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Dietary Amino Acids and Immunonutrition Supplementation in Cancer-Induced Skeletal Muscle Mass Depletion: A Mini-Review.

Current pharmaceutical design
January 1, 2020
Jéssika D P Soares et al. (4 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

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

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
Amino AcidsCachexiaDietDietary SupplementsHumansMuscle, SkeletalNeoplasms
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality65/10
Citation Metrics
Total Citations42
Citations/Year8.4
Relative Citation Ratio2.61
NIH Percentile81.9%
Research Impact Scores
APT Score0.95
Weight Score2.27
Normalized Score0.61
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