Metabolism of Albumin after Continuous Venovenous Hemofiltration in Patients with Systemic Inflammatory Response Syndrome
Joint Authors
Chen, Yu
Ren, Jianan
Li, Jieshou
Qin, Xiaodong
Li, Guanwei
Zhou, Bo
Gu, Guosheng
Aa, JiYe
Hong, Zhiwu
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The systemic inflammatory response syndrome (SIRS) is characterized by a hypercatabolic state induced by inflammatory mediators.
Continuous venovenous hemofiltration (CVVH) stabilizes the internal environment but also aggravates loss of amino acids.
The effect of CVVH on protein dynamics is largely unknown.
We adopted the stable isotopic tracer technology to investigate how CVVH changed serum albumin metabolism.
Methods.
Twenty SIRS patients were randomized into low- (2000 mL/h) and high- (4000 mL/h) volume CVVH groups according to the rate of replacement fluid.
Eight patients with abdominal infection matched for age, sex, and laboratory index served as controls.
Consecutive arterial blood samples were drawn during a primed-constant infusion of two stable isotopes to determine the albumin fractional synthesis rate (FSR) and fractional breakdown rate (FBR).
Results.
Before treatment, there was no significant difference of FSR and FBR among 3 groups.
After CVVH, the albumin FSR in high- and low-volume groups was 7.75 ± 1.08% and 7.30 ± 0.89%, respectively, both higher than in the control (5.83 ± 0.94%).
There was no significant difference in albumin FBR after treatment.
Conclusions.
Protein dynamic indicators could reflect protein synthesis and breakdown state directly and effectively.
CVVH increased albumin synthesis, while the breakdown rate remained at a high level independently of the CVVH rate.
American Psychological Association (APA)
Chen, Yu& Ren, Jianan& Qin, Xiaodong& Li, Guanwei& Zhou, Bo& Gu, Guosheng…[et al.]. 2015. Metabolism of Albumin after Continuous Venovenous Hemofiltration in Patients with Systemic Inflammatory Response Syndrome. BioMed Research International،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1057233
Modern Language Association (MLA)
Chen, Yu…[et al.]. Metabolism of Albumin after Continuous Venovenous Hemofiltration in Patients with Systemic Inflammatory Response Syndrome. BioMed Research International No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1057233
American Medical Association (AMA)
Chen, Yu& Ren, Jianan& Qin, Xiaodong& Li, Guanwei& Zhou, Bo& Gu, Guosheng…[et al.]. Metabolism of Albumin after Continuous Venovenous Hemofiltration in Patients with Systemic Inflammatory Response Syndrome. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1057233
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057233