Carnitine and Sepsis: A Review of an Old Clinical Dilemma

Purpose. The precise role of carnitine as the key regulator of lipid metabolism in sepsis is unclear. In this review, available experimental as well as clinical evidences regarding the probable beneficial effects of carnitine in sepsis were evaluated. Method. A comprehensive literature search was pe...

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Main Authors: Shima Hatamkhani, Iman Karimzadeh, Sepideh Elyasi, Shadi Farsaie, Hossein Khalili
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-05-01
Series:Journal of Pharmacy & Pharmaceutical Sciences
Online Access:https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/19207
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author Shima Hatamkhani
Iman Karimzadeh
Sepideh Elyasi
Shadi Farsaie
Hossein Khalili
author_facet Shima Hatamkhani
Iman Karimzadeh
Sepideh Elyasi
Shadi Farsaie
Hossein Khalili
author_sort Shima Hatamkhani
collection DOAJ
description Purpose. The precise role of carnitine as the key regulator of lipid metabolism in sepsis is unclear. In this review, available experimental as well as clinical evidences regarding the probable beneficial effects of carnitine in sepsis were evaluated. Method. A comprehensive literature search was performed in the related medical databases. Related experimental and clinical studies were included. Results and Conclusion: The plasma and tissue level of carnitine or its derivatives in septic condition is variable and inconclusive. Survival and outcomes are considered in only few studies. Despite its favorable safety profile, due to limited clinical evidence, it seems reasonable not to currently consider carnitine as a mandatory and beneficial supplement under septic conditions. Further well-designed, standard clinical trials are warranted in this regards. This article is open to POST-PUBLICATION REVIEW. Registered readers (see “For Readers”) may comment by clicking on ABSTRACT on the issue’s contents page.
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spelling doaj.art-846083ae84b54d89900ff2d438e0bf6a2023-09-02T06:59:19ZengFrontiers Media S.A.Journal of Pharmacy & Pharmaceutical Sciences1482-18262013-05-0116310.18433/J3JS4CCarnitine and Sepsis: A Review of an Old Clinical DilemmaShima Hatamkhani0Iman Karimzadeh1Sepideh Elyasi2Shadi Farsaie3Hossein Khalili4Tehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranPurpose. The precise role of carnitine as the key regulator of lipid metabolism in sepsis is unclear. In this review, available experimental as well as clinical evidences regarding the probable beneficial effects of carnitine in sepsis were evaluated. Method. A comprehensive literature search was performed in the related medical databases. Related experimental and clinical studies were included. Results and Conclusion: The plasma and tissue level of carnitine or its derivatives in septic condition is variable and inconclusive. Survival and outcomes are considered in only few studies. Despite its favorable safety profile, due to limited clinical evidence, it seems reasonable not to currently consider carnitine as a mandatory and beneficial supplement under septic conditions. Further well-designed, standard clinical trials are warranted in this regards. This article is open to POST-PUBLICATION REVIEW. Registered readers (see “For Readers”) may comment by clicking on ABSTRACT on the issue’s contents page.https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/19207
spellingShingle Shima Hatamkhani
Iman Karimzadeh
Sepideh Elyasi
Shadi Farsaie
Hossein Khalili
Carnitine and Sepsis: A Review of an Old Clinical Dilemma
Journal of Pharmacy & Pharmaceutical Sciences
title Carnitine and Sepsis: A Review of an Old Clinical Dilemma
title_full Carnitine and Sepsis: A Review of an Old Clinical Dilemma
title_fullStr Carnitine and Sepsis: A Review of an Old Clinical Dilemma
title_full_unstemmed Carnitine and Sepsis: A Review of an Old Clinical Dilemma
title_short Carnitine and Sepsis: A Review of an Old Clinical Dilemma
title_sort carnitine and sepsis a review of an old clinical dilemma
url https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/19207
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