Skip to main content
Gut logoLink to Gut
. 1992 May;33(5):675–677. doi: 10.1136/gut.33.5.675

Whole body protein turnover in childhood Crohn's disease.

A G Thomas 1, V Miller 1, F Taylor 1, P Maycock 1, C M Scrimgeour 1, M J Rennie 1
PMCID: PMC1379300  PMID: 1612486

Abstract

In order to investigate the effects of treatment on protein metabolism in childhood Crohn's disease whole body protein turnover was measured using a primed constant intravenous infusion of L-[1-13C]leucine and mass spectrometry in 10 children with active disease. Mean rates of protein synthesis and breakdown markedly decreased after treatment with steroids (four) or an elemental diet (six). This suggests that protein synthesis and breakdown are increased during active Crohn's disease in children and are reduced after induction of remission regardless of the type of treatment.

Full text

PDF
675

Selected References

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

  1. Axelsson C., Jarnum S. Assessment of the therapeutic value of an elemental diet in chronic inflammatory bowel disease. Scand J Gastroenterol. 1977;12(1):89–95. [PubMed] [Google Scholar]
  2. Bennet W. M., Connacher A. A., Scrimgeour C. M., Smith K., Rennie M. J. Increase in anterior tibialis muscle protein synthesis in healthy man during mixed amino acid infusion: studies of incorporation of [1-13C]leucine. Clin Sci (Lond) 1989 Apr;76(4):447–454. doi: 10.1042/cs0760447. [DOI] [PubMed] [Google Scholar]
  3. Lloyd-Still J. D., Green O. C. A clinical scoring system for chronic inflammatory bowel disease in children. Dig Dis Sci. 1979 Aug;24(8):620–624. doi: 10.1007/BF01333706. [DOI] [PubMed] [Google Scholar]
  4. Lochs H., Egger-Schödl M., Schuh R., Meryn S., Westphal G., Pötzi R. Is tube feeding with elemental diets a primary therapy of Crohn's disease? Klin Wochenschr. 1984 Sep 3;62(17):821–825. doi: 10.1007/BF01711858. [DOI] [PubMed] [Google Scholar]
  5. Matthews D. E., Motil K. J., Rohrbaugh D. K., Burke J. F., Young V. R., Bier D. M. Measurement of leucine metabolism in man from a primed, continuous infusion of L-[1-3C]leucine. Am J Physiol. 1980 May;238(5):E473–E479. doi: 10.1152/ajpendo.1980.238.5.E473. [DOI] [PubMed] [Google Scholar]
  6. Motil K. J., Grand R. J., Matthews D. E., Bier D. M., Maletskos C. J., Young V. R. Whole body leucine metabolism in adolescents with Crohn's disease and growth failure during nutritional supplementation. Gastroenterology. 1982 Jun;82(6):1359–1368. [PubMed] [Google Scholar]
  7. Powell-Tuck J., Garlick P. J., Lennard-Jones J. E., Waterlow J. C. Rates of whole body protein synthesis and breakdown increase with the severity of inflammatory bowel disease. Gut. 1984 May;25(5):460–464. doi: 10.1136/gut.25.5.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Teahon K., Bjarnason I., Pearson M., Levi A. J. Ten years' experience with an elemental diet in the management of Crohn's disease. Gut. 1990 Oct;31(10):1133–1137. doi: 10.1136/gut.31.10.1133. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES