Source:http://linkedlifedata.com/resource/pubmed/id/11962246
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2002-4-18
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pubmed:abstractText |
Weight loss in advanced cancer patients is refractory to conventional nutritional support. This may be due to metabolic changes mediated by proinflammatory cytokines, hormones, and tumor-derived products. We previously showed that a nutritional supplement enriched with fish oil will reverse weight loss in patients with pancreatic cancer cachexia. The present study examines the effect of this supplement on a number of mediators thought to play a role in cancer cachexia. Twenty weight-losing patients with pancreatic cancer were asked to consume a nutritional supplement providing 600 kcal and 2 g of eicosapentaenoic acid per day. At baseline and after 3 wk, patients were weighed and samples were collected to measure serum concentrations of interleukin (IL)-6 and its soluble receptor tumor necrosis factor receptors I and II, cortisol, insulin, and leptin, peripheral blood mononuclear cell production of IL-1 beta, IL-6, and tumor necrosis factor, and urinary excretion of proteolysis inducing factor. After 3 wk of consumption of the fish oil-enriched nutritional supplement, there was a significant fall in production of IL-6 (from median 16.5 to 13.7 ng/ml, P = 0.015), a rise in serum insulin concentration (from 3.3 to 5.0 mU/l, P = 0.0064), a fall in the cortisol-to-insulin ratio (P = 0.0084), and a fall in the proportion of patients excreting proteolysis inducing factor (from 88% to 40%, P = 0.008). These changes occurred in association with weight gain (median 1 kg, P = 0.024). Various mediators of catabolism in cachexia are modulated by administration of a fish oil-enriched nutritional supplement in pancreatic cancer patients. This may account for the reversal of weight loss in patients consuming this supplement.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Blood Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/Eicosapentaenoic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Fish Oils,
http://linkedlifedata.com/resource/pubmed/chemical/Hydrocortisone,
http://linkedlifedata.com/resource/pubmed/chemical/Insulin,
http://linkedlifedata.com/resource/pubmed/chemical/Interleukin-6,
http://linkedlifedata.com/resource/pubmed/chemical/Lipopolysaccharides,
http://linkedlifedata.com/resource/pubmed/chemical/Proteoglycans,
http://linkedlifedata.com/resource/pubmed/chemical/proteolysis-inducing peptide
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pubmed:status |
MEDLINE
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pubmed:issn |
0163-5581
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
118-24
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:11962246-Adolescent,
pubmed-meshheading:11962246-Adult,
pubmed-meshheading:11962246-Aged,
pubmed-meshheading:11962246-Blood Proteins,
pubmed-meshheading:11962246-Cachexia,
pubmed-meshheading:11962246-Dietary Supplements,
pubmed-meshheading:11962246-Eicosapentaenoic Acid,
pubmed-meshheading:11962246-Energy Intake,
pubmed-meshheading:11962246-Female,
pubmed-meshheading:11962246-Fish Oils,
pubmed-meshheading:11962246-Humans,
pubmed-meshheading:11962246-Hydrocortisone,
pubmed-meshheading:11962246-Insulin,
pubmed-meshheading:11962246-Interleukin-6,
pubmed-meshheading:11962246-Leukocytes, Mononuclear,
pubmed-meshheading:11962246-Lipopolysaccharides,
pubmed-meshheading:11962246-Male,
pubmed-meshheading:11962246-Middle Aged,
pubmed-meshheading:11962246-Neoplasm Staging,
pubmed-meshheading:11962246-Pancreatic Neoplasms,
pubmed-meshheading:11962246-Proteoglycans
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pubmed:year |
2001
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pubmed:articleTitle |
Effect of a fish oil-enriched nutritional supplement on metabolic mediators in patients with pancreatic cancer cachexia.
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pubmed:affiliation |
University Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh EH3 9YW, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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