Impact of synthetic ghrelin administration for patients with severe body weight reduction more than 1 year after gastrectomy: a phase II clinical trial
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  • 作者:Shuji Takiguchi ; Yasuhiro Miyazaki ; Tsuyoshi Takahashi ; Yukinori Kurokawa…
  • 关键词:Ghrelin ; Gastric cancer ; Body weight loss
  • 刊名:Surgery Today
  • 出版年:2016
  • 出版时间:March 2016
  • 年:2016
  • 卷:46
  • 期:3
  • 页码:379-385
  • 全文大小:479 KB
  • 参考文献:1.Marinho LA, Rettori O, Vieira-Matos AN. Body weight loss as an indicator of breast cancer recurrence. Acta Oncol. 2001;40:832–7.CrossRef PubMed
    2.Demas GE, Drazen DL, Nelson RJ. Reductions in total body fat decrease humoral immunity. Proc Biol Sci. 2003;270:905–11.PubMedCentral CrossRef PubMed
    3.Tsugane S, Sasaki S, Tsubono Y. Under- and overweight impact on mortality among middle-aged Japanese men and women: a 10-y follow-up of JPHC Study cohort I. Int J Obes Relat Metab Disord. 2002;529–37.
    4.Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, Kangawa K. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature. 1999;402:656–60.CrossRef PubMed
    5.Nakazato M, Murakami N, Date Y, Kojima M, Matsuo H, Kangawa K, et al. A role for ghrelin in the central regulation of feeding. Nature. 2001;409:194–8.CrossRef PubMed
    6.Van der Lely AJ, Tschop M, Heiman ML, Ghigo E. Biological physiological, pathophysiological, and pharmacological aspects of ghrelin. Endocrin Rev. 2004;25:426–57.CrossRef
    7.Ariyasu H, Iwakura H, Yamada G, Nakao K, Kangawa K, Akamizu T. Efficacy of ghrelin as a therapeutic approach for age related physiological changes. Endocrinology. 2008;149:3722–8.CrossRef PubMed
    8.Takiguchi S, Murakami K, Yanagimoto Y, Takata A, Miyazaki Y, Mori M, Doki Y. Clinical application of ghrelin in the field of surgery. Surg Today. 2014 (Epub ahead of print).
    9.Masuda Y, Tanaka T, Inomata N, Ohnuma N, Tanaka S, Itoh Z, et al. Ghrelin stimulates gastric acid secretion and motility in rats. Biochem Biophys Res Commun. 2000;276:905–8.CrossRef PubMed
    10.Wren AM, Seal LJ, Cohen MA, Brynes AE, Frost GS, Murphy KG, et al. Ghrelin enhances appetite and increases food intake in humans. J Clin Endocrinol Metab. 2001;86:5992–5.CrossRef PubMed
    11.Neary NM, Small CJ, Wren AM, Lee JL, Druce MR, Palmieri C, et al. Ghrelin increases energy intake in cancer patients with impaired appetite: acute, randomized, placebo-controlled trial. J Clin Endocrinol Metab. 2004;89:2832–6.CrossRef PubMed
    12.Miyazaki Y, Takiguchi S, Seki Y, Kasama K, Takahashi T, Kurokawa Y, Yamasaki M, Miyata H, Nakajima K, Mori M, Doki Y. Clinical significance of ghrelin expression in the gastric mucosa of morbidly obese patients. World J Surg. 2013;37(12):2883–90.CrossRef PubMed
    13.Adachi S, Takiguchi S, Okada K, Yamamoto K, Yamasaki M, Miyata H, et al. Effects of ghrelin administration after total gastrectomy: a prospective, randomized, placebo-controlled phase II study. Gastroenterology. 2010;138:1312–20.CrossRef PubMed
    14.Yamamoto K, Takiguchi S, Miyata H, Adachi S, Hiura Y, Yamasaki M, et al. Randomized phase II study of clinical effects of ghrelin after esophagectomy with gastric tube reconstruction. Surgery. 2010;148:31–8.CrossRef PubMed
    15.Takata A, Takiguchi S, Murakami K, Miyazaki Y, Miyata H, Takahashi T, Kurokawa Y, Yamasaki M, Nakajima K, Mori M, Kangawa K, Doki Y. Effects of ghrelin administration on the early postoperative inflammatory response after esophagectomy. Surg Today. 2014 (Epub ahead of print).
    16.Koizumi M, Hosoya Y, Dezaki K, Yada T, Hosoda H, Kangawa K, Nagai H, Lefor AT, Sata N, Yasuda Y. Serum ghrelin levels partially recover with the recovery of appetite and food intake after total gastrectomy. Surg Today. 2014;44(11):2131–7.CrossRef PubMed
    17.Soriano RN, Nicoli LG, Carnio EC, Branco LG. Exogenous ghrelin attenuates endotoxin fever in rats. Peptides. 2011;32:2372–6.CrossRef PubMed
    18.Takiguchi S, Yamamoto K, Hirao M, Imamura H, Fujita J, Yano M, et al. A comparison of postoperative quality of life and dysfunction after Billroth I and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: results from a multi-institutional RCT. Gastric Cancer. 2012;15:198–205.CrossRef PubMed
    19.Hirao M, Takiguchi S, Imamura H, Yamamoto K, Kurokawa Y, Fujita J, et al. Comparison of Billroth I and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer: one-year postoperative effects assessed by a multi-institutional RCT. Ann Surg Oncol. 2013;20(5):1591–7.CrossRef PubMed
    20.Matsumura T, Arai M, Yonemitsu Y, Maruoka D, Tanaka T, Suzuki T, et al. The traditional Japanese medicine rikkunshito increases the plasma level of ghrelin in humans and mice. J Gastroenterol. 2010;45:300–7.CrossRef PubMed
    21.Takiguchi S, Hiura Y, Takahashi T, Kurokawa Y, Yamasaki M, Nakajima K, et al. Effect of rikkunshito, a Japanese herbal medicine, on gastrointestinal symptoms and ghrelin levels in gastric cancer patients after gastrectomy. Gastric Cancer. 2013;37(9):2172–9.
    22.Garcia JM, Polvino WJ. Effect on body weight and safety of RC-1291, a novel, orally available ghrelin mimetic and growth hormone secretagogue: results of a phase I, randomized, placebo-controlled, multiple-dose study in healthy volunteers. Oncologist. 2007;12:594–600.CrossRef PubMed
  • 作者单位:Shuji Takiguchi (1)
    Yasuhiro Miyazaki (1)
    Tsuyoshi Takahashi (1)
    Yukinori Kurokawa (1)
    Makoto Yamasaki (1)
    Kiyokazu Nakajima (1)
    Hiroshi Miyata (1)
    Hiroshi Hosoda (2)
    Kenji Kangawa (2)
    Masaki Mori (1)
    Yuichiro Doki (1)

    1. Division of Gastroenterological Surgery, Department of Surgery, Graduate School of Medicine, Osaka University, 2-2, E2, Yamadaoka, Suita, Osaka, 565-0871, Japan
    2. Department of Biochemistry, National Cardiovascular Center Research Institute, Osaka, Japan
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Surgery
    Abdominal Surgery
    Thoracic Surgery
    Vascular Surgery
    Cardiac Surgery
    Surgical Oncology
  • 出版者:Springer Japan
  • ISSN:1436-2813
文摘
Purpose Ghrelin is mainly secreted from the stomach and plays a role in appetite, weight gain, and the promotion of a positive energy balance. The levels of ghrelin decrease immediately after gastrectomy. We herein investigated the effect of the administration of synthetic ghrelin to treat postoperative severe weight loss in a prospective, one-arm clinical trial to develop new strategies for weight gain.
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