Human tissue protein turnover
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age 18 to 85 years; - Compos mentis; - Surgical intervention for oesophagus carcinoma, colon carcinoma, aortic valve insufficiency, lung carcinoma, renal cell carcinoma, epilepsy and hip fracture; - Written informed consent.
Exclusion criteria
Exclusion criteria: - Co-morbidities and neuromuscular disorders of the lower limbs severely interacting with mobility with limited or no opportunity for improvement (e.g. cerebral palsy); - Peripheral arterial disease Fontaine III or IV; - Chronic obstructive pulmonary disease (COPD) GOLD III or IV; - Use of systemic steroids in the past four weeks, other than indicated for the specific type of surgery; - Use anti-inflammatory biologicals (e.g. TNF-alfa blockers) in the past four weeks; - Phenylketonuria (PKU); - Surgical intervention in the past four weeks; - Insulin dependent diabetes mellitus; - Total parenteral nutrition at day of surgery; - Pregnancy; - Neoadjuvant chemo- or radiotherapy in the past four weeks.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Protein synthesis rates, expressed as fractional synthetic rate (FSR) [%/h] and enrichments [mole percent excess, MPE] in skin, bone, heart, lung, kidney, oesophagus, stomach, colon, brain and vastus lateralis muscle tissue. Protein synthesis is calculated from: - Plasma and organ tissue free phenylalanine concentration; - Plasma enrichment of L-[ring-13C6]-phenylalanine; - Organ tissue protein bound enrichment of L-[ring-13C6]-phenylalanine; - L-[ring-13C6]-phenylalanine enrichment of the organ tissue free amino acid pool. | — |
Secondary
| Measure | Time frame |
|---|---|
| Protein synthesis rates, expressed as fractional synthetic rate (FSR) [%/h] and enrichments [mole percent excess, MPE] in tumour tissue. Protein syntesis is calculated from: - Plasma and tumour tissue free phenylalanine concentration; - Plasma enrichment of L-[ring-13C6]-phenylalanine; - Tumour tissue protein bound enrichment of L-[ring-13C6]-phenylalanine; - L-[ring-13C6]-phenylalanine enrichment of the tumour tissue free amino acid pool. | — |
Countries
Netherlands