Use of alpha-ketoglutarate

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Radical -xh acid – or anhydride – acid halide or salt thereof...

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514561, 426 74, 426271, 426656, 426658, A01N 3718, A61K 31195, A61K 3104, A61K 3140

Patent

active

056461879

ABSTRACT:
The invention relates to the use of alpha-ketoglutarate or analogues thereof in the preparation of a medicament for treatment of critically ill patients for improving protein synthesis capacity, maintaining energy level, preserving the lean body mass and for improving the glutamine content in skeletal muscle. The medicament contains preferably alpha-ketoglutarate in such an amount, so that it provides more than 0.25 g/kg body weight/day of alpha-ketoglutarate, when administered to the patient. The medicament can also comprise conventional amino acid solution and/or glutamine or analogues thereof, L-asparagine and/or acetoacetate. The invention also relates to a composition comprising conventional amino acid mixture and alpha-ketoglutarate or analogues thereof, in such an amount, so that it provides more than 0.25 g/kg body weight/day of alpha-ketoglutarate, when administered to the patient, optionally with the addition of glutamine or analogues thereof, L-asparagine and/or acetoacetate, glucose and/or fat.

REFERENCES:
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Kihlberg et al C.A.117:137674B of WO/PCT 92 09277 (Jun. 11, 1992) (glutamine).
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Jeevanandam et al., Substrate and hormonal changes due to dietary supplementation with ornithine alpha ketoglutarate (OKG) in critically ill trauma victims, Clinical Nutrition, vol. 11, Special Supplement, (1992). pp. 26, 14th Congress of the European Society of Parenteral and Enteral Nutrition, Vienna (Austria).
Hammarqvist et al., Addition of Glutamine to Total Parenteral Nutrition After Elective Abdominal Surgery Spares Free Glutamine in Muscle, Counteracts the Fall in Muscle Protein Synthesis, and Improves Nitrogen Balance, Ann Surg. (1989), pp. 455-461.
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