Elevated Plasma Ghrelin Level in Underweight Patients with Chronic Obstructive Pulmonary Disease

Ghrelin, a novel growth hormone-releasing peptide, has been shown to cause a positive energy balance by reducing fat use and stimulating food intake. This study investigated whether plasma ghrelin is associated with clinical parameters in patients with chronic obstructive pulmonary disease. Plasma g...

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Veröffentlicht in:American journal of respiratory and critical care medicine 2004-10, Vol.170 (8), p.879-882
Hauptverfasser: Itoh, Takefumi, Nagaya, Noritoshi, Yoshikawa, Masanori, Fukuoka, Atsuhiko, Takenaka, Hideaki, Shimizu, Yoshito, Haruta, Yoshinori, Oya, Hideo, Yamagishi, Masakazu, Hosoda, Hiroshi, Kangawa, Kenji, Kimura, Hiroshi
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container_issue 8
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container_title American journal of respiratory and critical care medicine
container_volume 170
creator Itoh, Takefumi
Nagaya, Noritoshi
Yoshikawa, Masanori
Fukuoka, Atsuhiko
Takenaka, Hideaki
Shimizu, Yoshito
Haruta, Yoshinori
Oya, Hideo
Yamagishi, Masakazu
Hosoda, Hiroshi
Kangawa, Kenji
Kimura, Hiroshi
description Ghrelin, a novel growth hormone-releasing peptide, has been shown to cause a positive energy balance by reducing fat use and stimulating food intake. This study investigated whether plasma ghrelin is associated with clinical parameters in patients with chronic obstructive pulmonary disease. Plasma ghrelin was measured in 50 patients and 13 control subjects, together with anabolic and catabolic factors. Patients were divided into two groups based on body mass index: underweight patients (n = 26) or normal weight patients (n = 24). Plasma ghrelin was significantly higher in underweight patients than in normal weight patients and healthy control subjects. Circulating tumor necrosis factor-alpha, interleukin-6, and norepinephrine were significantly higher in underweight patients than in normal weight patients. Plasma ghrelin correlated negatively with body mass index and correlated positively with catabolic factors such as tumor necrosis factor-alpha and norepinephrine. In addition, plasma ghrelin correlated positively with percent predicted residual volume and residual volume-to-total lung capacity ratio. In conclusion, plasma ghrelin was elevated in underweight patients with chronic obstructive pulmonary disease, and the level was associated with a cachectic state and abnormality of pulmonary function.
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This study investigated whether plasma ghrelin is associated with clinical parameters in patients with chronic obstructive pulmonary disease. Plasma ghrelin was measured in 50 patients and 13 control subjects, together with anabolic and catabolic factors. Patients were divided into two groups based on body mass index: underweight patients (n = 26) or normal weight patients (n = 24). Plasma ghrelin was significantly higher in underweight patients than in normal weight patients and healthy control subjects. Circulating tumor necrosis factor-alpha, interleukin-6, and norepinephrine were significantly higher in underweight patients than in normal weight patients. Plasma ghrelin correlated negatively with body mass index and correlated positively with catabolic factors such as tumor necrosis factor-alpha and norepinephrine. In addition, plasma ghrelin correlated positively with percent predicted residual volume and residual volume-to-total lung capacity ratio. 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This study investigated whether plasma ghrelin is associated with clinical parameters in patients with chronic obstructive pulmonary disease. Plasma ghrelin was measured in 50 patients and 13 control subjects, together with anabolic and catabolic factors. Patients were divided into two groups based on body mass index: underweight patients (n = 26) or normal weight patients (n = 24). Plasma ghrelin was significantly higher in underweight patients than in normal weight patients and healthy control subjects. Circulating tumor necrosis factor-alpha, interleukin-6, and norepinephrine were significantly higher in underweight patients than in normal weight patients. Plasma ghrelin correlated negatively with body mass index and correlated positively with catabolic factors such as tumor necrosis factor-alpha and norepinephrine. In addition, plasma ghrelin correlated positively with percent predicted residual volume and residual volume-to-total lung capacity ratio. In conclusion, plasma ghrelin was elevated in underweight patients with chronic obstructive pulmonary disease, and the level was associated with a cachectic state and abnormality of pulmonary function.</abstract><cop>New York, NY</cop><pub>Am Thoracic Soc</pub><pmid>15271696</pmid><doi>10.1164/rccm.200310-1404OC</doi><tpages>4</tpages></addata></record>
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ispartof American journal of respiratory and critical care medicine, 2004-10, Vol.170 (8), p.879-882
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subjects Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Body Mass Index
Body Weight
Cachexia - physiopathology
Case-Control Studies
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, asthma
Cytokines
Energy Metabolism
Female
Ghrelin
Growth Hormone - blood
Growth hormones
Humans
Insulin-like growth factors
Intensive care medicine
Male
Medical sciences
Peptide Hormones - blood
Peptides
Plasma
Pneumology
Proteins
Pulmonary Disease, Chronic Obstructive - blood
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Respiratory Function Tests
Tumor necrosis factor-TNF
Variance analysis
title Elevated Plasma Ghrelin Level in Underweight Patients with Chronic Obstructive Pulmonary Disease
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