Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1979 Aug;190(2):144–150. doi: 10.1097/00000658-197908000-00004

Effect of protein depletion and repletion on liver structures, nitrogen content and serum proteins.

J Blanchard, E Steiger, M O'Neil, H Naito, B Sebeck, R J Shamberger
PMCID: PMC1344479  PMID: 111636

Abstract

The data presented in this paper demonstrate that a liver which has been severely damaged by protein malnutrition can be restored to normal composition, anatomy and functional capability by central venous feeding. An atypical serum protein electrophoretic pattern characterizes protein malnutrition. TPN repletion restores all of the protein fractions back to normal except for the gamma globulin levels. Liver nitrogen is a very sensitive index of both protein malnutrition and TPN repletion. The liver is dramatically effected by protein malnutrition and its return toward normal can be achieved by TPN support as demonstrated in this paper.

Full text

PDF
144

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bistrian B. R., Sherman M., Blackburn G. L., Marshall R., Shaw C. Cellular immunity in adult marasmus. Arch Intern Med. 1977 Oct;137(10):1408–1411. [PubMed] [Google Scholar]
  2. Dambacher M., Gubler A., Haas H. G. A new time-saving method for determining nitrogen in biologic material. Clin Chem. 1968 Jul;14(7):615–622. [PubMed] [Google Scholar]
  3. Faulk W. P., Demaeyer E. M., Davies A. J. Some effects of malnutrition on the immune response in man. Am J Clin Nutr. 1974 Jun;27(6):638–646. doi: 10.1093/ajcn/27.6.638. [DOI] [PubMed] [Google Scholar]
  4. Hambraeus L., Forsum E., Abrahamsson L., Lönnerdal B. Automatic total nitrogen analysis in nutritional evaluations using a block digestor. Anal Biochem. 1976 May 7;72:78–85. doi: 10.1016/0003-2697(76)90508-x. [DOI] [PubMed] [Google Scholar]
  5. Jones A. L., Fawcett D. W. Hypertrophy of the agranular endoplasmic reticulum in hamster liver induced by phenobarbital (with a review on the functions of this organelle in liver). J Histochem Cytochem. 1966 Mar;14(3):215–232. doi: 10.1177/14.3.215. [DOI] [PubMed] [Google Scholar]
  6. Madi K., Jervis H. R., Anderson P. R., Zimmerman M. R. A protein-deficient diet. Effect on the liver, pancreas, stomach, and small intestine of the rat. Arch Pathol. 1970 Jan;89(1):38–52. [PubMed] [Google Scholar]
  7. Steiger E., Daly J. M., Allen T. R., Dudrick S. J., Vars H. M. Postoperative intravenous nutrition: effects on body weight, protein regeneration, wound healing and liver morphology. Surgery. 1973 May;73(5):686–691. [PubMed] [Google Scholar]
  8. Steiger E., Naito H. K., Cooperman A. M., O'Neill M. Effect of lipid calories on weight gain, nitrogen balance, liver weight, and composition in total parenteral nutrition (TPN). Surg Forum. 1977;28:83–85. [PubMed] [Google Scholar]
  9. Steiger E., Vars H. M., Dudrick S. J. A technique for long-term intravenous feeding in unrestrained rats. Arch Surg. 1972 Mar;104(3):330–332. doi: 10.1001/archsurg.1972.04180030076017. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES