Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy

Glutamine is a major dietary amino acid that is both a fuel and nitrogen donor for healing tissues damaged by chemotherapy and radiation. Evidence supports the benefit of oral (enteral) glutamine to reduce symptoms and improve and/or maintain quality of life of cancer patients. Benefits include not...

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Main Authors: Peter M. Anderson, Rajesh V. Lalla
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/6/1675
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author Peter M. Anderson
Rajesh V. Lalla
author_facet Peter M. Anderson
Rajesh V. Lalla
author_sort Peter M. Anderson
collection DOAJ
description Glutamine is a major dietary amino acid that is both a fuel and nitrogen donor for healing tissues damaged by chemotherapy and radiation. Evidence supports the benefit of oral (enteral) glutamine to reduce symptoms and improve and/or maintain quality of life of cancer patients. Benefits include not only better nutrition, but also decreased mucosal damage (mucositis, stomatitis, pharyngitis, esophagitis, and enteritis). Glutamine supplementation in a high protein diet (10 grams/day) + disaccharides, such as sucrose and/or trehalose, is a combination that increases glutamine uptake by mucosal cells. This increased topical effect can reduce painful mucosal symptoms and ulceration associated with chemotherapy and radiation in the head and neck region, esophagus, stomach and small intestine. Topical and oral glutamine seem to be the preferred routes for this amino acid to promote mucosal healing during and after cancer treatment.
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spelling doaj.art-2509b99d65d94e43b9b7a11a497952ef2023-11-20T02:50:56ZengMDPI AGNutrients2072-66432020-06-01126167510.3390/nu12061675Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer TherapyPeter M. Anderson0Rajesh V. Lalla1Cleveland Clinic Pediatric Hematology/Oncology and Bone Marrow Transplant, Pediatric Institute and Taussig Cancer Institute, Cleveland, OH 44195, USAUConn Health, School of Dental Medicine, Farmington, CT 06030 USAGlutamine is a major dietary amino acid that is both a fuel and nitrogen donor for healing tissues damaged by chemotherapy and radiation. Evidence supports the benefit of oral (enteral) glutamine to reduce symptoms and improve and/or maintain quality of life of cancer patients. Benefits include not only better nutrition, but also decreased mucosal damage (mucositis, stomatitis, pharyngitis, esophagitis, and enteritis). Glutamine supplementation in a high protein diet (10 grams/day) + disaccharides, such as sucrose and/or trehalose, is a combination that increases glutamine uptake by mucosal cells. This increased topical effect can reduce painful mucosal symptoms and ulceration associated with chemotherapy and radiation in the head and neck region, esophagus, stomach and small intestine. Topical and oral glutamine seem to be the preferred routes for this amino acid to promote mucosal healing during and after cancer treatment. https://www.mdpi.com/2072-6643/12/6/1675glutaminetrehalosemucositisradiation injurychemotherapy associated malnutritionglutathione
spellingShingle Peter M. Anderson
Rajesh V. Lalla
Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
Nutrients
glutamine
trehalose
mucositis
radiation injury
chemotherapy associated malnutrition
glutathione
title Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
title_full Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
title_fullStr Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
title_full_unstemmed Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
title_short Glutamine for Amelioration of Radiation and Chemotherapy Associated Mucositis during Cancer Therapy
title_sort glutamine for amelioration of radiation and chemotherapy associated mucositis during cancer therapy
topic glutamine
trehalose
mucositis
radiation injury
chemotherapy associated malnutrition
glutathione
url https://www.mdpi.com/2072-6643/12/6/1675
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