L-Carnitine Administration to Hemodialysis Patients: Has Its Time Come?
1992; Wiley; Volume: 5; Issue: 2 Linguagem: Inglês
10.1111/j.1525-139x.1992.tb00119.x
ISSN1525-139X
AutoresThomas A. Golper, Suhail Ahmad,
Tópico(s)Epilepsy research and treatment
ResumoSeminars in DialysisVolume 5, Issue 2 p. 94-98 L-Carnitine Administration to Hemodialysis Patients: Has Its Time Come? Thomas A. Golper, Corresponding Author Thomas A. Golper Departments of Medicine, University of Louisville, Louisville, Kentucky (TAG) and University of Washington, Seattle, Washington (SA)Thomas A. Golper, MD, Professor of Medicine, Kidney Disease Program, 500 South Floyd Street, University of Louisville, Louisville, KY 40292.Search for more papers by this authorSuhail Ahmad, Suhail Ahmad Departments of Medicine, University of Louisville, Louisville, Kentucky (TAG) and University of Washington, Seattle, Washington (SA)Search for more papers by this author Thomas A. Golper, Corresponding Author Thomas A. Golper Departments of Medicine, University of Louisville, Louisville, Kentucky (TAG) and University of Washington, Seattle, Washington (SA)Thomas A. Golper, MD, Professor of Medicine, Kidney Disease Program, 500 South Floyd Street, University of Louisville, Louisville, KY 40292.Search for more papers by this authorSuhail Ahmad, Suhail Ahmad Departments of Medicine, University of Louisville, Louisville, Kentucky (TAG) and University of Washington, Seattle, Washington (SA)Search for more papers by this author First published: April 1992 https://doi.org/10.1111/j.1525-139X.1992.tb00119.xCitations: 18AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL References 1 Bahl JJ, Bressler R: The pharmacology of carnitine. Annu Rev Pharmacol Toxicol 27: 257– 277, 1987. 2 Goa KL, Brogden RN: L-Carnitine: A preliminary review of its pharmacokinetics and its therapeutic use in ischaemic cardiac disease and primary and secondary carnitine deficiencies in relationship to its role in fatty acid metabolism. Drugs 34: 1– 24, 1987. 3 Wanner C, Horl WH: Carnitine abnormalities in patients with renal insufficiency: Pathophysiological and therapeutic aspects. Nephron 50: 89– 102, 1988. 4 Guarnieri G, Toigo G, Crapesi L, Situlin R, Del Bianco MA, Coris M, Lo Greco P, Vasile A: Carnitine metabolism in chronic renal failure: Acute effects of carnitine addition to the dialysate during acetate hemodialysis. Contrib Nephrol 65: 1– 23, 1988. 5 Kurtin PS: Carnitine metabolism and usage in chronic dialysis patients. Semin Dial 3: 166– 170, 1990. 6 Ahmad S: Carnitine and the kidney, in L-Carnitine: Role in Medicine from Function to Therapy, edited by Mauro Ferrari, Sherwood . London , Harcourt Brace Jovanovich, 1991, pp. 381– 400. 7 Bohmer T, Bergrem H, Eiklid K: Carnitine deficiency induced during intermittent hemodialysis for renal failure. Lancet 1: 126– 128, 1978. 8 Bartel LL, Hussey JL, Shrago E: Pertubation of serum carnitine levels in human adults by chronic renal disease and dialysis therapy. Am J Clin Nutr 34: 1314– 1320, 1981. 9 Leschke M, Rumpf KW, Eisenhauer T, Fuchs C, Becker K, Kothe U, Scheler F: Quantitative assessment of carnitine loss during hemodialysis and hemofiltration. Kidney Int 24(Suppl 16): 143– 146, 1983. 10 Moorthy AV, Rosenblum M, Rajaram R, Shug AL: A comparison of plasma and muscle carnitine levels in patients on peritoneal or hemodialysis for chronic renal failure. Am J Nephrol 3: 205– 208, 1983. 11 Panzetta G, Bonadonna G, Giovene P, DeGrandis D: Carnitine kinetics during dialysis: Evidence of unilateral transport from tissues to plasma. Nephron 41: 230– 234, 1985. 12 Engel AG, Rebouch CJ, Wilson DM, Glasgow AM, Romshe CA, Cruse RP: Primary systemic carnitine deficiency. II. Renal handling of carnitine. Neurology 31: 819– 825, 1981. 13 Wagner S, Deufel T, Guder W: Carnitine metabolism in isolated rat kidney cortex tubules. Biol Chem Hoppe Seyler 367: 75– 79, 1986. 14 Wanner C, Forstner-Wanner S, Rossle C, Furst P, Schollmeyer P, Horl WH: Carnitine metabolism in patients with chronic renal failure: Effect of L-carnitine supplementation. Kidney Int 32(Suppl 22): 132– 135, 1987. 15 Golper TA, Wolfson M, Ahmad S, Hirschberg R, Kurtin P, Katz LA, Nicora R, Ashbrook DW, Kopple JD: Multicenter trial of L-carnitine in maintenance hemodialysis patients. I. Carnitine concentrations and lipid effects. Kidney Int 38: 904– 911, 1990. 16 Nilsson-Ehle P, Cederblad G: Plasma lipoproteins, liver function, and glucose metabolism in haemodialysis patients: Lack of effect of L-carnitine supplementation. Scand J Clin Lab Invest 45: 179– 184, 1985. 17 Fagher B, Cederblad G: Carnitine and left ventricular function in haemodialysis patients. Scand J Clin Lab Invest 45: 193– 198, 1985. 18 Rodriguez-Segade S, Alonso de la Pena C, Paz JM, Novoa D, Arcocha V, Romero R, Del-Rio R: Carnitine deficiency in haemodialysed patients. Clin Chim Acta 159: 249– 256, 1986. 19 Rodriguez-Segade S, Alonso de la Pena C, Paz M, Novoa D, Romero R, Arcocha V, Del Rio R: Carnitine concentrations in dialysed and undialysed patients with chronic renal insufficiency. Ann Clin Biochem 23: 671– 675, 1986. 20 Yderstraede KB, Pedersen FB, Dragsholt C, Trostmann A, Laier E, Larsen HF: Hyperlipoproteinemia in uremic patients hemodialyzed with carnitine-based dialysis fluid. Immune and metabolic aspects of therapeutic blood purification systems, in Proceedings of the International Symposium, Trondheim, 1986; Karger, Basel , 1986, pp. 209– 213. 21 Wanner C, Forstner-Wanner S, Schaeffer G, Schollmeyer P, Horl WH: Serum free carnitine, carnitine esters and lipids in patients on peritoneal dialysis and hemodialysis. Am J Nephrol 6: 206– 211, 1986. 22 Rossle C, Kohse KP, Kapp W, Franz HE, Gloggler A, Bergstrom J, Furst P: Disturbed carnitine metabolism in hemodialysis patients (abstract). Clin Nutr 5(Suppl): 136, 1986. 23 Guarnieri G, Toigo G, Crapesi L, Situlin R, Del Bianco MA, Coris M, LoGreco P, Paviotti G, Mioni G, Campanacci L: Carnitine metabolism in chronic renal failure. Kidney Int 32(Suppl 22): 116– 127, 1987. 24 Advisory Board Meeting, Carnitine Strategies for FDA Considerations, March 31-April 1, 1989, Orlando , Florida . 25 Konig B, McKagney E, Conteh S, Ross B: Effect of a lipid load on blood and urinary carnitine in man. Clin Chim Acta 88: 121– 125, 1978. 26 Bellinghieri G, Savica V, Mallamace A, Di Stefano C, Consolo F, Spagnoli LG, Villaschi S, Palmieri G, Corsi MA, Maccari F: Correlation between increased serum and tissue L-carnitine levels and improved muscle symptoms in hemodialyzed patients. Am J Clin Nutr 38: 523– 531, 1983. 27 Guarnieri G, Toigo G, Crapesi L, Situlin R, Del Bianio MA, Corsi M, LoGreco P, Vasile A: Metabolic effects of supplementation of L-carnitine in the dialysate of patients treated with acetate hemodialysis. Kidney Int 36(Suppl 27): 247– 255, 1989. 28 Ricanati ES, Tserng K-Y, Hoppel CL: Abnormal fatty acid utilization during prolonged fasting in chronic uremia. Kidney Int 32(Suppl 22): 145– 148, 1987. 29 Borum PR, Taggart EM: Carnitine nutriture of dialysis patients. J Am Diet Assoc 86: 644– 647, 1986. 30 Buoncristiani U, Di Paolo N, Carobi C, Cozzari M, Quintaliani G, Bracaglia R: Carnitine depletion with CAPD, in Advances in Peritoneal Dialysis, edited by GM Gahl, M Kessel, KD Nolph. Amsterdam , Elsevier, 1981, pp. 441– 445. 31 Albright RK, Kram BW, White RP: Carnitine status of continuous ambulatory peritoneal dialysis patients. Lancet 1: 218– 219, 1982. 32 Amair P, Gregoriadis A, Rodela H, Ogilvie R, Khanna R, Brades L, Roncari DAK, Oreopoulos DG: Serum carnitine in patients on continuous ambulatory peritoneal dialysis (CAPD). Peritoneal Dial Bull 1: 11– 12, 1982. 33 Moorthy AV, Shug AL: Plasma carnitine levels do not fall in patients on long-term CAPD. Peritoneal Dial Bull 5: 175– 179, 1985. 34 Wanner C, Wieland H, Wackerle B, Boeckle H, Schollmeyer P, Horl WH: Ketogenic and antiketogenic effects of L-carnitine in hemodialysis patients. Kidney Int 36(Suppl 27): 264– 268, 1989. 35 Bohles HJ, Akcetin Z: Ketogenic effects of low and high levels of carnitine during total parenteral nutrition in the rat. Am J Clin Nutr 46: 47– 51, 1987. 36 Ahmad S, Dasgupta A, Kenny MA: Fatty acid abnormalities in hemodialysis patients: Effects of L-carnitine administration. Kidney Int 36(Suppl 27): 243– 246, 1989. 37 Maeda K, Shinzato T, Kobayakawa H: Effects of L-carnitine administration on short-chain fatty acid (acetic acid) and long-chain fatty acid metabolism during hemodialysis. Nephron 51: 355– 361, 1989. 38 Ahmad S, Haas L, Pagel M, Sherrard D: Improved lipid profiles with bicarbonate dialysis. Proc Clin Dial Transplant Forum 10: 186– 189, 1980. 39 Zilleruelo G, Novak M, Hsia SL, Goldberg R, Abitbol C, Monkus E, Strauss J: Effect of dialysate composition on the lipid response to L-carnitine supplementation. Kidney Int 36(Suppl 27): 259– 263, 1989. 40 Ahmad S, Robertson HT, Golper TA, Wolfson, Kurtin P, Katz LA, Hirschberg R, Nicora R, Ashbrook DW, Kopple JD: Multicenter trial of L-carnitine in maintenance hemodialysis patients. II. Clinical and biochemical effects. Kidney Int 38: 912– 918, 1990. 41 Giorcelli G, Corsi M: Nutritional patterns of response to L-carnitine in patients on chronic hemodialysis (abstract). Kidney Int 24(Suppl 16): 328, 1983. 42 Casciani CV, Caruso U: Beneficial effects of L-carnitine in post-dialysis syndrome. Curr Ther Res 32: 116– 127, 1982. 43 Suzuki Y, Narita M, Yamazaki N: Effects of L-carnitine on arrhythmias during hemodialysis. Jpn Heart J 23: 349– 358, 1982. 44 Giordani MP, Corsi M, Roncarolo P, Falcone M, Gabasio C: Effect of L-carnitine on systolic time intervals in coronary artery disease. Curr Ther Res 33: 305– 311, 1983. 45 Garzya G, Amico RM: Comparative study on the activity of racemic and levorotatory carnitine in stable angina pectoris. Int J Tissue React 2: 175– 180, 1980. 46 Thomsen JH, Shug AL, Yap VU, Patel AK, Karras TJ, DeFelice SL: Improved pacing tolerance of the ischemic human myocardium after administration of carnitine. Am J Cardiol 43: 300– 306, 1979. 47 Kudoh Y, Shoji T, Oimatsu H, Yoshida S, Kikuchi K, Limura O: The role of L-carnitine in the pathogenesis of cardiomegaly in patients with chronic hemodialysis. Jpn Circ J 47: 1391– 1397, 1983. 48 Trovato GJ, Ginardi B, Di Marco V, Dell'Aira AE, Ginardi V, Corsi M: Effects of L-carnitine on arrhythmias and angina during hemodialysis. J Mol Cell Cardiol 15: 25– 30, 1983. 49 Khoss AE, Steger H, Legenstein E, Proll E, Salzer-Muhar U, Schlemmer M, Balzar E, Wimmer M: L-Carnitintherapie und Myokardfunktion bei chronisch haemodialysierten Kindern (L-Carnitine therapy and myocardial function in children treated with chronic hemodialysis). Wien Klin Wochenschr 101: 17– 20, 1989. 50 Bartel LL, Hussey JL, Elson C, Shrago E: Depletion of heart and skeletal muscle carnitine in the normal rat by peritoneal dialysis. Nutr Res 1: 261– 266, 1981. 51 Goldberg AP, Harter HP, Patsch W, Schechtman KB, Province M, Weerts C, Kuisk I, McCrate MM, Schonfeld G: Racial differences in plasma high-density lipoproteins in patients receiving hemodialysis: A possible mechanism for accelerated atherosclerosis in white men. N Engl J Med 308: 1245– 1252, 1983. 52 Robertson HT, Rapoport DM, Goldberg L, Goldring RM, Elliot DL, Ahmad S, Kurtin P: A consistent pattern of exercise impairment in chronic hemodialysis. Proc Am Soc Nephrol 74A, 1985. 53 Painter P, Zimmerman SW: Exercise in end stage renal diseae. Am J Kidney Dis 7: 386– 394, 1986. 54 Aubia J, Masramon J, Lloveras L, Llorach M, Andolz P: Carnitine in haemodialysis patients. Lancet 2: 1028, 1980. 55 Brunzell JD, Albers JJ, Haas LB, Goldberg AP, Agadoa L, Sherrard DJ: Prevalence of serum lipid abnormalities in chronic hemodialysis. Metabolism 26: 903– 910, 1977. 56 Fagher B, Cederblad G, Eriksson M, Monti M, Moritz U, Nilsson-Ehle P, Thysell H: L-Carnitine and haemodialysis: Double-blind study on muscle function and metabolism and peripheral nerve function. Scand J Clin Lab Invest 45: 169– 178, 1985. 57 Spagnoli LG, Palmieri G, Mauriello A, Vacha GM, D'Iddio S, Giorcelli G, Corsi M: Morphometric evidence of the trophic effect of L-carnitine on human skeletal muscle. Nephron 55: 16– 23, 1990. 58 Borah MF, Schoenfeld PY, Gotch FA, Sargent JA: Nitrogen balance during intermittent dialysis therapy of uremia. Kidney Int 14: 491– 500, 1978. 59 Bergstrom J: Hemodialysis–Does the membrane matter? (editorial). Semin Dial 2: 7– 10, 1989. 60 Hallgren R, Karlsson FA, Roxin LE, Vange P: Myoglobin turnover–Influence of renal function. J Lab Clin Med 91: 246– 254, 1978. 61 Hart PM, Feinfeld DA, Briscoe AM, Nurse HM, Hotchkiss JL, Thomson GE: The effect of renal failure and hemodialysis on serum and urine myoglobin. Clin Nephrol 18: 141– 143, 1982. 62 Feinfeld DA, Verger C, Briscoe AM, Hotchkiss JL, Nurse HM, Merlin F, Nair S, Hart PM: Serum myoglobin in patients on intermittent and continuous ambulatory peritoneal dialysis. Clin Nephrol 28: 144– 146, 1987. 63 Vacha GM, Giorcelli G, Silliprandi N, Corsi M: Favorable effects of L-carnitine treatment on hypertriglyceridemia in hemodialysis patients. Decisive role of low levels of high-density lipoprotein-cholesterol. Am J Clin Nutr 38: 532– 540, 1983. 64 Albertazzi A, Capelli P, Di Paolo B, Pola P, Tondi P, Vaccario O: Endocrine-metabolic effects of L-carnitine in patients on regular dialysis treatment. Proc Eur Dial Transplant Assoc 19: 302– 307, 1982. 65 Trovato GM, Ginardi V, Di Marco V, Dell'Aira AE, Corsi M: Long-term L-carnitine treatment of chronic anaemia of patients with end-stage renal failure. Curr Ther Res 31: 1042– 1049, 1982. 66 Labonia WD, Morelli OH, Gimenez MI, Freuler PV, Morelli OH: Effects of L-carnitine on sodium transport in erythrocytes from dialyzed uremic patients. Kidney Int 32: 754– 759, 1987. 67 Farrell S, Vogel J, Bieber LL: Entry of acetyl-L-carnitine into biosyn-thetic pathways. Biochim Biophys Acta 876: 175– 177, 1986. 68 Donatelli A, Terrizzi C, Zummo G, Russo V, Bucalo ML, Scarpinato A: Effects of L-carnitine on chronic anemia and erythrocyte adenosine triphosphate concentration in hemodialyzed patients. Curr Ther Res 41: 620– 624, 1987. 69 Yderstraede KB, Pedersen FB, Dragsholt C, Trostmann A, Laier E, Larsen HF: The effect of L-carnitine on lipid metabolism in patients on chronic haemodialysis. Nephrol Dial Transplant 1: 238– 241, 1987. 70 Vacha GM, Giorcelli G, D'Iddio S, Valentini G, Bagiella E, Procopio A, di Donato S, Ashbrook D, Corsi M: L-Carnitine addition to dialysis fluid: A therapeutic alternative for hemodialysis patients. Nephron 51: 237– 242, 1989. Citing Literature Volume5, Issue2April 1992Pages 94-98 ReferencesRelatedInformation
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