Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0020505 (hyperphagia)
 6,116 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The growth of gastrointestinal mucosa can be related to ingestion and digestion of diet, with fasting producing mucosal hypoplasia and hyperphagia producing mucosal hyperplasia. Experiments were designed to determine whether induction of polyamine metabolism following ingestion of a meal was related to mucosal growth. Activity of the enzyme ornithine decarboxylase (ODC) in both jejunum and ileum but not in duodenum was dependent on the presence of food in the gut; ODC activity was more than 200-fold greater in mucosa of fed rats than in fasted rats. Inhibition of ODC with difluoromethylornithine lead to mucosal atrophy in ileum but not in duodenum. Refeeding of fasted rats resulted in significant induction of ODC in duodenal, ileal, and colonic, but not fundic, mucosa. In addition, two hormones, epidermal growth factor and glucagon, were effective inducers of ileal ODC activity. Direct evidence for hormonal involvement in the postprandial rise in mucosal ODC activity was provided by experiments in rats that had undergone ileal bypass surgery. After refeeding of fasted rats mucosal ODC activity was induced in both ileum left in continuity and in the bypassed segment. Refeeding of elemental diets demonstrated that ingestion of carbohydrate alone was sufficient for maximal enzyme induction. Mixed amino acids or glyceryl trioleate were no more effective inducers than nonnutritive solutions of cellulose or saccharin. These data demonstrate that hormones which are released during ingestion and digestion of a meal are the stimuli for induction of mucosal polyamine metabolism, suggesting that food-induced mucosal growth is hormonally mediated.
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PMID:Hormonal regulation of postprandial induction of gastrointestinal ornithine decarboxylase activity. 309 78

Intravenous hyperalimentation and enteral nutrition are the main surgical nutrition methods. IVH play an active role in therapeutic nutrition, although made rapid progress has been made in enteral nutrition, resulting in its wide clinical application. Branched-chain amino acids are useful in improving the nitrogen balance in patients who have undergone major surgical procedures or significant stress. Furthermore, their superiority over a mixed oral protein diet in patients with hepatic encephalopathy has been confirmed clinically. Medium-chain triglycerides (MCT) are an important energy source. Their advantages include easy absorbtion by the intestinal mucosa, lack of stimulation of insulin excretion, and suppression of the reticuloendothelial system. However, the ratio of long-chain triglyceride (LCT) to MCT should be evaluated in many cases. EPA can prevent various adult diseases. Many nutrients contain EPA and it is clinically used both enterally and parenterally. Glutamine is effective in the repair of small intestinal mucosal damage, since it suppresses bacterial translocation, effects of growth hormone, epidermal growth factor (EGF), and nucleic acid on nutritional status are being evaluated clinically. Home enteral nutrition (HEN) has become more common in the past five years although close, cooperation between medical staff and the family is necessary its success.
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PMID:[Progress of enteral nutrition]. 961 94