Dietary Amino Acids and Immunonutrition Supplementation in Cancer-Induced Skeletal Muscle Mass Depletion: A Mini-Review.
Study Goal
The researchers aimed to evaluate the potential of arginine, among other amino acids, to mitigate cancer-induced skeletal muscle depletion by reducing inflammation and infection progression.
Results Summary
The study suggests arginine may help reduce inflammation and infection progression, potentially improving food intake in cancer patients, but does not provide specific efficacy data or statistical significance for arginine alone.
Population
Cancer patients, particularly those at risk of or experiencing cachexia.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
protein intake | neutral | - | cancer patients | above 1.0 g/kg.day-1 up to 2.0 g/k.day-1 | suggested | #1 |
L-leucine and its derivatives | increase | protein synthesis | - | - | appear to regulate | #2 |
L-leucine and its derivatives | increase | muscle protein balance | - | - | further promoting | #3 |
Arginine and glutamine | decrease | inflammation and infection progression | - | - | may act by reducing | #4 |
Arginine and glutamine | increase | food intake | - | - | thus promoting improvements in | #5 |
Creatine | neutral | - | - | - | exerts anabolic activity | #6 |
Creatine | increase | lean mass | - | - | further increasing | #7 |
Cancer patients display systemic inflammation, which leads to an increase in protein catabolism, thus promoting the release of free amino acids to further support metabolism and remodelling of muscle proteins. Inflammation associated with tumor growth leads to malnutrition, a factor that increases the risk of developing cachexia. With cancer-induced cachexia, nutritional interventions have gained traction as a preventative method to manage this condition. Currently, cancer consensus recommendations suggest a protein intake above 1.0 g/kg.day-1 up to 2.0 g/k.day-1 for cancer patients, although an ideal amount for some amino acids in isolation has yet to be determined. Due to controversy in the literature regarding the benefits of the biochemical mechanisms of various muscle mass supplements, such as L-leucine (including whey protein and BCAA), β-hydroxy-beta-methyl butyrate (HMβ), arginine, glutamine and creatine, several studies have carefully examined their effects. L-leucine and its derivatives appear to regulate protein synthesis by direct or indirect activation of the mTORC1 pool of kinases, further promoting muscle protein balance. Arginine and glutamine may act by reducing inflammation and infection progression, thus promoting improvements in food intake. Creatine exerts anabolic activity, acting as an immediate energy substrate to support muscle contraction further increasing lean mass, mainly due to greater water uptake by the muscle. In this narrative review, we highlighted the main findings regarding protein consumption and amino acids to mitigate cancer-induced skeletal muscle depletion.