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L-carnitine is synthesized from lysine and methionine. Postmortem concentrations of carnitine in liver, muscle, heart, kidney, and brain averaged only one-fourth to one-third those in corresponding tissues of eight normally nourished non-hepatic patients who died after an acute illness of a 1-3-day duration. In the recent years, it has been reported that sirtuin 3 (SIRT3) is protective against acute kidney injury (AKI) and suggest that enhancing SIRT3 to improve mitochondrial dynamics has potential as a strategy for improving outcomes of renal injury. In the current study, it is the first clinical interventional research whether L-carnitine corrects ammonia metabolism associated with liver injury in hepatectomized patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ordinary group | Placebo Comparator | usual intake prior to liver surgery |
|
| carnitine group | Active Comparator | treatment with oral L-carnitine, 1500 mg/body per day for 2 weeks prior to liver surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| L-carnitine | Drug | treatment with oral L-carnitine, 1500 mg/body per day |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative ammonia levels | change from preoperative baseline at postoperative day 1 and day3 | 3 points; preoperative baseline, postoperative day 1, and day3 |
| Measure | Description | Time Frame |
|---|---|---|
| length of hospitalization after liver resection | postoperative days | up to 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Takehiro Okabayashi, MD | Contact | +81 88-837-3000 | tokabaya@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kochi Health Sciences Center | Recruiting | Kochi | Kochi | 781-0111 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31599019 | Derived | Okabayashi T, Sui K, Mastumoto T, Iwata J, Morita S, Iiyama T, Shimada Y. l-Carnitine Improves Postoperative Liver Function in Hepatectomized Patients. JPEN J Parenter Enteral Nutr. 2020 Jul;44(5):823-830. doi: 10.1002/jpen.1720. Epub 2019 Oct 9. |
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| ID | Term |
|---|---|
| D002331 | Carnitine |
| ID | Term |
|---|---|
| D050337 | Trimethyl Ammonium Compounds |
| D000644 | Quaternary Ammonium Compounds |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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| usual intake | Other | baseliner |
|
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