohoku University Graduate School of Medicine
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抄録
Hepatocellular carcinoma (HCC) is the third leading cause of cancer deaths worldwide. Serum albumin (Alb) is an important prognostic factor for patients with HCC. Moreover, plasma levels of branched-chain amino acids (BCAA), L-valine, L-leucine, and L-isoleucine, are commonly decreased in patients with cirrhosis. Accordingly, formulations of BCAA has been used to maintain the Alb level and prevent ascites in patients with cirrhosis. The aim of this study is to investigate differences in the changes in Alb between a group that received a BCAA formulation (n = 29) and a group given a standard diet (n = 60) in the course of HCC recurrences. All patients experienced more than one hospitalization (mean: 2.6; range: 2-10) owing to recurrence. The plasma BCAA concentration and BCAA-to-tyrosine ratio (BTR), which is a good indicator of the severity of hepatic parenchymal injury in patients with cirrhosis, were significantly correlated with Alb. We defined the changes in BCAA and Alb between recurrences as ΔBCAA and ΔAlb, respectively, and stratified the patients in both groups based on number of recurrences (3 < early, 3-5 middle, or 5 > later). There was also a positive correlation between ΔBCAA and ΔAlb. Interestingly, in the group with BCAA, ΔAlb and ΔBCAA were significantly smaller, especially in the middle period (3-5 recurrences), than in the group without BCAA. These results indicate that the BCAA supplementation could maintain the BCAA and Alb levels in the middle period (3-5 recurrences). BCAA formulation is useful for hypoalbuminemia in the course of HCC recurrence.
収録刊行物
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- The Tohoku Journal of Experimental Medicine
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The Tohoku Journal of Experimental Medicine 230 (4), 191-196, 2013
東北ジャーナル刊行会
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詳細情報 詳細情報について
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- CRID
- 1390001204244427904
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- NII論文ID
- 10031194081
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- NII書誌ID
- AA00863920
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- COI
- 1:STN:280:DC%2BC3sfktlWgug%3D%3D
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- ISSN
- 13493329
- 00408727
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- PubMed
- 23892757
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可