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Plasma and CSF tryptophan in cancer anorexia.

Abstract
Eighteen untreated cancer patients and ten sex- and age-matched healthy volunteers were studied. In all patients eating behavior was investigated by means of a specific questionnaire from which the presence of anorexia and anorexia-related symptoms was assessed. To investigate the role of tryptophan in cancer anorexia, fasting plasma and CSF levels of tryptophan and other neutral amino acids were assayed in patients and controls. Cancer patients showed abnormally high plasma free tryptophan levels. In case of patients with cancer anorexia a significant rise of the ratio in plasma between free and tryptophan/large neutral amino acids, competing with tryptophan for its brain entry, was observed. This increase was correlated to a consistent rise of CSF tryptophan levels suggesting a specific role of the serotoninergic system in the pathogenesis of cancer anorexia.
AuthorsC Cangiano, A Cascino, F Ceci, A Laviano, M Mulieri, M Muscaritoli, F Rossi-Fanelli
JournalJournal of neural transmission. General section (J Neural Transm Gen Sect) Vol. 81 Issue 3 Pg. 225-33 ( 1990) Austria
PMID2397086 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Amino Acids
  • Tryptophan
Topics
  • Aged
  • Amino Acids (blood)
  • Anorexia (etiology, metabolism)
  • Breast Neoplasms (complications)
  • Feeding and Eating Disorders (metabolism)
  • Female
  • Humans
  • Lung Neoplasms (complications)
  • Male
  • Middle Aged
  • Tryptophan (blood, cerebrospinal fluid)

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