TY - CHAP
T1 - Glutamine and ammonia in hepatic encephalopathy
AU - Dadsetan, Sherry
AU - Waagepetersen, Helle S.
AU - Schousboe, Arne
AU - Bak, Lasse K.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - The amino acid glutamine is present in all tissues and it serves several purposes depending on the tissue in question. This chapter is devoted to a discussion of its role in relation to the elevated ammonia levels found in the brain in the context of hepatic encephalopathy (HE), a disturbance of the central nervous system due to liver failure [1] characterized by cognitive, psychiatric, and motor deficits. Early symptoms include reversal of sleep pattern, apathy, hypersomnia, irritability, and personal neglect and HE can progressively lead to coma and death [2]. Brain ammonia homeostasis is functionally associated with metabolism in the liver since this organ is responsible for removal of excess ammonia from the bloodstream. Thus, this chapter is intended to focus on glutamine metabolism in these two organs.
AB - The amino acid glutamine is present in all tissues and it serves several purposes depending on the tissue in question. This chapter is devoted to a discussion of its role in relation to the elevated ammonia levels found in the brain in the context of hepatic encephalopathy (HE), a disturbance of the central nervous system due to liver failure [1] characterized by cognitive, psychiatric, and motor deficits. Early symptoms include reversal of sleep pattern, apathy, hypersomnia, irritability, and personal neglect and HE can progressively lead to coma and death [2]. Brain ammonia homeostasis is functionally associated with metabolism in the liver since this organ is responsible for removal of excess ammonia from the bloodstream. Thus, this chapter is intended to focus on glutamine metabolism in these two organs.
KW - Alanine
KW - Astrocyte
KW - Glutamine
KW - Hepatic encephalopathy
KW - Neuron
UR - http://www.scopus.com/inward/record.url?scp=84944535773&partnerID=8YFLogxK
U2 - 10.1007/978-1-4939-1932-1_17
DO - 10.1007/978-1-4939-1932-1_17
M3 - Book chapter
AN - SCOPUS:84944535773
SN - 9781493919314
SP - 219
EP - 227
BT - Glutamine in Clinical Nutrition
PB - Springer New York LLC
ER -