2019
DOI: 10.37358/rc.19.8.7464
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The Pivotal Role of the Glutamate - glutamine Cycle in Minimal Hepatic Encephalopathy. An experimental magnetic resonance spectroscopy study

Abstract: The glutamate-glutamine cycle is essential for sustaining the neuronal secretion of the excitatory neurotransmitter glutamate. Hepatic encephalopathy, even in its most discreet form, minimal hepatic encephalopathy (MHE), interferes with the glutamate and glutamine balance due to the increase in ammonia levels in the central nervous system (CNS), induced by a combination of liver dysfunction, increased blood-brain barrier permeability and many other factors. An experimental study on 21 patients with chronic liv… Show more

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Cited by 3 publications
(1 citation statement)
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“…Capsaicin impacts most of the major pathways involved in the growth and invasion of HCC, through multiple mechanisms, such as inhibiting tumour angiogenesis, generating apoptotic levels of ROS and causing autophagy through hedgehog signalling [25,49]. Associated hepatic encephalopathy (HE) may imply sensitive imbalances in specific brain metabolites that may be ascertained with advanced imaging methods [51]. Neural viability may supplementary be affected by drugs, neuroendocrine factors, or various substances [36].…”
Section: Thyroid Cancermentioning
confidence: 99%
“…Capsaicin impacts most of the major pathways involved in the growth and invasion of HCC, through multiple mechanisms, such as inhibiting tumour angiogenesis, generating apoptotic levels of ROS and causing autophagy through hedgehog signalling [25,49]. Associated hepatic encephalopathy (HE) may imply sensitive imbalances in specific brain metabolites that may be ascertained with advanced imaging methods [51]. Neural viability may supplementary be affected by drugs, neuroendocrine factors, or various substances [36].…”
Section: Thyroid Cancermentioning
confidence: 99%